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Any Charcot-Marie-Tooth disease in which the cause of the disease is a mutation in the IGHMBP2 gene.
Features include always present findings: Upper limb muscle weakness and Lower limb muscle weakness; and very common findings: Areflexia of lower limbs. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 5 | Upper limb muscle weakness, Tongue atrophy, Lower limb muscle weakness |
Arms and legs | 5 | Upper limb muscle weakness, Areflexia of upper limbs, Lower limb muscle weakness |
Brain and nerves | 4 | Hyporeflexia, Steppage gait, Difficulty walking (gait disturbance) |
Bones and joints | 1 | Sideways curvature of the spine (scoliosis) |
IGHMBP2 encodes immunoglobulin mu DNA binding protein 2 (993 aa). 5' to 3' helicase that unwinds RNA and DNA duplexes in an ATP-dependent reaction. Specific to 5'-phosphorylated single-stranded guanine-rich sequences. Highest expression in Testis (48.4 TPM) and Colon Sigmoid (33.5 TPM).
Charcot-Marie-Tooth disease axonal type 2S is associated with mutations in the IGHMBP2 gene on chromosome 11.
IGHMBP2 is classified as a druggable target (Enzyme and Transcription Factor Binding categories) with score 0.8.
Genetic testing for IGHMBP2 is available. Testing is considered confirmatory for diagnosis.
No approved treatments are currently available for Charcot-Marie-Tooth disease axonal type 2S. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for Charcot-Marie-Tooth disease axonal type 2S, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for Charcot-Marie-Tooth disease axonal type 2S. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
synthetic 2'-O-methoxyethyl phosphorothioate oligoribonucleotide sodium salt consisting of 19 nucleotide residues with the sequence 5'-MeCMeUGMeUGGAAGMeUGAGGGMeCMeCAG-3' | synthetic 2'-O-methoxyethyl phosphorothioate oligoribonucleotide sodium salt consisting of 19 nucleotide residues with the sequence 5'-MeCMeUGMeUGGAAGMeUGAGGGMeCMeCAG-3' | Vanda Pharmaceuticals Inc. | 2023 | — | Designated |
Gene therapy approaches for Charcot-Marie-Tooth disease axonal type 2S have been reported in the published literature.
1 trial found
Phenotype severity distribution: 2 always present features, 1 very common feature, 2 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered. Interventions under study include biologic therapy. Pipeline includes 1 PHASE1. Research is primarily sponsored by academic and government institutions.
14 publications have been identified in PubMed for Charcot-Marie-Tooth disease axonal type 2S. Research spans Review / Meta-Analysis (29%), Basic Science / Preclinical (29%), and Case Report / Case Series (21%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 4 | 29% |
Laboratory research | 4 | 29% |
Patient case studies | 3 | 21% |
New treatment approaches | 2 | 14% |
Disease patterns and progression | 1 | 7% |
Bektaş H (2026). [PMID: 41468720](https://pubmed.ncbi.nlm.nih.gov/41468720/). *Neuromuscul Disord*. [Case Report / Case Series]
Pagliari E (2026). [PMID: 41486111](https://pubmed.ncbi.nlm.nih.gov/41486111/). *J Biomed Sci*. [Gene Therapy / Novel Therapeutics]
Gao S (2025). [PMID: 39815358](https://pubmed.ncbi.nlm.nih.gov/39815358/). *Orphanet J Rare Dis*. [Epidemiology / Natural History]
Tkemaladze T (2025). [PMID: 40353295](https://pubmed.ncbi.nlm.nih.gov/40353295/). *Am J Med Genet A*. [Case Report / Case Series]
Torres FJL (2025). [PMID: 41276031](https://pubmed.ncbi.nlm.nih.gov/41276031/). *Neurobiol Dis*. [Basic Science / Preclinical]
Yavas C (2025). [PMID: 39705914](https://pubmed.ncbi.nlm.nih.gov/39705914/). *Brain Dev*. [Review / Meta-Analysis]
Rice AD (2025). [PMID: 40833344](https://pubmed.ncbi.nlm.nih.gov/40833344/). *J Peripher Nerv Syst*. [Basic Science / Preclinical]
Liu L (2025). [PMID: 42032993](https://pubmed.ncbi.nlm.nih.gov/42032993/). *Zhong Nan Da Xue Xue Bao Yi Xue Ban*. [Basic Science / Preclinical]
Smieszek S (2025). [PMID: 40060931](https://pubmed.ncbi.nlm.nih.gov/40060931/). *Mol Ther Nucleic Acids*. [Gene Therapy / Novel Therapeutics]
Rzepnikowska W (2024). [PMID: 39119929](https://pubmed.ncbi.nlm.nih.gov/39119929/). *Neuropathol Appl Neurobiol*. [Review / Meta-Analysis]
Data assembled from 8 of 12 sources · Last updated Sep 20, 2026, 5:30 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Charcot-Marie-Tooth disease axonal type 2S