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Progressive microcephaly-seizures-cortical blindness-developmental delay syndrome is a rare, genetic, neuro-ophthalmological syndrome characterized by post-natal, progressive microcephaly and early-onset seizures, associated with delayed global development, bilateral cortical visual impairment and moderate to severe intellectual disability. Additional manifestations include short stature, generalized hypotonia and pulmonary complications, such as recurrent respiratory infections and bronchiectasis. Auditory and metabolic screenings are normal.
Features include always present findings: Hypoplasia of the corpus callosum, Seizure, Global developmental delay, and Cerebral visual impairment and others; and very common findings: Microcephaly, Progressive microcephaly, and Profound intellectual disability. 26 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 6 | Poor speech, Seizure, Global developmental delay |
DIAPH1 encodes diaphanous related formin 1 (1,272 aa). Actin nucleation and elongation factor required for the assembly of F-actin structures, such as actin cables and stress fibers. Highest expression in Cells EBV-transformed lymphocytes (99.7 TPM) and Muscle Skeletal (95.6 TPM).
Progressive microcephaly-seizures-cortical blindness-developmental delay syndrome is caused by mutations in the DIAPH1 gene on chromosome 5.
The DIAPH1 protein participates in ZMYM2(1-1059)-p-4Y-FLT3(594-993) fusion, ZMYM2(1-1057)-p-5Y-FLT3(586-993) fusion, and ZMYM2(1-1059)-FLT3(594-993) fusion pathways.
DIAPH1 is classified as a druggable target (Kinase category) with score 0.0.
Genetic testing for DIAPH1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for progressive microcephaly-seizures-cortical blindness-developmental delay syndrome has been reported in the published literature.
Phenotype severity distribution: 5 always present features, 3 very common features, 3 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for progressive microcephaly-seizures-cortical blindness-developmental delay syndrome.
208 publications have been identified in PubMed for progressive microcephaly-seizures-cortical blindness-developmental delay syndrome. Kisho has analyzed 20 by research type. Research spans Review / Meta-Analysis (70%), Case Report / Case Series (10%), and Gene Therapy / Novel Therapeutics (10%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 14 |
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 3:07 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles |
4 |
Low muscle tone (hypotonia), Damage to the optic nerve (optic atrophy), Skeletal muscle atrophy |
Blood and immune system | 4 | Recurrent infections, Lymphoma, Combined immunodeficiency |
Growth and development | 3 | Short stature, Growth delay, Failure to thrive in infancy |
Eyes | 3 | Cerebral visual impairment, Damage to the optic nerve (optic atrophy), Hypoplastic optic chiasm |
Head and neck | 2 | Microcephaly, Progressive microcephaly |
Lungs and breathing | 1 | Bronchiectasis |
Hormones | 1 | Delayed puberty |
Bones and joints | 1 | Skeletal muscle atrophy |
Patient case studies | 2 | 10% |
New treatment approaches | 2 | 10% |
Testing and diagnosis research | 1 | 5% |
Laboratory research | 1 | 5% |
Nikolakis G (2026). [PMID: 41580305](https://pubmed.ncbi.nlm.nih.gov/41580305/). *J Eur Acad Dermatol Venereol*. [Review / Meta-Analysis]
Galassi Deforie V (2026). [PMID: 41860019](https://pubmed.ncbi.nlm.nih.gov/41860019/). *Genet Med*. [Gene Therapy / Novel Therapeutics]
Asselman C (2025). [PMID: 41387995](https://pubmed.ncbi.nlm.nih.gov/41387995/). *Sci Rep*. [Basic Science / Preclinical]
Hingar S (2025). [PMID: 40409799](https://pubmed.ncbi.nlm.nih.gov/40409799/). *Adv Genet*. [Review / Meta-Analysis]
Zhang J (2025). [PMID: 40107017](https://pubmed.ncbi.nlm.nih.gov/40107017/). *Redox Biol*. [Review / Meta-Analysis]
Xie C (2025). [PMID: 41261312](https://pubmed.ncbi.nlm.nih.gov/41261312/). *Curr Obes Rep*. [Review / Meta-Analysis]
Evans-Molina C (2025). [PMID: 40230204](https://pubmed.ncbi.nlm.nih.gov/40230204/). *Diabetes Obes Metab*. [Review / Meta-Analysis]
Bernardo-Colón A (2025). [PMID: 40118996](https://pubmed.ncbi.nlm.nih.gov/40118996/). *Commun Med (Lond)*. [Gene Therapy / Novel Therapeutics]
Juranek JK (2025). [PMID: 40981102](https://pubmed.ncbi.nlm.nih.gov/40981102/). *Pathophysiology*. [Review / Meta-Analysis]
Grenier PA (2024). [PMID: 37935849](https://pubmed.ncbi.nlm.nih.gov/37935849/). *Eur Radiol*. [Review / Meta-Analysis]