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Congenital adrenal hyperplasia due to 11 beta-hydroxylase (CYP11B1) deficiency is a rare form of congenital adrenal hyperplasia (CAH) characterized by glucocorticoid deficiency, hyperandrogenism, hypertension and virilization in females.
Features include always present findings: Elevated serum 11-deoxycortisol and Decreased circulating aldosterone concentration; and very common findings: Decreased circulating renin concentration, Increased circulating androstenedione concentration, Hypertension, and Hypokalemia and others. 40 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Hormones | 6 | Precocious puberty in males, Congenital adrenal hyperplasia, Decreased circulating cortisol level |
Lab test results | 5 | Increased circulating androstenedione concentration, Elevated serum 11-deoxycortisol, Decreased circulating cortisol level |
Growth and development | 2 | Short stature, Growth abnormality |
Heart and blood vessels | 2 | Hypertension, Intracranial hemorrhage |
Skin | 2 | Hyperpigmentation of the skin, Alopecia |
Kidneys and urinary system | 2 | Increased urinary 11-deoxycorticosterone level, Renal salt wasting |
Pregnancy and birth | 1 | Congenital adrenal hyperplasia |
Bones and joints | 1 | Accelerated skeletal maturation |
Muscles | 1 | Renal salt wasting |
CYP11B1 encodes cytochrome P450 family 11 subfamily B member 1 (503 aa). A cytochrome P450 monooxygenase involved in the biosynthesis of adrenal corticoids. Highest expression in Adrenal Gland (4,787 TPM) and Testis (6.4 TPM).
Congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiency is associated with mutations in the CYP11B1 gene on chromosome 8.
The CYP11B1 protein participates in Cytochrome P450 (CYP11B1 based), CYP11B1 oxidises 11DCORT, and Defective CYP11B1 does not oxidise 11DCORT pathways.
CYP11B1 is classified as a druggable target (Cytochrome P450, Druggable Genome, and Enzyme categories) with score 8.7.
Genetic testing for CYP11B1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiency has been reported in the published literature.
Phenotype severity distribution: 2 always present features, 11 very common features, 15 common features.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
No clinical trials have been registered for congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiency.
16 publications have been identified in PubMed for congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiency. Research spans Case Report / Case Series (44%), Epidemiology / Natural History (19%), and Clinical Trial Publication (13%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 7 | 44% |
Disease patterns and progression | 3 | 19% |
Clinical study results | 2 | 13% |
Laboratory research | 2 | 13% |
Testing and diagnosis research | 1 | 6% |
Research summaries | 1 | 6% |
Janot C (2026). [PMID: 40827356](https://pubmed.ncbi.nlm.nih.gov/40827356/). *The Journal of clinical endocrinology and metabolism*. [Clinical Trial Publication]
Mercado Santis E (2025). [PMID: 39952853](https://pubmed.ncbi.nlm.nih.gov/39952853/). *Anales de pediatria*. [Clinical Trial Publication]
Lin M (2025). [PMID: 39863566](https://pubmed.ncbi.nlm.nih.gov/39863566/). *Zhonghua nei ke za zhi*. [Epidemiology / Natural History]
Janot C (2025). [PMID: 40819900](https://pubmed.ncbi.nlm.nih.gov/40819900/). *Journal of medical genetics*. [Case Report / Case Series]
Machineni P (2025). [PMID: 41234966](https://pubmed.ncbi.nlm.nih.gov/41234966/). *Cureus*. [Case Report / Case Series]
Mazzeo P (2025). [PMID: 40255231](https://pubmed.ncbi.nlm.nih.gov/40255231/). *Case reports in endocrinology*. [Case Report / Case Series]
Kelestemur E (2025). [PMID: 40296768](https://pubmed.ncbi.nlm.nih.gov/40296768/). *European journal of endocrinology*. [Case Report / Case Series]
Larasati IA (2025). [PMID: 41134091](https://pubmed.ncbi.nlm.nih.gov/41134091/). *Journal of clinical research in pediatric endocrinology*. [Epidemiology / Natural History]
İsakoca M (2025). [PMID: 39713884](https://pubmed.ncbi.nlm.nih.gov/39713884/). *Journal of clinical research in pediatric endocrinology*. [Review / Meta-Analysis]
Liu J (2024). [PMID: 39402525](https://pubmed.ncbi.nlm.nih.gov/39402525/). *BMC endocrine disorders*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 1:07 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center