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A condition associated with mutation(s) in the PPT1 gene, encoding palmitoyl-protein thioesterase 1. The condition is one of a group of genetically heterogeneous neurodegenerative disorders, characterized by accumulation of intracellular lipopigments.
Features include always present findings: Reduced tissue palmitoyl-protein thioesterase activity and Vascular granular osmiophilic material deposition; and very common findings: Psychomotor deterioration. 31 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 11 | Seizure, Ataxia, Depression |
Muscles | 5 | Flexion contracture, Low muscle tone (hypotonia), Generalized hypotonia |
Eyes | 4 | Blindness, Macular degeneration, Retinal degeneration |
Head and neck | 2 | Progressive microcephaly, Secondary microcephaly |
Metabolism | 1 | Abnormality of metabolism/homeostasis |
Age of onset: childhood.
PPT1 function has not been fully characterized.
Neuronal ceroid lipofuscinosis 1 is associated with mutations in the PPT1 gene on chromosome 1.
Genetic testing for PPT1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for neuronal ceroid lipofuscinosis 1 has been reported in the published literature.
No approved treatments are currently available for neuronal ceroid lipofuscinosis 1. An additional 2 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for neuronal ceroid lipofuscinosis 1, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for neuronal ceroid lipofuscinosis 1. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
AAV composed of an engineered viral capsid variant and a single-stranded DNA (ssDNA) expression cassette containing human tripeptidyl peptidase 1 (hTPP1) cDNA | AAV composed of an engineered viral capsid variant and a single-stranded DNA (ssDNA) expression cassette containing human tripeptidyl peptidase 1 (hTPP1) cDNA | Latus Bio | 2025 | — | Designated |
a self-complementary adeno-associated virus serotype 9 expressing human codon-optimized CLN1 under control of CBh | a self-complementary adeno-associated virus serotype 9 expressing human codon-optimized CLN1 under control of CBh | Taysha Gene Therapies, Inc. | 2018 | — | Designated |
Gene therapy approaches for neuronal ceroid lipofuscinosis 1 have been reported in the published literature.
View trials for neuronal ceroid lipofuscinosis 1
Phenotype severity distribution: 2 always present features, 1 very common feature, 1 common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for neuronal ceroid lipofuscinosis 1.
20 publications have been identified in PubMed for neuronal ceroid lipofuscinosis 1. Research spans Basic Science / Preclinical (60%), Gene Therapy / Novel Therapeutics (20%), and Diagnostic / Biomarker (5%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 12 | 60% |
New treatment approaches | 4 | 20% |
Testing and diagnosis research | 1 | 5% |
Research summaries | 1 | 5% |
Patient case studies | 1 | 5% |
Clinical study results | 1 | 5% |
Tong J (2026). [PMID: 41629288](https://pubmed.ncbi.nlm.nih.gov/41629288/). *Transl Psychiatry*. [Basic Science / Preclinical]
Barnes M (2026). [PMID: 41741265](https://pubmed.ncbi.nlm.nih.gov/41741265/). *Trends Pharmacol Sci*. [Review / Meta-Analysis]
Ziółkowska EA (2026). [PMID: 41977268](https://pubmed.ncbi.nlm.nih.gov/41977268/). *Int J Mol Sci*. [Gene Therapy / Novel Therapeutics]
Tieze SM (2026). [PMID: 42070169](https://pubmed.ncbi.nlm.nih.gov/42070169/). *Acta Neuropathol*. [Basic Science / Preclinical]
Werthmann GC (2026). [PMID: 41509379](https://pubmed.ncbi.nlm.nih.gov/41509379/). *bioRxiv*. [Basic Science / Preclinical]
Messina M (2026). [PMID: 41630928](https://pubmed.ncbi.nlm.nih.gov/41630928/). *Neurol Genet*. [Clinical Trial Publication]
Raman R (2026). [PMID: 41576655](https://pubmed.ncbi.nlm.nih.gov/41576655/). *Mol Genet Metab*. [Gene Therapy / Novel Therapeutics]
Ziółkowska EA (2025). [PMID: 39813314](https://pubmed.ncbi.nlm.nih.gov/39813314/). *Sci Transl Med*. [Gene Therapy / Novel Therapeutics]
Anstötz M (2025). [PMID: 40990621](https://pubmed.ncbi.nlm.nih.gov/40990621/). *Neuropathol Appl Neurobiol*. [Basic Science / Preclinical]
Appu AP (2025). [PMID: 40333988](https://pubmed.ncbi.nlm.nih.gov/40333988/). *Sci Adv*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 3:01 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning neuronal ceroid lipofuscinosis 1
Updated May 12, 2026
A study identifies a naturally occurring lysosomal storage disease resembling neuronal ceroid lipofuscinosis in five related captive rhesus macaques. This discovery may provide insights into the disease mechanisms and potential therapeutic approaches for similar conditions in humans.
A new CME course titled 'Rare Diseases in Practice' aims to equip primary care providers with essential knowledge on gene and cell therapies for rare diseases. This initiative highlights the shift from symptomatic treatments to causal therapies, emphasizing the importance of education in this rapidly evolving field.
Despite ongoing research, no disease-modifying therapies exist for neuronal ceroid lipofuscinosis, with 5 completed clinical trials and 19 case reports since 1977. The lack of proven treatments highlights the challenges faced in developing effective therapies for this rare disease.