Congenital myasthenic syndromes: recent advances

AG Engel, K Ohno, SM Sine - Archives of neurology, 1999 - jamanetwork.com
Congenital myasthenic syndromes (CMS) can arise from presynaptic, synaptic, or
postsynaptic defects. Mutations of the acetylcholine receptor (AChR) that increase or
decrease the synaptic response to acetylcholine (ACh) are a common cause of the
postsynaptic CMS. An increased response occurs in the slow-channel syndromes. Here,
dominant mutations in different AChR subunits and in different domains of the subunits
prolong the activation episodes of AChR by either delaying channel closure or increasing …