Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Features include always present findings: Encephalopathy, Low muscle tone (hypotonia), Enlarged liver (hepatomegaly), and Hypocholesterolemia and others; and very common findings: Increased circulating lactate concentration. 24 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 5 | Encephalopathy, Peripheral axonal neuropathy, Seizure |
Digestive system | 2 | Enlarged liver (hepatomegaly), Feeding difficulties in infancy |
Muscles | 1 | Low muscle tone (hypotonia) |
Eyes | 1 | Developmental cataract |
Pregnancy and birth | 1 | Fetal distress |
Lab test results | 1 | Increased circulating lactate concentration |
Heart and blood vessels | 1 | Thickened heart muscle (hypertrophic cardiomyopathy) |
Age of onset: before birth.
ATAD3A encodes ATPase family AAA domain containing 3A (586 aa). Essential for mitochondrial network organization, mitochondrial metabolism and cell growth at organism and cellular level. May play an important role in mitochondrial protein synthesis. Highest expression in Cells EBV-transformed lymphocytes (34.4 TPM) and Cells Cultured fibroblasts (32.1 TPM).
Pontocerebellar hypoplasia, hypotonia, and respiratory insufficiency syndrome, neonatal lethal is associated with mutations in the ATAD3A gene on chromosome 1.
ATAD3A is classified as a druggable target with score 0.0.
Genetic testing for ATAD3A is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 always present features, 1 very common feature, 8 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for pontocerebellar hypoplasia, hypotonia, and respiratory insufficiency syndrome, neonatal lethal.
4 publications have been identified in PubMed for pontocerebellar hypoplasia, hypotonia, and respiratory insufficiency syndrome, neonatal lethal. Research spans Review / Meta-Analysis (50%) and Case Report / Case Series (50%).
Gülbahçe A (2026). [PMID: 42199495](https://pubmed.ncbi.nlm.nih.gov/42199495/). *Mol Syndromol*. [Case Report / Case Series]
Messina M (2025). [PMID: 38872485](https://pubmed.ncbi.nlm.nih.gov/38872485/). *J Inherit Metab Dis*. [Review / Meta-Analysis]
Brügel M (2024). [PMID: 39605788](https://pubmed.ncbi.nlm.nih.gov/39605788/). *Front Neurosci*. [Review / Meta-Analysis]
Alayoubi AM (2024). [PMID: 39455833](https://pubmed.ncbi.nlm.nih.gov/39455833/). *Sci Rep*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 12:34 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center