Description
Skeletal Muscle Channelopathies eligibility statement:

Skeletal Muscle Channelopathies inclusion criteria (29575)
- Episodic flaccid paralysis or weakness and/or myotonia
- May develop progressive, usually proximal, weakness
- Electrophysiology including long and short exercise testing
- Intra-attack potassium documented whenever possible
- Normal renal function and thyroid function

Skeletal Muscle Channelopathies exclusion criteria (29575)
- Primary renal or endocrine problem that may be causative
- Associated loss of consciousness with attacks

Prior genetic testing guidance (29575)
- Results should have been reviewed for all genetic tests undertaken, including disease-relevant genes in exome sequencing data. The patient is not eligible if they have a molecular diagnosis for their condition. 
- Genetic testing should continue according to routine local practice for this phenotype regardless of recruitment to the project; results of these tests must be submitted via the ‘Genetic investigations’ section of the data capture tool to allow comparison of WGS with current standard testing.  

PLEASE NOTE: The sensitivity of WGS compared to current diagnostic genetic testing has not yet been established. It is therefore important that tests which are clinically indicated under local standard practice continue to be carried out.

Skeletal Muscle Channelopathies prior genetic testing genes (29575)
Testing of the following genes should be carried out PRIOR TO RECRUITMENT where this is in line with current local practice:
 - Myotonia: DMPK, CNBP, SCN4A, CLCN1 (including MLPA)
 - Episodic weakness: CACNA1S, SCN4A, KCNJ2

Closing statement (29575)
These requirements will be kept under continual review during the main programme and may be subject to change.

10 reviewers

  • Ellen McDonagh (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Arianna Tucci (Department of Molecular Neuroscience, UCL Institute of Neurology, Queen Square)

    Group: Other
    Workplace: Other

  • Sarah Leigh (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Alice Gardham (Genomics England)

    Group: Other
    Workplace: Other

  • Louise Daugherty (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Arianna Tucci (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Fowzan ALKURAYA (King Faisal Specialist Hospital and Research Center)

    Group: Other
    Workplace: Other

  • Eleanor Williams (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Ivone Leong (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Arina Puzriakova (Genomics England Curator)

    Group: Other
    Workplace: Other

24 Entities

24 reviewed, 17 green

List Entity Reviews Mode of inheritance Details
24 Entitiess
Green Green List (high evidence)
ADCY5
4 reviews
3 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Radboud University Medical Center, Nijmegen
Phenotypes
  • Dyskinesia, familial, with facial myokymia, 606703
Tags
Green Green List (high evidence)
ATP1A2
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Migraine, familial hemiplegic, 2, 602481
  • Alternating hemiplegia of childhood 1, 104290
  • Hypokalaemic periodic paralysis
Tags
Green Green List (high evidence)
ATP2A1
4 reviews
3 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Brody myopathy 601003
Tags
Green Green List (high evidence)
CACNA1A
6 reviews
3 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert Review Green
  • Radboud University Medical Center, Nijmegen
  • UKGTN
Phenotypes
  • Episodic ataxia, type 2, OMIM:108500
  • Migraine, familial hemiplegic, 1, OMIM:141500
  • Migraine, familial hemiplegic, 1, with progressive cerebellar ataxia, OMIM:141500
Tags
Green Green List (high evidence)
CACNA1S
6 reviews
3 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Eligibility statement prior genetic testing
  • Expert Review Green
  • Illumina TruGenome Clinical Sequencing Services
  • Radboud University Medical Center, Nijmegen
  • UKGTN
Phenotypes
  • Hypokalemic periodic paralysis, type 1, 170400
Tags
  • treatable
Green Green List (high evidence)
CLCN1
5 reviews
3 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Eligibility statement prior genetic testing
  • Expert Review Green
  • Illumina TruGenome Clinical Sequencing Services
  • Radboud University Medical Center, Nijmegen
  • UKGTN
Phenotypes
  • Myotonia congenita, recessive, 255700
  • Myotonia congenita, dominant, 160800
  • Myotonia levior, recessive
  • Myotonia Congenita
  • Hyperkalemic Periodic Paralysis
  • Myotonia
Tags
Green Green List (high evidence)
CNBP_CCTG
STR
4 reviews
2 green 1 red
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Green
  • NHS GMS
Phenotypes
  • Myotonic dystrophy 2, OMIM:602668
  • Myotonic dystrophy type 2, MONDO:0011266
Tags
  • STR
Green Green List (high evidence)
DMPK_CTG
STR
3 reviews
2 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Green
  • NHS GMS
Phenotypes
  • Myotonic dystrophy 1, OMIM:160900
Tags
  • STR
Green Green List (high evidence)
KCNA1
5 reviews
2 green 1 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert Review Green
  • Illumina TruGenome Clinical Sequencing Services
  • Radboud University Medical Center, Nijmegen
  • UKGTN
Phenotypes
  • Episodic ataxia/myokymia syndrome, 160120
  • Episodic Ataxia
  • Myokymia
  • Episodic Ataxia, Type 1
  • EA1
Tags
Green Green List (high evidence)
KCNJ2
5 reviews
3 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Eligibility statement prior genetic testing
  • Expert Review Green
  • UKGTN
Phenotypes
  • Andersen syndrome, OMIM:170390
  • Andersen-Tawil syndrome, MONDO:0008222
  • Episodic weakness
  • Periodic paralysis
Tags
Green Green List (high evidence)
MT-ATP6
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert Review
  • Expert Review Green
Tags
  • gene-checked
Green Green List (high evidence)
MT-ATP8
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert Review
  • Expert Review Green
Tags
  • gene-checked
Green Green List (high evidence)
PYGM
2 reviews
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review
  • Expert Review Green
Phenotypes
  • McArdle disease, 232600
Tags
Green Green List (high evidence)
RYR1
1 review
1 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert Review
  • Expert Review Green
Tags
Green Green List (high evidence)
SCN4A
4 reviews
3 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Eligibility statement prior genetic testing
  • Expert Review Green
  • Illumina TruGenome Clinical Sequencing Services
  • Radboud University Medical Center, Nijmegen
  • UKGTN
Phenotypes
  • Hyperkalemic periodic paralysis, type 2, 170500
  • Myasthenic syndrome, acetazolamide-responsive, 614198
  • Hypokalemic periodic paralysis, type 2, 613
  • Potassium-Aggravated Myotonia
  • Hyperkalemic Periodic Paralysis
  • Hypokalemic Periodic Paralysis
  • Thyrotoxic Periodic Paralysis, Susceptibility To, 2
  • Myotonia
  • Episodic weakness
Tags
Green Green List (high evidence)
SLC1A3
6 reviews
3 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert Review Green
  • Illumina TruGenome Clinical Sequencing Services
  • Radboud University Medical Center, Nijmegen
Phenotypes
  • Episodic ataxia, type 6, 612656
  • Episodic Ataxia
Tags
Green Green List (high evidence)
SLC2A1
2 reviews
1 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Epilepsy, idiopathic generalized, susceptibility to, 12, 614847
  • Can resemble skeletal muscle channelopathy
  • GLUT1 deficiency syndrome 1, infantile onset, severe, 606777 (recessive and dominant).
  • GLUT1 deficiency syndrome 2, childhood onset, 612126
  • myotonia
  • dystonia
Tags
Amber Amber List (moderate evidence)
KCNJ5
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review
  • Expert Review Amber
Tags
Red Red List (low evidence)
CACNB4
5 reviews
3 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert Review Red
  • Illumina TruGenome Clinical Sequencing Services
  • Radboud University Medical Center, Nijmegen
Phenotypes
  • {Epilepsy, juvenile myoclonic, susceptibility to, 6}, 607682
  • {Epilepsy, idiopathic generalized, susceptibility to, 9}, 607682
  • Episodic ataxia, type 5, 613855
  • Episodic Ataxia
Tags
Red Red List (low evidence)
CNBP
7 reviews
1 red
Other
Sources
  • Eligibility statement prior genetic testing
  • Expert Review Red
Phenotypes
  • Myotonic dystrophy 2, OMIM:602668
  • Myotonic dystrophy type 2, MONDO:0011266
Tags
  • nucleotide-repeat-expansion
Red Red List (low evidence)
DMPK
6 reviews
2 green 1 red
Other
Sources
  • Eligibility statement prior genetic testing
  • Expert Review Red
Phenotypes
  • Myotonic dystrophy 1, OMIM:160900
Tags
  • currently-ngs-unreportable
  • nucleotide-repeat-expansion
Red Red List (low evidence)
HSPG2
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review
  • Expert Review Red
Phenotypes
  • Schwartz-Jampel syndrome, type 1, OMIM:255800
  • Schwartz-Jampel syndrome, MONDO:0009717
  • Dyssegmental dysplasia, Silverman-Handmaker type, OMIM:224410
  • Silverman-Handmaker type dyssegmental dysplasia, MONDO:0009140
Tags
Red Red List (low evidence)
KCNJ18
6 reviews
1 green 2 red
Not set
Sources
  • Expert Review Red
  • UKGTN
Phenotypes
  • Hypokalemic Periodic Paralysis, Type 1
Tags
  • ensembl_ids_known_missing
Red Red List (low evidence)
KCNQ2
6 reviews
3 red
Not set
Sources
  • Expert Review Red
  • Radboud University Medical Center, Nijmegen
Phenotypes
  • Seizures, benign neonatal, 1, 121200
  • Myokymia, 121200
  • Epileptic encephalopathy, early infantile, 7, 613720
Tags

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