Uma doença que afeta os canais das células e que atinge os músculos.
Introdução
O que você precisa saber de cara
Uma doença que afeta os canais das células e que atinge os músculos.
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Entender a doença
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 95 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 271 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
7 genes identificados com associação a esta condição.
Cytosolic calcium-activated calcium channel that mediates the release of Ca(2+) from the sarcoplasmic reticulum into the cytosol and thereby plays a key role in triggering muscle contraction following depolarization of T-tubules (PubMed:11741831, PubMed:16163667, PubMed:18268335, PubMed:18650434, PubMed:26115329). Repeated very high-level exercise increases the open probability of the channel and leads to Ca(2+) leaking into the cytoplasm (PubMed:18268335). Can also mediate the release of Ca(2+)
Sarcoplasmic reticulum membrane
Malignant hyperthermia 1
Autosomal dominant pharmacogenetic disorder of skeletal muscle and is one of the main causes of death due to anesthesia. In susceptible people, an MH episode can be triggered by all commonly used inhalational anesthetics such as halothane and by depolarizing muscle relaxants such as succinylcholine. The clinical features of the myopathy are hyperthermia, accelerated muscle metabolism, contractures, metabolic acidosis, tachycardia and death, if not treated with the postsynaptic muscle relaxant, dantrolene. Susceptibility to MH can be determined with the 'in vitro' contracture test (IVCT): observing the magnitude of contractures induced in strips of muscle tissue by caffeine alone and halothane alone. Patients with normal response are MH normal (MHN), those with abnormal response to caffeine alone or halothane alone are MH equivocal (MHE(C) and MHE(H) respectively).
Inward rectifier potassium channels are characterized by a greater tendency to allow potassium to flow into the cell rather than out of it. Their voltage dependence is regulated by the concentration of extracellular potassium; as external potassium is raised, the voltage range of the channel opening shifts to more positive voltages. The inward rectification is mainly due to the blockage of outward current by internal magnesium. Can be blocked by external barium. This potassium channel is control
Membrane
Long QT syndrome 13
A heart disorder characterized by a prolonged QT interval on the ECG and polymorphic ventricular arrhythmias. They cause syncope and sudden death in response to exercise or emotional stress, and can present with a sentinel event of sudden cardiac death in infancy.
Pore-forming subunit of Nav1.4, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes. Navs, also called VGSCs (voltage-gated sodium channels) or VDSCs (voltage-dependent sodium channels), operate by switching between closed and open conformations depending on the voltage difference across the membrane. In the open conformation they allow Na(+) ions to selectively pass through the pore, along their electrochemical gradient.
Cell membrane
Paramyotonia congenita
An autosomal dominant channelopathy characterized by myotonia, increased by exposure to cold, intermittent flaccid paresis, not necessarily dependent on cold or myotonia, lability of serum potassium, non-progressive nature and lack of atrophy or hypertrophy of muscles. In some patients, myotonia is not increased by cold exposure (paramyotonia without cold paralysis). Patients may have a combination phenotype of PMC and HYPP.
Voltage-gated chloride channel involved in skeletal muscle excitability. Generates most of the plasma membrane chloride conductance in skeletal muscle fibers, stabilizes the resting membrane potential and contributes to the repolarization phase during action potential firing (PubMed:12456816, PubMed:16027167, PubMed:22521272, PubMed:22641783, PubMed:26007199, PubMed:26502825, PubMed:26510092, PubMed:7951242, PubMed:8112288, PubMed:8130334, PubMed:9122265, PubMed:9565403, PubMed:9736777). Forms a
Cell membraneCell membrane, sarcolemmaCell membrane, sarcolemma, T-tubule
Myotonia congenita, autosomal dominant
A non-dystrophic skeletal muscle disorder characterized by muscle stiffness and an inability of the muscle to relax after voluntary contraction. Most patients have symptom onset in the legs, which later progresses to the arms, neck, and facial muscles. Many patients show marked hypertrophy of the lower limb muscles. The autosomal dominant form (Thomsen disease) is less common and less severe than the autosomal recessive one (Becker disease). A milder form of autosomal dominant myotonia is characterized by isolated myotonia without muscle weakness, hypotrophy, or hypertrophy (myotonia levior).
Pore-forming, alpha-1S subunit of the voltage-gated calcium channel that gives rise to L-type calcium currents in skeletal muscle. Calcium channels containing the alpha-1S subunit play an important role in excitation-contraction coupling in skeletal muscle via their interaction with RYR1, which triggers Ca(2+) release from the sarcoplasmic reticulum and ultimately results in muscle contraction. Long-lasting (L-type) calcium channels belong to the 'high-voltage activated' (HVA) group
Cell membrane, sarcolemma, T-tubule
Periodic paralysis hypokalemic 1
An autosomal dominant disorder manifested by episodic flaccid generalized muscle weakness associated with falls of serum potassium levels.
Pore-forming subunit of the cone cyclic nucleotide-gated channel. Mediates cone photoresponses at bright light converting transient changes in intracellular cGMP levels into electrical signals. In the dark, cGMP levels are high and keep the channel open enabling a steady inward current carried by Na(+) and Ca(2+) ions that leads to membrane depolarization and neurotransmitter release from synaptic terminals. Upon photon absorption cGMP levels decline leading to channel closure and membrane hyper
Cell membrane
Stargardt disease 1
An autosomal recessive form of Stargardt disease, a retinal degenerative disease characterized by macular dystrophy, progressive bilateral atrophy of the foveal retinal pigment epithelium, and accumulation of fluorescent flecks around the macula and/or in the central and near-peripheral areas of the retina. STGD1 patients typically lose central vision in their first or second decade of life.
Inward rectifier potassium channels are characterized by a greater tendency to allow potassium to flow into the cell rather than out of it (PubMed:36149965, PubMed:7590287, PubMed:9490857). Their voltage dependence is regulated by the concentration of extracellular potassium; as external potassium is raised, the voltage range of the channel opening shifts to more positive voltages (PubMed:7590287, PubMed:7696590). The inward rectification is mainly due to the blockage of outward current by inter
Cell membraneCell membrane, sarcolemma, T-tubule
Long QT syndrome 7
A heart disorder characterized by a prolonged QT interval on the ECG and polymorphic ventricular arrhythmias. They cause syncope and sudden death in response to exercise or emotional stress, and can present with a sentinel event of sudden cardiac death in infancy. Long QT syndrome type 7 manifests itself as a clinical triad consisting of potassium-sensitive periodic paralysis, ventricular ectopy and dysmorphic features.
Variantes genéticas (ClinVar)
7,007 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 1 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
10 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Canalopatia muscular
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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Ensaios em destaque
🟢 Recrutando agora
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Outros ensaios clínicos
0 ensaios clínicos encontrados.
Publicações mais relevantes
The importance of comprehensive diagnostic work-up and genetic testing to reveal Andersen-Tawil syndrome-a case report.
Este artigo enfatiza a importância de um diagnóstico completo e testes genéticos para a Síndrome de Andersen-Tawil (ATS), uma canalopatia rara que pode causar anomalias cardíacas graves (inclusive parada cardíaca), paralisia muscular e características dismórficas. Dada a apresentação clínica variável e desafiadora, o teste genético é crucial para a confirmação da ATS, mesmo em casos com sintomas inicialmente isolados ou de início tardio. Além disso, o artigo aborda a miotonia congênita como outra canalopatia muscular genética, caracterizada por rigidez e atraso no relaxamento muscular devido a mutações no gene CLCN1.
🇧🇷 traduzidoMyopathies in clinical care: a focus on treatable causes.
As miopatias, que causam fraqueza, fadiga ou dor muscular, frequentemente possuem causas tratáveis. Embora a maioria das miopatias adquiridas já responda a terapias, o avanço de tratamentos moleculares e genéticos oferece agora opções eficazes para algumas formas hereditárias antes sem cura. Este artigo é crucial para médicos e pacientes, pois enfatiza uma abordagem clínica para identificar e gerenciar essas condições, focando nas que têm tratamentos estabelecidos ou emergentes.
🇧🇷 traduzidoEpidemiological report and diagnostic approach used in the neuromuscular population of Liege, Belgium.
Este estudo sobre doenças neuromusculares (DNM) em Liege, Bélgica, revelou que as neuropatias e distrofias musculares são as condições mais comuns, com as canalopatias representando uma parte menor (2-6%) da população estudada. Para pacientes e médicos, é crucial notar que, embora o sequenciamento de nova geração (NGS) seja promissor, a maioria dos diagnósticos genéticos ainda é obtida por métodos tradicionais, devido aos altos custos e complexidade das tecnologias mais avançadas.
🇧🇷 traduzidoNovel SCN4A Variants Associated With Myalgic Myotonic Disorder or Paramyotonia.
Este estudo identificou cinco novas variantes do gene SCN4A, associadas a sintomas como dor muscular (mialgia), rigidez e cãibras, frequentemente induzidas por exercício ou frio. A maioria dos pacientes apresentou descargas miotônicas no exame de eletroneuromiografia (EMG), e testes funcionais confirmaram que a maioria dessas variantes são patogênicas, causando um "ganho de função" que leva aos sintomas. Para médicos e pacientes, esses achados expandem o conhecimento sobre as causas genéticas das canalopatias musculares. Sugere-se que essas novas variantes sejam consideradas em pacientes com paramiotonia ou mialgia e cãibras induzidas por exercício que apresentem miotonia no EMG.
🇧🇷 traduzidoTRPV4 neuromuscular disease registry highlights bulbar, skeletal and proximal limb manifestations.
As doenças neuromusculares relacionadas ao TRPV4, como algumas formas de CMT e atrofia muscular espinhal, são genéticas e causam principalmente fraqueza muscular, com destaque para dificuldades em andar, fraqueza nos membros (próximos), problemas nas cordas vocais e respiratórios (muitos necessitando de suporte), além de anormalidades esqueléticas. Este estudo detalha essas manifestações clínicas, que diferem de outras CMTs, e mostra que pacientes com início infantil da doença podem ter uma progressão de sintomas menos evidente. Há um promissor potencial terapêutico com inibidores de TRPV4, mas é essencial que futuros ensaios clínicos avaliem essa ampla gama de sintomas (motores, vocais e respiratórios) para garantir a eficácia do tratamento.
🇧🇷 traduzidoPublicações recentes
Development of a DUX4-targeting antibody oligonucleotide conjugate as a therapy for FSHD.
Advances in polyphenol-based strategies for musculoskeletal recovery and exercise rehabilitation in cancer: Mechanistic insights into Wnt/β-catenin and PI3K/Akt signaling pathways and inflammatory markers.
Predictors of quality of life in parents of children with rare diseases: a tertiary care center cross-sectional study in Saudi Arabia.
Novel VRK1 Variants and a Founder Effect in Axonal Polyneuropathy.
Single nuclei/cell transcriptomics reveal DMD driven cell dynamics and mechanisms of fibroblast inflammatory tissue priming in human dystrophic muscle.
📚 EuropePMCmostrando 84
Myopathies in clinical care: a focus on treatable causes.
Journal of neural transmission (Vienna, Austria : 1996)The importance of comprehensive diagnostic work-up and genetic testing to reveal Andersen-Tawil syndrome-a case report.
European heart journal. Case reportsEpidemiological report and diagnostic approach used in the neuromuscular population of Liege, Belgium.
Orphanet journal of rare diseasesOsimertinib-related myotoxicity: a disproportionality analysis of the FDA adverse event reporting system.
BMC cancerAlternative Splicing and CaV-Associated Channelopathies.
Wiley interdisciplinary reviews. RNANovel SCN4A Variants Associated With Myalgic Myotonic Disorder or Paramyotonia.
European journal of neurologyFeasibility of 7 T 39 K/ 23 Na Magnetic Resonance Imaging for assessing muscular ion balance in hypokalemic periodic paralysis.
Investigative radiologyDisorders of Muscle Mass and Tone.
The Veterinary clinics of North America. Equine practicePeriodic paralysis across the life course: age-related phenotype transition and sarcopenia overlap.
Frontiers in neurologyAdvances in Muscle Research in Health and Disease.
CellsNo beneficial use of the wearable cardioverter defibrillator among patients suffering from inherited and congenital heart disease: data from a European multicenter registry.
Frontiers in cardiovascular medicineBeneficial normalization of cardiac repolarization by carnitine in transgenic short QT syndrome type 1 rabbit models.
Cardiovascular researchTRPV4 neuromuscular disease registry highlights bulbar, skeletal and proximal limb manifestations.
Brain : a journal of neurologyAutosomal Recessive Myotonia Congenita in an Adolescent Boy With Novel Mutation: A Case Report With Discussion on Management.
CureusNext Generation Sequencing and Electromyography Reveal the Involvement of the P2RX6 Gene in Myopathy.
Current issues in molecular biologyBrody Disease, an Early-Onset Myopathy With Delayed Relaxation and Abnormal Gait: A Case Series of 9 Children.
NeurologyA retrospective study of accuracy and usefulness of electrophysiological exercise tests.
Journal of neurologyMuscle MRI in periodic paralysis shows myopathy is common and correlates with intramuscular fat accumulation.
Muscle & nerveElectrocardiogram Changes in the Postictal Phase of Epileptic Seizure: Results from a Prospective Study.
Journal of clinical medicineAn evolutionarily conserved pacemaker role for HCN ion channels in smooth muscle.
The Journal of physiologyEffects of Sports, Exercise Training, and Physical Activity in Children with Congenital Heart Disease-A Review of the Published Evidence.
Children (Basel, Switzerland)Muscle fat replacement and contractility in patients with skeletal muscle sodium channel disorders.
Scientific reportsCaV1.1 Calcium Channel Signaling Complexes in Excitation-Contraction Coupling: Insights from Channelopathies.
Handbook of experimental pharmacologyBKCa Activator NS1619 Improves the Structure and Function of Skeletal Muscle Mitochondria in Duchenne Dystrophy.
PharmaceuticsTRPV4 acts as a mitochondrial Ca2+-importer and regulates mitochondrial temperature and metabolism.
MitochondrionPrevalence of Genetic Mutations in Horses With Muscle Disease From a Neuromuscular Disease Laboratory.
Journal of equine veterinary scienceEuropean Neuromuscular Centre consensus statement on anaesthesia in patients with neuromuscular disorders.
European journal of neurologyPersistent hypokalaemia and intermittent muscle weakness.
Practical neurologyThe Voltage-Gated Calcium Channel EGL-19 Acts on Glia to Drive Olfactory Adaptation.
Frontiers in molecular neuroscienceNon-dystrophic myotonia: 2-year clinical and patient reported outcomes.
Muscle & nerveHypokalemic Periodic Paralysis: An Atypical Presentation of Non-autoimmune Hypothyroidism With Distal Renal Tubular Acidosis.
CureusA new missense variant in RAB3GAP2 in a family with muscular dystrophy-short stature and defective autophagy: An expansion of the micro/Martsolf spectrum or a new phenotype?
American journal of medical genetics. Part AAndersen-Tawil syndrome: deep phenotyping reveals significant cardiac and neuromuscular morbidity.
Brain : a journal of neurologyWhat Is in the Myopathy Literature?
Journal of clinical neuromuscular diseaseIon Channel Gene Mutations Causing Skeletal Muscle Disorders: Pathomechanisms and Opportunities for Therapy.
CellsCannabidiol and Sodium Channel Pharmacology: General Overview, Mechanism, and Clinical Implications.
The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatryNovel ORAI1 Mutation Disrupts Channel Trafficking Resulting in Combined Immunodeficiency.
Journal of clinical immunologyTargeted Therapies for Skeletal Muscle Ion Channelopathies: Systematic Review and Steps Towards Precision Medicine.
Journal of neuromuscular diseasesNon-dystrophic myotonias: clinical and mutation spectrum of 70 German patients.
Journal of neurologySTIM1/ORAI1 Loss-of-Function and Gain-of-Function Mutations Inversely Impact on SOCE and Calcium Homeostasis and Cause Multi-Systemic Mirror Diseases.
Frontiers in physiologyAndersen-Tawil Syndrome with High Risk of Sudden Cardiac Death in Four Mexican Patients. Cardiac and Extra-Cardiac Phenotypes.
Revista de investigacion clinica; organo del Hospital de Enfermedades de la NutricionToxin-Induced Channelopathies, Neuromuscular Junction Disorders, and Myopathy.
Neurologic clinicsAndersen-Tawil Syndrome: A Comprehensive Review.
Cardiology in reviewNeuromuscular disorders in pregnancy.
Handbook of clinical neurologyHyperkalemic periodic paralysis aggravated by voltage - gate sodium channel blocker antiepileptic drug?
Medical hypothesesMuscle and brain sodium channelopathies: genetic causes, clinical phenotypes, and management approaches.
The Lancet. Child & adolescent healthCentral Role of Subthreshold Currents in Myotonia.
Annals of neurologyABCC9-related Intellectual disability Myopathy Syndrome is a KATP channelopathy with loss-of-function mutations in ABCC9.
Nature communicationsCell-Free Expression of Sodium Channel Domains for Pharmacology Studies. Noncanonical Spider Toxin Binding Site in the Second Voltage-Sensing Domain of Human Nav1.4 Channel.
Frontiers in pharmacologyClinical electrophysiology of muscle diseases and episodic muscle disorders.
Handbook of clinical neurologyTargeted therapies for congenital myasthenic syndromes: systematic review and steps towards a treatabolome.
Emerging topics in life sciencesCardiac Phenotypes in Hereditary Muscle Disorders: JACC State-of-the-Art Review.
Journal of the American College of CardiologyOpen-label trial of ranolazine for the treatment of paramyotonia congenita.
Muscle & nerveWhole-body MRI and pathological findings in adult patients with myopathies.
Skeletal radiologyCRAC channels in dental enamel cells.
Cell calciumMyotonia permanens with Nav1.4-G1306E displays varied phenotypes during course of life.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyA Mixed Periodic Paralysis & Myotonia Mutant, P1158S, Imparts pH-Sensitivity in Skeletal Muscle Voltage-gated Sodium Channels.
Scientific reportsUnusual white matter involvement in EAST syndrome associated with novel KCNJ10 mutations.
Journal of neurologyDual Action of Mexiletine and Its Pyrroline Derivatives as Skeletal Muscle Sodium Channel Blockers and Anti-oxidant Compounds: Toward Novel Therapeutic Potential.
Frontiers in pharmacologyHistory and current difficulties in classifying inherited myopathies and muscular dystrophies.
Journal of the neurological sciencesSanger sequencing as a first-line approach for molecular diagnosis of Andersen-Tawil syndrome.
F1000ResearchSodium Channelopathies of Skeletal Muscle.
Handbook of experimental pharmacologySepsis-Induced Channelopathy in Skeletal Muscles is Associated with Expression of Non-Selective Channels.
Shock (Augusta, Ga.)Classification of Involuntary Movements in Dogs: Myoclonus and Myotonia.
Journal of veterinary internal medicineEplerenone repolarizes muscle membrane through Na,K-ATPase activation by Tyr10 dephosphorylation.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyCongenital myopathy with "corona" fibres, selective muscle atrophy, and craniosynostosis associated with novel recessive mutations in SCN4A.
Neuromuscular disorders : NMDDown-regulation of Kir2.6 channel by c-termini mutation D252N and its association with the susceptibility to Thyrotoxic Periodic Paralysis.
NeuroscienceThe epileptic and nonepileptic spectrum of paroxysmal dyskinesias: Channelopathies, synaptopathies, and transportopathies.
Movement disorders : official journal of the Movement Disorder SocietyIntrafamilial phenotypic variability in Andersen-Tawil syndrome: A diagnostic challenge in a potentially treatable condition.
Neuromuscular disorders : NMD[Indications for implantable loop recorders in patients with channelopathies and ventricular tachycardias].
Herzschrittmachertherapie & ElektrophysiologieA case of non-dystrophic myotonia with concomitant mutations in the SCN4A and CLCN1 genes.
Journal of the neurological sciencesNALCN channelopathies: Distinguishing gain-of-function and loss-of-function mutations.
NeurologyMutation analysis in exons 22 and 24 of SCN4A gene in Iranian patients with non-dystrophic myotonia.
Iranian journal of neurologyPhysiological and Pathophysiological Insights of Nav1.4 and Nav1.5 Comparison.
Frontiers in pharmacologyMyotonic Disorders and Channelopathies.
Seminars in neurologyDiseases caused by mutations in ORAI1 and STIM1.
Annals of the New York Academy of SciencesSkeletal muscle sodium channelopathies.
Current opinion in neurologyNovel pathogenic variants and genes for myopathies identified by whole exome sequencing.
Molecular genetics & genomic medicineChannelopathies of skeletal muscle excitability.
Comprehensive PhysiologyThe investigation and management of metabolic myopathies.
Journal of clinical pathologyCellular hyper-excitability caused by mutations that alter the activation process of voltage-gated sodium channels.
Frontiers in physiologyPhenotypic variability in childhood of skeletal muscle sodium channelopathies.
Pediatric neurologyFurther evidence of the association between LQT syndrome and epilepsy in a family with KCNQ1 pathogenic variant.
SeizureYork platelet syndrome is a CRAC channelopathy due to gain-of-function mutations in STIM1.
Molecular genetics and metabolismAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Comunidades
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- The importance of comprehensive diagnostic work-up and genetic testing to reveal Andersen-Tawil syndrome-a case report.
- Myopathies in clinical care: a focus on treatable causes.
- Epidemiological report and diagnostic approach used in the neuromuscular population of Liege, Belgium.
- Novel SCN4A Variants Associated With Myalgic Myotonic Disorder or Paramyotonia.
- TRPV4 neuromuscular disease registry highlights bulbar, skeletal and proximal limb manifestations.
- Development of a DUX4-targeting antibody oligonucleotide conjugate as a therapy for FSHD.
- Advances in polyphenol-based strategies for musculoskeletal recovery and exercise rehabilitation in cancer: Mechanistic insights into Wnt/β-catenin and PI3K/Akt signaling pathways and inflammatory markers.
- Predictors of quality of life in parents of children with rare diseases: a tertiary care center cross-sectional study in Saudi Arabia.
- Novel VRK1 Variants and a Founder Effect in Axonal Polyneuropathy.
- Single nuclei/cell transcriptomics reveal DMD driven cell dynamics and mechanisms of fibroblast inflammatory tissue priming in human dystrophic muscle.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:71864(Orphanet)
- MONDO:0019119(MONDO)
- GARD:18917(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q55788493(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
