Mutations in the embryonal subunit of the acetylcholine receptor (CHRNG) cause lethal and escobar variants of multiple pterygium syndrome

N V Morgan, L A Brueton, P Cox, M T Greally, J Tolmie, S Pasha, I A Aligianis, H van Bokhoven, T Marton, L Al-Gazali, J E V Morton, C Oley, C A Johnson, R C Trembath, H G Brunner, E R Maher

Research output: Contribution to journalArticlepeer-review

126 Citations (Scopus)


Multiple pterygium syndromes (MPSs) comprise a group of multiple-congenital- anomaly disorders characterized by webbing (pterygia) of the neck, elbows, and/or knees and joint contractures (arthrogryposis). In addition, a variety of developmental defects (e.g., vertebral anomalies) may occur. MPSs are phenotypically and genetically heterogeneous but are traditionally divided into prenatally lethal and nonlethal (Escobar) types. To elucidate the pathogenesis of MPS, we undertook a genomewide linkage scan of a large consanguineous family and mapped a locus to 2q36-37. We then identified germline-inactivating mutations in the embryonal acetylcholine receptor g subunit (CHRNG) in families with both lethal and nonlethal MPSs. These findings extend the role of acetylcholine receptor dysfunction in human disease and provide new insights into the pathogenesis and management of fetal akinesia syndromes
Original languageEnglish
Pages (from-to)390 - 395
Number of pages6
JournalAmerican Journal of Human Genetics
Issue number2
Publication statusPublished - Aug 2006

Cite this