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An autosomal recessive neurodegenerative disorder with onset in the first years of life following normal early development, with cyclic episodic deterioration in response to stress, such as infection or febrile illness. The severity is highly variable. The cause is mutations in the ADPRHL2 gene.
Features include always present findings: Ataxia; and very common findings: Bilateral tonic-clonic seizure and Global developmental delay. 27 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 13 | Poor speech, Bilateral tonic-clonic seizure, Seizure |
ADPRS encodes ADP-ribosylserine hydrolase (363 aa). ADP-ribosylhydrolase that preferentially hydrolyzes the scissile alpha-O-linkage attached to the anomeric C1'' position of ADP-ribose and acts on different substrates, such as proteins ADP-ribosylated on serine and threonine, free poly(ADP-ribose) and O-acetyl-ADP-D-ribose. Highest expression in Cells EBV-transformed lymphocytes (78.1 TPM) and Testis (69.3 TPM).
Neurodegeneration, childhood-onset, stress-induced, with variable ataxia and seizures is associated with mutations in the ADPRS gene on chromosome 1.
ADPRS is classified as a druggable target (Dna Repair and Enzyme categories) with score 0.0.
16 pathogenic variants reported in ADPRS in ClinVar, including hotspot variants 599343 and 590302.
Genetic testing for ADPRS is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature, 2 very common features, 5 common features.
No clinical trials have been registered for neurodegeneration, childhood-onset, stress-induced, with variable ataxia and seizures.
10 publications have been identified in PubMed for neurodegeneration, childhood-onset, stress-induced, with variable ataxia and seizures. Research spans Case Report / Case Series (40%), Basic Science / Preclinical (30%), and Other (20%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 4 | 40% |
Data assembled from 6 of 12 sources · Last updated Sep 21, 2026, 12:38 AM UTC
Online Mendelian Inheritance in Man
5 |
Shrinkage of the cerebellum (cerebellar atrophy), Tongue fasciculations, Muscle weakness |
Eyes | 4 | Strabismus, Nystagmus, Diplopia |
Head and neck | 1 | Microcephaly |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Laboratory research |
3 |
30% |
Other research | 2 | 20% |
Research summaries | 1 | 10% |
de Mattos PD (2026). [PMID: 42015965](https://pubmed.ncbi.nlm.nih.gov/42015965/). *Neurol Genet*. [Basic Science / Preclinical]
Roy S (2026). [PMID: 41535061](https://pubmed.ncbi.nlm.nih.gov/41535061/). *BMJ Case Rep*. [Case Report / Case Series]
Bannister M (2025). [PMID: 39580621](https://pubmed.ncbi.nlm.nih.gov/39580621/). *HGG Adv*. [Case Report / Case Series]
Nandana J (2025). [PMID: 40493129](https://pubmed.ncbi.nlm.nih.gov/40493129/). *Cerebellum*. [Case Report / Case Series]
Bhanudeep S (2025). [PMID: 39623694](https://pubmed.ncbi.nlm.nih.gov/39623694/). *Neurol India*. [Case Report / Case Series]
Modage A (2025). [PMID: 40366626](https://pubmed.ncbi.nlm.nih.gov/40366626/). *Indian Pediatr*. [Other]
Eslamiyeh H (2025). [PMID: 39417910](https://pubmed.ncbi.nlm.nih.gov/39417910/). *Acta Neurol Belg*. [Other]
Yan S (2024). [PMID: 39100487](https://pubmed.ncbi.nlm.nih.gov/39100487/). *Heliyon*. [Basic Science / Preclinical]
Öz Yıldız S (2024). [PMID: 38365196](https://pubmed.ncbi.nlm.nih.gov/38365196/). *Neuropediatrics*. [Review / Meta-Analysis]
Bannister M (2024). [PMID: 38915701](https://pubmed.ncbi.nlm.nih.gov/38915701/). *bioRxiv*. [Basic Science / Preclinical]