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Any non-syndromic pontocerebellar hypoplasia in which the cause of the disease is a mutation in the AMPD2 gene.
Features include always present findings: Hypoplasia of the pons, Irritability, Intellectual disability, and Overactive reflexes (hyperreflexia) and others; and very common findings: Hypertonia, Difficulty swallowing (dysphagia), and Visual fixation instability. 33 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 15 | Peripheral axonal neuropathy, Clonus, Dystonia |
AMPD2 encodes adenosine monophosphate deaminase 2 (825 aa). AMP deaminase plays a critical role in energy metabolism. Catalyzes the deamination of AMP to IMP and plays an important role in the purine nucleotide cycle Highest expression in Pituitary (138.4 TPM) and Brain Nucleus accumbens basal ganglia (73.0 TPM).
Pontocerebellar hypoplasia type 9 is associated with mutations in the AMPD2 gene on chromosome 1.
The AMPD2 protein participates in AMP + H2O = IMP + NH4+ (AMPD) pathway.
AMPD2 is classified as a druggable target (Druggable Genome and Enzyme categories) with score 4.7.
Genetic testing for AMPD2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 10 always present features, 3 very common features, 7 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for pontocerebellar hypoplasia type 9.
5 publications have been identified in PubMed for pontocerebellar hypoplasia type 9. Research spans Case Report / Case Series (60%) and Review / Meta-Analysis (40%).
Dohi S (2026). [PMID: 42026036](https://pubmed.ncbi.nlm.nih.gov/42026036/). *Hum Genome Var*. [Case Report / Case Series]
Peker A (2026). [PMID: 42115434](https://pubmed.ncbi.nlm.nih.gov/42115434/). *Cerebellum*. [Case Report / Case Series]
Kukulka NA (2025). [PMID: 40936650](https://pubmed.ncbi.nlm.nih.gov/40936650/). *Brain Commun*. [Review / Meta-Analysis]
Munera V (2024). [PMID: 38957830](https://pubmed.ncbi.nlm.nih.gov/38957830/). *Cureus*. [Case Report / Case Series]
Abdelrahman HA (2024). [PMID: 39086442](https://pubmed.ncbi.nlm.nih.gov/39086442/). *J Pediatr Genet*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 4:09 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles |
4 |
Cerebral cortical atrophy, Axial hypotonia, Facial hypotonia |
Eyes | 3 | Strabismus, Cerebral visual impairment, Damage to the optic nerve (optic atrophy) |
Head and neck | 3 | Short upper lip, Facial hypotonia, Secondary microcephaly |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Lab test results | 1 | Increased circulating lactate concentration |