RARE DISEASERESEARCH ATLAS

ORPHA:163690

Hypotonia-cystinuria syndrome

medium confidenceDisorder

Also known as: HCS

Publications

76

50.1th percentile

Trials

2

Interventional, condition-specific

Researchers

528

Distinct authors in sample

Gene link

PREPL

Strong

Readiness

3/6

Stages with a signal

Clinical definition (Orphanet)

A rare, genetic disorder of amino acid absorption and transport, characterized by generalized at birth, / (followed by hyperphagia and rapid weight gain in late childhood), cystinuria type 1, nephrolithiasis, growth retardation due to growth hormone deficiency, and minor facial dysmorphism. features mainly include dolichocephaly and ptosis. Nephrolithiasis occurs at variable ages.

How rare: <1 / 1 000 000 — fewer than one in a million. In a city the size of Kolkata, that might mean on the order of fifteen people.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

Additional Mondo synonyms (4)

cystinuria with mitochondrial disease · hypotonia-cystinuria syndrome · hypotonia-cystinuria syndrome type 1 · hypotonia-cystinuria type 1 syndrome

Research stages

Trial readiness signals

Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”

3/6 stages with a signal

An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.

  1. Gene identifiedPresent

    Strong — PREPL

  2. LiteraturePresent

    76 matched papers (41 in last 10 years) Source

  3. Phenotype characterisedNot checked

    Not yet enriched from Monarch / HPO

  4. Animal modelNot checked

    Not yet enriched from Monarch / Alliance

  5. Orphan designationNot checked

    FDA/EMA orphan-drug designation not enriched yet

  6. Interventional trialPresent

    2 matched on ClinicalTrials.gov

Biology

Genes and phenotypes

Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.

Do we know what causes it?

Yes — we know a specific gene responsible (PREPL).

GenCC classification: Strong.

Phenotypes (Monarch / HPO)

Not enriched in this build — Monarch phenotype joins were not run for this record.

Animal models (Monarch / Alliance)

Not enriched in this build.

Literature

Is anyone studying this?

76

76 papers have ever been published on this condition (under this name). For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.

76 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).

41 in the last 10 years · medium confidence · 50.1th percentile (publications denominator)

Phrase hits: 76 · MeSH hits: 2

Open Europe PMC search

Who's working on it?

528

Distinct author names in 76 sampled papers — named people below.

Who's working on it?

People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.

  1. 01
    Meulemans S10 papers · 2024

    Laboratory of Biochemical Neuroendocrinology, Department of Human Genetics, University of Leuven, Leuven, Belgium.

    Papers in Europe PMC
  2. 02
    Creemers JW9 papers · 2024

    Laboratory for Biochemical Neuroendocrinology, Department of Human Genetics, KU Leuven, ON1 Herestraat 49 - b 607, 3000, Belgium

    Papers in Europe PMC
  3. 03
    Jaeken J8 papers · 2012

    Department of Paediatrics, University Hospitals Leuven, Belgium.

    Papers in Europe PMC
  4. 04
    Martens K6 papers · 2009

    Laboratory of Biochemical Neuroendocrinology, Department for Human Genetics, University of Leuven and Flanders Interuniversity Institute for Biotechnology, B-3000 Leuven, Belgium.

    Papers in Europe PMC
  5. 05
    Matthijs G6 papers · 2009
    Papers in Europe PMC
  6. 06
    Creemers J5 papers · 2014

    Laboratory for Biochemical Neuroendocrinology, Department of Human Genetics, KU Leuven, Leuven, Belgium.

    Papers in Europe PMC
  7. 07
    Régal L5 papers · 2021

    Laboratory for Biochemical Neuroendocrinology, Department of Human Genetics, KU Leuven, Leuven, Belgium.

    Papers in Europe PMC
  8. 08
    Eggermann T4 papers · 2018

    Institut für Humangenetik, RWTH Aachen, Aachen, Germany. teggermann@ukaachen.de

    Papers in Europe PMC
  9. 09
    Bhalla K3 papers · 2024

    Laboratory for Biochemical Neuroendocrinology, Department of Human Genetics, KU Leuven, Leuven, Belgium.

    Papers in Europe PMC
  10. 10
    Cravatt BF3 papers · 2021

    The Department of Chemistry and The Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

2

interventional trials for this specific condition

2 interventional trials matched this specific condition name; none in our sample are currently recruiting.

Data as of 27 July 2026

2 interventional trials — more than 73% of diseases in the trials denominator have none at all (5114 of 7003; this disease is at the 82.4th percentile).

medium confidence · 82.4th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

2 interventional trials matched after quoted-phrase search and title/condition post-filter.

No currently recruiting studies in the matched set. Open the same search on ClinicalTrials.gov.

Where to find support

We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:

India — NPRD

Last verified 2026-07-26

This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.

Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.

How we counted this

Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.

"Hypotonia-cystinuria syndrome" OR "cystinuria with mitochondrial disease" OR "hypotonia-cystinuria syndrome type 1" OR "hypotonia-cystinuria type 1 syndrome"

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Hypotonia-Cystinuria Syndrome

ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):

"Hypotonia-cystinuria syndrome" OR "cystinuria with mitochondrial disease" OR "hypotonia-cystinuria syndrome type 1" OR "hypotonia-cystinuria type 1 syndrome" OR "PREPL"

Recall-expansion terms: PREPL

Interventional trials matched via: both (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).

Study-type breakdown: 2 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.

Query health: ok — strategies attempted: phrase, mesh, recall-expansion; with hits: phrase, mesh

Run this search on ClinicalTrials.gov

Synonyms dropped by stoplist: HCS

Confidence reasoning

  • Preferred label is multi-word and distinctive
  • 1 synonym(s) dropped by stoplist (may under-count)
  • No label/synonym collisions with other diseases in this corpus

Ingested 2026-07-27T08:10:54.635Z