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A rare mitochondrial substrate carrier disorder characterized by severe muscular hypotonia, seizures (with or without episodic apnea) beginning in the first year of life, and arrested psychomotor development (affecting mainly motor skills). Severe spasticity with hyperreflexia has also been reported. Global cerebral hypomyelination is a characteristic imaging feature of this disease.
Features include always present findings: Seizure, Severe muscular hypotonia, Cerebral hypomyelination, and Reduced brain N-acetyl aspartate level by MRS and others; and common findings: Poor head control, Narrow palate, Jejunal atresia, and Low muscle tone (hypotonia) and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 14 | Seizure, Cerebral hypomyelination, Reduced brain N-acetyl aspartate level by MRS |
Head and neck | 5 | Narrow palate, Secondary microcephaly, Primary microcephaly |
Muscles | 5 | Low muscle tone (hypotonia), Severe muscular hypotonia, Type 1 muscle fiber predominance |
Heart and blood vessels | 1 | Right ventricular hypertrophy |
Lab test results | 1 | Increased circulating lactate concentration |
Arms and legs | 1 | Tapered finger |
Ears | 1 | Chronic otitis media |
Lungs and breathing | 1 | Apnea |
SLC25A12 function has not been fully characterized.
Developmental and epileptic encephalopathy, 39 is associated with mutations in the SLC25A12 gene on chromosome 2.
Genetic testing for SLC25A12 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for developmental and epileptic encephalopathy, 39 has been reported in the published literature.
Phenotype severity distribution: 17 always present features, 26 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for developmental and epileptic encephalopathy, 39.
73 publications have been identified in PubMed for developmental and epileptic encephalopathy, 39. Research spans Epidemiology / Natural History (28%), Review / Meta-Analysis (21%), and Clinical Trial Publication (14%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 20 | 28% |
Research summaries | 15 | 21% |
Clinical study results | 10 | 14% |
Laboratory research | 9 | 13% |
Patient case studies | 7 | 10% |
Testing and diagnosis research | 6 | 8% |
New treatment approaches | 4 | 6% |
Eschbach K (2026). [PMID: 41702214](https://pubmed.ncbi.nlm.nih.gov/41702214/). *Epilepsy Behav*. [Clinical Trial Publication]
Massaroni V (2026). [PMID: 42001857](https://pubmed.ncbi.nlm.nih.gov/42001857/). *Epilepsy Behav*. [Basic Science / Preclinical]
Akkus N (2026). [PMID: 41507692](https://pubmed.ncbi.nlm.nih.gov/41507692/). *Mol Genet Genomic Med*. [Gene Therapy / Novel Therapeutics]
Murano M (2026). [PMID: 42196434](https://pubmed.ncbi.nlm.nih.gov/42196434/). *Int J Mol Sci*. [Review / Meta-Analysis]
Manav Yigit Z (2026). [PMID: 41545183](https://pubmed.ncbi.nlm.nih.gov/41545183/). *J Med Genet*. [Case Report / Case Series]
Młynek M (2026). [PMID: 41898790](https://pubmed.ncbi.nlm.nih.gov/41898790/). *Genes (Basel)*. [Basic Science / Preclinical]
Kang K (2026). [PMID: 41612684](https://pubmed.ncbi.nlm.nih.gov/41612684/). *Can J Neurol Sci*. [Basic Science / Preclinical]
Karnstedt M (2026). [PMID: 41489401](https://pubmed.ncbi.nlm.nih.gov/41489401/). *Epilepsia*. [Gene Therapy / Novel Therapeutics]
Adler S (2026). [PMID: 41715296](https://pubmed.ncbi.nlm.nih.gov/41715296/). *Curr Opin Neurol*. [Review / Meta-Analysis]
Dell'Isola GB (2026). [PMID: 41739881](https://pubmed.ncbi.nlm.nih.gov/41739881/). *Epilepsia Open*. [Epidemiology / Natural History]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 1:48 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center