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Codas syndrome is a multiple congenital anomalies syndrome characterized by Cerebral, Ocular, Dental, Auricular and Skeletal anomalies.
Features include always present findings: Delayed epiphyseal ossification, Hypoplasia of the odontoid process, Shrinkage of the caudate nucleus (brain) (caudate atrophy), and Generalized hypotonia and others; and very common findings: Delayed eruption of teeth, Short stature, Short metacarpal, and Cataract and others. 80 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 10 |
LONP1 encodes lon peptidase 1, mitochondrial (959 aa). ATP-dependent serine protease that mediates the selective degradation of misfolded, unassembled or oxidatively damaged polypeptides as well as certain short-lived regulatory proteins in the mitochondrial matrix. Highest expression in Adrenal Gland (207.9 TPM) and Cells EBV-transformed lymphocytes (109.6 TPM).
CODAS syndrome is associated with mutations in the LONP1 gene on chromosome 19.
The LONP1 protein participates in LONP1:substrate protein (mitochondrial matrix), LONP1:substrate protein (mitochondrial inner membrane), and CLPXP:substrate protein (mitochondrial matrix) pathways.
LONP1 is classified as a druggable target (Enzyme and Protease categories) with score 52.2.
Genetic testing for LONP1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for CODAS syndrome has been reported in the published literature.
Phenotype severity distribution: 10 always present features, 22 very common features, 14 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for CODAS syndrome.
108 publications have been identified in PubMed for CODAS syndrome. Research spans Review / Meta-Analysis (71%), Basic Science / Preclinical (15%), and Epidemiology / Natural History (7%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 77 | 71% |
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 7:11 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about CODAS syndrome
Brain and nerves | 9 | Seizure, Ataxia, Lower limb spasticity |
Eyes | 5 | Cataract, Developmental cataract, Ptosis |
Muscles | 4 | Shrinkage of the caudate nucleus (brain) (caudate atrophy), Low muscle tone (hypotonia), Generalized hypotonia |
Digestive system | 3 | Gastroesophageal reflux, Difficulty swallowing (dysphagia), Extrahepatic biliary duct atresia |
Arms and legs | 2 | Lower limb spasticity, Short phalanx of finger |
Ears | 2 | Inner ear hearing loss (sensorineural hearing impairment), Conductive hearing impairment |
Head and neck | 2 | Flat face, Coronal cleft vertebrae |
Heart and blood vessels | 2 | Ventricular septal defect, Atrial septal defect |
Pregnancy and birth | 1 | Congenital hip dislocation |
Growth and development | 1 | Short stature |
Lab test results | 1 | Increased circulating pyruvate concentration |
16 |
15% |
Disease patterns and progression | 8 | 7% |
Patient case studies | 3 | 3% |
Other research | 2 | 2% |
Testing and diagnosis research | 1 | 1% |
Clinical study results | 1 | 1% |
Manto M (2026). [PMID: 41663552](https://pubmed.ncbi.nlm.nih.gov/41663552/). *J Neurol*. [Review / Meta-Analysis]
Amado C (2026). [PMID: 40975490](https://pubmed.ncbi.nlm.nih.gov/40975490/). *Ann Allergy Asthma Immunol*. [Review / Meta-Analysis]
Young RE (2026). [PMID: 40931319](https://pubmed.ncbi.nlm.nih.gov/40931319/). *Clin Genet*. [Epidemiology / Natural History]
Anderson EN (2026). [PMID: 41468891](https://pubmed.ncbi.nlm.nih.gov/41468891/). *Am J Hum Genet*. [Basic Science / Preclinical]
Jiang Q (2026). [PMID: 41970958](https://pubmed.ncbi.nlm.nih.gov/41970958/). *Front Cell Dev Biol*. [Basic Science / Preclinical]
Molteni R (2025). [PMID: 40195449](https://pubmed.ncbi.nlm.nih.gov/40195449/). *Nat Med*. [Basic Science / Preclinical]
Ma R (2025). [PMID: 40992234](https://pubmed.ncbi.nlm.nih.gov/40992234/). *J Clin Anesth*. [Review / Meta-Analysis]
Soodhana D (2025). [PMID: 40416472](https://pubmed.ncbi.nlm.nih.gov/40416472/). *J ASEAN Fed Endocr Soc*. [Case Report / Case Series]
Wang Y (2025). [PMID: 41137173](https://pubmed.ncbi.nlm.nih.gov/41137173/). *Genome Med*. [Epidemiology / Natural History]
Kröll-Hermi A (2025). [PMID: 41260215](https://pubmed.ncbi.nlm.nih.gov/41260215/). *Am J Hum Genet*. [Basic Science / Preclinical]