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An autosomal recessive cutis laxa type II classic type characterized by cardiovascular involvement that has material basis in homozygous mutation in the ATP6V1E1 gene on chromosome 22q11.
Features include always present findings: Strabismus, Low muscle tone (hypotonia), Type II transferrin isoform profile, and Overlapping toe and others; and very common findings: Hypertelorism and Cutis laxa. 63 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 5 | Low muscle tone (hypotonia), Gowers sign, Muscle weakness |
ATP6V1E1 encodes ATPase H+ transporting V1 subunit E1 (226 aa). Subunit of the V1 complex of vacuolar(H+)-ATPase (V-ATPase), a multisubunit enzyme composed of a peripheral complex (V1) that hydrolyzes ATP and a membrane integral complex (V0) that translocates protons. Highest expression in Brain Frontal Cortex BA9 (326.3 TPM) and Brain Cerebellar Hemisphere (264.6 TPM).
Autosomal recessive cutis laxa type 2C has limited evidence linking it to mutations in the ATP6V1E1 gene on chromosome 22.
The ATP6V1E1 protein participates in MITF-M-dependent ATP6V1E1 gene expression pathway.
ATP6V1E1 is classified as a druggable target (Enzyme and Transporter categories) with score 5.8.
Genetic testing for ATP6V1E1 is available. Testing is considered research-grade for diagnosis.
Phenotype severity distribution: 20 always present features, 2 very common features, 19 common features.
No clinical trials have been registered for autosomal recessive cutis laxa type 2C.
2 publications have been identified in PubMed for autosomal recessive cutis laxa type 2C. Research spans Review / Meta-Analysis (50%) and Basic Science / Preclinical (50%).
Prendergast A (2025). [PMID: 40066353](https://pubmed.ncbi.nlm.nih.gov/40066353/). *Front Cardiovasc Med*. [Review / Meta-Analysis]
Kopp J (2024). [PMID: 39680136](https://pubmed.ncbi.nlm.nih.gov/39680136/). *Cell Mol Life Sci*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 12:31 AM UTC
Online Mendelian Inheritance in Man
Head and neck |
5 |
Median cleft palate, Hypoplasia of the maxilla, Triangular face |
Heart and blood vessels | 5 | Aortic regurgitation, Thoracic aortic aneurysm, Complete right bundle branch block |
Bones and joints | 3 | Kyphoscoliosis, Joint hypermobility, Joint contracture |
Eyes | 2 | Strabismus, Nystagmus |
Growth and development | 2 | Short stature, Disproportionate tall stature |
Arms and legs | 2 | Overlapping toe, Hand clenching |
Kidneys and urinary system | 1 | Nephrocalcinosis |
Skin | 1 | Reduced subcutaneous adipose tissue |
Lungs and breathing | 1 | Spontaneous pneumothorax |