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Any prenatal-onset spinal muscular atrophy with congenital bone fractures in which the cause of the disease is a mutation in the TRIP4 gene.
Features include always present findings: Severe muscular hypotonia, Muscle fiber atrophy, Muscle weakness, and Difficulty swallowing (dysphagia) and others; and common findings: Pulmonary hypoplasia, Narrow mouth, Hypertelorism, and High palate and others. 31 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 8 | Flexion contracture, Severe muscular hypotonia, Muscle fiber atrophy |
Brain and nerves | 3 | Peripheral axonal neuropathy, Difficulty swallowing (dysphagia), Global developmental delay |
Heart and blood vessels | 3 | Secundum atrial septal defect, Congestive heart failure, Heart muscle disease (cardiomyopathy) |
Lungs and breathing | 2 | Pulmonary hypoplasia, Neonatal respiratory distress |
Pregnancy and birth | 2 | Decreased fetal movement, Neonatal respiratory distress |
Head and neck | 1 | High palate |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Skin | 1 | Decreased sweating (hypohidrosis) |
Bones and joints | 1 | Multiple prenatal fractures |
Age of onset: before birth, at birth.
TRIP4 function has not been fully characterized.
Spinal muscular atrophy with congenital bone fractures 1 is associated with mutations in the TRIP4 gene on chromosome 15.
Genetic testing for TRIP4 is available. Testing is considered confirmatory for diagnosis.
3 FDA-approved treatments are available for spinal muscular atrophy with congenital bone fractures 1, including NUSINERSEN (SPINRAZA, approved 2016), onasemnogene abeparvovec-xioi (Zolgensma, approved 2019), and RISDIPLAM (EVRYSDI, approved 2020).
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
EVRYSDI | RISDIPLAM | — | 2020 | Available |
Zolgensma | onasemnogene abeparvovec-xioi | — | 2019 | Available |
SPINRAZA | NUSINERSEN | — | 2016 | Available |
View trials for spinal muscular atrophy with congenital bone fractures 1
Phenotype severity distribution: 11 always present features, 11 common features.
No clinical trials have been registered for spinal muscular atrophy with congenital bone fractures 1.
4 publications have been identified in PubMed for spinal muscular atrophy with congenital bone fractures 1. Research spans Basic Science / Preclinical (50%), Review / Meta-Analysis (25%), and Case Report / Case Series (25%).
Parfenchyk V (2026). [PMID: 41791838](https://pubmed.ncbi.nlm.nih.gov/41791838/). *Journal of mother and child*. [Case Report / Case Series]
de Feraudy Y (2024). [PMID: 38982518](https://pubmed.ncbi.nlm.nih.gov/38982518/). *Genome medicine*. [Basic Science / Preclinical]
Nishio H (2024). [PMID: 39457418](https://pubmed.ncbi.nlm.nih.gov/39457418/). *Genes*. [Review / Meta-Analysis]
Chinnam NB (2024). [PMID: 38750793](https://pubmed.ncbi.nlm.nih.gov/38750793/). *The Journal of biological chemistry*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:40 PM UTC
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