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A peroxisomal disease characterized by progressive episodic demyelination, sensorimotor polyneuropathy, and hearing loss that has material basis in heterozygous mutation in the ACOX1 gene on chromosome 17q25.1.
Features include: Encephalopathy, Difficulty swallowing (dysphagia), Clumsiness, and Absent speech and 9 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 10 | Encephalopathy, Difficulty swallowing (dysphagia), Clumsiness |
Arms and legs |
ACOX1 encodes acyl-CoA oxidase 1 (660 aa). Involved in the initial and rate-limiting step of peroxisomal beta-oxidation of straight-chain saturated and unsaturated very-long-chain fatty acids. Highest expression in Liver (37.3 TPM) and Skin Sun Exposed Lower leg (29.8 TPM).
Mitchell syndrome is caused by mutations in the ACOX1 gene on chromosome 17.
The ACOX1 protein participates in Expression of ACOX1 and ACOX1 oxidizes C26:0 CoA pathways.
ACOX1 is classified as a druggable target (Enzyme and Kinase categories) with score 0.0.
88 pathogenic variants reported in ACOX1 in ClinVar.
Genetic testing for ACOX1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Mitchell syndrome has been reported in the published literature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Mitchell syndrome.
117 publications have been identified in PubMed for Mitchell syndrome. Research spans Basic Science / Preclinical (92%), Case Report / Case Series (4%), and Diagnostic / Biomarker (2%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 108 | 92% |
Data assembled from 8 of 12 sources · Last updated Sep 17, 2026, 10:22 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Common questions about Mitchell syndrome
3 |
Limb muscle weakness, Hyporeflexia of upper limbs, Areflexia of lower limbs |
Muscles | 2 | Limb muscle weakness, Difficulty breathing due to muscle weakness (respiratory insufficiency due to muscle weakness) |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Lungs and breathing | 1 | Difficulty breathing due to muscle weakness (respiratory insufficiency due to muscle weakness) |
5 |
4% |
Testing and diagnosis research | 2 | 2% |
Research summaries | 1 | 1% |
New treatment approaches | 1 | 1% |
Zwick LL (2026). [PMID: 42184630](https://pubmed.ncbi.nlm.nih.gov/42184630/). *Poult Sci*. [Basic Science / Preclinical]
Niu Z (2026). [PMID: 41847435](https://pubmed.ncbi.nlm.nih.gov/41847435/). *Life Metab*. [Basic Science / Preclinical]
Gao W (2026). [PMID: 41897887](https://pubmed.ncbi.nlm.nih.gov/41897887/). *Animals (Basel)*. [Basic Science / Preclinical]
Gao Z (2026). [PMID: 42213391](https://pubmed.ncbi.nlm.nih.gov/42213391/). *Probiotics Antimicrob Proteins*. [Basic Science / Preclinical]
Wang H (2026). [PMID: 41830042](https://pubmed.ncbi.nlm.nih.gov/41830042/). *Nutrients*. [Basic Science / Preclinical]
Dhiman N (2026). [PMID: 42213199](https://pubmed.ncbi.nlm.nih.gov/42213199/). *Mol Biol Rep*. [Basic Science / Preclinical]
Nakamura H (2026). [PMID: 41263779](https://pubmed.ncbi.nlm.nih.gov/41263779/). *Histopathology*. [Basic Science / Preclinical]
Ghorbanalinia M (2026). [PMID: 41656363](https://pubmed.ncbi.nlm.nih.gov/41656363/). *Sci Rep*. [Basic Science / Preclinical]
Wang P (2026). [PMID: 42072114](https://pubmed.ncbi.nlm.nih.gov/42072114/). *Antioxidants (Basel)*. [Basic Science / Preclinical]
Wang Y (2026). [PMID: 41991644](https://pubmed.ncbi.nlm.nih.gov/41991644/). *Sci Rep*. [Basic Science / Preclinical]