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Congenital cataract - hypertrophic cardiomyopathy - mitochrondrial myopathy (CCM) is a mitochondrial disease characterized by cataracts, hypertrophic cardiomyopathy, muscle weakness and lactic acidosis after exercise.
Features include always present findings: Depletion of mitochondrial DNA in muscle tissue, Cataract, Lactic acidosis, and Decreased activity of mitochondrial complex III and others; and common findings: Premature ovarian insufficiency, Cardiac arrest, Motor delay, and Mild bone density loss (osteopenia) and others. 34 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 7 | Myopathy, Low muscle tone (hypotonia), Generalized hypotonia |
AGK encodes acylglycerol kinase (422 aa). Lipid kinase that can phosphorylate both monoacylglycerol and diacylglycerol to form lysophosphatidic acid (LPA) and phosphatidic acid (PA), respectively. Does not phosphorylate sphingosine. Highest expression in Brain Cerebellar Hemisphere (35.3 TPM) and Brain Cerebellum (32.0 TPM).
Sengers syndrome is associated with mutations in the AGK gene on chromosome 7.
The AGK protein participates in AGK(1-33)InsW-p-BRAF(328-766) fusion and AGK(1-33)InsW-BRAF(328-766) fusion pathways.
AGK is classified as a druggable target (Enzyme and Kinase categories) with score 0.0.
Genetic testing for AGK is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Sengers syndrome has been reported in the published literature.
Phenotype severity distribution: 6 always present features, 11 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Sengers syndrome.
145 publications have been identified in PubMed for Sengers syndrome. Research spans Basic Science / Preclinical (40%), Case Report / Case Series (13%), and Review / Meta-Analysis (12%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 58 | 40% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 8:28 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Sengers syndrome
Eyes | 5 | Strabismus, Cataract, Nystagmus |
Heart and blood vessels | 4 | Cardiac arrest, Sudden cardiac death, High blood pressure in lung arteries (pulmonary arterial hypertension) |
Lab test results | 4 | Decreased activity of mitochondrial complex III, Increased circulating lactate concentration, Decreased activity of mitochondrial complex I |
Brain and nerves | 3 | Mental deterioration, Exercise intolerance, Fatigue |
Lungs and breathing | 2 | High blood pressure in lung arteries (pulmonary arterial hypertension), Difficulty breathing (respiratory insufficiency) |
Bones and joints | 1 | Mild bone density loss (osteopenia) |
Growth and development | 1 | Growth delay |
Blood and immune system | 1 | Low platelet count (thrombocytopenia) |
19 |
13% |
Research summaries | 17 | 12% |
New treatment approaches | 15 | 10% |
Disease patterns and progression | 14 | 10% |
Clinical study results | 10 | 7% |
Testing and diagnosis research | 9 | 6% |
Other research | 3 | 2% |
Batignes M (2026). [PMID: 41776196](https://pubmed.ncbi.nlm.nih.gov/41776196/). *Nat Commun*. [Case Report / Case Series]
Morigny P (2026). [PMID: 42138073](https://pubmed.ncbi.nlm.nih.gov/42138073/). *J Clin Invest*. [Basic Science / Preclinical]
Distelmaier F (2026). [PMID: 40929079](https://pubmed.ncbi.nlm.nih.gov/40929079/). *Brain*. [Case Report / Case Series]
Matheou M (2026). [PMID: 41163431](https://pubmed.ncbi.nlm.nih.gov/41163431/). *Clin Genet*. [Case Report / Case Series]
Møhlenberg M (2026). [PMID: 41838921](https://pubmed.ncbi.nlm.nih.gov/41838921/). *Proc Natl Acad Sci U S A*. [Basic Science / Preclinical]
Du S (2026). [PMID: 41856111](https://pubmed.ncbi.nlm.nih.gov/41856111/). *Cell*. [Basic Science / Preclinical]
Mancuso M (2026). [PMID: 41999163](https://pubmed.ncbi.nlm.nih.gov/41999163/). *Eur J Neurol*. [Review / Meta-Analysis]
Lu T (2026). [PMID: 42026151](https://pubmed.ncbi.nlm.nih.gov/42026151/). *Commun Biol*. [Basic Science / Preclinical]
Kleefeld F (2026). [PMID: 41639907](https://pubmed.ncbi.nlm.nih.gov/41639907/). *Acta Neuropathol Commun*. [Basic Science / Preclinical]
Gong X (2026). [PMID: 41695748](https://pubmed.ncbi.nlm.nih.gov/41695748/). *Frontiers in pediatrics*. [Case Report / Case Series]