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A multiple congenital anomalies (MCA) syndrome involving connective tissue characterized by growth retardation, alopecia, pseudoanodontia and ocular manifestations
Features include always present findings: Severe short stature, Strabismus, Megalocornea, and Short stature and others; and common findings: Epicanthus, Nystagmus, Delayed skeletal maturation, and Joint hypermobility and others. 63 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 6 | Keratoconus, Strabismus, Nystagmus |
ANTXR1 encodes ANTXR cell adhesion molecule 1 (564 aa). Plays a role in cell attachment and migration. Highest expression in Artery Aorta (318.5 TPM) and Artery Coronary (266.2 TPM).
GAPO syndrome is caused by mutations in the ANTXR1 gene on chromosome 2.
The ANTXR1 protein participates in ANTXR1-bound pagA(197-794) forms oligomers and cya and lef bind to pagA(197-794):ANTXR1 oligomer pathways.
ANTXR1 is classified as a druggable target (Cell Surface, Druggable Genome, and External Side Of Plasma Membrane categories) with score 0.0.
Genetic testing for ANTXR1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for GAPO syndrome has been reported in the published literature.
Phenotype severity distribution: 26 always present features, 11 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for GAPO syndrome.
106 publications have been identified in PubMed for GAPO syndrome. Research spans Basic Science / Preclinical (35%), Review / Meta-Analysis (26%), and Case Report / Case Series (24%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 37 | 35% |
Data assembled from 7 of 12 sources · Last updated Sep 18, 2026, 1:48 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about GAPO syndrome
Brain and nerves
4 |
Seizure, Intellectual disability, Enlarged brain ventricles (ventriculomegaly) |
Head and neck | 4 | High, narrow palate, Facial palsy, Thick lower lip vermilion |
Growth and development | 3 | Severe short stature, Short stature, Growth delay |
Bones and joints | 3 | Delayed skeletal maturation, Joint hypermobility, Sideways curvature of the spine (scoliosis) |
Skin | 3 | Redundant skin, Alopecia, Nail dysplasia |
Kidneys and urinary system | 2 | Tubulointerstitial fibrosis, Stage 5 chronic kidney disease |
Arms and legs | 1 | Cutaneous finger syndactyly |
Heart and blood vessels | 1 | Myocardial infarction |
Muscles | 1 | Damage to the optic nerve (optic atrophy) |
Digestive system | 1 | Enlarged liver (hepatomegaly) |
28 |
26% |
Patient case studies | 25 | 24% |
Disease patterns and progression | 11 | 10% |
Testing and diagnosis research | 2 | 2% |
Clinical study results | 2 | 2% |
Other research | 1 | 1% |
Chen LK (2026). [PMID: 41483479](https://pubmed.ncbi.nlm.nih.gov/41483479/). *Clin Nutr*. [Epidemiology / Natural History]
Kagiava A (2026). [PMID: 42134074](https://pubmed.ncbi.nlm.nih.gov/42134074/). *EBioMedicine*. [Review / Meta-Analysis]
De Ponte A (2026). [PMID: 41168677](https://pubmed.ncbi.nlm.nih.gov/41168677/). *J Sex Med*. [Review / Meta-Analysis]
Hansen P (2026). [PMID: 41286529](https://pubmed.ncbi.nlm.nih.gov/41286529/). *Geroscience*. [Epidemiology / Natural History]
Bao YL (2026). [PMID: 40914752](https://pubmed.ncbi.nlm.nih.gov/40914752/). *Neurosci Bull*. [Basic Science / Preclinical]
Qin X (2026). [PMID: 40912481](https://pubmed.ncbi.nlm.nih.gov/40912481/). *J Ethnopharmacol*. [Basic Science / Preclinical]
Zhang GX (2026). [PMID: 42187506](https://pubmed.ncbi.nlm.nih.gov/42187506/). *Physiol Res*. [Review / Meta-Analysis]
Shi X (2026). [PMID: 41687610](https://pubmed.ncbi.nlm.nih.gov/41687610/). *Cancer Cell*. [Basic Science / Preclinical]
Zeppieri M (2026). [PMID: 30085540](https://pubmed.ncbi.nlm.nih.gov/30085540/). *Unknown Journal*. [Basic Science / Preclinical]
Andersson K (2026). [PMID: 41864089](https://pubmed.ncbi.nlm.nih.gov/41864089/). *Epilepsy Res*. [Epidemiology / Natural History]