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This syndrome is characterized by the association of an axonal sensory and autonomic neuropathy with hearing loss.
Features include always present findings: Hearing loss (hearing impairment) and Cochlear nerve hypoplasia; and common findings: Tinnitus and Unsteady gait. 13 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Ears | 4 | Hearing loss (hearing impairment), Vertigo, Tinnitus |
AIFM1 encodes apoptosis inducing factor mitochondria associated 1 (613 aa). Functions both as NADH oxidoreductase and as regulator of apoptosis. Highest expression in Adrenal Gland (62.8 TPM) and Cells EBV-transformed lymphocytes (58.3 TPM).
X-linked hereditary sensory and autonomic neuropathy with hearing loss is caused by mutations in the AIFM1 gene on chromosome X.
AIFM1 is classified as a druggable target (Druggable Genome category) with score 5.2.
Genetic testing for AIFM1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features, 2 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 8:42 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about X-linked hereditary sensory and autonomic neuropathy with hearing loss
4 |
Sensory axonal neuropathy, Unsteady gait, Intellectual disability |
Bones and joints | 1 | Skeletal muscle atrophy |
Muscles | 1 | Skeletal muscle atrophy |