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An autosomal recessive disorder resulting from fragility of cerebral vessels causing an increased risk of intracranial bleeding. The resultant phenotype is highly variable depending on timing and location of the intracranial bleed. Some patients may have onset in utero or early infancy, with subsequent global developmental delay, spasticity, and porencephaly on brain imaging. Other patients may have normal or mildly delayed development with sudden onset of intracranial hemorrhage causing acute neurologic deterioration.
Features include always present findings: Leukoencephalopathy and Cerebral calcification; and common findings: Brain shrinkage (cerebral atrophy), Spastic tetraplegia, Seizure, and Porencephalic cyst and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 8 | Brain shrinkage (cerebral atrophy), Spastic tetraplegia, Seizure |
COLGALT1 encodes collagen beta(1-O)galactosyltransferase 1 (622 aa). Beta-galactosyltransferase that transfers beta-galactose to hydroxylysine residues of type I collagen. By acting on collagen glycosylation, facilitates the formation of collagen triple helix. Highest expression in Cells Cultured fibroblasts (176.4 TPM) and Spleen (130.7 TPM).
Brain small vessel disease 3 has been associated with mutations in the COLGALT1 gene on chromosome 19.
The COLGALT1 protein participates in COLGALT1,COLGALT2:Galactosyl-hydroxylysyl collagen propeptides, COLGALT1,COLGALT2:Lysyl hydroxylated collagen propeptides, and COLGALT1,COLGALT2:Galactosyl-hydroxylysyl collagen propeptides dissociates pathways.
COLGALT1 is classified as a druggable target (Enzyme category) with score 0.0.
Genetic testing for COLGALT1 is available. Testing is considered supportive for diagnosis.
Biomarker and diagnostic research for brain small vessel disease 3 has been reported in the published literature.
Phenotype severity distribution: 2 always present features, 8 common features.
No clinical trials have been registered for brain small vessel disease 3.
202 publications have been identified in PubMed for brain small vessel disease 3. Kisho has analyzed 115 by research type. Research spans Epidemiology / Natural History (35%), Basic Science / Preclinical (18%), and Review / Meta-Analysis (17%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 40 | 35% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 9:39 PM UTC
Online Mendelian Inheritance in Man
Muscles
2 |
Brain shrinkage (cerebral atrophy), Low muscle tone (hypotonia) |
Heart and blood vessels | 1 | Lacunar stroke |
Laboratory research |
21 |
18% |
Research summaries | 19 | 17% |
Testing and diagnosis research | 15 | 13% |
Clinical study results | 13 | 11% |
Other research | 3 | 3% |
Patient case studies | 2 | 2% |
New treatment approaches | 2 | 2% |
Yang Z (2026). [PMID: 40838861](https://pubmed.ncbi.nlm.nih.gov/40838861/). *J Magn Reson Imaging*. [Basic Science / Preclinical]
Zahran A (2026). [PMID: 41792880](https://pubmed.ncbi.nlm.nih.gov/41792880/). *CNS Neurosci Ther*. [Review / Meta-Analysis]
Lee YC (2026). [PMID: 40607620](https://pubmed.ncbi.nlm.nih.gov/40607620/). *Int J Stroke*. [Diagnostic / Biomarker]
Yedor LM (2026). [PMID: 41441870](https://pubmed.ncbi.nlm.nih.gov/41441870/). *J Alzheimers Dis*. [Epidemiology / Natural History]
Stewart CR (2026). [PMID: 41669975](https://pubmed.ncbi.nlm.nih.gov/41669975/). *J Am Heart Assoc*. [Epidemiology / Natural History]
Xia Z (2026). [PMID: 40913247](https://pubmed.ncbi.nlm.nih.gov/40913247/). *Int J Stroke*. [Clinical Trial Publication]
Araujo-Contreras R (2026). [PMID: 40848767](https://pubmed.ncbi.nlm.nih.gov/40848767/). *J Affect Disord*. [Basic Science / Preclinical]
Vazquez JP (2026). [PMID: 41428469](https://pubmed.ncbi.nlm.nih.gov/41428469/). *J Alzheimers Dis*. [Epidemiology / Natural History]
Sharma R (2026). [PMID: 32965838](https://pubmed.ncbi.nlm.nih.gov/32965838/). *Unknown Journal*. [Review / Meta-Analysis]
Han S (2026). [PMID: 41671658](https://pubmed.ncbi.nlm.nih.gov/41671658/). *Int Dent J*. [Epidemiology / Natural History]
AI-curated news mentioning brain small vessel disease 3
Updated May 1, 2026
A recent study investigates the relationship between internal carotid and vertebrobasilar artery dolichoectasia and cerebral small vessel disease in patients with COL4A1/COL4A2 gene duplications. This research highlights potential genetic links that could inform future therapeutic strategies.
Research indicates that the burden of cerebral small vessel disease is linked to cognitive decline through impaired amyloid clearance mechanisms. This study highlights the potential pathways connecting vascular health and cognitive function in the general population.
A new study expands the clinicoradiologic phenotype of CTSA-associated small vessel disease CARASAL, comparing it with CADASIL. This research enhances understanding of these conditions, potentially guiding future diagnostics and treatments.