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A lysosomal storage disease characterized by coarse facial features, macular ''cherry red spot'', and dysostosis multiplex. Clinical presentation can be heterogenous ranging from a severe, early-onset, rapidly progressive infantile form to late onset, slowly progressive juvenile/adult form.
Features include very common findings: Hearing loss (hearing impairment), Seizure, Cherry red spot of the macula, and Coarse facial features and others; and sometimes findings: Hepatosplenomegaly. 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 4 | Opacification of the corneal stroma, Cherry red spot of the macula, Visible small blood vessels in the eye (conjunctival telangiectasia) |
CTSA encodes cathepsin A (480 aa). Protective protein appears to be essential for both the activity of beta-galactosidase and neuraminidase, it associates with these enzymes and exerts a protective function necessary for their stability and activity. Highest expression in Adrenal Gland (495.6 TPM) and Cells Cultured fibroblasts (285.3 TPM).
Galactosialidosis is caused by mutations in the CTSA gene on chromosome 20.
The CTSA protein participates in NEU1 hydrolyses Neu5Ac from glycoconjugates pathway.
CTSA is classified as a druggable target (Druggable Genome, Enzyme, and Protease categories) with score 0.0.
Genetic testing for CTSA is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 9 very common features.
Estimated prevalence: Unknown (Unknown prevalence).
1 clinical trial registered. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
13 publications have been identified in PubMed for galactosialidosis. Research spans Case Report / Case Series (69%), Review / Meta-Analysis (23%), and Clinical Trial Publication (8%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 9 | 69% |
Data assembled from 8 of 12 sources · Last updated Sep 19, 2026, 1:59 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Bones and joints | 3 | Abnormality of the vertebral column, Skeletal dysplasia, Abnormal vertebral morphology |
Brain and nerves | 2 | Seizure, Intellectual disability |
Growth and development | 1 | Severe short stature |
Ears | 1 | Hearing loss (hearing impairment) |
Pregnancy and birth | 1 | Nonimmune hydrops fetalis |
Head and neck | 1 | Coarse facial features |
Metabolism | 1 | Decreased beta-galactosidase activity |
Lab test results | 1 | Decreased beta-galactosidase activity |
Skin | 1 | Visible small blood vessels in the eye (conjunctival telangiectasia) |
Digestive system | 1 | Hepatosplenomegaly |
Age of onset: before birth, infancy.
Research summaries |
3 |
23% |
Clinical study results | 1 | 8% |
Casazza K (2026). [PMID: 42008923](https://pubmed.ncbi.nlm.nih.gov/42008923/). *Mol Genet Metab*. [Review / Meta-Analysis]
Itoh K (2026). [PMID: 41917397](https://pubmed.ncbi.nlm.nih.gov/41917397/). *Advances in experimental medicine and biology*. [Review / Meta-Analysis]
Gürbüz BB (2025). [PMID: 41409303](https://pubmed.ncbi.nlm.nih.gov/41409303/). *Molecular syndromology*. [Case Report / Case Series]
Sjøstrøm E (2025). [PMID: 39600231](https://pubmed.ncbi.nlm.nih.gov/39600231/). *Clinical genetics*. [Clinical Trial Publication]
Abu-Sailik F (2025). [PMID: 40612107](https://pubmed.ncbi.nlm.nih.gov/40612107/). *Frontiers in cell and developmental biology*. [Case Report / Case Series]
Ngiwsara L (2025). [PMID: 40165614](https://pubmed.ncbi.nlm.nih.gov/40165614/). *Annals of human genetics*. [Case Report / Case Series]
Alsahlawi Z (2025). [PMID: 39981487](https://pubmed.ncbi.nlm.nih.gov/39981487/). *Cureus*. [Case Report / Case Series]
Chatelain C (2025). [PMID: 39638120](https://pubmed.ncbi.nlm.nih.gov/39638120/). *European journal of medical genetics*. [Case Report / Case Series]
Bouhatous YM (2025). [PMID: 40562530](https://pubmed.ncbi.nlm.nih.gov/40562530/). *Journal of medical genetics*. [Review / Meta-Analysis]
Toki M (2025). [PMID: 41006206](https://pubmed.ncbi.nlm.nih.gov/41006206/). *Human genome variation*. [Case Report / Case Series]