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An X-linked dominant condition caused by mutation(s) in the IQSEC2 gene, encoding IQ motif and SEC7 domain-containing protein 2. It is characterized by substantially impaired intellectual functioning and behavioral abnormalities.
Features include always present findings: Bilateral tonic-clonic seizure, Delayed speech and language development, Loss of previously acquired skills (developmental regression), and Atonic seizure and others; and sometimes findings: Seizure, Secondary microcephaly, Aggressive behavior, and Autistic behavior. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Poor speech, Bilateral tonic-clonic seizure, Delayed speech and language development |
Eyes | 1 | Strabismus |
Head and neck | 1 | Secondary microcephaly |
Muscles | 1 | Generalized hypotonia |
IQSEC2 encodes IQ motif and Sec7 domain ArfGEF 2 (1,488 aa). Is a guanine nucleotide exchange factor for the ARF GTP-binding proteins Highest expression in Brain Cerebellum (37.9 TPM) and Brain Cerebellar Hemisphere (33.6 TPM).
Intellectual disability, X-linked 1 is associated with mutations in the IQSEC2 gene on chromosome X.
IQSEC2 is classified as a druggable target with score 0.0.
Genetic testing for IQSEC2 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for intellectual disability, X-linked 1 has been reported in the published literature.
Phenotype severity distribution: 6 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
218 publications have been identified in PubMed for intellectual disability, X-linked 1. Kisho has analyzed 80 by research type. Research spans Basic Science / Preclinical (40%), Review / Meta-Analysis (26%), and Epidemiology / Natural History (11%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 32 | 40% |
Research summaries | 21 | 26% |
Disease patterns and progression | 9 | 11% |
Patient case studies | 8 | 10% |
Clinical study results | 5 | 6% |
Testing and diagnosis research | 2 | 3% |
New treatment approaches | 2 | 3% |
Other research | 1 | 1% |
Muenzer J (2026). [PMID: 41467650](https://pubmed.ncbi.nlm.nih.gov/41467650/). *N Engl J Med*. [Clinical Trial Publication]
Hilal ML (2025). [PMID: 39604505](https://pubmed.ncbi.nlm.nih.gov/39604505/). *Mol Psychiatry*. [Gene Therapy / Novel Therapeutics]
Parra A (2025). [PMID: 40344221](https://pubmed.ncbi.nlm.nih.gov/40344221/). *Clin Genet*. [Case Report / Case Series]
Gadban A (2025). [PMID: 40676228](https://pubmed.ncbi.nlm.nih.gov/40676228/). *Nat Genet*. [Review / Meta-Analysis]
Greenberg B (2025). [PMID: 39556016](https://pubmed.ncbi.nlm.nih.gov/39556016/). *N Engl J Med*. [Clinical Trial Publication]
Zhu G (2025). [PMID: 40210734](https://pubmed.ncbi.nlm.nih.gov/40210734/). *Sci Rep*. [Basic Science / Preclinical]
Savy C (2025). [PMID: 39865233](https://pubmed.ncbi.nlm.nih.gov/39865233/). *Cell Mol Biol Lett*. [Review / Meta-Analysis]
Zhang C (2025). [PMID: 39743596](https://pubmed.ncbi.nlm.nih.gov/39743596/). *Nature*. [Basic Science / Preclinical]
Brown JAR (2025). [PMID: 40101152](https://pubmed.ncbi.nlm.nih.gov/40101152/). *Genetics*. [Basic Science / Preclinical]
Hertzog A (2025). [PMID: 41093925](https://pubmed.ncbi.nlm.nih.gov/41093925/). *Sci Rep*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 1:59 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center