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Syndactyly type 3 (SD3) is a rare congenital distal limb malformation characterized by complete and bilateral syndactyly between the 4th and 5th fingers.
Features include always present findings: 4-5 finger cutaneous syndactyly; and common findings: 3-4 finger cutaneous syndactyly. 5 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 5 | Absent middle phalanx of 5th finger, 3-4 finger cutaneous syndactyly, 4-5 finger cutaneous syndactyly |
GJA1 encodes gap junction protein alpha 1 (382 aa). Structural component of the gap junction, a specialized intercellular structure consisting of a cluster of closely packed pairs of transmembrane channels, the connexons, that allow passage of small molecules and electrical signals between neighboring cells. Highest expression in Skin Not Sun Exposed Suprapubic (485.1 TPM) and Adrenal Gland (439.8 TPM).
Syndactyly type 3 is associated with mutations in the GJA1 gene on chromosome 6.
The GJA1 protein participates in p-S373-GJA1:p-S-ITGA5:ITGB1 (p-S373-Connexin-43:p-S-Integrin alpha5:Integrin beta1) transports ATP from the cytosol to the extracellular region pathway.
GJA1 is classified as a druggable target (Ion Channel category) with score 0.6.
Genetic testing for GJA1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature, 1 common feature.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for syndactyly type 3.
2 publications have been identified in PubMed for syndactyly type 3. Research spans Case Report / Case Series (50%) and Epidemiology / Natural History (50%).
Sarma GR (2025). [PMID: 39934002](https://pubmed.ncbi.nlm.nih.gov/39934002/). *Ann Indian Acad Neurol*. [Case Report / Case Series]
Arduç A (2025). [PMID: 39613947](https://pubmed.ncbi.nlm.nih.gov/39613947/). *Prenat Diagn*. [Epidemiology / Natural History]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 7:50 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center