Why people with Down syndrome have a higher risk of Hirschsprung disease

Why do Down Syndrome patients have high risk of Hirschsprung disease?

NIH-funded research New York University School of Medicine · NIH-11370388

Researchers are looking at genes on chromosome 21 and a gut-nerve gene called RET to understand why Hirschsprung disease happens more often in people with Down syndrome.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionNew York University School of Medicine NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11370388 on NIH RePORTER

What this research studies

This project will look into the genetic reasons why people with Down syndrome have a higher chance of Hirschsprung disease. Researchers will compare DNA from people with Down syndrome who do and do not have Hirschsprung disease and focus on a RET gene enhancer and chromosome 21 genes such as SOD1. They will also use stem cells made from patient cells (iPSCs) and mouse models with extra copies of chromosome 21 genes to see how these genes affect nerve-cell development in the colon. The aim is to connect specific gene changes and gene-dosage effects to the missing nerve cells that cause Hirschsprung disease.

Who could benefit from this research

Good fit: People with Down syndrome, especially those with or without a history of Hirschsprung disease who can provide DNA or blood samples, would be the ideal candidates.

Not a fit: People without Down syndrome or those seeking immediate medical treatment for Hirschsprung disease are unlikely to receive direct clinical benefit from participating in this research.

Why it matters

Potential benefit: If successful, this work could help identify children with Down syndrome who are at higher risk and point to new targets for prevention or treatment of Hirschsprung disease.

How similar studies have performed: Previous studies have linked RET enhancer variants to non-syndromic Hirschsprung disease and suggested gene-dosage effects, but combining human genetics, patient-derived stem cells, and mouse models in this way is relatively novel.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.