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X-linked intellectual deficit-cerebellar hypoplasia, also known as OPHN1 syndrome, is a rare syndromic form of cerebellar dysgenesis characterized by moderate to severe intellectual deficit and cerebellar abnormalities.
Features include always present findings: Thin upper lip vermilion; and very common findings: Intellectual disability, Cerebellar vermis hypoplasia, Cerebellar hypoplasia, and Global developmental delay. 60 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 16 | Seizure, Gait ataxia, Enlarged brain ventricles (ventriculomegaly) |
Muscles | 5 | Generalized hypotonia, Low muscle tone (hypotonia), Shrinkage of the caudate nucleus (brain) (caudate atrophy) |
Head and neck | 5 | Thin upper lip vermilion, Macrocephaly, Long face |
Eyes | 2 | Strabismus, Nystagmus |
Bones and joints | 1 | Postural instability |
OPHN1 encodes oligophrenin 1 (802 aa). Stimulates GTP hydrolysis of members of the Rho family. Its action on RHOA activity and signaling is implicated in growth and stabilization of dendritic spines, and therefore in synaptic function. Highest expression in Cervix Ectocervix (17.3 TPM) and Cervix Endocervix (16.2 TPM).
X-linked intellectual disability-cerebellar hypoplasia syndrome is caused by mutations in the OPHN1 gene on chromosome X.
The OPHN1 protein participates in RHOF GAPs stimulate RHOF GTPase activity, RHOD GAPs stimulate RHOD GTPase activity, and RHOQ GAPs stimulate RHOQ GTPase activity pathways.
OPHN1 is classified as a druggable target with score 0.0.
Genetic testing for OPHN1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for X-linked intellectual disability-cerebellar hypoplasia syndrome has been reported in the published literature.
Phenotype severity distribution: 1 always present feature, 4 very common features, 20 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
102 publications have been identified in PubMed for X-linked intellectual disability-cerebellar hypoplasia syndrome. Kisho has analyzed 74 by research type. Research spans Case Report / Case Series (36%), Basic Science / Preclinical (34%), and Review / Meta-Analysis (18%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 27 | 36% |
Laboratory research | 25 | 34% |
Research summaries | 13 | 18% |
Disease patterns and progression | 6 | 8% |
Testing and diagnosis research | 2 | 3% |
Clinical study results | 1 | 1% |
Gau M (2026). [PMID: 41285479](https://pubmed.ncbi.nlm.nih.gov/41285479/). *Endocr J*. [Review / Meta-Analysis]
Tripathi M (2026). [PMID: 36256770](https://pubmed.ncbi.nlm.nih.gov/36256770/). *Unknown Journal*. [Basic Science / Preclinical]
Liao B (2026). [PMID: 41743791](https://pubmed.ncbi.nlm.nih.gov/41743791/). *Front Mol Neurosci*. [Case Report / Case Series]
Quesnel K (2026). [PMID: 41724591](https://pubmed.ncbi.nlm.nih.gov/41724591/). *Autism Res*. [Basic Science / Preclinical]
Oktay MA (2026). [PMID: 42112678](https://pubmed.ncbi.nlm.nih.gov/42112678/). *J Pediatr Endocrinol Metab*. [Case Report / Case Series]
Semyachkina AN (2026). [PMID: 41917976](https://pubmed.ncbi.nlm.nih.gov/41917976/). *J Med Case Rep*. [Case Report / Case Series]
Wu Q (2026). [PMID: 41842826](https://pubmed.ncbi.nlm.nih.gov/41842826/). *J Craniofac Surg*. [Basic Science / Preclinical]
Liedtke D (2026). [PMID: 41959831](https://pubmed.ncbi.nlm.nih.gov/41959831/). *medRxiv*. [Basic Science / Preclinical]
Chirilas AM (2026). [PMID: 41975704](https://pubmed.ncbi.nlm.nih.gov/41975704/). *Diagnostics (Basel)*. [Clinical Trial Publication]
Haanpää MK (2026). [PMID: 41236159](https://pubmed.ncbi.nlm.nih.gov/41236159/). *Am J Med Genet A*. [Case Report / Case Series]
Data assembled from 8 of 12 sources · Last updated Sep 20, 2026, 5:36 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about X-linked intellectual disability-cerebellar hypoplasia syndrome