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A congenital myasthenic syndrome characterized by autosomal recessive inheritance of postsynaptic neuromuscular junction defects resulting in rapid decay in endplate current and a failure to reach the threshold for depolarization and early onset progressive muscular weakness that has material basis in homozygous or compound heterozygous mutation in the CHRND gene on chromosome 2q37.
Features include always present findings: Easy fatigability, Feeding difficulties, Fatigable weakness, and Low muscle tone (hypotonia) and others; and sometimes findings: Decreased fetal movement. 14 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 5 | Fatigable weakness, Low muscle tone (hypotonia), Neonatal hypotonia |
CHRND encodes cholinergic receptor nicotinic delta subunit (517 aa). After binding acetylcholine, the AChR responds by an extensive change in conformation that affects all subunits and leads to opening of an ion-conducting channel across the plasma membrane Highest expression in Muscle Skeletal (48.1 TPM) and Testis (0.6 TPM).
Congenital myasthenic syndrome 3B is associated with mutations in the CHRND gene on chromosome 2.
CHRND is classified as a druggable target (Druggable Genome, Ion Channel, and Transporter categories) with score 0.7.
Genetic testing for CHRND is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for congenital myasthenic syndrome 3B has been reported in the published literature.
Phenotype severity distribution: 8 always present features.
No clinical trials have been registered for congenital myasthenic syndrome 3B.
4 publications have been identified in PubMed for congenital myasthenic syndrome 3B. Research spans Epidemiology / Natural History (50%), Diagnostic / Biomarker (25%), and Basic Science / Preclinical (25%).
Mroczek M (2026). [PMID: 41575592](https://pubmed.ncbi.nlm.nih.gov/41575592/). *J Neurol*. [Basic Science / Preclinical]
Zhang J (2025). [PMID: 40442802](https://pubmed.ncbi.nlm.nih.gov/40442802/). *Orphanet J Rare Dis*. [Epidemiology / Natural History]
de Feraudy Y (2024). [PMID: 38982518](https://pubmed.ncbi.nlm.nih.gov/38982518/). *Genome Med*. [Epidemiology / Natural History]
Ryan-Phillips F (2024). [PMID: 39595115](https://pubmed.ncbi.nlm.nih.gov/39595115/). *Biomedicines*. [Diagnostic / Biomarker]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 8:42 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Head and neck |
2 |
Facial palsy, High palate |
Pregnancy and birth | 2 | Decreased fetal movement, Neonatal hypotonia |
Digestive system | 1 | Feeding difficulties |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
Eyes | 1 | Ptosis |
Age of onset: newborn period.