KEGG   DISEASE: Progressive familial intrahepatic cholestasis
Entry
H00624                      Disease                                
Name
Progressive familial intrahepatic cholestasis
Description
Progressive familial intrahepatic cholestasis (PFIC) is a heterogeneous group of rare, genetic autosomal recessive disorders characterized by unremitting cholestasis and progression to liver failure. The course of the disease involves portal hypertension, liver failure, cirrhosis, hepatocellular carcinoma along with several extra hepatic manifestations. The pathogenesis of PFIC revolves around defective bile acid synthesis, transport, and/or excretion.
Category
Inherited metabolic disorder
Brite
Human diseases in ICD-11 classification [BR:br08403]
 05 Endocrine, nutritional or metabolic diseases
  Metabolic disorders
   Inborn errors of metabolism
    5C52  Inborn errors of lipid metabolism
     H00624  Progressive familial intrahepatic cholestasis
    5C58  Inborn errors of porphyrin or heme metabolism
     H00624  Progressive familial intrahepatic cholestasis
Pathway-based classification of diseases [BR:br08402]
 Cellular process
  nt06541  Cytoskeleton in neurons
   H00624  Progressive familial intrahepatic cholestasis
  nt06546  IgSF CAM signaling
   H00624  Progressive familial intrahepatic cholestasis
Pathway
hsa04976  Bile secretion
hsa04979  Cholesterol metabolism
hsa04530  Tight junction
hsa04517  IGSF CAM signaling
Network
nt06541 Cytoskeleton in neurons
nt06546 IgSF CAM signaling
Gene
(PFIC1) ATP8B1 [HSA:5205] [KO:K01530]
(PFIC2) ABCB11 [HSA:8647] [KO:K05664]
(PFIC3) ABCB4 [HSA:5244] [KO:K05659]
(PFIC4) TJP2 [HSA:9414] [KO:K06098]
(PFIC5) NR1H4 [HSA:9971] [KO:K08537]
(PFIC6) SLC51A [HSA:200931] [KO:K14360]
(PFIC7) USP53 [HSA:54532] [KO:K27919]
(PFIC8) KIF12 [HSA:113220] [KO:K10399]
(PFIC9) ZFYVE19 [HSA:84936] [KO:K24778]
(PFIC10) MYO5B [HSA:4645] [KO:K10357]
(PFIC11) SEMA7A [HSA:8482] [KO:K06529]
(PFIC12) VPS33B [HSA:26276] [KO:K23281]
(PFIC13) PSKH1 [HSA:5681] [KO:K08808]
Drug
Maralixibat chloride [DR:D10952]
Odevixibat hydrate [DR:D13092]
Other DBs
ICD-11: 5C58.03 5C52.11
MeSH: D002780
OMIM: 211600 601847 602347 615878 617049 619484 619658 619662 619849 619868 619874 620010 620962
Reference
  Authors
Gaur K, Sakhuja P
  Title
Progressive familial intrahepatic cholestasis: A comprehensive review of a challenging liver disease.
  Journal
Indian J Pathol Microbiol 60:2-7 (2017)
DOI:10.4103/0377-4929.200040
Reference
  Authors
Amer S, Hajira A
  Title
A Comprehensive Review of Progressive Familial Intrahepatic Cholestasis (PFIC): Genetic Disorders of Hepatocanalicular Transporters.
  Journal
Gastroenterology Res 7:39-43 (2014)
DOI:10.14740/gr609e
Reference
PMID:9500542 (PFIC1)
  Authors
Bull LN, van Eijk MJ, Pawlikowska L, DeYoung JA, Juijn JA, Liao M, Klomp LW, Lomri N, Berger R, Scharschmidt BF, Knisely AS, Houwen RH, Freimer NB
  Title
A gene encoding a P-type ATPase mutated in two forms of hereditary cholestasis.
  Journal
Nat Genet 18:219-24 (1998)
DOI:10.1038/ng0398-219
Reference
PMID:9806540 (PFIC2)
  Authors
Strautnieks SS, Bull LN, Knisely AS, Kocoshis SA, Dahl N, Arnell H, Sokal E, Dahan K, Childs S, Ling V, Tanner MS, Kagalwalla AF, Nemeth A, Pawlowska J, Baker A, Mieli-Vergani G, Freimer NB, Gardiner RM, Thompson RJ
  Title
A gene encoding a liver-specific ABC transporter is mutated in progressive familial intrahepatic cholestasis.
  Journal
Nat Genet 20:233-8 (1998)
DOI:10.1038/3034
Reference
PMID:9419367 (PFIC3)
  Authors
de Vree JM, Jacquemin E, Sturm E, Cresteil D, Bosma PJ, Aten J, Deleuze JF, Desrochers M, Burdelski M, Bernard O, Oude Elferink RP, Hadchouel M
  Title
Mutations in the MDR3 gene cause progressive familial intrahepatic cholestasis.
  Journal
Proc Natl Acad Sci U S A 95:282-7 (1998)
DOI:10.1073/pnas.95.1.282
Reference
PMID:24614073 (PFIC4)
  Authors
Sambrotta M, Strautnieks S, Papouli E, Rushton P, Clark BE, Parry DA, Logan CV, Newbury LJ, Kamath BM, Ling S, Grammatikopoulos T, Wagner BE, Magee JC, Sokol RJ, Mieli-Vergani G, Smith JD, Johnson CA, McClean P, Simpson MA, Knisely AS, Bull LN, Thompson RJ
  Title
Mutations in TJP2 cause progressive cholestatic liver disease.
  Journal
Nat Genet 46:326-8 (2014)
DOI:10.1038/ng.2918
Reference
PMID:26888176 (PFIC5)
  Authors
Gomez-Ospina N, Potter CJ, Xiao R, Manickam K, Kim MS, Kim KH, Shneider BL, Picarsic JL, Jacobson TA, Zhang J, He W, Liu P, Knisely AS, Finegold MJ, Muzny DM, Boerwinkle E, Lupski JR, Plon SE, Gibbs RA, Eng CM, Yang Y, Washington GC, Porteus MH, Berquist WE, Kambham N, Singh RJ, Xia F, Enns GM, Moore DD
  Title
Mutations in the nuclear bile acid receptor FXR cause progressive familial intrahepatic cholestasis.
  Journal
Nat Commun 7:10713 (2016)
DOI:10.1038/ncomms10713
Reference
PMID:31863603 (PFIC6)
  Authors
Gao E, Cheema H, Waheed N, Mushtaq I, Erden N, Nelson-Williams C, Jain D, Soroka CJ, Boyer JL, Khalil Y, Clayton PT, Mistry PK, Lifton RP, Vilarinho S
  Title
Organic Solute Transporter Alpha Deficiency: A Disorder With Cholestasis, Liver Fibrosis, and Congenital Diarrhea.
  Journal
Hepatology 71:1879-1882 (2020)
DOI:10.1002/hep.31087
Reference
PMID:32124521 (PFIC7)
  Authors
Zhang J, Yang Y, Gong JY, Li LT, Li JQ, Zhang MH, Lu Y, Xie XB, Hong YR, Yu Z, Knisely AS, Wang JS
  Title
Low-GGT intrahepatic cholestasis associated with biallelic USP53 variants: Clinical, histological and ultrastructural characterization.
  Journal
Liver Int 40:1142-1150 (2020)
DOI:10.1111/liv.14422
Reference
PMID:34555379 (PFIC8)
  Authors
Stalke A, Sgodda M, Cantz T, Skawran B, Lainka E, Hartleben B, Baumann U, Pfister ED
  Title
KIF12 Variants and Disturbed Hepatocyte Polarity in Children with a Phenotypic Spectrum of Cholestatic Liver Disease.
  Journal
J Pediatr 240:284-291.e9 (2022)
DOI:10.1016/j.jpeds.2021.09.019
Reference
PMID:32737136 (PFIC9)
  Authors
Luan W, Hao CZ, Li JQ, Wei Q, Gong JY, Qiu YL, Lu Y, Shen CH, Xia Q, Xie XB, Zhang MH, Abuduxikuer K, Li ZD, Wang L, Xing QH, Knisely AS, Wang JS
  Title
Biallelic loss-of-function ZFYVE19 mutations are associated with congenital hepatic fibrosis, sclerosing cholangiopathy and high-GGT cholestasis.
  Journal
J Med Genet 58:514-525 (2021)
DOI:10.1136/jmedgenet-2019-106706
Reference
PMID:27532546 (PFIC10)
  Authors
Gonzales E, Taylor SA, Davit-Spraul A, Thebaut A, Thomassin N, Guettier C, Whitington PF, Jacquemin E
  Title
MYO5B mutations cause cholestasis with normal serum gamma-glutamyl transferase activity in children without microvillous inclusion disease.
  Journal
Hepatology 65:164-173 (2017)
DOI:10.1002/hep.28779
Reference
PMID:34585848 (PFIC11)
  Authors
Pan Q, Luo G, Qu J, Chen S, Zhang X, Zhao N, Ding J, Yang H, Li M, Li L, Cheng Y, Li X, Xie Q, Li Q, Zhou X, Zou H, Fan S, Zou L, Liu W, Deng G, Cai SY, Boyer JL, Chai J
  Title
A homozygous R148W mutation in Semaphorin 7A causes progressive familial intrahepatic cholestasis.
  Journal
EMBO Mol Med 13:e14563 (2021)
DOI:10.15252/emmm.202114563
Reference
PMID:31479177 (PFIC12)
  Authors
Qiu YL, Liu T, Abuduxikuer K, Hao CZ, Gong JY, Zhang MH, Li LT, Yan YY, Li JQ, Wang JS
  Title
Novel missense mutation in VPS33B is associated with isolated low gamma-glutamyltransferase cholestasis: Attenuated, incomplete phenotype of  arthrogryposis, renal dysfunction, and cholestasis syndrome.
  Journal
Hum Mutat 40:2247-2257 (2019)
DOI:10.1002/humu.23770
Reference
PMID:39132680 (PFIC13)
  Authors
Maddirevula S, Shagrani M, Ji AR, Horne CR, Young SN, Mather LJ, Alqahtani M, McKerlie C, Wood G, Potter PK, Abdulwahab F, AlSheddi T, van der Woerd WL, van Gassen KLI, AlBogami D, Kumar K, Muhammad Akhtar AS, Binomar H, Almanea H, Faqeih E, Fuchs SA, Scott JW, Murphy JM, Alkuraya FS
  Title
Large-scale genomic investigation of pediatric cholestasis reveals a novel hepatorenal ciliopathy caused by PSKH1 mutations.
  Journal
Genet Med 26:101231 (2024)
DOI:10.1016/j.gim.2024.101231
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KEGG   DISEASE: Congenital diarrhea
Entry
H01174                      Disease                                
Name
Congenital diarrhea
  Subgroup
Congenital chloride diarrhea (DIAR1)
Microvillus inclusion disease (MVID)
Congenital sodium diarrhea (DIAR3)
Congenital malabsorptive diarrhea (DIAR4)
Congenital tufting enteropathy (DIAR5)
Description
Congenital diarrheas are a group of rare chronic enteropathies characterized by a heterogeneous etiology. In the first weeks of life, patients usually present with severe diarrhea that within a few hours leads to a life-threatening condition secondary to massive dehydration and metabolic acidosis.
Category
Digestive system disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 19 Certain conditions originating in the perinatal period
  Digestive system disorders of fetus or newborn
   KB8C  Noninfectious neonatal diarrhoea
    H01174  Congenital diarrhea
Pathway-based classification of diseases [BR:br08402]
 Cellular process
  nt06541  Cytoskeleton in neurons
   H01174  Congenital diarrhea
Pathway
hsa04978  Mineral absorption
Network
nt06541 Cytoskeleton in neurons
Gene
(DIAR1) SLC26A3 [HSA:1811] [KO:K14078]
(DIAR2/MVID1) MYO5B [HSA:4645] [KO:K10357]
(DIAR3) SPINT2 [HSA:10653] [KO:K23421]
(DIAR4) NEUROG3 [HSA:50674] [KO:K08028]
(DIAR5) EPCAM [HSA:4072] [KO:K06737]
(DIAR6) GUCY2C [HSA:2984] [KO:K12320]
(DIAR7) DGAT1 [HSA:8694] [KO:K11155]
(DIAR8) SLC9A3 [HSA:6550] [KO:K12040]
(DIAR9) WNT2B [HSA:7482] [KO:K00182]
(DIAR10) PLVAP [HSA:83483] [KO:K17309]
(DIAR11) PERCC1 [HSA:105371045] [KO:K28457]
(DIAR12/MVID2) STX3 [HSA:6809] [KO:K08486]
(DIAR13) ACSL5 [HSA:51703] [KO:K01897]
(DIAR14) GRWD1 [HSA:83743] [KO:K14848]
(DIAR15) MYO1A [HSA:4640] [KO:K10356]
Other DBs
ICD-11: KB8C
MeSH: C536210 C537470 C562576
OMIM: 214700 251850 270420 610370 613217 614616 615863 616868 618168 618183 618662 619445 620357 621160 621179
Reference
  Authors
Berni Canani R, Terrin G, Cardillo G, Tomaiuolo R, Castaldo G
  Title
Congenital diarrheal disorders: improved understanding of gene defects is leading to advances in intestinal physiology and clinical management.
  Journal
J Pediatr Gastroenterol Nutr 50:360-6 (2010)
DOI:10.1097/MPG.0b013e3181d135ef
Reference
PMID:21199752 (DIAR1-5)
  Authors
Chen CP, Chiang MC, Wang TH, Hsueh C, Chang SD, Tsai FJ, Wang CN, Chern SR, Wang W
  Title
Microvillus inclusion disease: prenatal ultrasound findings, molecular diagnosis and genetic counseling of congenital diarrhea.
  Journal
Taiwan J Obstet Gynecol 49:487-94 (2010)
DOI:10.1016/S1028-4559(10)60102-7
Reference
PMID:22436048 (DIAR6)
  Authors
Fiskerstrand T, Arshad N, Haukanes BI, Tronstad RR, Pham KD, Johansson S, Havik B, Tonder SL, Levy SE, Brackman D, Boman H, Biswas KH, Apold J, Hovdenak N, Visweswariah SS, Knappskog PM
  Title
Familial diarrhea syndrome caused by an activating GUCY2C mutation.
  Journal
N Engl J Med 366:1586-95 (2012)
DOI:10.1056/NEJMoa1110132
Reference
PMID:23114594 (DIAR7)
  Authors
Haas JT, Winter HS, Lim E, Kirby A, Blumenstiel B, DeFelice M, Gabriel S, Jalas C, Branski D, Grueter CA, Toporovski MS, Walther TC, Daly MJ, Farese RV Jr
  Title
DGAT1 mutation is linked to a congenital diarrheal disorder.
  Journal
J Clin Invest 122:4680-4 (2012)
DOI:10.1172/JCI64873
Reference
PMID:26358773 (DIAR8)
  Authors
Janecke AR, Heinz-Erian P, Yin J, Petersen BS, Franke A, Lechner S, Fuchs I, Melancon S, Uhlig HH, Travis S, Marinier E, Perisic V, Ristic N, Gerner P, Booth IW, Wedenoja S, Baumgartner N, Vodopiutz J, Frechette-Duval MC, De Lafollie J, Persad R, Warner N, Tse CM, Sud K, Zachos NC, Sarker R, Zhu X, Muise AM, Zimmer KP, Witt H, Zoller H, Donowitz M, Muller T
  Title
Reduced sodium/proton exchanger NHE3 activity causes congenital sodium diarrhea.
  Journal
Hum Mol Genet 24:6614-23 (2015)
DOI:10.1093/hmg/ddv367
Reference
PMID:29909964 (DIAR9)
  Authors
O'Connell AE, Zhou F, Shah MS, Murphy Q, Rickner H, Kelsen J, Boyle J, Doyle JJ, Gangwani B, Thiagarajah JR, Kamin DS, Goldsmith JD, Richmond C, Breault DT, Agrawal PB
  Title
Neonatal-Onset Chronic Diarrhea Caused by Homozygous Nonsense WNT2B Mutations.
  Journal
Am J Hum Genet 103:131-137 (2018)
DOI:10.1016/j.ajhg.2018.05.007
Reference
PMID:26207260 (DIAR10)
  Authors
Elkadri A, Thoeni C, Deharvengt SJ, Murchie R, Guo C, Stavropoulos JD, Marshall CR, Wales P, Bandsma R, Cutz E, Roifman CM, Chitayat D, Avitzur Y, Stan RV, Muise AM
  Title
Mutations in Plasmalemma Vesicle Associated Protein Result in Sieving Protein-Losing Enteropathy Characterized by Hypoproteinemia, Hypoalbuminemia, and Hypertriglyceridemia.
  Journal
Cell Mol Gastroenterol Hepatol 1:381-394.e7 (2015)
DOI:10.1016/j.jcmgh.2015.05.001
Reference
PMID:31217582 (DIAR11)
  Authors
Oz-Levi D, Olender T, Bar-Joseph I, Zhu Y, Marek-Yagel D, Barozzi I, Osterwalder M, Alkelai A, Ruzzo EK, Han Y, Vos ESM, Reznik-Wolf H, Hartman C, Shamir R, Weiss B, Shapiro R, Pode-Shakked B, Tatarskyy P, Milgrom R, Schvimer M, Barshack I, Imai DM, Coleman-Derr D, Dickel DE, Nord AS, Afzal V, van Bueren KL, Barnes RM, Black BL, Mayhew CN, Kuhar MF, Pitstick A, Tekman M, Stanescu HC, Wells JM, Kleta R, de Laat W, Goldstein DB, Pras E, Visel A, Lancet D, Anikster Y, Pennacchio LA
  Title
Noncoding deletions reveal a gene that is critical for intestinal function.
  Journal
Nature 571:107-111 (2019)
DOI:10.1038/s41586-019-1312-2
Reference
PMID:24726755 (DIAR12)
  Authors
Wiegerinck CL, Janecke AR, Schneeberger K, Vogel GF, van Haaften-Visser DY, Escher JC, Adam R, Thoni CE, Pfaller K, Jordan AJ, Weis CA, Nijman IJ, Monroe GR, van Hasselt PM, Cutz E, Klumperman J, Clevers H, Nieuwenhuis EE, Houwen RH, van Haaften G, Hess MW, Huber LA, Stapelbroek JM, Muller T, Middendorp S
  Title
Loss of syntaxin 3 causes variant microvillus inclusion disease.
  Journal
Gastroenterology 147:65-68.e10 (2014)
DOI:10.1053/j.gastro.2014.04.002
Reference
PMID:33191500 (DIAR13)
  Authors
Al-Thihli K, Afting C, Al-Hashmi N, Mohammed M, Sliwinski S, Al Shibli N, Al-Said K, Al-Kasbi G, Al-Kharusi K, Merle U, Fullekrug J, Al-Maawali A
  Title
Deficiency of acyl-CoA synthetase 5 is associated with a severe and treatable failure to thrive of neonatal onset.
  Journal
Clin Genet 99:376-383 (2021)
DOI:10.1111/cge.13883
Reference
PMID:40174224 (DIAR14 DIAR15)
  Authors
Gaibee Z, Warner N, Bugda Gwilt K, Li W, Guan R, Yourshaw M, Whittaker Hawkins R, Zorbas C, St-Germain J, Tabatabaie M, Mao S, Pinsk V, Yerushalmi B, Wang LK, Nelson SF, Wozniak L, Shouval DS, Matar M, Assa A, Frost N, Jimenez L, Acra S, Walters T, Mouat S, Li M, Lafontaine DLJ, Tyska M, Raught B, Avitzur Y, Lencer WI, Goldenring JR, Martin MG, Thiagarajah JR, Muise AM
  Title
The Genetic Architecture of Congenital Diarrhea and Enteropathy.
  Journal
N Engl J Med 392:1297-1309 (2025)
DOI:10.1056/NEJMoa2405333
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