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Autosomal dominant limb-girdle muscular dystrophy type 1D (LGMD1D) is a subtype of autosomal dominant limb-girdle muscular dystrophy characterized by an adult-onset of slowly progressive, proximal pelvic girdle weakness, with none, or only minimal, shoulder girdle involvement, and absence of cardiac and respiratory symptoms. Mild to moderate elevated creatine kinase serum levels and gait abnormalities are frequently observed. LGMD1D is caused by heterozygous missense mutations in the DNAJB6 gene at chr. 7q36.3.
Features include always present findings: Decreased compound muscle action potential amplitude and Rimmed vacuoles; and very common findings: Generalized muscle weakness. 26 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 17 | Muscle fiber splitting, Flexion contracture, Difficulty climbing stairs |
Brain and nerves | 3 | Difficulty swallowing (dysphagia), Waddling gait, Dysarthria |
Bones and joints | 2 | Fatty replacement of skeletal muscle, Skeletal muscle fibrosis |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |
Head and neck | 1 | Facial palsy |
Lungs and breathing | 1 | Dyspnea |
DNAJB6 encodes DnaJ heat shock protein family (Hsp40) member B6 (326 aa). Has a stimulatory effect on the ATPase activity of HSP70 in a dose-dependent and time-dependent manner and hence acts as a co-chaperone of HSP70. Highest expression in Muscle Skeletal (53.8 TPM) and Artery Tibial (48.0 TPM).
Autosomal dominant limb-girdle muscular dystrophy type 1D (DNAJB6) is associated with mutations in the DNAJB6 gene on chromosome 7.
DNAJB6 is classified as a druggable target with score 0.0.
Genetic testing for DNAJB6 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features, 1 very common feature, 5 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for autosomal dominant limb-girdle muscular dystrophy type 1D (DNAJB6).
4 publications have been identified in PubMed for autosomal dominant limb-girdle muscular dystrophy type 1D (DNAJB6). Research spans Review / Meta-Analysis (25%), Basic Science / Preclinical (25%), and Epidemiology / Natural History (25%).
Hunn SM (2026). [PMID: 41962316](https://pubmed.ncbi.nlm.nih.gov/41962316/). *Neuromuscul Disord*. [Epidemiology / Natural History]
Politano L (2024). [PMID: 38791328](https://pubmed.ncbi.nlm.nih.gov/38791328/). *International journal of molecular sciences*. [Review / Meta-Analysis]
Findlay AR (2024). [PMID: 39501809](https://pubmed.ncbi.nlm.nih.gov/39501809/). *Disease models & mechanisms*. [Gene Therapy / Novel Therapeutics]
McKaige EA (2024). [PMID: 38621658](https://pubmed.ncbi.nlm.nih.gov/38621658/). *Human molecular genetics*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:35 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center