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MYH3 gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

MYH3 gene

The MYH3 gene is responsible for producing myosin-3, a protein critical for fetal muscle development, with variants leading to specific skeletal and muscle disorders.

Overview

The MYH3 gene provides instructions for making myosin-3, a protein involved in movement and the transport of materials within cells. Myosin-3 is a primary component of thick filaments in muscle fibers, which work alongside actin to facilitate muscle contraction. This specific type of myosin is found primarily in the fetus before birth and is essential for early muscle development.

Health Conditions Related to Genetic Changes

Freeman-Sheldon syndrome

Variants in the MYH3 gene cause Freeman-Sheldon syndrome, a disorder affecting muscle and skeletal development. It is characterized by contractures—the permanent tightening of muscles, skin, and tissues—which restrict movement and cause distinctive facial features and deformities of the hands and feet. Researchers believe these variants may cause myosin to attach to actin for too long, preventing muscle relaxation and leading to the stiffening of tissues during development.

Sheldon-Hall syndrome

Variants in the MYH3 gene can also cause Sheldon-Hall syndrome, which is similar to but milder than Freeman-Sheldon syndrome. These variants are believed to interfere with the ability of myosin-3 to attach to actin and other proteins, impairing muscle contraction and development before birth.

Spondylocarpotarsal synostosis syndrome

The MYH3 gene has also been linked to spondylocarpotarsal synostosis syndrome, a condition involving abnormal bone fusion and skeletal development.

Genomic Location

The MYH3 gene is found on chromosome 17.

Frequently Asked Questions

Freeman‑Sheldon syndrome typically presents with a “whistling face” (deep‑set eyes, micrognathia, and a small mouth), severe hand and foot contractures (especially the “whistling” thumb and foot deformities), and limited shoulder and hip movement. Respiratory distress may occur due to chest wall rigidity, and some patients have mild intellectual disability.
Physical therapy focused on gentle stretching, range‑of‑motion exercises, and splinting can help maintain joint flexibility. Occupational therapy may assist with daily activities. In some cases, serial casting or orthotic devices are used to prevent progression of contractures.
Surgical intervention is usually reserved for severe deformities that impair function or cause pain. Procedures may include osteotomies to realign fused vertebrae or carpal/tarsal bones, and in some cases, joint replacement or arthrodesis. Each case is evaluated individually, balancing the benefits of improved mobility against surgical risks.
Genetic testing is performed by sequencing the MYH3 coding regions or by a targeted gene panel for congenital myopathies. A pathogenic variant confirms the diagnosis. Because MYH3 mutations are usually de novo, the recurrence risk for future pregnancies is low (<1%), but if a parent carries a germline mosaic variant, the risk can be higher; genetic counseling is advised.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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