Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Autosomal dominant form of non-syndromic intellectual disability.
No HPO annotations are available for this condition.
Age of onset: at birth, newborn period, childhood, infancy.
TRIO-related neurodevelopmental disorder (TRIO-NDD) is characterized by two phenotypes with some overlapping clinical features: TRIO-NDD due to gain-of-function variants and TRIO-NDD due to loss-of-function variants. Individuals with gain-of-function variants often have more severe developmental delay and intellectual disability as well as macrocephaly. Individuals with TRIO loss-of-function variants have mild-to-moderate developmental delay and often have microcephaly. (See for other common and distinguishing features.) To date, 56 individuals have been identified with a pathogenic variant in TRIO and for whom sufficient clinical information was available for the current review [; ; ; ; ; Gazdagh et al, unpublished data]. Table 2. Select Features of TRIO-Related Neurodevelopmental Disorder
TRIO-related neurodevelopmental disorder (TRIO-NDD) should be considered in individuals with any combination of the following clinical findings:
Source: GeneReviews — "TRIO-Related Neurodevelopmental Disorder"
No approved treatments are currently available for autosomal dominant non-syndromic intellectual disability. The disease remains an area of unmet medical need.
No clinical practice guidelines for TRIO-related neurodevelopmental disorder (TRIO-NDD) have been published. Evaluations and Referrals Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with TRIO-NDD, the evaluations and referrals summarized (if not performed as part of the evaluation that led to diagnosis) are recommended. Table 3. Recommended Evaluations Following Initial Diagnosis of TRIO-Related Neurodevelopmental Disorder
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended. Table 5. Recommended Surveillance for Individuals with TRIO-Related Neurodevelopmental Disorder
No clinical trials have been registered for autosomal dominant non-syndromic intellectual disability.
7 publications have been identified in PubMed for autosomal dominant non-syndromic intellectual disability. Research spans Case Report / Case Series (71%), Basic Science / Preclinical (14%), and Epidemiology / Natural History (14%).
Liao B (2025). [PMID: 39902220](https://pubmed.ncbi.nlm.nih.gov/39902220/). *Frontiers in neurology*. [Case Report / Case Series]
Lin S (2025). [PMID: 41190004](https://pubmed.ncbi.nlm.nih.gov/41190004/). *Frontiers in pediatrics*. [Case Report / Case Series]
Xu Z (2025). [PMID: 41111978](https://pubmed.ncbi.nlm.nih.gov/41111978/). *Frontiers in neurology*. [Case Report / Case Series]
Aldoseri AA (2024). [PMID: 38566780](https://pubmed.ncbi.nlm.nih.gov/38566780/). *Cureus*. [Case Report / Case Series]
Li C (2024). [PMID: 39528574](https://pubmed.ncbi.nlm.nih.gov/39528574/). *Scientific reports*. [Epidemiology / Natural History]
Data assembled from 4 of 12 sources · Last updated Oct 3, 2026, 11:03 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Feature | Proportion of Persons w/Feature | Comment |
|---|---|---|
Developmental delay (DD) | 20/20 | 36/36 |
Intellectual disability | ~20/20 | Common |
Neurobehavioral manifestations | 15/18 | 29/31 |
Seizures | ~7/19 | ~7/29 |
Macrocephaly | 11/18 | 2/35 |
Microcephaly | – | 25/35 |
Infant feeding difficulties | 12/17 | 19/28 |
Poor weight gain/ Early growth deficiency | 8/10 | 8/11 |
Constipation | 6/16 | 12/26 |
Short /or tapering fingers | 6/17 | 14/31 |
2-3 toe syndactyly | – | 5/15 |
Scoliosis | 7/16 | 4/27 |
Dysmorphic facial features | Common | Common |
Dental abnormalities | 5/15 | 17/29 |
Cardiac anomalies | 2/18 | 3/26 |
Source: GeneReviews — "TRIO-Related Neurodevelopmental Disorder"
Developmental delay, intellectual disability, and/or neurobehavioral manifestations and abnormal head circumference are among the major features in TRIO-related neurodevelopmental disorder (TRIO-NDD) for which affected individuals may be referred for genetic evaluation. Because these features are not sufficient to diagnose TRIO-NDD, all intellectual developmental disorders without other distinctive findings should be considered in the differential diagnosis. See OMIM Autosomal Dominant, Autosomal Recessive, Nonsyndromic X-Linked, and Syndromic X-Linked Intellectual Developmental Disorder Phenotypic Series.
Source: GeneReviews — "TRIO-Related Neurodevelopmental Disorder"
System/Concern | Evaluation | Comment |
|---|---|---|
Development | Developmental assessment | To incl motor, adaptive, cognitive, speech-language eval; Eval for early intervention/ special education Neurobehavioral/ |
Psychiatric | Neuropsychiatric eval | In persons age 12 mos: screening for ADHD, aggression, /or findings suggestive of ASD |
Neurologic | Neurologic eval | To incl brain MRI, as clinically indicated; Consider EEG if seizures are a concern in those who have LOF or truncating variant. |
Growth | Assessment of growth parameters to identify those w/poor weight gain | Gastroenterology/ |
Feeding | Assessment for feeding issues, incl difficulty w/sucking/swallowing, GERD, constipation | Refer to feeding therapist if feeding issues are identified. |
Musculoskeletal | Clinical eval for scoliosis /or kyphosis | Radiographic scoliosis survey (spinal x-rays) based on clinical suspicion; Consider referral to orthopedic surgeon if scoliosis is present. |
Dental | Eval for dental crowding /or failed/delayed eruption | Consider referral to dentist or orthodontist. |
Cardiovascular | Eval for structural or conduction anomalies | Consider referral based on clinical judgement.; Echocardiography EKG as indicated |
Immunology | Assess for history of recurrent infections. | If present, consider referral to immunologist. |
Genetic counseling | By genetics professionals1 | To inform affected persons their families re nature, MOI, implications of TRIO-NDD to facilitate medical personal decision making Family support resources |
Treatment of Manifestations in Individuals with TRIO-Related Neurodevelopmental Disorder Manifestation/Concern | Treatment | Considerations/Other Developmental delay/ Intellectual disability/ |
Neurobehavioral issues | See . | — |
Seizures | Standard treatment(s) as recommended by neurologist | Feeding issues/ Poor weight gain |
GERD /or constipation | Standard treatment(s) | Scoliosis/ |
Kyphosis | Standard treatment as recommended by orthopedist | Dental crowding/ |
Malocclusion | Standard treatment as recommended by dentist/orthodontist | — |
Cardiovascular | Standard treatment as recommended by cardiologist | — |
Recurrent infections | Mgmt per immunologist | GERD = gastroesophageal reflux disease The following information represents typical management recommendations for individuals with developmental delay/ intellectual disability in the US; standard recommendations may vary from country to country. Ages 0-3 years. |
Source: GeneReviews — "TRIO-Related Neurodevelopmental Disorder"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "TRIO-Related Neurodevelopmental Disorder"
View trials for autosomal dominant non-syndromic intellectual disability
Evaluation |
|---|
Frequency |
|---|
Development | Monitor developmental progress educational needs. | At each visit Neurologic |
Spine | Assess for spine deformities. | At each visit beginning in early childhood |
Dental | Dental exam | Frequency per dentist based on dental condition |
Immunology | Assess for frequent infections. | At each visit |
Source: GeneReviews — "TRIO-Related Neurodevelopmental Disorder"
Foglia M (2024). [PMID: 39453535](https://pubmed.ncbi.nlm.nih.gov/39453535/). *Cellular and molecular life sciences : CMLS*. [Basic Science / Preclinical]
Zhang KK (2024). [PMID: 39113374](https://pubmed.ncbi.nlm.nih.gov/39113374/). *Annals of Indian Academy of Neurology*. [Case Report / Case Series]