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Filippi syndrome is characterized by microcephaly, cutaneous syndactyly of the fingers and toes, intellectual deficit, growth retardation and a characteristic facies (high and broad nasal bridge, thin alae nasi, micrognathia and a high frontal hairline). So far, less than 25 cases have been reported. Cryptorchidism, polydactyly, and teeth and hair anomalies may also be present. Transmission is autosomal recessive.
Features include very common findings: Prominent nasal bridge, Wide nose, Global developmental delay, and Specific learning disability and others; and common findings: Damage to the optic nerve (optic atrophy), Intrauterine growth retardation, Downslanted palpebral fissures, and Low muscle tone (hypotonia) and others. 59 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 10 | Dystonia, Seizure, Intellectual disability |
Arms and legs | 7 | Finger clinodactyly, 2-4 toe syndactyly, Clinodactyly of the 5th finger |
Growth and development | 5 | Postnatal growth retardation, Intrauterine growth retardation, Severe short stature |
Muscles | 4 | Shrinkage of the cerebellum (cerebellar atrophy), Damage to the optic nerve (optic atrophy), Low muscle tone (hypotonia) |
Eyes | 2 | Visual impairment, Damage to the optic nerve (optic atrophy) |
Bones and joints | 2 | Limitation of joint mobility, Delayed skeletal maturation |
Heart and blood vessels | 1 | Ventricular septal defect |
Head and neck | 1 | Microcephaly |
Skin | 1 | Small nail |
CKAP2L encodes cytoskeleton associated protein 2 like (745 aa). Microtubule-associated protein required for mitotic spindle formation and cell-cycle progression in neural progenitor cells Highest expression in Cells EBV-transformed lymphocytes (16.8 TPM) and Cells Cultured fibroblasts (8.7 TPM).
Filippi syndrome is associated with mutations in the CKAP2L gene on chromosome 2.
CKAP2L is classified as a druggable target with score 0.0.
Genetic testing for CKAP2L is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 9 very common features, 19 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Filippi syndrome.
5 publications have been identified in PubMed for Filippi syndrome. Research spans Basic Science / Preclinical (80%) and Case Report / Case Series (20%).
Liu X (2026). [PMID: 42105234](https://pubmed.ncbi.nlm.nih.gov/42105234/). *Cell Rep*. [Basic Science / Preclinical]
Liu X (2025). [PMID: 40654709](https://pubmed.ncbi.nlm.nih.gov/40654709/). *bioRxiv : the preprint server for biology*. [Basic Science / Preclinical]
Lyu Q (2025). [PMID: 41370039](https://pubmed.ncbi.nlm.nih.gov/41370039/). *Journal of molecular cell biology*. [Basic Science / Preclinical]
Kwon H (2024). [PMID: 39073037](https://pubmed.ncbi.nlm.nih.gov/39073037/). *FEBS open bio*. [Basic Science / Preclinical]
Bas H (2024). [PMID: 38738944](https://pubmed.ncbi.nlm.nih.gov/38738944/). *American journal of medical genetics. Part A*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 1:00 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Filippi syndrome