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An autosomal dominant neurodevelopmental condition related to variants in CACNA1D. Most reported variants are de novo and functional studies have indicated a gain-of-function disease mechanism. This condition is characterized by developmental delay/intellectual disability, autism spectrum disorder, hypotonia and seizures. Other reported features include endocrine abnormalities such as primary aldosteronism and congenital hyperinsulinemic hypoglycemia, self-injurious behavior, facial dysmorphisms, and heart defects.
Features include always present findings: Global developmental delay, Decreased circulating renin concentration, Cerebral palsy, and Hypertension and others; and common findings: Bilateral tonic-clonic seizure, Spastic tetraplegia, Biventricular hypertrophy, and Second degree atrioventricular block and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 8 | Bilateral tonic-clonic seizure, Spastic tetraplegia, Global developmental delay |
Heart and blood vessels | 5 | Second degree atrioventricular block, High blood pressure in lung arteries (pulmonary arterial hypertension), Ventricular septal defect |
Lungs and breathing | 1 | High blood pressure in lung arteries (pulmonary arterial hypertension) |
Eyes | 1 | Cerebral visual impairment |
Metabolism | 1 | Metabolic alkalosis |
Kidneys and urinary system | 1 | Nephrolithiasis |
Age of onset: newborn period.
CACNA1D encodes calcium voltage-gated channel subunit alpha1 D (2,161 aa). Voltage-sensitive calcium channels (VSCC) mediate the entry of calcium ions into excitable cells and are also involved in a variety of calcium-dependent processes, including muscle contraction, hormone or neurotransmitter release, gene expression, cell motility, cell division and cell death. Highest expression in Pituitary (11.1 TPM) and Lung (8.7 TPM).
Aldosterone-producing adenoma with seizures and neurological abnormalities is associated with mutations in the CACNA1D gene on chromosome 3.
The CACNA1D protein participates in CACNA1D:CACNA2D2:CACNB2 (Cav1.3 channel) transports Ca2+ into the cytosol of an inner hair cell pathway.
CACNA1D is classified as a druggable target (Clinically Actionable, Druggable Genome, and Ion Channel categories) with score 1.2.
Genetic testing for CACNA1D is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 always present features, 16 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for aldosterone-producing adenoma with seizures and neurological abnormalities.
1 publication has been identified in PubMed for aldosterone-producing adenoma with seizures and neurological abnormalities. Research spans Case Report / Case Series (100%).
Hu X (2025). [PMID: 40702712](https://pubmed.ncbi.nlm.nih.gov/40702712/). *Am J Case Rep*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 2:37 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center