raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:397725

COASY protein-associated neurodegeneration

Synonyms: CoPAN · NBIA6 · Neurodegeneration with brain iron accumulation due to COASY mutation

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

COASY protein-associated neurodegeneration (CoPAN) is a very rare, slowly progressive form of neurodegeneration with brain iron accumulation (NBIA) characterized by classic NBIA features. The clinical manifestations include early-onset spastic-dystonic paraparesis, oromandibular dystonia, dysarthria, parkinsonism, axonal neuropathy, progressive cognitive impairment, complex motor tics, and obsessive-compulsive disorder.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCOASY protein-associated neurodegenerationCoPAN · NBIA6 · Neurodegeneration with brain iron accumulation due to COASY mutation
frNeurodégénérescence associée à la protéine COASYCoPAN · NBIA6 · Neurodégénérescence avec surcharge cérébrale en fer due à des mutations de COASY
deCOASY-Protein-assoziierte NeurodegenerationCoPAN · NBIA6 · Neurodegeneration mit Eisenspeicherung im Gehirn durch COASY-Genmutation
esNeurodegeneración asociada con la proteína COASYNBIA6 · Neurodegeneración con acumulación cerebral de hierro por una mutación en el gen COASY · CoPAN
itNeurodegenerazione associata alla proteina COASYCoPAN · NBIA6 · Neurodegenerazione con accumulo cerebrale di ferro da mutazione di COASY
nlCOASY-proteïnegeassocieerde neurodegeneratieCoPAN · NBIA6 · Neurodegeneratie met ijzerstapeling in de hersenen als gevolg van COASY-mutatie
ptNeurodegenerescência associada à proteína COASY
plNeurodegeneracja związana z białkiem COASYCoPAN · NBIA6 · Neurodegeneracja z magazynowaniem żelaza w mózgu z powodu mutacji COASY
csNeurodegenerace asociovaná COASY proteinemCoPAN · NBIA6 · Neurodegenerace s akumulací železa v mozku, způsobená mutacemi v genu COASY
ukCOASY протеїн-асоційована нейродегенераціяCoPAN · NBIA6 · Нейродегенерація з накопиченням заліза в мозку через мутацію COASY
zhCOASY蛋白相关神经退行性疾病COASY突变所致神经退行性变伴脑铁积聚
trCOASY protein-ilişkili nörodejenerasyonCoPAN · NBIA6 · COASY mutasyonuna bağlı beyin demir birikimi ile seyreden nörodejenerasyon

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615643Evalidated
ICD-10G23.0NTBTattributedvalidated
MONDO0014290Evalidated
UMLSC4517377Evalidated
GARD12571Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
COASYDisease-causing germline mutation(s) inAssessedHGNC:29932ENSG0000006812060985517q21.2Coenzyme A synthase24360804[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated24360804[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24360804[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.

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HPO phenotypes

13 annotations · validated 2017-11-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002339Abnormal caudate nucleus morphology
HP:0010994Abnormal corpus striatum morphology
HP:0002453Abnormal globus pallidus morphology
HP:0010663Abnormality of thalamus morphology
HP:0100543Cognitive impairment
HP:0000722Compulsive behaviors
HP:0001260Dysarthria
HP:0002454Eye of the tiger anomaly of globus pallidus
HP:0001288Gait disturbance
HP:0012048Oromandibular dystonia
HP:0001300Parkinsonism
HP:0003477Peripheral axonal neuropathy
HP:0002313Spastic paraparesis

Run the differential on the 12 obligate / very frequent terms

Annotation source: 23447832[PMID]

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Sources for this card