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Any syndrome with combined immunodeficiency in which the cause of the disease is a mutation in the IKZF1 gene.
Features include always present findings: Polyhydramnios, Fetal distress, and Low blood cell counts (all types) (pancytopenia); and sometimes findings: Acute lymphoblastic leukemia. 10 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 5 | Combined immunodeficiency, Recurrent bacterial infections, Recurrent viral infections |
IKZF1 encodes IKAROS family zinc finger 1 (519 aa). Transcription regulator of hematopoietic cell differentiation. Binds gamma-satellite DNA. Plays a role in the development of lymphocytes, B- and T-cells. Highest expression in Spleen (34.7 TPM) and Whole Blood (30.1 TPM).
Pancytopenia due to IKZF1 mutations is caused by mutations in the IKZF1 gene on chromosome 7.
The IKZF1 protein participates in PTCRA gene expression is stimulated by NOTCH3 and inhibited by IK1 and NOTCH3 Intracellular Domain Regulates Transcription pathways.
IKZF1 is classified as a druggable target (Clinically Actionable and Transcription Factor categories) with score 0.3.
Genetic testing for IKZF1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for pancytopenia due to IKZF1 mutations has been reported in the published literature.
Phenotype severity distribution: 3 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for pancytopenia due to IKZF1 mutations.
3 publications have been identified in PubMed for pancytopenia due to IKZF1 mutations. Research spans Diagnostic / Biomarker (33%), Review / Meta-Analysis (33%), and Case Report / Case Series (33%).
Yamashita M (2025). [PMID: 42169761](https://pubmed.ncbi.nlm.nih.gov/42169761/). *J Hum Immun*. [Review / Meta-Analysis]
Niehues T (2024). [PMID: 39381601](https://pubmed.ncbi.nlm.nih.gov/39381601/). *Allergol Select*. [Diagnostic / Biomarker]
García-Solís B (2024). [PMID: 38579942](https://pubmed.ncbi.nlm.nih.gov/38579942/). *J Allergy Clin Immunol*. [Case Report / Case Series]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 3:00 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Pregnancy and birth |
1 |
Fetal distress |