
Congenital Myasthenic Syndrome 3B: Unraveling the Genetic Threads
Weakness that worsens with exertion may begin in infancy or later in childhood. RAPSN testing gives CMS 3B a genetic label and explains some of its clinical variability.

MD · MBA
Physician specializing in genetic analysis and personalized preventive medicine, and author of Outsmart Your Genes.
Brandon Colby is a physician-expert in the fields of genetic analysis and Personalized Preventive Medicine. He holds an MD from the Mount Sinai School of Medicine, an MBA from Stanford University's Graduate School of Business, and a degree in Genetics from the University of Michigan.
Dr. Colby is the author of the book Outsmart Your Genes and has developed numerous technologies that improve the analysis, interpretation, and actionability of genome sequencing data. He is an Affiliate Specialist of the American College of Medical Genetics and Genomics (ACMG), an Associate of the American College of Preventive Medicine (ACPM), and a member of the National Society of Genetic Counselors (NSGC).
Articles by Brandon Colby, MD are reviewed for accuracy by Sequencing's medical and scientific team. This page is for informational purposes and does not constitute medical advice.

Weakness that worsens with exertion may begin in infancy or later in childhood. RAPSN testing gives CMS 3B a genetic label and explains some of its clinical variability.

Defective assembly of acetylcholine receptors underlies CMS 3C. Testing for RAPSN mutations confirms the diagnosis, guides therapy and informs carrier assessment.

When rapsyn cannot cluster acetylcholine receptors, nerve-to-muscle signals falter. CMS 4B brings ptosis, facial weakness and swallowing trouble that testing can confirm.

SLC5A7 moves choline into nerve cells so acetylcholine can be made. CMS9 disrupts that step; testing confirms the mutation behind weakness, ptosis and breathing trouble.

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Whole-exome sequencing and targeted panels can pinpoint the WAC point mutation behind the syndrome, separating it from other developmental disorders that look similar.

Frequent seizures, cognitive impairment and developmental delay make up DEE29, which a study of 30 affected individuals tied to the PACS2 p.Glu209Lys variant.

Infants with DEE30 may plateau or regress in motor and cognitive skills alongside refractory seizures; the PACS2 p.Glu209Lys variant guides drug choice and testing.