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A rare condition that affects the nervous system. Signs and symptoms of the condition can develop any time from birth to adulthood and may include progressive dementia, seizures, lack of muscle coordination, and vision loss. CLN10-NCL is caused by changes (mutations) in the CTSD gene and is inherited in an autosomal recessive manner. Treatment options are limited to therapies that can help relieve some of the symptoms.
Features include always present findings: Shrinkage of the cerebellum (cerebellar atrophy), Ataxia, Severe intellectual disability, and Rod-cone dystrophy and others; and common findings: Seizure, Sensory axonal neuropathy, Microcephaly, and Vascular granular osmiophilic material deposition and others. 27 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 12 | Seizure, Muscle stiffness (rigidity), Ataxia |
Muscles | 3 | Shrinkage of the cerebellum (cerebellar atrophy), Retinal atrophy, Brain shrinkage (cerebral atrophy) |
Lungs and breathing | 3 | Respiratory failure, Difficulty breathing (respiratory insufficiency), Apnea |
Arms and legs | 1 | Split hand |
Eyes | 1 | Retinal atrophy |
Head and neck | 1 | Microcephaly |
Age of onset: before birth.
CTSD encodes cathepsin D (412 aa). Acid protease active in intracellular protein breakdown. Plays a role in APP processing following cleavage and activation by ADAM30 which leads to APP degradation. Highest expression in Adrenal Gland (1,571 TPM) and Artery Aorta (1,229 TPM).
Neuronal ceroid lipofuscinosis 10 is associated with mutations in the CTSD gene on chromosome 11.
CTSD is classified as a druggable target (Druggable Genome, Enzyme, and Protease categories) with score 26.1.
Genetic testing for CTSD is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 8 always present features, 6 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
2 clinical trials registered, 2 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
7 publications have been identified in PubMed for neuronal ceroid lipofuscinosis 10. Kisho has analyzed 5 by research type. Research spans Basic Science / Preclinical (60%), Other (20%), and Review / Meta-Analysis (20%).
Balta D (2025). [PMID: 40883786](https://pubmed.ncbi.nlm.nih.gov/40883786/). *Mol Neurodegener*. [Basic Science / Preclinical]
Nicolaou P (2024). [PMID: 38988832](https://pubmed.ncbi.nlm.nih.gov/38988832/). *Front Genet*. [Other]
Schneider J (2024). [PMID: 38552867](https://pubmed.ncbi.nlm.nih.gov/38552867/). *Biochimie*. [Basic Science / Preclinical]
Çiçek S (2024). [PMID: 39656415](https://pubmed.ncbi.nlm.nih.gov/39656415/). *Cerebellum*. [Review / Meta-Analysis]
Shiro Y (2024). [PMID: 39032464](https://pubmed.ncbi.nlm.nih.gov/39032464/). *Mol Genet Metab*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 4:32 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center