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A rare autosomal recessive inherited disorder characterized by prolonged partial thromboplastin time and absence of bleeding diathesis.
Features include: Reduced kininogen activity and Prolonged partial thromboplastin time.
KNG1 encodes kininogen 1 (644 aa). Kininogens are inhibitors of thiol proteases. Highest expression in Liver (414.4 TPM) and Kidney Medulla (180.7 TPM).
Congenital high-molecular-weight kininogen deficiency is caused by mutations in the KNG1 gene on chromosome 3.
The KNG1 protein participates in KLKB1:KNG1:(C1QBP, C1QBP:KRT1, PLAUR:KRT1) and KLKB1:KNG1:(C1QBP,C1QBP:KRT1, PLAUR:KRT1):FXII pathways.
KNG1 is classified as a druggable target (Druggable Genome, Hormone Activity, and Protease Inhibitor categories) with score 13.1.
Genetic testing for KNG1 is available. Testing is considered confirmatory for diagnosis.
No clinical trials have been registered for congenital high-molecular-weight kininogen deficiency.
6 publications have been identified in PubMed for congenital high-molecular-weight kininogen deficiency. Research spans Case Report / Case Series (50%), Other (17%), and Review / Meta-Analysis (17%).
Ohnaka Y (2026). [PMID: 41406198](https://pubmed.ncbi.nlm.nih.gov/41406198/). *Hypertension*. [Other]
Huang J (2026). [PMID: 41816881](https://pubmed.ncbi.nlm.nih.gov/41816881/). *Blood Coagul Fibrinolysis*. [Case Report / Case Series]
Aman Ur Rahman W (2025). [PMID: 40711100](https://pubmed.ncbi.nlm.nih.gov/40711100/). *Sports (Basel)*. [Review / Meta-Analysis]
Lv X (2025). [PMID: 39800040](https://pubmed.ncbi.nlm.nih.gov/39800040/). *Clin Biochem*. [Case Report / Case Series]
Jiang T (2025). [PMID: 41574369](https://pubmed.ncbi.nlm.nih.gov/41574369/). *Front Med (Lausanne)*. [Case Report / Case Series]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 1:02 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center