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Table 3 Proposed revision of Orphanet hierarchy below ORPHA:590 (Congenital myasthenic syndrome)

From: A nomenclature and classification for the congenital myasthenic syndromes: preparing for FAIR data in the genomic era

ORPHA number

Typology

Root

Level 1

Level 2

Level 3

Level 4

ORPHA:590

Group of phenomes

Congenital myasthenic syndrome

    

ORPHA:98913

Group of phenomes

 

Postsynaptic congenital myasthenic syndromes

   

NEW

Group of phenomes

  

Congenital myasthenic syndromes with kinetic defect

  

NEW

Group of phenomes

   

Fast-channel congenital myasthenic syndromes

 

NEW

Disease

    

Fast-channel congenital myasthenic syndrome due to an acetylcholine receptor defect caused by a pathogenic variant in CHRNA1

NEW

Disease

    

Fast-channel congenital myasthenic syndrome due to an acetylcholine receptor defect caused by a pathogenic variant in CHRNB1

NEW

Disease

    

Fast-channel congenital myasthenic syndrome due to an acetylcholine receptor defect caused by a pathogenic variant in CHRND

NEW

Disease

    

Fast-channel congenital myasthenic syndrome due to an acetylcholine receptor defect caused by a pathogenic variant in CHRNE

NEW

Group of phenomes

   

Slow-channel congenital myasthenic syndromes

 

NEW

Disease

    

Slow-channel congenital myasthenic syndrome due to an acetylcholine receptor defect caused by a pathogenic variant in CHRNA1

NEW

Disease

    

Slow-channel congenital myasthenic syndrome due to an acetylcholine receptor defect caused by a pathogenic variant in CHRNB1

NEW

Disease

    

Slow-channel congenital myasthenic syndrome due to an acetylcholine receptor defect caused by a pathogenic variant in CHRND

NEW

Disease

    

Slow-channel congenital myasthenic syndrome due to an acetylcholine receptor defect caused by a pathogenic variant in CHRNE

NEW

Group of phenomes

   

Congenital myasthenic syndromes with kinetic defect due to reduced ion channel conductance

 

NEW

Disease

    

Congenital myasthenic syndrome with kinetic defect due to reduced ion channel conductance caused by pathogenic variants in CHRNE

NEW

Group of phenomes

  

Congenital myasthenic syndromes with primary acetylcholine receptor deficiency

  

NEW

Disease

   

Congenital myasthenic syndrome due to primary acetylcholine receptor deficiency caused by pathogenic variants in CHRNA1

 

NEW

Disease

   

Congenital myasthenic syndrome due to primary acetylcholine receptor deficiency caused by pathogenic variants in CHRNB1

 

NEW

Disease

   

Congenital myasthenic syndrome due to primary acetylcholine receptor deficiency caused by pathogenic variants in CHRND

 

NEW

Disease

   

Congenital myasthenic syndrome due to primary acetylcholine receptor deficiency caused by pathogenic variants in CHRNE

 

NEW

Group of phenomes

  

Congenital myasthenic syndromes due to primary or secondary defects in acetylcholine receptor clustering

  

NEW

Disease

   

Congenital myasthenic syndrome due to defects in acetylcholine receptor clustering caused by pathogenic variants in CHRND

 

NEW

Disease

   

Congenital myasthenic syndrome due to endplate rapsyn deficiency caused by pathogenic variants in RAPSN

 

NEW

Group of phenomes

  

Congenital myasthenic syndromes due to defects in endplate development and maintenance

  

NEW

Disease

   

Congenital myasthenic syndrome due to agrin deficiency caused by pathogenic variants in AGRN

 

NEW

Disease

   

Congenital myasthenic syndrome due to defects in low-density lipoprotein receptor-related protein 4 caused by pathogenic variants in LRP4

 

NEW

Disease

   

Congenital myasthenic syndrome due to defects in muscle-specific kinase caused by pathogenic variants in MUSK

 

NEW

Disease

   

Congenital myasthenic syndrome due to defects in docking protein 7 caused by pathogenic variants in DOK7

 

NEW

Disease

  

Congenital myasthenic syndrome due to plectin deficiency caused by pathogenic variants in PLEC1

  

NEW

Disease

  

Congenital myasthenic syndrome due to a sodium channel 1.4 defect caused by pathogenic variants in SCN4A

  

ORPHA:98914

Group of phenomes

 

Presynaptic congenital myasthenic syndromes

   

NEW

Group of phenomes

  

Congenital myasthenic syndromes due to defective axonal transport

  

NEW

Disease

   

Congenital myasthenic syndrome due to a defect in Myosin 9A caused by pathogenic variants in MYO9A

 

NEW

Group of phenomes

  

Congenital myasthenic syndromes due to defective synthesis or recycling of acetylcholine

  

NEW

Disease

   

Congenital myasthenic syndrome due to endplate choline acetyltransferase deficiency caused by pathogenic variants in CHAT

 

NEW

Disease

   

Congenital myasthenic syndrome caused by pathogenic variants in PREPL that predict reduced filling of synaptic vesicles with ACh

 

NEW

Disease

   

Congenital myasthenic syndrome due to a choline transporter defect caused by pathogenic variants in SLC5A7

 

NEW

Disease

   

Congenital myasthenic syndrome due to a vesicular acetylcholine transporter defect caused by pathogenic variants in SLC18A3

 

NEW

Group of phenomes

  

Congenital myasthenic syndromes due to defective synaptic vesicles exocytosis

  

NEW

Disease

   

Congenital myasthenic syndrome due to a synaptosomal-associated protein 25 defect caused by pathogenic variants in SNAP25B

 

NEW

Disease

   

Congenital myasthenic syndrome due to a synaptotagmin defect caused by a pathogenic variant in SYT2

 

NEW

Disease

   

Congenital myasthenic syndrome due to a mammalian uncoordinated-13 protein defect caused by a pathogenic variant in UNC13A

 

NEW

Disease

   

Congenital myasthenic syndrome due to a vesicle associated membrane protein 1 defect caused by a pathogenic variant in VAMP1

 

NEW

Disease

  

Congenital myasthenic syndrome due to a mitochondrial citrate carrier defect caused by pathogenic variants in SLC25A1

  

ORPHA:98915

Group of phenomes

 

Synaptic and basal lamina associated congenital myasthenic syndromesa

   

NEW

Disease

   

Congenital myasthenic syndrome due to endplate acetylcholinesterase deficiency caused by pathogenic variants in COLQ

 

NEW

Disease

   

Congenital myasthenic syndrome due to collagen 13 defects caused by pathogenic variants in COL13A1

 

NEW

Disease

   

Congenital myasthenic syndrome due to laminin beta 2 deficiency caused by pathogenic variants in LAMB2

 

ORPHA:353327

Group of phenomes

 

Congenital myasthenic syndromes with glycosylation defect

   

NEW

Disease

  

Congenital myasthenic syndrome due to a defect of glycosylation caused by pathogenic variants in GFPT1

  

NEW

Disease

  

Congenital myasthenic syndrome due to a defect of glycosylation caused by pathogenic variants in DPAGT1

  

NEW

Disease

  

Congenital myasthenic syndrome due to a defect of glycosylation caused by pathogenic variants in ALG2

  

NEW

Disease

  

Congenital myasthenic syndrome due to a defect of glycosylation caused by pathogenic variants in ALG14

  

NEW

Disease

  

Congenital myasthenic syndrome due to a defect of glycosylation caused by pathogenic variants in GMPPB

  
  1. aname of group updated from “synaptic congenital myasthenic syndromes”