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Any distal myopathy in which the cause of the disease is a mutation in the ADSSL1 gene.
Features include always present findings: Muscle fiber splitting, Distal upper limb muscle weakness, Distal lower limb muscle weakness, and Distal amyotrophy and others; and common findings: Rimmed vacuoles.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 5 | Muscle fiber splitting, Distal upper limb muscle weakness, Distal lower limb muscle weakness |
ADSS1 encodes adenylosuccinate synthase 1 (457 aa). Component of the purine nucleotide cycle (PNC), which interconverts IMP and AMP to regulate the nucleotide levels in various tissues, and which contributes to glycolysis and ammoniagenesis. Highest expression in Muscle Skeletal (313.4 TPM) and Artery Tibial (64.7 TPM).
Myopathy, distal, 5 is associated with mutations in the ADSS1 gene on chromosome 14.
ADSS1 is classified as a druggable target (Enzyme category) with score 0.0.
Genetic testing for ADSS1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for myopathy, distal, 5 has been reported in the published literature.
Phenotype severity distribution: 8 always present features, 1 common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for myopathy, distal, 5.
155 publications have been identified in PubMed for myopathy, distal, 5. Research spans Case Report / Case Series (30%), Basic Science / Preclinical (29%), and Epidemiology / Natural History (14%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 46 | 30% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 2:59 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Arms and legs |
3 |
Distal upper limb muscle weakness, Distal lower limb muscle weakness, Hyporeflexia of lower limbs |
Head and neck | 1 | Weakness of facial musculature |
Lab test results | 1 | Mildly elevated creatine kinase |
Brain and nerves | 1 | Hyporeflexia of lower limbs |
45 |
29% |
Disease patterns and progression | 22 | 14% |
Research summaries | 19 | 12% |
Clinical study results | 11 | 7% |
New treatment approaches | 7 | 5% |
Testing and diagnosis research | 3 | 2% |
Other research | 2 | 1% |
Luther PK (2026). [PMID: 41557228](https://pubmed.ncbi.nlm.nih.gov/41557228/). *Subcell Biochem*. [Review / Meta-Analysis]
Evesson FJ (2026). [PMID: 41772734](https://pubmed.ncbi.nlm.nih.gov/41772734/). *Acta Neuropathol Commun*. [Basic Science / Preclinical]
Aragon-Gawinska K (2026). [PMID: 41981189](https://pubmed.ncbi.nlm.nih.gov/41981189/). *J Neurol*. [Epidemiology / Natural History]
Li C (2026). [PMID: 41792844](https://pubmed.ncbi.nlm.nih.gov/41792844/). *Acta neuropathologica communications*. [Basic Science / Preclinical]
Yagita K (2026). [PMID: 42057638](https://pubmed.ncbi.nlm.nih.gov/42057638/). *Clin Neuropathol*. [Case Report / Case Series]
Van de Vondel L (2026). [PMID: 41959811](https://pubmed.ncbi.nlm.nih.gov/41959811/). *medRxiv*. [Gene Therapy / Novel Therapeutics]
Shanina E (2026). [PMID: 33232053](https://pubmed.ncbi.nlm.nih.gov/33232053/). *Unknown Journal*. [Diagnostic / Biomarker]
Mouloudi N (2026). [PMID: 41954144](https://pubmed.ncbi.nlm.nih.gov/41954144/). *Acta Myol*. [Case Report / Case Series]
Jay CM (2026). [PMID: 42186366](https://pubmed.ncbi.nlm.nih.gov/42186366/). *J Gene Med*. [Basic Science / Preclinical]
Henning F (2026). [PMID: 41886871](https://pubmed.ncbi.nlm.nih.gov/41886871/). *Neuromuscul Disord*. [Basic Science / Preclinical]