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A form of congenital disorders of N-linked glycosylation characterized by neurologic abnormalities (global developmental delay in language, social skills and fine and gross motor development, intellectual disability, hypotonia, microcephaly, seizures/epilepsy), facial dysmorphism (deep set eyes, large ears, hypoplastic vermillion of upper lip, large mouth with widely spaced teeth), feeding problems often due to chewing difficulties and aversion to food with certain textures, failure to thrive, gastrointestinal abnormalities (reflux or vomiting) and strabismus. The disease is caused by mutations in the gene SSR4(Xq28).
Data assembled from 6 of 12 sources · Last updated Oct 3, 2026, 4:52 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about SSR4-congenital disorder of glycosylation
Features include always present findings: Microcephaly, Global developmental delay, Low muscle tone (hypotonia), and Generalized hypotonia and others; and very common findings: Wide mouth, Strabismus, Feeding difficulties, and Deeply set eye and others. 34 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 4 | Feeding difficulties, Vomiting, Gastroesophageal reflux |
Brain and nerves | 4 | Seizure, Global developmental delay, Intellectual disability |
Head and neck | 3 | Microcephaly, Abnormal facial shape, Abnormality of upper lip vermillion |
Bones and joints | 3 | Sideways curvature of the spine (scoliosis), Joint dislocation, Bone and joint problems (abnormality of the skeletal system) |
Muscles | 2 | Low muscle tone (hypotonia), Generalized hypotonia |
Blood and immune system | 2 | Blood clotting problems (abnormality of coagulation), Abnormality of the coagulation cascade |
Eyes | 1 | Strabismus |
Lungs and breathing | 1 | Respiratory distress |
Growth and development | 1 | Failure to thrive |
Kidneys and urinary system | 1 | Horseshoe kidney |
Heart and blood vessels | 1 | Abnormality of the cardiovascular system |
SSR4 function has not been fully characterized.
SSR4-congenital disorder of glycosylation is associated with mutations in the SSR4 gene on chromosome X.
Genetic testing for SSR4 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for SSR4-congenital disorder of glycosylation has been reported in the published literature.
Phenotype severity distribution: 6 always present features, 11 very common features, 1 common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for SSR4-congenital disorder of glycosylation.
100 publications have been identified in PubMed for SSR4-congenital disorder of glycosylation. Research spans Basic Science / Preclinical (57%), Review / Meta-Analysis (24%), and Case Report / Case Series (5%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 57 | 57% |
Research summaries | 24 | 24% |
Patient case studies | 5 | 5% |
Disease patterns and progression | 5 | 5% |
New treatment approaches | 4 | 4% |
Other research | 3 | 3% |
Testing and diagnosis research | 1 | 1% |
Clinical study results | 1 | 1% |
Ünsal Y (2026). [PMID: 39975416](https://pubmed.ncbi.nlm.nih.gov/39975416/). *Journal of clinical research in pediatric endocrinology*. [Review / Meta-Analysis]
Zhao L (2026). [PMID: 41960028](https://pubmed.ncbi.nlm.nih.gov/41960028/). *Front Pediatr*. [Case Report / Case Series]
Zhao T (2026). [PMID: 41831943](https://pubmed.ncbi.nlm.nih.gov/41831943/). *Carbohydrate polymers*. [Basic Science / Preclinical]
Chuang PK (2025). [PMID: 40004112](https://pubmed.ncbi.nlm.nih.gov/40004112/). *International journal of molecular sciences*. [Basic Science / Preclinical]
Shi SM (2025). [PMID: 40011765](https://pubmed.ncbi.nlm.nih.gov/40011765/). *Nature*. [Basic Science / Preclinical]
Tran LS (2025). [PMID: 40087276](https://pubmed.ncbi.nlm.nih.gov/40087276/). *Nature communications*. [Basic Science / Preclinical]
Duarte HO (2025). [PMID: 40442468](https://pubmed.ncbi.nlm.nih.gov/40442468/). *Handbook of experimental pharmacology*. [Basic Science / Preclinical]
Liang C (2025). [PMID: 39807036](https://pubmed.ncbi.nlm.nih.gov/39807036/). *Advanced science (Weinheim, Baden-Wurttemberg, Germany)*. [Basic Science / Preclinical]
Du X (2025). [PMID: 39991767](https://pubmed.ncbi.nlm.nih.gov/39991767/). *International journal of medical sciences*. [Review / Meta-Analysis]
Montag N (2025). [PMID: 40451487](https://pubmed.ncbi.nlm.nih.gov/40451487/). *Immunology letters*. [Basic Science / Preclinical]