raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:364028

X-linked intellectual disability due to GRIA3 mutations

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy
Status
active

A rare, genetic, X-linked syndromic intellectual disability disorder characterized by moderate to severe intellectual disability associated with epilepsy, short stature, autistic features and behavioral problems, such as self injury and aggressive outbursts. Observed facial dysmorphism includes brachycephaly, prominent supraorbital ridges, and deep set eyes. Additional variable manifestations include malposition of feet, asthenic habitus, hyporeflexia, bowel occlusions, hydronephrosis, ren arcuatus, delayed motor development and disturbed sleep-wake cycle.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked intellectual disability due to GRIA3 mutations
frDéficience intellectuelle liée à l'X par mutations de GRIA3
deIntelligenzminderung, X-chromosomale, durch GRIA3-Mutationen
esDiscapacidad intelectual ligada al cromosoma X por mutaciones en el gen GRIA3
itDisabilità intellettiva legata all'X da mutazione di GRIA3
nlX-gebonden intellectuele achterstand door GRIA3-mutaties
ptPerturbação do desenvolvimento intelectual devido a mutações GRIA3 ligada ao X
plNiepełnosprawność intelektualna z anomaliami w wyniku mutacji w GRIA3 sprzężona z chromosomem X
csX-vázané mentální postižení způsobené GRIA3 anomáliemi
ukХ-зчеплена розумова відсталість, зумовлена мутаціями GRIA3
zhGRIA3基因突变所致X连锁智力障碍
trGRIA3 mutasyonları nedeniyle X'e bağlı zihinsel yetersizlik

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300699Evalidated
ICD-10F72NTBTattributedvalidated
ICD-11LD90NTBTattributedvalidated
MONDO0018222Evalidated
UMLSC5191041Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GRIA3Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:4573ENSG00000125675305915Xq25glutamate ionotropic receptor AMPA type subunit 317989220[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families14 casesWorldwideCase(s)Validated24721225[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24721225[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

57 annotations · validated 2019-09-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000750Delayed speech and language development
HP:0001263Global developmental delay
Frequent (79-30%)
HP:0000708Atypical behavior
HP:0002342Intellectual disability, moderate
HP:0001250Seizure
HP:0001533Slender build
HP:0001328Specific learning disability
Occasional (29-5%)
HP:0030236Abnormality of muscle size
HP:0000718Aggressive behavior
HP:0000729Autistic behavior
HP:0008936Axial hypotonia
HP:0003487Babinski sign
HP:0002069Bilateral tonic-clonic seizure
HP:0000248Brachycephaly
HP:0001320Cerebellar vermis hypoplasia
HP:0000028Cryptorchidism
HP:0000490Deeply set eye
HP:0002460Distal muscle weakness
HP:0007655Eversion of lateral third of lower eyelids
HP:0000297Facial hypotonia
HP:0002816Genu recurvatum
HP:0000126Hydronephrosis
HP:0002079Hypoplasia of the corpus callosum
HP:0001265Hyporeflexia
HP:0001256Intellectual disability, mild
HP:0010864Intellectual disability, severe
HP:0001382Joint hypermobility
HP:0002808Kyphosis
HP:0000256Macrocephaly
HP:0000675Macrodontia of permanent maxillary central incisor
HP:0000400Macrotia
HP:0000272Malar flattening
HP:0000303Mandibular prognathia
HP:0000054Micropenis
HP:0001270Motor delay
HP:0001336Myoclonus
HP:0000189Narrow palate
HP:0000194Open mouth
HP:0007021Pain insensitivity
HP:0001763Pes planus
HP:0000336Prominent supraorbital ridges
HP:0000508Ptosis
HP:0002719Recurrent infections
HP:0000817Reduced eye contact
HP:0006951Retrocerebellar cyst
HP:0002650Scoliosis
HP:0000742Self-mutilation
HP:0006863Severe expressive language delay
HP:0000322Short philtrum
HP:0004322Short stature
HP:0000188Short upper lip
HP:0002360Sleep abnormality
HP:0006979Sleep-wake cycle disturbance
HP:0001257Spasticity
HP:0002133Status epilepticus
HP:0012471Thick vermilion border
HP:0009909Uplifted earlobe

Run the differential on the 2 obligate / very frequent terms

Annotation source: 22124977[PMID]_23637084[PMID]_24721225[PMID]_19449417[PMID]_17989220[PMID]

7

Sources for this card