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Triosephosphate isomerase (TPI) deficiency is a severe autosomal recessive inherited multisystem disorder of glycolytic metabolism characterized by hemolytic anemia and neurodegeneration.
Features include always present findings: Respiratory failure, Prolonged neonatal jaundice, Respiratory distress, and Ongoing breakdown of red blood cells (chronic hemolytic anemia); and common findings: Low muscle tone (hypotonia), Failure to thrive, Oligohydramnios, and Brain shrinkage (cerebral atrophy) and others. 33 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 8 |
TPI1 function has not been fully characterized.
Triosephosphate isomerase deficiency is associated with mutations in the TPI1 gene on chromosome 12.
Genetic testing for TPI1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 4 always present features, 6 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for triosephosphate isomerase deficiency.
10 publications have been identified in PubMed for triosephosphate isomerase deficiency. Research spans Basic Science / Preclinical (40%), Gene Therapy / Novel Therapeutics (30%), and Case Report / Case Series (20%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 4 | 40% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 6:54 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles | 8 | Myopathy, Low muscle tone (hypotonia), Generalized hypotonia |
Blood and immune system | 6 | Enlarged spleen (splenomegaly), Ongoing breakdown of red blood cells (chronic hemolytic anemia), Red blood cell destruction (hemolytic anemia) |
Lungs and breathing | 4 | Respiratory failure, Respiratory distress, Difficulty breathing (respiratory insufficiency) |
Digestive system | 4 | Enlarged spleen (splenomegaly), Prolonged neonatal jaundice, Jaundice |
Bones and joints | 2 | Skeletal muscle atrophy, Excessive outward curvature of the upper spine (kyphosis) |
Growth and development | 1 | Failure to thrive |
Pregnancy and birth | 1 | Prolonged neonatal jaundice |
Heart and blood vessels | 1 | Congestive heart failure |
Eyes | 1 | Optic disc pallor |
New treatment approaches
3 |
30% |
Patient case studies | 2 | 20% |
Research summaries | 1 | 10% |
Yavuz Z (2026). [PMID: 41692693](https://pubmed.ncbi.nlm.nih.gov/41692693/). *Annals of Indian Academy of Neurology*. [Case Report / Case Series]
Roberts P (2026). [PMID: 41949155](https://pubmed.ncbi.nlm.nih.gov/41949155/). *J Cell Sci*. [Gene Therapy / Novel Therapeutics]
Vollmer LL (2025). [PMID: 40967261](https://pubmed.ncbi.nlm.nih.gov/40967261/). *SLAS discovery : advancing life sciences R & D*. [Gene Therapy / Novel Therapeutics]
Figura JR (2025). [PMID: 41153421](https://pubmed.ncbi.nlm.nih.gov/41153421/). *Genes*. [Review / Meta-Analysis]
Ramos C (2025). [PMID: 40981120](https://pubmed.ncbi.nlm.nih.gov/40981120/). *Reports (MDPI)*. [Case Report / Case Series]
Williams A (2025). [PMID: 40897044](https://pubmed.ncbi.nlm.nih.gov/40897044/). *Molecular genetics and metabolism*. [Basic Science / Preclinical]
Romero JM (2024). [PMID: 39299479](https://pubmed.ncbi.nlm.nih.gov/39299479/). *Archives of biochemistry and biophysics*. [Gene Therapy / Novel Therapeutics]
Sun P (2024). [PMID: 38632101](https://pubmed.ncbi.nlm.nih.gov/38632101/). *Yi chuan = Hereditas*. [Basic Science / Preclinical]
de la Mora-de la Mora I (2024). [PMID: 39519689](https://pubmed.ncbi.nlm.nih.gov/39519689/). *Molecules (Basel, Switzerland)*. [Basic Science / Preclinical]
Myers TD (2024). [PMID: 39127839](https://pubmed.ncbi.nlm.nih.gov/39127839/). *Scientific reports*. [Basic Science / Preclinical]