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Any 3-M syndrome in which the cause of the disease is a mutation in the CCDC8 gene.
Features include always present findings: Decreased body weight, Short stature, Prominent nasal tip, and Prominent calcaneus and others; and very common findings: Frontal bossing. 24 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 4 | Excessive inward curvature of the lower spine (hyperlordosis), Joint hypermobility, Slender long bone |
CCDC8 encodes coiled-coil domain containing 8 subunit of 3M complex (538 aa). Core component of the 3M complex, a complex required to regulate microtubule dynamics and genome integrity. Highest expression in Ovary (59.0 TPM) and Fallopian Tube (40.2 TPM).
3M syndrome 3 is associated with mutations in the CCDC8 gene on chromosome 19.
The CCDC8 protein participates in AcM-UBE2M transfers NEDD8 to CUL9:RBX1 pathway.
CCDC8 is classified as a druggable target with score 0.0.
No consensus clinical diagnostic criteria for 3-M syndrome have been published.
3-M syndrome should be suspected in a proband with a combination of the following clinical, radiographic, and family history features.
Clinical features
Source: GeneReviews — "3-M Syndrome"
No approved treatments are currently available for 3M syndrome 3. The disease remains an area of unmet medical need.
No clinical practice guidelines for 3-M syndrome have been published. In the absence of published guidelines, the following recommendations are based on the authors' personal experience managing individuals with this disorder.
To establish the extent of disease in an individual diagnosed with 3-M syndrome, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended.
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended.
Table 5.
3-M Syndrome: Recommended Surveillance
System/Concern | Evaluation | Frequency
| Monitor growth on standard growth charts w/special attention to growth velocity. | Every 6-12 mos
No clinical trials have been registered for 3M syndrome 3.
10 publications have been identified in PubMed for 3M syndrome 3. Research spans Review / Meta-Analysis (40%), Case Report / Case Series (30%), and Basic Science / Preclinical (20%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 4 | 40% |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 3:01 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Growth and development |
2 |
Short stature, Growth delay |
Head and neck | 2 | Microcephaly, Triangular face |
Arms and legs | 1 | Clinodactyly of the 5th finger |
Age of onset: at birth.
Neonatal period. Some children with 3-M syndrome present in the neonatal period with feeding difficulties requiring early feeding support . A small proportion of infants suffer from significant respiratory distress and/or recurrent respiratory tract infections in early life that can be life threatening . This is more common in the Yakut population, in which 41% of affected infants had asphyxia and respiratory distress at birth and 25.6% required mechanical ventilation . Growth deficiency. The most striking feature of 3-M syndrome is severe intrauterine growth restriction. Birth length is 40-42 cm, whereas the head size is normal for gestational age.
Source: GeneReviews — "3-M Syndrome"
The CUL7 founder pathogenic variant reported in the Yakut population, , may be associated with an increased risk of respiratory distress in the neonatal period. reported 41.9% of children homozygous for this variant presented with asphyxia and respiratory distress at birth, and 25.6% of these children required mechanical ventilation.
Source: GeneReviews — "3-M Syndrome"
Intrauterine growth restriction is a nonspecific finding that occurs in approximately 0.17% of all live-born children. 3-M syndrome must be distinguished from other genetic and acquired intrauterine growth restriction-malformation syndromes. Table 2. Disorders of Known Genetic Cause to Consider in the Differential Diagnosis of 3-M Syndrome
Gene(s) | Disorder | MOI | Clinical Features of Disorder |
|---|---|---|---|
Overlapping w/3-M syndrome | Distinguishing from 3-M syndrome Genetically heterogeneous1 | Silver-Russell syndrome (SRS) | See footnote 2. |
TRIM37 | Mulibrey nanism (OMIM 253250) | AR | IUGR |
IGF1R | IGF1R deficiency (OMIM 270450) | ARAD | IUGR postnatal growth deficiency |
Source: GeneReviews — "3-M Syndrome"
Genetic testing for CCDC8 is available. Testing is considered confirmatory for diagnosis.
Table 3.
3-M Syndrome: Recommended Evaluations Following Initial Diagnosis
System/Concern | Evaluation | Comment
| Physical exam to assess for joint hypermobility, kyphoscoliosis, hip dysplasia/dislocation | • Hip US in infancy or hip radiographs in older children may be helpful.
Refer to orthopedist if hip dysplasia/dislocation or scoliosis is identified.
| Physical exam to assess for hypospadias |
Refer to pediatric endocrinologist to assess for:
Gonadal function in pubertal males by physical exam serum concentrations of FSH, LH, testosterone;
GH deficiency /or GH insensitivity.
|
| By genetics professionals1 | To obtain a pedigree inform affected persons their families re nature, MOI, implications of 3-M syndrome to facilitate medical personal decision making
FSH = follicle-stimulating hormone; GH = growth hormone; LH = luteinizing hormone; MOI = mode of inheritance; US = ultrasound
Source: GeneReviews — "3-M Syndrome"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "3-M Syndrome"
View trials for 3M syndrome 3
| • Assess for joint hypermobility.
Examine back for kyphoscoliosis.
| Annually
Assess for hip dislocation. | At each visit in infancy, esp if walking is delayed
| Echocardiogram w/measurement of aortic root | Consider in adolescence
Source: GeneReviews — "3-M Syndrome"
Phenotype severity distribution: 7 always present features, 1 very common feature, 13 common features.
3 |
30% |
Laboratory research | 2 | 20% |
Disease patterns and progression | 1 | 10% |
Fakeeha JH (2026). [PMID: 41836891](https://pubmed.ncbi.nlm.nih.gov/41836891/). *J Surg Case Rep*. [Case Report / Case Series]
Arefzadeh M (2026). [PMID: 41797740](https://pubmed.ncbi.nlm.nih.gov/41797740/). *Clin Case Rep*. [Case Report / Case Series]
Elsayed S (2025). [PMID: 40135784](https://pubmed.ncbi.nlm.nih.gov/40135784/). *Am J Med Genet A*. [Review / Meta-Analysis]
Zhang L (2025). [PMID: 40372227](https://pubmed.ncbi.nlm.nih.gov/40372227/). *Zhonghua Yi Xue Yi Chuan Xue Za Zhi*. [Review / Meta-Analysis]
Alhuthil R (2025). [PMID: 41306440](https://pubmed.ncbi.nlm.nih.gov/41306440/). *Front Endocrinol (Lausanne)*. [Review / Meta-Analysis]
Ozturk AP (2025). [PMID: 40974508](https://pubmed.ncbi.nlm.nih.gov/40974508/). *Endocrine*. [Epidemiology / Natural History]
Bacchi I (2025). [PMID: 41437277](https://pubmed.ncbi.nlm.nih.gov/41437277/). *Ital J Pediatr*. [Review / Meta-Analysis]
Zaka A (2024). [PMID: 37345548](https://pubmed.ncbi.nlm.nih.gov/37345548/). *J Biomol Struct Dyn*. [Basic Science / Preclinical]
Aldhoon-Hainerova I (2024). [PMID: 38847008](https://pubmed.ncbi.nlm.nih.gov/38847008/). *JCEM Case Rep*. [Case Report / Case Series]
Akalın A (2024). [PMID: 39643721](https://pubmed.ncbi.nlm.nih.gov/39643721/). *Eur J Pediatr*. [Basic Science / Preclinical]
AI-curated news mentioning 3M syndrome 3
Updated Aug 25, 2026
The FDA approved Genglycos (pariglasgene brecaparvovec-opnr) to reduce daily cornstarch intake in patients aged 8 years and older with glycogen storage disease type Ia. Known as Von Gierke disease, GSDIa is a rare metabolic disorder caused by a mutation in the G6PC gene. This genetic variation leads to a deficiency in glucose-6-phosphatase (G6Pase), an enzyme needed to release glucose into the bloodstream. Without this enzyme, the body cannot properly maintain blood glucose levels, causing severe hypoglycemia and other serious metabolic complications · Pariglasgene brecaparvovec is an adeno-associated virus (AAV) serotype 8 based gene therapy that delivers a functional copy of the G6PC gene into liver cells, enabling the production of normally functioning G6Pase. Ultragenyx stated that as part of its postmarketing commitments to the FDA, the Company will provide 2 years of clinical data from open-label commercial treatment of 50 patients and 20 control patients through its existing GSDIa Disease Monitoring Program. ... Ultragenyx announces US FDA approval of Genglycos™ gene therapy, the first-ever FDA-approved treatment designed to treat the underlying cause of glycogen storage disease type Ia (GSDIa). “The reduced reliance on cornstarch, experienced by patients in our clinical studies, demonstrates this gene therapy’s ability to establish the normal breakdown of glycogen to produce glucose during fasting or episodes of metabolic stress. This ability to regulate glucose has alleviated the disease burden and has the potential to mitigate the risk of severe or life-threatening hypoglycemia for these patients.” Close more info about First Gene Therapy Approved for Glycogen Storage Disease Type la