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A rare, genetic, syndromic intellectual disability characterized by global developmental delay, early-onset seizures, cerebellar atrophy, osteopenia, nystagmus and dysmorphic facial features, including bitemporal narrowing, prominent forehead, anteverted nares. Dysarthria, dysmetria, ataxic gait, spasticity and dysmorphic features have also been associated.
Features include always present findings: Dysmetria, Shrinkage of the cerebellum (cerebellar atrophy), Gait ataxia, and Low muscle tone (hypotonia) and others; and very common findings: Nystagmus and EEG abnormality. 27 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 13 | Bilateral tonic-clonic seizure, Inability to walk, Gait ataxia |
GPAA1 encodes glycosylphosphatidylinositol anchor attachment 1 (621 aa). Component of the glycosylphosphatidylinositol-anchor (GPI-anchor) transamidase (GPI-T) complex that catalyzes the formation of the linkage between a proprotein and a GPI-anchor and participates in GPI anchored protein biosynthesis. Highest expression in Thyroid (151.4 TPM) and Uterus (137.7 TPM).
Glycosylphosphatidylinositol biosynthesis defect 15 is strongly associated with mutations in the GPAA1 gene on chromosome 8.
GPAA1 is classified as a druggable target (Kinase category) with score 0.0.
Genetic testing for GPAA1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 8 always present features, 2 very common features, 9 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for glycosylphosphatidylinositol biosynthesis defect 15.
5 publications have been identified in PubMed for glycosylphosphatidylinositol biosynthesis defect 15. Research spans Basic Science / Preclinical (40%), Review / Meta-Analysis (20%), and Case Report / Case Series (20%).
Huo Y (2025). [PMID: 39816685](https://pubmed.ncbi.nlm.nih.gov/39816685/). *Theranostics*. [Basic Science / Preclinical]
Gabaldon-Albero A (2024). [PMID: 38927738](https://pubmed.ncbi.nlm.nih.gov/38927738/). *Genes (Basel)*. [Case Report / Case Series]
Ranjan A (2024). [PMID: 38903302](https://pubmed.ncbi.nlm.nih.gov/38903302/). *Cureus*. [Review / Meta-Analysis]
Dai X (2024). [PMID: 39448635](https://pubmed.ncbi.nlm.nih.gov/39448635/). *Nat Commun*. [Basic Science / Preclinical]
Lam C (2024). [PMID: 38959600](https://pubmed.ncbi.nlm.nih.gov/38959600/). *Mol Genet Metab*. [Epidemiology / Natural History]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 3:27 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles |
3 |
Shrinkage of the cerebellum (cerebellar atrophy), Low muscle tone (hypotonia), Damage to the optic nerve (optic atrophy) |
Eyes | 3 | Nystagmus, Damage to the optic nerve (optic atrophy), Visual impairment |
Bones and joints | 1 | Mild bone density loss (osteopenia) |