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An instance of dementia that is caused by an inherited genomic modification in an individual.
No HPO annotations are available for this condition.
Age of onset: adulthood.
DNMT1-related disorder is a degenerative disorder of the central and peripheral nervous systems characterized by sensory impairment, sudomotor dysfunction (loss of sweating), dementia, and sensorineural hearing loss. In some individuals, late-onset narcolepsy/cataplexy syndrome presents as the prominent manifestation along with: ataxia that appears to be cerebellar in nature, deafness, sensory neuropathy, and memory loss . Affected persons are normal in their youth but begin to manifest progressive findings, such as sensorineural hearing loss, sensory neuropathy, and/or narcolepsy/cataplexy, by their late teens or early 20s. In a cohort of 45 affected individuals, the average age of onset was estimated to be 37.
The phenotype of DNMT1-related disorder is a continuum ranging from hereditary sensory and autonomic neuropathy type 1E (HSAN1E) to autosomal dominant cerebellar ataxia, deafness, and narcolepsy (ADCA-DN).
DNMT1 disorder should be suspected in individuals with the following clinical, electrophysiologic, and neuroimaging findings and family history.
Clinical findings
Source: GeneReviews — "DNMT1-Related Disorder"
No approved treatments are currently available for hereditary dementia. The disease remains an area of unmet medical need.
To establish the extent of disease and needs of an individual diagnosed with DNMT1-related disorder, the evaluations summarized in this section (if not performed as part of the evaluation that led to the diagnosis) are recommended:
Sensory impairment. Examine feet on a daily basis to screen for skin injury. Dementia. Perform annual routine clinical testing for dementia:
Observation of behavior
Use of tools such as the Mini Mental State Exam (MMSE)
Hearing loss. Perform annual audiogram.
No clinical trials have been registered for hereditary dementia.
12 publications have been identified in PubMed for hereditary dementia. Research spans Epidemiology / Natural History (42%), Review / Meta-Analysis (17%), and Clinical Trial Publication (17%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 5 | 42% |
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 12:11 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Source: GeneReviews — "DNMT1-Related Disorder"
Autosomal dominant hereditary sensory and autonomic neuropathies are genetically heterogeneous, but hereditary sensory and autonomic neuropathy type IE (HSAN1E) that includes dementia and hearing loss represents a unique phenotype. The combination of neuropathy with hearing loss can be confused with some forms of Charcot-Marie-Tooth, and the dementia is similar to that found in frontotemporal dementia or, more commonly, global cognitive disorder. However, if it is recognized that the neuropathy, hearing loss, and dementia represent a single syndrome, the diagnosis should be clear when it occurs in persons younger than age 50 years. See Hereditary Sensory and Autonomic Neuropathy: OMIM Phenotypic Series to view genes associated with HSAN in OMIM.
Source: GeneReviews — "DNMT1-Related Disorder"
Biomarker and diagnostic research for hereditary dementia has been reported in the published literature.
Past medical history to determine extent of autonomic involvement
Evaluation of central nervous system involvement, using tests of cognitive function and brain imaging
Audiologic examination to determine if hearing loss is present and, if present, its type and severity
Consultation with a clinical geneticist and/or genetic counselor
No cure for DNMT1 disorder currently exists. The emphasis of management is to help parents and affected individuals understand the sudomotor defect and injury prevention when sensory impairment is significant. To prevent injury to extremities with decreased sensation, protect the skin with appropriate socks and shoes and avoid exposure of feet to hot water. Because hearing loss may be severe, initial use of hearing aids and/or assistive communication methods may be needed. See also Hereditary Hearing Loss and Deafness Overview. Sedative or antipsychotic drugs help to reduce extreme restlessness, roaming behavior, delusions, and hallucinations associated with dementia.
Source: GeneReviews — "DNMT1-Related Disorder"
Avoid sharp objects and hot water, which may damage skin.
Source: GeneReviews — "DNMT1-Related Disorder"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "DNMT1-Related Disorder"
View trials for hereditary dementia
2 |
17% |
Clinical study results | 2 | 17% |
Laboratory research | 2 | 17% |
Testing and diagnosis research | 1 | 8% |
Lu W (2026). [PMID: 42200489](https://pubmed.ncbi.nlm.nih.gov/42200489/). *Eur Heart J*. [Epidemiology / Natural History]
Sand Aronsson F (2026). [PMID: 41514480](https://pubmed.ncbi.nlm.nih.gov/41514480/). *International journal of speech-language pathology*. [Clinical Trial Publication]
Luckett ES (2026). [PMID: 41593046](https://pubmed.ncbi.nlm.nih.gov/41593046/). *Translational psychiatry*. [Diagnostic / Biomarker]
Liu G (2025). [PMID: 39630270](https://pubmed.ncbi.nlm.nih.gov/39630270/). *Social psychiatry and psychiatric epidemiology*. [Epidemiology / Natural History]
Grover S (2025). [PMID: 41136183](https://pubmed.ncbi.nlm.nih.gov/41136183/). *Gut*. [Review / Meta-Analysis]
Ikeuchi T (2025). [PMID: 40350628](https://pubmed.ncbi.nlm.nih.gov/40350628/). *Brain and nerve = Shinkei kenkyu no shinpo*. [Epidemiology / Natural History]
Wang Y (2025). [PMID: 40453978](https://pubmed.ncbi.nlm.nih.gov/40453978/). *Alzheimer's & dementia (New York, N. Y.)*. [Epidemiology / Natural History]
Ruffo P (2024). [PMID: 38667292](https://pubmed.ncbi.nlm.nih.gov/38667292/). *Cells*. [Basic Science / Preclinical]
Zhang T (2024). [PMID: 38586597](https://pubmed.ncbi.nlm.nih.gov/38586597/). *Neurology. Genetics*. [Review / Meta-Analysis]
Borroni B (2024). [PMID: 39226519](https://pubmed.ncbi.nlm.nih.gov/39226519/). *Neurology*. [Basic Science / Preclinical]