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Features include always present findings: Hydrocephalus, Pleural effusion, Dandy-Walker malformation, and Talipes equinovarus and others; and rarely findings: Seizure and Pericardial effusion. 50 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 10 | Seizure, Kinked brainstem, Hydrocephalus |
BLTP1 encodes bridge-like lipid transfer protein family member 1 (5,005 aa). Bridge-like lipid transfer protein that functions as molecular bridges between endoplasmic reticulum and the membranes targeted for lipid delivery. Highest expression in Pituitary (33.5 TPM) and Nerve Tibial (32.9 TPM).
Alkuraya-Kucinskas syndrome is associated with mutations in the BLTP1 gene on chromosome 4.
BLTP1 is classified as a druggable target with score 0.0.
Genetic testing for BLTP1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Alkuraya-Kucinskas syndrome.
4 publications have been identified in PubMed for Alkuraya-Kucinskas syndrome. Research spans Review / Meta-Analysis (50%), Case Report / Case Series (25%), and Basic Science / Preclinical (25%).
Zhen L (2025). [PMID: 40206966](https://pubmed.ncbi.nlm.nih.gov/40206966/). *J Med Ultrasound*. [Case Report / Case Series]
Liu Y (2025). [PMID: 40973493](https://pubmed.ncbi.nlm.nih.gov/40973493/). *J Neurosci*. [Basic Science / Preclinical]
Swan LE (2025). [PMID: 40356703](https://pubmed.ncbi.nlm.nih.gov/40356703/). *Front Neurosci*. [Review / Meta-Analysis]
Rice SM (2024). [PMID: 39228063](https://pubmed.ncbi.nlm.nih.gov/39228063/). *Prenat Diagn*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:51 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Alkuraya-Kucinskas syndrome
Eyes
4 |
Strabismus, Cataract, Abnormal eye movements (abnormality of eye movement) |
Arms and legs | 4 | Overlapping toe, Hand clenching, Overlapping fingers |
Muscles | 2 | Generalized hypotonia, Joint stiffness present at birth (arthrogryposis multiplex congenita) |
Head and neck | 2 | High palate, Macrocephaly |
Heart and blood vessels | 1 | Pericardial effusion |
Lungs and breathing | 1 | Pleural effusion |
AI-curated news mentioning Alkuraya-Kucinskas syndrome
Updated Jul 21, 2026
FDA approved Casgevy CRISPR gene therapy for children as young as 2 with sickle cell disease on July 1, 2026. Here's what families need to know about this milestone. Approximately 5,500 additional American children are now eligible for this established one-time therapy, according to Vertex Pharmaceuticals, Casgevy's developer. Casgevy also covers transfusion-dependent beta-thalassemia in this new age indication. Sickle cell disease is a lifelong inherited blood disorder that warps red blood cells into stiff, crescent shapes that can block blood flow, starving organs and tissues of oxygen. The world's first CRISPR-based gene therapy has been approved for children as young as two years old, opening the possibility of a single, potentially curative treatment to thousands of American children with sickle cell disease before years of organ damage can narrow what medicine can do for them. Families with children aged 2 and older who have sickle cell disease should speak with their pediatric hematologist about whether Casgevy is appropriate to consider at this stage of their child's disease. Ask specifically which authorized treatment centers perform Casgevy in your region. Treatment is available only at specialized sites, and geographic access remains limited. Contact your child's insurance plan or Medicaid office to ask about coverage. Medicaid coverage for gene therapies varies by state, and some states have developed outcomes-based payment models for high-cost therapies. "With today's decision, pediatric patients as young as 2 years of age can now access a critical additional treatment option to treat these debilitating, life-threatening diseases," said Karim Mikhail, acting director of the Office of Therapeutic Products at the FDA's Center for Biologics Evaluation and Research, according to the FDA press announcement. Casgevy is a non-viral, ex vivo CRISPR/Cas9 gene-edited cell therapy.