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Any craniofacial dysmorphism, skeletal anomalies, and impaired intellectual development in which the cause of the disease is a variation in the TMCO1 gene.
Features include always present findings: Low muscle tone (hypotonia), Short nose, Hypertelorism, and Pes planus and others; and very common findings: Sprengel anomaly, Hyporeflexia, Pectus excavatum, and Macrocephaly and others. 80 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 8 | Cleft palate, Microcephaly, Hypoplasia of the maxilla |
TMCO1 function has not been fully characterized.
Craniofacial dysmorphism, skeletal anomalies, and impaired intellectual development 1 is associated with mutations in the TMCO1 gene on chromosome 1.
Genetic testing for TMCO1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 20 always present features, 5 very common features, 13 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for craniofacial dysmorphism, skeletal anomalies, and impaired intellectual development 1.
3 publications have been identified in PubMed for craniofacial dysmorphism, skeletal anomalies, and impaired intellectual development 1. Kisho has analyzed 2 by research type. Research spans Review / Meta-Analysis (50%) and Case Report / Case Series (50%).
Wang Y (2025). [PMID: 40797481](https://pubmed.ncbi.nlm.nih.gov/40797481/). *Medicine*. [Case Report / Case Series]
Wang J (2025). [PMID: 40867644](https://pubmed.ncbi.nlm.nih.gov/40867644/). *Biomolecules*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 4:52 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Brain and nerves |
6 |
Intellectual disability, Hyporeflexia, Absent speech |
Bones and joints | 5 | Hyperextensibility of the finger joints, Joint hypermobility, Vertebral fusion |
Arms and legs | 4 | Overlapping toe, Long fingers, Hyperextensibility of the finger joints |
Growth and development | 3 | Short stature, Postnatal growth retardation, Decreased response to growth hormone stimulation test |
Eyes | 2 | Strabismus, Ptosis |
Muscles | 2 | Low muscle tone (hypotonia), Neonatal hypotonia |
Digestive system | 2 | Feeding difficulties, Chronic constipation |
Pregnancy and birth | 2 | Decreased fetal movement, Neonatal hypotonia |
Kidneys and urinary system | 1 | Unilateral renal agenesis |
Ears | 1 | Recurrent otitis media |
Hormones | 1 | Decreased response to growth hormone stimulation test |
Heart and blood vessels | 1 | Atrial septal defect |
Age of onset: before birth.