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Features include always present findings: Hypermelanotic macule, Sloping forehead, Spastic tetraplegia, and Hypopigmented macule and others; and very common findings: Adducted thumb. 21 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 4 | Spastic tetraplegia, Seizure, Global developmental delay |
ANKLE2 encodes ankyrin repeat and LEM domain containing 2 (938 aa). Involved in mitotic nuclear envelope reassembly by promoting dephosphorylation of BAF/BANF1 during mitotic exit. Highest expression in Testis (72.1 TPM) and Cells Cultured fibroblasts (44.7 TPM).
Microcephaly 16, primary, autosomal recessive is associated with mutations in the ANKLE2 gene on chromosome 12.
The ANKLE2 protein participates in ANKLE2 is deacetylated by SIRT2 pathway.
ANKLE2 is classified as a druggable target (Kinase category) with score 0.0.
Genetic testing for ANKLE2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 10 always present features, 1 very common feature, 7 common features.
No clinical trials have been registered for microcephaly 16, primary, autosomal recessive.
7 publications have been identified in PubMed for microcephaly 16, primary, autosomal recessive. Research spans Review / Meta-Analysis (29%), Case Report / Case Series (29%), and Basic Science / Preclinical (29%).
Gündoğdu Öğütlü ÖB (2026). [PMID: 42144532](https://pubmed.ncbi.nlm.nih.gov/42144532/). *Acta Neurol Belg*. [Review / Meta-Analysis]
Nair A (2025). [PMID: 39943681](https://pubmed.ncbi.nlm.nih.gov/39943681/). *Nucleus*. [Review / Meta-Analysis]
Yeter B (2025). [PMID: 41153337](https://pubmed.ncbi.nlm.nih.gov/41153337/). *Genes (Basel)*. [Basic Science / Preclinical]
Falabella M (2025). [PMID: 39279645](https://pubmed.ncbi.nlm.nih.gov/39279645/). *Brain*. [Basic Science / Preclinical]
Almeida JV (2025). [PMID: 40476269](https://pubmed.ncbi.nlm.nih.gov/40476269/). *Front Genet*. [Case Report / Case Series]
Data assembled from 5 of 12 sources · Last updated Sep 17, 2026, 11:54 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Eyes
2 |
Ptosis, Glaucoma |
Growth and development | 1 | Short stature |
Muscles | 1 | Knee flexion contracture |
Head and neck | 1 | Primary microcephaly |
Zhang T (2025). [PMID: 41306914](https://pubmed.ncbi.nlm.nih.gov/41306914/). *Front Genet*. [Case Report / Case Series]