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A sclerozing bone disorder characterized by generalized skeletal densification, particularly of the cranial vault and tubular long bones, which is not associated to an increased risk of fracture.
Features include very common findings: Clavicular sclerosis, Torus palatinus, Abnormal rib morphology, and Abnormal cortical bone morphology and others; and common findings: Sclerotic vertebral body and Abnormal form of the vertebral bodies. 22 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 6 | Sclerotic vertebral body, Thickened cortex of long bones, Abnormal pelvic girdle bone morphology |
Head and neck | 3 | Mandibular prognathia, Craniofacial hyperostosis, Facial palsy |
Growth and development | 1 | Growth abnormality |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Eyes | 1 | Nystagmus |
LRP5 encodes LDL receptor related protein 5 (1,615 aa). Acts as a coreceptor with members of the frizzled family of seven-transmembrane spanning receptors to transduce signal by Wnt proteins. Highest expression in Artery Aorta (83.2 TPM) and Artery Tibial (67.8 TPM).
Autosomal dominant osteosclerosis, Worth type is associated with mutations in the LRP5 gene on chromosome 11.
The LRP5 protein participates in LRP5 D666_L809del, Signaling by LRP5 mutants, and Negative regulation of TCF-dependent signaling by WNT ligand antagonists pathways.
LRP5 is classified as a druggable target with score 0.0.
Genetic testing for LRP5 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 7 very common features, 2 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for autosomal dominant osteosclerosis, Worth type.
2 publications have been identified in PubMed for autosomal dominant osteosclerosis, Worth type. Research spans Review / Meta-Analysis (50%) and Case Report / Case Series (50%).
Beshay LH (2025). [PMID: 40585686](https://pubmed.ncbi.nlm.nih.gov/40585686/). *Cureus*. [Case Report / Case Series]
Ren N (2024). [PMID: 38625381](https://pubmed.ncbi.nlm.nih.gov/38625381/). *Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 9:02 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center