Testing for the most common CHRNE gene mutation (exons 11 and 12, 1267delG mutation) – congenital myasthenic syndrome (CMS)
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Congenital myasthenic syndromes (CMS) are a heterogeneous group of genetic disorders of neuromuscular transmission due to structural involvement of the neuromuscular junction. It is a group of rare childhood diseases. The prevalence in the population is 1–2 children per million healthy children. Several genes are currently known to encode different proteins expressed on the neuromuscular junction. Postsynaptic forms of CMS (76%) with impaired acetylcholine receptor (AChR) function (reduction of its number) are the most common in our population. From the aetiological point of view, these are mutations in genes that encode individual AChR subunits; the most common mutation in the European Roma ethnic group is ε1267delG in the AChR ε gene (CHRNE gene) in exon 12. We detect CHRNE gene mutation (exons 11 and 12, 1267delG mutation) by Sanger sequencing.