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A group of rare inherited disorders characterized by a deficiency of enzymes that are involved in metabolic pathways that affect muscles. The disorders are characterized by muscle dysfunction.
No HPO annotations are available for this condition.
The phenotypic spectrum of CHCHD10-related disorders is broad and can include any of the following alone or in any combination: mitochondrial myopathy, amyotrophic lateral sclerosis, frontotemporal dementia (FTD), late-onset spinal motor neuronopathy, and axonal Charcot-Marie-Tooth neuropathy. Cerebellar ataxia may also be found in combination with these disorders, but not as the sole neurologic manifestation. To date, approximately 100 individuals have been identified with a pathogenic variant in CHCHD10 [, , , ]. The following description of the phenotypes associated with this condition is based on these reports.
A CHCHD10-related disorder should be suspected in an individual with clinical findings of a mitochondrial myopathy, amyotrophic lateral sclerosis, frontotemporal dementia, late-onset spinal motor neuronopathy, or axonal Charcot-Marie-Tooth neuropathy, especially when the family history of these diverse phenotypes is consistent with autosomal dominant inheritance.
Mitochondrial myopathy. Signs of muscle weakness (proximal, axial, and/or facial, including ptosis), amyotrophy, or symptoms that suggest respiratory chain dysfunction, such as exercise intolerance Amyotrophic lateral sclerosis (ALS).
No approved treatments are currently available for metabolic myopathy. The disease remains an area of unmet medical need.
Gene therapy approaches for metabolic myopathy have been reported in the published literature.
Consensus clinical management recommendations for CHCHD10-related disorders have not been published.
To establish the extent of disease and needs in an individual diagnosed with a CHCHD10-related disorder, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended.
Table 4. Recommended Surveillance for Individuals with CHCHD10-Related Disorders
System/Concern |
|---|
No clinical trials have been registered for metabolic myopathy.
56 publications have been identified in PubMed for metabolic myopathy. Research spans Case Report / Case Series (34%), Review / Meta-Analysis (20%), and Basic Science / Preclinical (16%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 19 | 34% |
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 2:52 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Source: GeneReviews — "CHCHD10-Related Disorders"
Source: GeneReviews — "CHCHD10-Related Disorders"
The differential diagnosis of CHCHD10-related disorders spans a wide spectrum of neurodegenerative diseases. All genes known to be associated with the predominant phenotype in an affected individual should be considered in the differential diagnosis. See the following GeneReviews for detailed review of genes associated with each phenotype:
• Amyotrophic Lateral Sclerosis Overview
• Charcot-Marie-Tooth Hereditary Neuropathy Overview
• Hereditary Ataxia Overview
Mitochondrial myopathy (See Mitochondrial Disorders Overview.)
Source: GeneReviews — "CHCHD10-Related Disorders"
Biomarker and diagnostic research for metabolic myopathy has been reported in the published literature.
Table 2.
Recommended Evaluations Following Initial Diagnosis in Individuals with CHCHD10-Related Disorders
System/Concern | Evaluation | Comment
| Complete neurologic eval | To assess:
UMN involvement: spasticity, Babinski signs, hyperreflexia
LMN involvement: weakness, amyotrophy, fasciculations
Muscle strength
Coordination balance
EMG/NCS | To document regions of involvement indicate LMN /or myopathic involvement
Brain MRI |
Neuropsychological exam | To evaluate extent profile of cognitive disturbance
Speech swallowing eval | For those w/frequent choking or severe dysphagia, also assess:
Nutritional status;
Aspiration risk.
PT OT | To evaluate for need for adaptive devices to maximize function
| Screening for depression /or behavioral concerns | Assess need for psychosocial support behavioral therapy.
| Pulmonary function testing | To detect stage respiratory involvement
| Audiologic exam | Incl auditory brain stem response evoked otoacoustic emission testing
| Nutrition eval | Consider involving a gastroenterology/nutrition/feeding team, incl formal swallowing eval.
Genetic
Source: GeneReviews — "CHCHD10-Related Disorders"
The following should be noted:
Baclofen used to treat spasticity can sometimes worsen muscle weakness.
Some drugs used to treat the behavioral manifestations of FTD may worsen dysarthria, dysphagia, and/or respiratory weakness.
Source: GeneReviews — "CHCHD10-Related Disorders"
View trials for metabolic myopathy
Evaluation
Frequency by Phenotype |
|---|
deficits | Neurologic exam incl assessment of memory, personality changes, dysphagia | Mitochondrial myopathy: undefined; depends on disease progression presenting symptoms; ALS: every 2-3 mos; FTD: undefined; depends on disease progression presenting symptoms; SMAJ or axonal CMT: annually initially, then depending on person's progress Psychiatric |
abnormalities | Assessment for signs incl depression suicidal ideation | ALS: every 2-3 mos; FTD: undefined; depends on disease progression presenting symptoms; Other phenotypes: NA Impaired respiratory |
function | Monitoring of FVC other aspects of respiratory function to determine appropriate time to offer noninvasive ventilation | ALS: every 2-3 mos; Other phenotypes: NA Sensorineural |
hearing loss | Audiologic exam incl speech discrimination testing | Mitochondrial myopathy: annually ALS = amyotrophic lateral sclerosis; FTD = frontotemporal dementia; FVC = forced vital capacity; NA = not applicable; SMAJ = spinal muscular atrophy, Jokela type |
Source: GeneReviews — "CHCHD10-Related Disorders"
11 |
20% |
Laboratory research | 9 | 16% |
Testing and diagnosis research | 7 | 13% |
Disease patterns and progression | 7 | 13% |
Clinical study results | 2 | 4% |
New treatment approaches | 1 | 2% |
Kim ME (2026). [PMID: 41263703](https://pubmed.ncbi.nlm.nih.gov/41263703/). *Hum Mol Genet*. [Basic Science / Preclinical]
Shao H (2026). [PMID: 41683249](https://pubmed.ncbi.nlm.nih.gov/41683249/). *Nutrients*. [Basic Science / Preclinical]
Zhang Y (2026). [PMID: 41622502](https://pubmed.ncbi.nlm.nih.gov/41622502/). *Compr Physiol*. [Review / Meta-Analysis]
Ponnusamy T (2026). [PMID: 41389984](https://pubmed.ncbi.nlm.nih.gov/41389984/). *Biochim Biophys Acta Mol Basis Dis*. [Basic Science / Preclinical]
Fu S (2026). [PMID: 41757410](https://pubmed.ncbi.nlm.nih.gov/41757410/). *J Comp Eff Res*. [Review / Meta-Analysis]
Lu CH (2026). [PMID: 40913330](https://pubmed.ncbi.nlm.nih.gov/40913330/). *Am J Med Genet A*. [Case Report / Case Series]
Domínguez-González C (2026). [PMID: 41638029](https://pubmed.ncbi.nlm.nih.gov/41638029/). *Neuromuscul Disord*. [Diagnostic / Biomarker]
Putko BN (2026). [PMID: 41726791](https://pubmed.ncbi.nlm.nih.gov/41726791/). *Neurol Clin Pract*. [Epidemiology / Natural History]
Hong F (2026). [PMID: 41922933](https://pubmed.ncbi.nlm.nih.gov/41922933/). *J Cachexia Sarcopenia Muscle*. [Case Report / Case Series]
Plant K (2026). [PMID: 41494358](https://pubmed.ncbi.nlm.nih.gov/41494358/). *Mol Genet Metab*. [Clinical Trial Publication]
AI-curated news mentioning metabolic myopathy
Updated Apr 10, 2026
A 13-year retrospective study on pediatric hyperCKemia identifies key predictors for neuromuscular diseases and metabolic myopathy. This research enhances understanding of the condition's implications in children.