About The Disease

What Is a Pathogenic Gene Mutation?

What Is a Pathogenic Gene Mutation?

What Is a Pathogenic Gene Mutation?

What Does SAMD9 or SAMD9L Normally Do?

What Does SAMD9 or SAMD9L Normally Do?

What Does SAMD9 or SAMD9L Normally Do?

What health disruptions are caused by a mutation in SAMD9/L?

What health disruptions are caused by a mutation in SAMD9/L?

What health disruptions are caused by a mutation in SAMD9/L?

What is MIRAGE Syndrome?

What is MIRAGE Syndrome?

What is MIRAGE Syndrome?

What Is Ataxia-Pancytopenia Syndrome (ATXPC)?

What Is Ataxia-Pancytopenia Syndrome (ATXPC)?

What Is Ataxia-Pancytopenia Syndrome (ATXPC)?

How Are SAMD9/L Mutations or ATXPC/MIRAGE Diagnosed?

How Are SAMD9/L Mutations or ATXPC/MIRAGE Diagnosed?

How Are SAMD9/L Mutations or ATXPC/MIRAGE Diagnosed?

Common Health Issues Linked to SAMD9L Mutations

Common Health Issues Linked to SAMD9L Mutations

Common Health Issues Linked to SAMD9L Mutations

History & Research

ATXPC was first described clinically in 1978 and linked to SAMD9/L mutations in 2016. Since then, researchers have made progress understanding the underlying biology, including:

How SAMD9/L mutations interfere with protein translation

Disruption of growth and immune pathways (e.g., interferon signaling)

Mechanisms of spontaneous mutation correction and chromosomal loss, as in ‘Monosomy 7’

Treatment & Hope

There’s no approved treatment yet for SAMD9 or SAMD9L mutations. But there are reasons to hope:

Bone Marrow Transplant can cure Bone Marrow Failure syndromes

Emerging research from medicines that can reduce the hyper-inflammatory and growth-reducing genetic  expression of SAMD9/L mutations directly through tools like antisense oligonucleotides (ASOs) already exist. Advancements in editing of the genetic code itself in the case of gene mutations is progressing rapidly. 

While these therapies are developing, as a rare disease it will take patient activism, advocacy, and awareness from SAMD9/L patients as well as community and philanthropic engagement in order to ensure that we receive the attention needed to get these therapeutics to the finish line. 

In the meantime patients need to rely on a team of specialist providers to manage symptoms. Not everyone born with a mutation will become sick, but those who do often need extensive support.

Learn More

Explore the Research section for accessible summaries of key scientific publications. Visit our Resources page for further reading and support groups.

You’re not alone—connect with other patients and caregivers through our SAMD9 and SAMD9L Facebook communities.

Copyright © 2025 The SAMD9L Foundation

Copyright © 2025 The SAMD9L Foundation

Copyright © 2025 The SAMD9L Foundation