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Any hereditary sensory and autonomic neuropathy in which the cause of the disease is a mutation in the DST gene.
Features include always present findings: Flexion contracture, Low muscle tone (hypotonia), and Neonatal hypotonia; and common findings: Stridor, Gastroesophageal reflux, Generalized hypotonia, and Bilateral vocal cord paresis and others. 38 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 4 | Flexion contracture, Low muscle tone (hypotonia), Generalized hypotonia |
DST encodes dystonin (7,570 aa). Cytoskeletal linker protein. Acts as an integrator of intermediate filaments, actin and microtubule cytoskeleton networks. Highest expression in Cervix Ectocervix (76.7 TPM) and Skin Not Sun Exposed Suprapubic (61.6 TPM).
Hereditary sensory and autonomic neuropathy type 6 is caused by mutations in the DST gene on chromosome 6.
DST is classified as a druggable target (Druggable Genome category) with score 8.7.
Genetic testing for DST is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features, 30 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hereditary sensory and autonomic neuropathy type 6.
6 publications have been identified in PubMed for hereditary sensory and autonomic neuropathy type 6. Research spans Basic Science / Preclinical (67%) and Case Report / Case Series (33%).
Jacob M (2026). [PMID: 40497796](https://pubmed.ncbi.nlm.nih.gov/40497796/). *Brain : a journal of neurology*. [Basic Science / Preclinical]
Yoshioka N (2026). [PMID: 42028226](https://pubmed.ncbi.nlm.nih.gov/42028226/). *Front Neural Circuits*. [Basic Science / Preclinical]
Paul S (2025). [PMID: 41298403](https://pubmed.ncbi.nlm.nih.gov/41298403/). *Nature communications*. [Basic Science / Preclinical]
Munir A (2025). [PMID: 41253761](https://pubmed.ncbi.nlm.nih.gov/41253761/). *Human genome variation*. [Case Report / Case Series]
Ahmad R (2025). [PMID: 40938507](https://pubmed.ncbi.nlm.nih.gov/40938507/). *Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology*. [Case Report / Case Series]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 9:42 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Heart and blood vessels |
4 |
Ventricular septal defect, Tachycardia, Bradycardia |
Skin | 3 | Erythema, Excessive sweating (hyperhidrosis), Blotching pigmentation of the skin |
Eyes | 3 | Corneal scarring, Retinal hemorrhage, Absent corneal reflex |
Digestive system | 2 | Gastroesophageal reflux, Feeding difficulties |
Brain and nerves | 2 | Profound global developmental delay, Sensory neuropathy |
Pregnancy and birth | 2 | Neonatal hypotonia, Neonatal respiratory distress |
Growth and development | 2 | Intrauterine growth retardation, Growth delay |
Lungs and breathing | 2 | Apnea, Neonatal respiratory distress |
Head and neck | 1 | High palate |
Metabolism | 1 | Fever |
Arms and legs | 1 | Hand clenching |
Yoshioka N (2024). [PMID: 39058787](https://pubmed.ncbi.nlm.nih.gov/39058787/). *Science advances*. [Basic Science / Preclinical]