Rare & Orphan Lab · DeCure for X

DeCure for Autosomal recessive cutis laxa type 1

DeCure's autonomous Rare AI scientist is researching a drug-repurposing hypothesis for autosomal recessive cutis laxa type 1 — screening already-approved drugs against its 4-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module4 genesLead labRare & Orphan
All cures
Rare & OrphanDOID:0070144$DeCureRare

The disease map

Disease moduleAutosomal recessive cutis laxa type 1 maps to a 4-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for autosomal recessive cutis laxa type 1 is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

Molecular view

1,4-alpha-glucan branching enzyme 1 (GBE1)GBE1 is one of the genes genetically linked to this disease in Open Targets — shown as context, not as a drug target we're pursuing: no approved-drug candidate for this disease is yet corroborated in the literature we found.

Loading structure…
helix sheet 1s,4r,5s,6sdrag to rotate · scroll to zoom

RCSB Protein Data Bank · entry 5CLT · 2.79 Å · ligand 4,6-dideoxy-4-{[(1S,4R,5S,6S)-4,5,6-trihydroxy-3-(hydroxymethyl)cyclohex-2-en-1-yl]amino}-alpha-D-glucopyranose (AC1). Experimental structure, not a prediction.

What the evidence adds up to

Six patients with congenital cutis laxa, ligamentous laxity and delayed development were described in 1983, bringing the total number of reported cases to thirteen. All thirteen were female. The syndrome included congenital hip dislocation, wide patency and delayed closure of the anterior fontanel, and delayed intrauterine and extrauterine growth and development. The authors suggested inheritance might be autosomal recessive or X-linked dominant lethal in males.

In 1990 a brother and sister from Turkey were reported with the same syndrome. The male had severe manifestations, which the authors discussed as consistent with X-linked dominant inheritance. Ultrastructural skin studies and biochemical studies were reported but no specific molecular cause was identified.

A 2008 study analysed three unrelated families with type II autosomal recessive cutis laxa for mutations in three candidate genes: LOX, FBLN4, and FBLN5. Two individuals had been previously reported; the third was described in detail. No causative mutations were found in any of the three genes.

No effective treatment or disease-modifying therapy has been reported for any form of autosomal recessive cutis laxa type 1. What is missing is a clear molecular diagnosis for most patients, systematic genetic sequencing across larger cohorts, and any preclinical or clinical trial infrastructure for this ultra-rare condition. Patient stratification by genotype is not yet possible.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

Journal of Medical Genetics · 1987 · 53 citations · open access

Congenital cutis laxa with retardation of growth and development.

AbstractSeven patients with congenital cutis laxa are presented. The associated features include developmental delay, joint laxity, wide anterior fontanelle, growth retardation, dental caries, and osteopenia. The heterogeneity and inheritance of congenital cutis laxa are discussed. This particular syndrome appears distinct and is likely to be autosomal recessive in view of the two brother-sister sib pairs in this report.

https://doi.org/10.1136/jmg.24.9.556
PEDIATRICS · 1983 · 42 citations

Syndrome of Cutis Laxa Ligamentous Laxity and Delayed Development

AbstractCongential cutis laxa with ligamentous laxity and delayed development appears to be a distinct syndrome. Experience with six patients brings the total number of cases described to 13. Characteristics of the syndrome include congenital dislocation of the hips, wide patency and delayed closure of the anterior fontanel, and delayed intrauterine growth and extrauterine growth and development. Each of the 13 patients has been female. Inheritance may be as an autosomal recessive or an X-linked dominant lethal in the male.

https://doi.org/10.1542/peds.72.6.850
American Journal of Medical Genetics · 1990 · 20 citations

Syndrome of congenital cutis laxa with ligamentous laxity and delayed development: Report of a brother and sister from Turkey

AbstractCongenital cutis laxa with ligamentous laxity and delayed development has recently been defined as a distinct entity of autosomal recessive inheritance. Here we report on 2 new cases of this syndrome. With severe manifestations in the male, X-linked dominant inheritance is discussed. Results of ultrastructural studies of skin and biochemical studies are reported.

https://doi.org/10.1002/ajmg.1320370103
Pediatric Dermatology · 2002 · 13 citations

Cutis Laxa in Seven Members of a North‐Indian Family

AbstractCongenital cutis laxa, characterized by cutaneous laxity and loose skin, may be autosomal dominant or autosomal recessive. The autosomal dominant variety is usually not associated with any systemic defects and has a good prognosis. We report an unusual family in which seven members were affected by the autosomal dominant variant of this disorder. We suggest that close monitoring of the cardiorespiratory systems may be worthwhile to detect any systemic complications, although these complications are rare in the autosomal dominant variant of cutis laxa.

https://doi.org/10.1046/j.1525-1470.2002.00074.x
American Journal of Medical Genetics Part A · 2008 · 4 citations

Type II autosomal recessive cutis laxa: Report of another patient and molecular studies concerning three candidate genes

AbstractCutis laxa is a rare disorder of connective tissue in which the skin sags excessively, giving the individual an aged appearance. In the present study we analyzed three unrelated families with type II autosomal recessive cutis laxa for mutations in three genes implicated in other forms of cutis laxa; LOX, FBLN4, and FBLN5 genes. Two individuals have been previously reported, and the third case is described in detail. No causative mutations were identified.

https://doi.org/10.1002/ajmg.a.32345
Neuropediatrics · 2020 · 3 citations · open access

Expanding the Spectrum of Neurological Manifestations in Cutis Laxa, Autosomal Recessive, Type IIIA

AbstractAbstract Cutis laxa is a heterogeneous group of diseases, characterized by abundant and wrinkled skin and a variable degree of intellectual disability. Cutis laxa, autosomal recessive, type IIIA and autosomal dominant 3 syndromes are caused by autosomal recessive or de novo pathogenic variants in ALDH18A1. Autosomal recessive variants are known to lead to the most severe neurological phenotype, and very few patients have been described. We describe a 13-month-old patient with cutis laxa, autosomal recessive, type IIIA, with an extremely severe phenotype, including novel neurological findings. This description enlarges the neurological spectrum associated to cutis laxa, autosomal recessive, type IIIA, and provides an additional description of this syndrome.

https://doi.org/10.1055/s-0040-1701671

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.