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Any non-syndromic X-linked intellectual disability in which the cause of the disease is a mutation in the FRMPD4 gene.
Features include always present findings: Intellectual disability, Delayed speech and language development, Global developmental delay, and Delayed gross motor development; and common findings: Strabismus, Seizure, Ataxia, and Aggressive behavior and others. 29 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 13 | Seizure, Cerebral cortical atrophy, Ataxia |
FRMPD4 encodes FERM and PDZ domain containing 4 (1,322 aa). Positive regulator of dendritic spine morphogenesis and density. Required for the maintenance of excitatory synaptic transmission. Binds phosphatidylinositol 4,5-bisphosphate Highest expression in Brain Frontal Cortex BA9 (10.9 TPM) and Brain Cortex (7.8 TPM).
Intellectual disability, X-linked 104 is associated with mutations in the FRMPD4 gene on chromosome X.
FRMPD4 is classified as a druggable target with score 0.0.
Genetic testing for FRMPD4 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for intellectual disability, X-linked 104 has been reported in the published literature.
Phenotype severity distribution: 4 always present features, 11 common features.
No clinical trials have been registered for intellectual disability, X-linked 104.
15 publications have been identified in PubMed for intellectual disability, X-linked 104. Research spans Case Report / Case Series (27%), Basic Science / Preclinical (27%), and Epidemiology / Natural History (20%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 4 | 27% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 4:29 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Eyes |
3 |
Strabismus, Nystagmus, Damage to the optic nerve (optic atrophy) |
Muscles | 3 | Cerebral cortical atrophy, Delayed gross motor development, Damage to the optic nerve (optic atrophy) |
Head and neck | 1 | High palate |
Laboratory research
4 |
27% |
Disease patterns and progression | 3 | 20% |
Clinical study results | 2 | 13% |
Testing and diagnosis research | 1 | 7% |
New treatment approaches | 1 | 7% |
Liedtke D (2026). [PMID: 41959831](https://pubmed.ncbi.nlm.nih.gov/41959831/). *medRxiv*. [Basic Science / Preclinical]
Cuitavi J (2026). [PMID: 41526543](https://pubmed.ncbi.nlm.nih.gov/41526543/). *J Mol Med (Berl)*. [Basic Science / Preclinical]
Pan X (2026). [PMID: 41764152](https://pubmed.ncbi.nlm.nih.gov/41764152/). *J Mol Med (Berl)*. [Diagnostic / Biomarker]
Huang Y (2025). [PMID: 41189138](https://pubmed.ncbi.nlm.nih.gov/41189138/). *Medicine (Baltimore)*. [Case Report / Case Series]
DaWalt LS (2025). [PMID: 41145158](https://pubmed.ncbi.nlm.nih.gov/41145158/). *Am J Intellect Dev Disabil*. [Epidemiology / Natural History]
Grant NR (2025). [PMID: 39919255](https://pubmed.ncbi.nlm.nih.gov/39919255/). *Neurology*. [Epidemiology / Natural History]
Bu C (2025). [PMID: 39928819](https://pubmed.ncbi.nlm.nih.gov/39928819/). *Medicine (Baltimore)*. [Case Report / Case Series]
Adarsha N (2025). [PMID: 40171791](https://pubmed.ncbi.nlm.nih.gov/40171791/). *J Genet*. [Case Report / Case Series]
Cao L (2025). [PMID: 40332419](https://pubmed.ncbi.nlm.nih.gov/40332419/). *Int J Mol Sci*. [Basic Science / Preclinical]
Dakopolos A (2024). [PMID: 38872099](https://pubmed.ncbi.nlm.nih.gov/38872099/). *J Neurodev Disord*. [Basic Science / Preclinical]