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A rare autosomal recessive cerebellar ataxia (ARCA), characterized by progressive cerebellar ataxia associated with oculomotor apraxia, severe neuropathy, and hypoalbuminemia.
Features include always present findings: Distal amyotrophy, Ataxia, and Impaired distal vibration sensation; and very common findings: Oculomotor apraxia, Distal sensory impairment, and Areflexia. 32 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 12 | Dystonia, Gait ataxia, Ataxia |
Eyes | 3 | Gaze-evoked nystagmus, Oculomotor apraxia, Hypometric saccades |
Muscles | 3 | Shrinkage of the cerebellum (cerebellar atrophy), Muscle weakness, Loss of ambulation |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |
Bones and joints | 1 | Sideways curvature of the spine (scoliosis) |
Arms and legs | 1 | Limb ataxia |
Age of onset: adulthood.
APTX encodes aprataxin (356 aa). DNA-binding protein involved in single-strand DNA break repair, double-strand DNA break repair and base excision repair. Highest expression in Testis (28.7 TPM) and Cells Cultured fibroblasts (28.5 TPM).
Ataxia, early-onset, with oculomotor apraxia and hypoalbuminemia is associated with mutations in the APTX gene on chromosome 9.
APTX is classified as a druggable target (Enzyme category) with score 0.0.
Genetic testing for APTX is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for ataxia, early-onset, with oculomotor apraxia and hypoalbuminemia has been reported in the published literature.
Phenotype severity distribution: 3 always present features, 3 very common features, 8 common features.
Estimated prevalence: Unknown (Unknown prevalence).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
202 publications have been identified in PubMed for ataxia, early-onset, with oculomotor apraxia and hypoalbuminemia. Research spans Case Report / Case Series (35%), Basic Science / Preclinical (20%), and Review / Meta-Analysis (19%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 70 | 35% |
Laboratory research | 41 | 20% |
Research summaries | 38 | 19% |
Disease patterns and progression | 20 | 10% |
Testing and diagnosis research | 17 | 8% |
Clinical study results | 11 | 5% |
New treatment approaches | 4 | 2% |
Other research | 1 | 0% |
Young RE (2026). [PMID: 40931319](https://pubmed.ncbi.nlm.nih.gov/40931319/). *Clinical genetics*. [Review / Meta-Analysis]
Zhou WT (2026). [PMID: 42103667](https://pubmed.ncbi.nlm.nih.gov/42103667/). *Zhonghua Yan Ke Za Zhi*. [Clinical Trial Publication]
Popov T (2026). [PMID: 42015609](https://pubmed.ncbi.nlm.nih.gov/42015609/). *Psychophysiology*. [Review / Meta-Analysis]
Koric L (2026). [PMID: 41883283](https://pubmed.ncbi.nlm.nih.gov/41883283/). *J Alzheimers Dis*. [Basic Science / Preclinical]
Stewart R (2026). [PMID: 40838347](https://pubmed.ncbi.nlm.nih.gov/40838347/). *American journal of medical genetics. Part A*. [Case Report / Case Series]
Oubre B (2026). [PMID: 40964858](https://pubmed.ncbi.nlm.nih.gov/40964858/). *Ann Neurol*. [Clinical Trial Publication]
Şahan B (2026). [PMID: 41644709](https://pubmed.ncbi.nlm.nih.gov/41644709/). *Eye (London, England)*. [Case Report / Case Series]
Martínez-Flores R (2026). [PMID: 42039626](https://pubmed.ncbi.nlm.nih.gov/42039626/). *bioRxiv*. [Case Report / Case Series]
Fu Y (2026). [PMID: 41615782](https://pubmed.ncbi.nlm.nih.gov/41615782/). *J Parkinsons Dis*. [Basic Science / Preclinical]
Tripathi P (2026). [PMID: 42210413](https://pubmed.ncbi.nlm.nih.gov/42210413/). *Acta Neuropathol Commun*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 11:46 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center