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Mild non-BH4-deficient hyperphenylalaninemia (HPANBH4) is an autosomal recessive disorder characterized by increased serum phenylalanine usually detected by newborn screening and associated with highly variable neurologic defects, including movement abnormalities and intellectual disability. Laboratory analysis shows dopamine and serotonin deficiencies in the cerebrospinal fluid, and normal BH4 metabolism. Evidence suggests that treatment with neurotransmitter precursors can lead to clinical improvement or even prevent the neurologic defects if started in infancy (summary by {1:Anikster et al., 2017}).
Features include common findings: Mild intellectual disability, Delayed speech and language development, Dystonia, and Global developmental delay; and sometimes findings: Axial hypotonia, Parkinsonism, Oculogyric crisis, and Nystagmus and others. 14 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 7 | Broad-based gait, Mild intellectual disability, Delayed speech and language development |
DNAJC12 encodes DnaJ heat shock protein family (Hsp40) member C12 (198 aa). Probable co-chaperone that participates in the proper folding of biopterin-dependent aromatic amino acid hydroxylases, which include phenylalanine-4-hydroxylase (PAH), tyrosine 3-monooxygenase (TH) an... Highest expression in Brain Cerebellar Hemisphere (94.7 TPM) and Brain Cerebellum (68.8 TPM).
Hyperphenylalaninemia due to DNAJC12 deficiency is caused by mutations in the DNAJC12 gene on chromosome 10.
The DNAJC12 protein participates in CREB3L4 translocates from the cytosol to the nucleus pathway.
DNAJC12 is classified as a druggable target with score 0.0.
Genetic testing for DNAJC12 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for hyperphenylalaninemia due to DNAJC12 deficiency has been reported in the published literature.
Phenotype severity distribution: 4 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hyperphenylalaninemia due to DNAJC12 deficiency.
34 publications have been identified in PubMed for hyperphenylalaninemia due to DNAJC12 deficiency. Kisho has analyzed 25 by research type. Research spans Epidemiology / Natural History (40%), Basic Science / Preclinical (20%), and Diagnostic / Biomarker (12%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 10 | 40% |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 1:57 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles | 2 | Axial hypotonia, Generalized hypotonia |
Eyes | 1 | Nystagmus |
Arms and legs | 1 | Limb hypertonia |
Laboratory research |
5 |
20% |
Testing and diagnosis research | 3 | 12% |
Research summaries | 2 | 8% |
Patient case studies | 2 | 8% |
Clinical study results | 2 | 8% |
Other research | 1 | 4% |
Kuzucu FN (2025). [PMID: 40293582](https://pubmed.ncbi.nlm.nih.gov/40293582/). *Metab Brain Dis*. [Diagnostic / Biomarker]
Yuskiv N (2025). [PMID: 40901071](https://pubmed.ncbi.nlm.nih.gov/40901071/). *JIMD Rep*. [Epidemiology / Natural History]
Donnelly C (2025). [PMID: 40407524](https://pubmed.ncbi.nlm.nih.gov/40407524/). *Int J Neonatal Screen*. [Other]
Tai MDS (2025). [PMID: 40113792](https://pubmed.ncbi.nlm.nih.gov/40113792/). *Nat Commun*. [Basic Science / Preclinical]
Ogawa E (2025). [PMID: 41133280](https://pubmed.ncbi.nlm.nih.gov/41133280/). *Pediatr Int*. [Case Report / Case Series]
Zhang C (2025). [PMID: 40695512](https://pubmed.ncbi.nlm.nih.gov/40695512/). *Zhongguo Dang Dai Er Ke Za Zhi*. [Epidemiology / Natural History]
Consentino MC (2025). [PMID: 39940237](https://pubmed.ncbi.nlm.nih.gov/39940237/). *Nutrients*. [Diagnostic / Biomarker]
Yildiz SO (2025). [PMID: 41573617](https://pubmed.ncbi.nlm.nih.gov/41573617/). *Sisli Etfal Hastan Tip Bul*. [Epidemiology / Natural History]
Wang S (2025). [PMID: 39923104](https://pubmed.ncbi.nlm.nih.gov/39923104/). *Orphanet J Rare Dis*. [Basic Science / Preclinical]
Klaassen K (2025). [PMID: 40473815](https://pubmed.ncbi.nlm.nih.gov/40473815/). *Sci Rep*. [Basic Science / Preclinical]