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Any early infantile epileptic encephalopathy in which the cause of the disease is a mutation in the DENND5A gene.
Features include always present findings: Bilateral tonic-clonic seizure, Tented upper lip vermilion, Coarse facial features, and Microcephaly and others; and common findings: Exaggerated startle response, Dysplastic corpus callosum, Myoclonic seizure, and Anxiety and others. 40 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 19 | Bilateral tonic-clonic seizure, Exaggerated startle response, Myoclonic seizure |
DENND5A encodes DENN domain containing 5A (1,287 aa). Guanine nucleotide exchange factor (GEF) which may activate RAB6A and RAB39A and/or RAB39B. Highest expression in Brain Spinal cord cervical c-1 (110.8 TPM) and Nerve Tibial (76.9 TPM).
Developmental and epileptic encephalopathy, 49 is associated with mutations in the DENND5A gene on chromosome 11.
The DENND5A protein participates in DENND5A,B exchange GTP for GDP on RAB39 pathway.
DENND5A is classified as a druggable target with score 0.0.
Genetic testing for DENND5A is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for developmental and epileptic encephalopathy, 49 has been reported in the published literature.
Phenotype severity distribution: 14 always present features, 19 common features.
No clinical trials have been registered for developmental and epileptic encephalopathy, 49.
60 publications have been identified in PubMed for developmental and epileptic encephalopathy, 49. Research spans Epidemiology / Natural History (33%), Review / Meta-Analysis (25%), and Basic Science / Preclinical (12%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 20 | 33% |
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 1:38 AM UTC
Online Mendelian Inheritance in Man
Head and neck | 6 | Tented upper lip vermilion, Coarse facial features, Facial-lingual fasciculations |
Muscles | 3 | Facial-lingual fasciculations, Axial hypotonia, Damage to the optic nerve (optic atrophy) |
Eyes | 1 | Damage to the optic nerve (optic atrophy) |
Research summaries |
15 |
25% |
Laboratory research | 7 | 12% |
Clinical study results | 6 | 10% |
Testing and diagnosis research | 4 | 7% |
New treatment approaches | 4 | 7% |
Patient case studies | 3 | 5% |
Other research | 1 | 2% |
Zhang S (2026). [PMID: 40993358](https://pubmed.ncbi.nlm.nih.gov/40993358/). *Pediatr Res*. [Basic Science / Preclinical]
Balestrini S (2026). [PMID: 41137852](https://pubmed.ncbi.nlm.nih.gov/41137852/). *Epilepsia*. [Review / Meta-Analysis]
Kang K (2026). [PMID: 41612684](https://pubmed.ncbi.nlm.nih.gov/41612684/). *Can J Neurol Sci*. [Clinical Trial Publication]
Philliben R (2026). [PMID: 42167045](https://pubmed.ncbi.nlm.nih.gov/42167045/). *Pediatr Neurol*. [Gene Therapy / Novel Therapeutics]
Sahu A (2026). [PMID: 42008890](https://pubmed.ncbi.nlm.nih.gov/42008890/). *Epilepsy Res*. [Epidemiology / Natural History]
Nguyen JNH (2026). [PMID: 41687048](https://pubmed.ncbi.nlm.nih.gov/41687048/). *Neurology*. [Diagnostic / Biomarker]
Scharre S (2026). [PMID: 42252709](https://pubmed.ncbi.nlm.nih.gov/42252709/). *J Inherit Metab Dis*. [Epidemiology / Natural History]
Duan H (2026). [PMID: 42244324](https://pubmed.ncbi.nlm.nih.gov/42244324/). *Zhong Nan Da Xue Xue Bao Yi Xue Ban*. [Review / Meta-Analysis]
Swanson MA (2026). [PMID: 41603187](https://pubmed.ncbi.nlm.nih.gov/41603187/). *J Inherit Metab Dis*. [Basic Science / Preclinical]
Lammert DB (2026). [PMID: 41921424](https://pubmed.ncbi.nlm.nih.gov/41921424/). *Pediatr Neurol*. [Epidemiology / Natural History]