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Any Pitt-Hopkins-like syndrome in which the cause of the disease is a mutation in the NRXN1 gene.
Features include common findings: Epileptic encephalopathy; and sometimes findings: Broad-based gait. 16 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 4 | Broad-based gait, Loss of previously acquired skills (developmental regression), Severe intellectual disability |
NRXN1 encodes neurexin 1 (472 aa). Neuronal cell surface protein involved in cell recognition and cell adhesion by forming intracellular junctions through binding to neuroligins. Plays a role in formation of synaptic junctions. Highest expression in Brain Cerebellar Hemisphere (24.7 TPM) and Brain Frontal Cortex BA9 (18.2 TPM).
Pitt-Hopkins-like syndrome 2 is associated with mutations in the NRXN1 gene on chromosome 2.
The NRXN1 protein participates in NRXNs bind NLGNs pathway.
NRXN1 is classified as a druggable target (Cell Surface, Druggable Genome, Ion Channel, and Transporter categories) with score 2.0.
Genetic testing for NRXN1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 common feature.
No clinical trials have been registered for Pitt-Hopkins-like syndrome 2.
3 publications have been identified in PubMed for Pitt-Hopkins-like syndrome 2. Research spans Review / Meta-Analysis (67%) and Basic Science / Preclinical (33%).
Sozańska N (2025). [PMID: 40452023](https://pubmed.ncbi.nlm.nih.gov/40452023/). *Cell Commun Signal*. [Review / Meta-Analysis]
Haskell D (2025). [PMID: 41446048](https://pubmed.ncbi.nlm.nih.gov/41446048/). *bioRxiv*. [Basic Science / Preclinical]
Pavone P (2024). [PMID: 39655047](https://pubmed.ncbi.nlm.nih.gov/39655047/). *Open Med (Wars)*. [Review / Meta-Analysis]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 5:32 PM UTC
Online Mendelian Inheritance in Man
Digestive system
3 |
Feeding difficulties, Gastroesophageal reflux, Constipation |
Muscles | 2 | Low muscle tone (hypotonia), Generalized hypotonia |
Eyes | 1 | Strabismus |
Bones and joints | 1 | Sideways curvature of the spine (scoliosis) |