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Endocrine-cerebro-osteodysplasia (ECO) syndrome is characterized by various anomalies of the endocrine, cerebral, and skeletal systems resulting in neonatal mortality.
Features include always present findings: Micromelia, Single transverse palmar crease, Deeply set eye, and Midface retrusion and others; and very common findings: Median cleft palate. 50 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 4 | Median cleft upper lip, Bilateral cleft lip, Median cleft palate |
CILK1 encodes ciliogenesis associated kinase 1 (632 aa). Required for ciliogenesis. Phosphorylates KIF3A. Involved in the control of ciliary length. Highest expression in Adrenal Gland (27.2 TPM) and Colon Sigmoid (17.1 TPM).
Endocrine-cerebro-osteodysplasia syndrome is associated with mutations in the CILK1 gene on chromosome 6.
CILK1 is classified as a druggable target (Clinically Actionable, Druggable Genome, Enzyme, Kinase, and Serine Threonine Kinase categories) with score 0.0.
Genetic testing for CILK1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 13 always present features, 1 very common feature, 15 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for endocrine-cerebro-osteodysplasia syndrome.
4 publications have been identified in PubMed for endocrine-cerebro-osteodysplasia syndrome. Research spans Review / Meta-Analysis (50%), Case Report / Case Series (25%), and Basic Science / Preclinical (25%).
Song J (2026). [PMID: 41192595](https://pubmed.ncbi.nlm.nih.gov/41192595/). *Cell Mol Gastroenterol Hepatol*. [Basic Science / Preclinical]
Lakaye B (2025). [PMID: 40564020](https://pubmed.ncbi.nlm.nih.gov/40564020/). *Biomedicines*. [Review / Meta-Analysis]
Sezer A (2025). [PMID: 40615527](https://pubmed.ncbi.nlm.nih.gov/40615527/). *Eur J Hum Genet*. [Case Report / Case Series]
Chaya T (2025). [PMID: 40636449](https://pubmed.ncbi.nlm.nih.gov/40636449/). *Front Mol Biosci*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 6:09 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Brain and nerves
3 |
Depressed nasal tip, Hydrocephalus, Enlarged brain ventricles (ventriculomegaly) |
Kidneys and urinary system | 2 | Hyperechogenic kidneys, Enlarged kidney |
Hormones | 1 | Adrenal hypoplasia |
Bones and joints | 1 | Bowed forearm bones |
Arms and legs | 1 | Ulnar deviation of the hand |