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A rare genetic disease characterized by multiple intestinal atresia in association with combined immunodeficiency and inflammatory bowel disease. Clinical features include widespread atresia extending from the stomach to the rectum, homogenous calcifications in the abdominal cavity, hepatic cholestasis, cirrhosis, and chronic liver failure, hypoplastic thymus, and increased susceptibility to mainly bacteria and viruses. The immunological phenotype consists of profound generalized T-cell lymphopenia and milder natural killer cell and B-cell lymphopenia, as well as low serum levels of IgG, IgA, and IgM, with elevated serum IgE. The disease is mostly fatal in infancy or childhood.
Features include always present findings: Intestinal obstruction, Elevated platelet count (thrombocytosis), Enterocolitis, and Bloody diarrhea and others; and very common findings: Jejunal atresia and Colonic atresia. 33 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 7 | Autoimmunity, Elevated platelet count (thrombocytosis), Autoimmune hemolytic anemia |
TTC7A function has not been fully characterized.
Gastrointestinal defects and immunodeficiency syndrome 1 is associated with mutations in the TTC7A gene on chromosome 2.
Genetic testing for TTC7A is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for gastrointestinal defects and immunodeficiency syndrome 1 has been reported in the published literature.
Phenotype severity distribution: 12 always present features, 2 very common features, 9 common features.
No clinical trials have been registered for gastrointestinal defects and immunodeficiency syndrome 1.
104 publications have been identified in PubMed for gastrointestinal defects and immunodeficiency syndrome 1. Kisho has analyzed 60 by research type. Research spans Review / Meta-Analysis (78%), Other (10%), and Basic Science / Preclinical (7%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 47 | 78% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 9:42 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Digestive system |
5 |
Intestinal obstruction, Bloody diarrhea, Intestinal atresia |
Lungs and breathing | 2 | Congenital pulmonary airway malformation, Recurrent respiratory infections |
Heart and blood vessels | 1 | Ventricular septal defect |
Skin | 1 | Psoriasiform dermatitis |
Pregnancy and birth | 1 | Congenital pulmonary airway malformation |
Growth and development | 1 | Intrauterine growth retardation |
Age of onset: before birth.
Other research |
6 |
10% |
Laboratory research | 4 | 7% |
Patient case studies | 2 | 3% |
Testing and diagnosis research | 1 | 2% |
Williams S (2026). [PMID: 41711045](https://pubmed.ncbi.nlm.nih.gov/41711045/). *J Crohns Colitis*. [Review / Meta-Analysis]
Kayama H (2026). [PMID: 41714083](https://pubmed.ncbi.nlm.nih.gov/41714083/). *Prog Mol Biol Transl Sci*. [Review / Meta-Analysis]
Castillo FA (2026). [PMID: 40845931](https://pubmed.ncbi.nlm.nih.gov/40845931/). *Immunol Lett*. [Review / Meta-Analysis]
Choi J (2026). [PMID: 42055298](https://pubmed.ncbi.nlm.nih.gov/42055298/). *J Control Release*. [Review / Meta-Analysis]
Devi J (2026). [PMID: 41581945](https://pubmed.ncbi.nlm.nih.gov/41581945/). *Gastroenterol Clin North Am*. [Review / Meta-Analysis]
Arnim UV (2025). [PMID: 41350094](https://pubmed.ncbi.nlm.nih.gov/41350094/). *Best Pract Res Clin Gastroenterol*. [Review / Meta-Analysis]
Hyun HK (2025). [PMID: 39774122](https://pubmed.ncbi.nlm.nih.gov/39774122/). *Gut Liver*. [Review / Meta-Analysis]
Mayer AS (2025). [PMID: 40681286](https://pubmed.ncbi.nlm.nih.gov/40681286/). *Rheum Dis Clin North Am*. [Review / Meta-Analysis]
Chen Z (2025). [PMID: 39705015](https://pubmed.ncbi.nlm.nih.gov/39705015/). *Ann Med*. [Diagnostic / Biomarker]
Ran J (2025). [PMID: 40275746](https://pubmed.ncbi.nlm.nih.gov/40275746/). *Saudi J Gastroenterol*. [Review / Meta-Analysis]