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A rare inherited bone marrow failure syndrome, in which the cause of the disease is a variation in the MPL gene. It is characterized by an isolated and severe decrease in the number of platelets and megakaryocytes during the first years of life that develops into bone marrow failure with pancytopenia later in childhood.
Features include very common findings: Low platelet count (thrombocytopenia) and Abnormal hemoglobin; and common findings: Coarse facial features, Short neck, Melanocytic nevus, and Low red blood cell count (anemia) and others. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 5 | Amegakaryocytic thrombocytopenia, Low platelet count (thrombocytopenia), Low blood cell counts (all types) (pancytopenia) |
MPL encodes MPL proto-oncogene, thrombopoietin receptor (635 aa). Receptor for thrombopoietin that regulates hematopoietic stem cell renewal, megakaryocyte differentiation, and platelet formation. Highest expression in Testis (1.5 TPM) and Ovary (0.7 TPM).
Congenital amegakaryocytic thrombocytopenia 1 is caused by mutations in the MPL gene on chromosome 1.
The MPL protein participates in SH2B proteins bind JAK2 and Factors involved in megakaryocyte development and platelet production pathways.
MPL is classified as a druggable target (Cell Surface, Clinically Actionable, Druggable Genome, External Side Of Plasma Membrane, and Kinase categories) with score 9.5.
Genetic testing for MPL is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for congenital amegakaryocytic thrombocytopenia 1 has been reported in the published literature.
Phenotype severity distribution: 2 very common features, 7 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for congenital amegakaryocytic thrombocytopenia 1.
17 publications have been identified in PubMed for congenital amegakaryocytic thrombocytopenia 1. Research spans Case Report / Case Series (64%), Other (7%), and Diagnostic / Biomarker (7%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 9 | 64% |
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 9:57 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Bones and joints | 2 | Sideways curvature of the spine (scoliosis), Abnormal form of the vertebral bodies |
Head and neck | 1 | Coarse facial features |
Heart and blood vessels | 1 | Abnormal cardiac septum morphology |
Growth and development | 1 | Short stature |
Other research
1 |
7% |
Testing and diagnosis research | 1 | 7% |
Research summaries | 1 | 7% |
Clinical study results | 1 | 7% |
Laboratory research | 1 | 7% |
Alshaikhi OA (2026). [PMID: 41622814](https://pubmed.ncbi.nlm.nih.gov/41622814/). *Hematology*. [Case Report / Case Series]
Ramsland AS (2026). [PMID: 41643484](https://pubmed.ncbi.nlm.nih.gov/41643484/). *Stem Cell Res*. [Basic Science / Preclinical]
Schecter DR (2026). [PMID: 41635268](https://pubmed.ncbi.nlm.nih.gov/41635268/). *Am J Med Genet A*. [Case Report / Case Series]
Umer A (2026). [PMID: 41732604](https://pubmed.ncbi.nlm.nih.gov/41732604/). *Cureus*. [Case Report / Case Series]
Bukhari SI (2026). [PMID: 41445363](https://pubmed.ncbi.nlm.nih.gov/41445363/). *Expert Rev Hematol*. [Diagnostic / Biomarker]
Tulsiyan A (2026). [PMID: 42051844](https://pubmed.ncbi.nlm.nih.gov/42051844/). *Cureus*. [Case Report / Case Series]
Jabbari-Zadeh F (2026). [PMID: 42146942](https://pubmed.ncbi.nlm.nih.gov/42146942/). *Case Rep Med*. [Case Report / Case Series]
Dehghanzad R (2025). [PMID: 40386912](https://pubmed.ncbi.nlm.nih.gov/40386912/). *J Genet*. [Case Report / Case Series]
Latifi A (2025). [PMID: 40896245](https://pubmed.ncbi.nlm.nih.gov/40896245/). *EJHaem*. [Case Report / Case Series]
Unknown (2025). [PMID: 40980263](https://pubmed.ncbi.nlm.nih.gov/40980263/). *EJHaem*. [Other]