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Orofaciodigital syndrome type 14 is a rare subtype of orofaciodigital syndrome, with autosomal recessive inheritance and C2CD3 mutations, characterized by severe microcephaly, trigonocephaly, severe intellectual disability and micropenis, in addition to oral, facial and digital malformations (gingival frenulae, lingual hamartomas, cleft/lobulated tongue, cleft palate, telecanthus, up-slanting palpebral fissures, microretrognathia, postaxial polydactyly of hands and duplication of hallux). Corpus callosum agenesis and vermis hypoplasia with molar tooth sign, on brain imaging, are also associated.
Features include always present findings: Trigonocephaly, Broad hallux, CNS hypomyelination, and Microcephaly and others; and common findings: Cleft lip, Molar tooth sign on MRI, Cleft palate, and Hamartoma of tongue and others. 47 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 3 | Cleft lip, Cleft palate, Microcephaly |
C2CD3 encodes C2 domain containing 3 centriole elongation regulator (2,353 aa). Component of the centrioles that acts as a positive regulator of centriole elongation. Highest expression in Testis (15.8 TPM) and Thyroid (12.7 TPM).
Orofaciodigital syndrome type 14 is caused by mutations in the C2CD3 gene on chromosome 11.
The C2CD3 protein participates in C2CD3 and OFD1 recruit 5 distal appendage proteins to the centriole, CP110 and CEP97 dissociate from the centriole, and The distal appendage proteins recruit TTBK2 pathways.
C2CD3 is classified as a druggable target with score 0.0.
Genetic testing for C2CD3 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 13 always present features, 7 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for orofaciodigital syndrome type 14.
5 publications have been identified in PubMed for orofaciodigital syndrome type 14. Research spans Case Report / Case Series (40%), Basic Science / Preclinical (40%), and Epidemiology / Natural History (20%).
Sentell ZT (2025). [PMID: 39690811](https://pubmed.ncbi.nlm.nih.gov/39690811/). *Hum Mol Genet*. [Case Report / Case Series]
Porto Vasconcelos A (2025). [PMID: 39361243](https://pubmed.ncbi.nlm.nih.gov/39361243/). *Ann Hum Genet*. [Case Report / Case Series]
Bertiaux E (2025). [PMID: 41364719](https://pubmed.ncbi.nlm.nih.gov/41364719/). *PLoS Biol*. [Basic Science / Preclinical]
Bertiaux E (2025). [PMID: 40667239](https://pubmed.ncbi.nlm.nih.gov/40667239/). *bioRxiv*. [Basic Science / Preclinical]
Pan YW (2024). [PMID: 38671463](https://pubmed.ncbi.nlm.nih.gov/38671463/). *BMC Med Genomics*. [Epidemiology / Natural History]
Data assembled from 7 of 12 sources · Last updated Sep 18, 2026, 8:45 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Brain and nerves |
3 |
Absent speech, Global developmental delay, Severe intellectual disability |
Eyes | 2 | Retinal coloboma, Optic disc coloboma |
Heart and blood vessels | 2 | Ventricular septal defect, Atrial septal defect |
Muscles | 1 | Generalized hypotonia |
Kidneys and urinary system | 1 | Unilateral renal hypoplasia |
Arms and legs | 1 | Postaxial hand polydactyly |