Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
A rare hemolytic anemia due to a defect of the glycolytic enzyme glucose 6-phosphate isomerase (GPI) characterized by chronic nonspherocytic hemolytic anemia and, rarely, neurological impairment.
Features include: Ataxia, Cholelithiasis, Sensory ataxia, and Cholecystitis and 9 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 4 | Cholelithiasis, Pigment gallstones, Jaundice |
Blood and immune system |
GPI encodes glucose-6-phosphate isomerase (558 aa). Isomerase that catalyzes the conversion of alpha-D-glucose-6-phosphate to beta-D-fructose-6-phosphate, the second step in glycolysis, and the reverse reaction in gluconeogenesis, within the cytoplasm. Highest expression in Cells EBV-transformed lymphocytes (398.0 TPM) and Brain Cerebellar Hemisphere (310.4 TPM).
Hemolytic anemia due to glucophosphate isomerase deficiency is associated with mutations in the GPI gene on chromosome 19.
The GPI protein participates in GPI mannosyltransferase I pathway.
GPI is classified as a druggable target (Druggable Genome, Enzyme, and Growth Factor categories) with score 6.5.
Genetic testing for GPI is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hemolytic anemia due to glucophosphate isomerase deficiency.
4 publications have been identified in PubMed for hemolytic anemia due to glucophosphate isomerase deficiency. Research spans Case Report / Case Series (75%) and Epidemiology / Natural History (25%).
Busehail M (2025). [PMID: 40688839](https://pubmed.ncbi.nlm.nih.gov/40688839/). *Cureus*. [Case Report / Case Series]
Li H (2025). [PMID: 39836218](https://pubmed.ncbi.nlm.nih.gov/39836218/). *J Mol Med (Berl)*. [Case Report / Case Series]
Alotaibi W (2025). [PMID: 41250704](https://pubmed.ncbi.nlm.nih.gov/41250704/). *Cureus*. [Case Report / Case Series]
Glenthøj A (2024). [PMID: 39085840](https://pubmed.ncbi.nlm.nih.gov/39085840/). *Orphanet J Rare Dis*. [Epidemiology / Natural History]
Data assembled from 6 of 12 sources · Last updated Sep 21, 2026, 10:04 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
4
Impaired neutrophil bactericidal activity, Enlarged spleen (splenomegaly), Nonspherocytic hemolytic anemia |
Brain and nerves | 3 | Ataxia, Sensory ataxia, Intellectual disability |
Muscles | 1 | Muscle weakness |
Lab test results | 1 | Decreased glucosephosphate isomerase level |