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A congenital myasthenic syndrome characterized by autosomal recessive inheritance of postsynaptic neuromuscular junction defects, low amplitude of the miniature endplate potential and current, and early-onset muscle weakness that has material basis in compound heterozygous mutation in the CHRND gene on chromosome 2q37.
Features include always present findings: Difficulty swallowing (dysphagia), Facial palsy, Increased muscle fatiguability, and Feeding difficulties and others. 12 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 3 | Facial palsy, Weakness of facial musculature, High palate |
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 3C 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.
Phenotype severity distribution: 11 always present features.
No clinical trials have been registered for congenital myasthenic syndrome 3C.
5 publications have been identified in PubMed for congenital myasthenic syndrome 3C. Research spans Basic Science / Preclinical (80%) and Epidemiology / Natural History (20%).
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]
Wang K (2025). [PMID: 39871147](https://pubmed.ncbi.nlm.nih.gov/39871147/). *BMC Genomics*. [Basic Science / Preclinical]
de Feraudy Y (2024). [PMID: 38982518](https://pubmed.ncbi.nlm.nih.gov/38982518/). *Genome Med*. [Basic Science / Preclinical]
Holland SH (2024). [PMID: 39456185](https://pubmed.ncbi.nlm.nih.gov/39456185/). *Biomolecules*. [Basic Science / Preclinical]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 12:26 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Muscles
3 |
Increased muscle fatiguability, Low muscle tone (hypotonia), Weakness of facial musculature |
Digestive system | 2 | Difficulty swallowing (dysphagia), Feeding difficulties |
Brain and nerves | 1 | Difficulty swallowing (dysphagia) |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
Lab test results | 1 | Anti-neuromuscular Junction acetylcholine receptor antibody positivity |
Eyes | 1 | Ptosis |