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Congenital malabsorptive diarrhea due to paucity of enteroendocrine cells is an exceedingly rare genetic gastroenterological disease characterized by severe malabsorptive diarrhea and a lack of intestinal enteroendocrine cells. Within the first weeks of life, patients present with vomiting, dehydration, and severe diarrhea unresponsive to various nutrients and formulas, and require home parenteral nutrition. Diabetes mellitus has also been reported.
Features include: Diarrhea, Vomiting, Failure to thrive, and Hyperchloremic metabolic acidosis and 1 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 2 | Diarrhea, Vomiting |
Growth and development | 1 | Failure to thrive |
Metabolism | 1 | Hyperchloremic metabolic acidosis |
NEUROG3 encodes neurogenin 3 (214 aa). Is a transcriptional regulator involved in the control of enteroendocrine cell differentiation. Together with NKX2-2, initiates transcriptional activation of NEUROD1. Involved in neurogenesis. Highest expression in Brain Hippocampus (1.6 TPM) and Small Intestine Terminal Ileum (1.1 TPM).
Congenital malabsorptive diarrhea 4 is associated with mutations in the NEUROG3 gene on chromosome 10.
The NEUROG3 protein participates in HNF6-dependent synthesis of NEUROG3 protein during morphogenesis, NEUROG3-dependent synthesis of INSM1, and NEUROG3-dependent synthesis of NKX2-2 pathways.
NEUROG3 is classified as a druggable target (Transcription Factor category) with score 0.0.
Genetic testing for NEUROG3 is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for congenital malabsorptive diarrhea 4.
12 publications have been identified in PubMed for congenital malabsorptive diarrhea 4. Research spans Case Report / Case Series (42%), Review / Meta-Analysis (33%), and Basic Science / Preclinical (25%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 5 | 42% |
Research summaries | 4 | 33% |
Laboratory research | 3 | 25% |
Arsoy HA (2026). [PMID: 42160565](https://pubmed.ncbi.nlm.nih.gov/42160565/). *J Pak Med Assoc*. [Case Report / Case Series]
Vafadar M (2026). [PMID: 41572200](https://pubmed.ncbi.nlm.nih.gov/41572200/). *BMC pediatrics*. [Case Report / Case Series]
Goel M (2025). [PMID: 40981014](https://pubmed.ncbi.nlm.nih.gov/40981014/). *Pediatric reports*. [Case Report / Case Series]
Bowman DM (2025). [PMID: 39978676](https://pubmed.ncbi.nlm.nih.gov/39978676/). *The Journal of biological chemistry*. [Case Report / Case Series]
Guardiola-Arévalo A (2025). [PMID: 39799751](https://pubmed.ncbi.nlm.nih.gov/39799751/). *Atencion primaria*. [Review / Meta-Analysis]
Gaibee Z (2025). [PMID: 40174224](https://pubmed.ncbi.nlm.nih.gov/40174224/). *The New England journal of medicine*. [Basic Science / Preclinical]
Alsarhan A (2025). [PMID: 41357560](https://pubmed.ncbi.nlm.nih.gov/41357560/). *ACG case reports journal*. [Basic Science / Preclinical]
Lenti MV (2025). [PMID: 40129317](https://pubmed.ncbi.nlm.nih.gov/40129317/). *United European gastroenterology journal*. [Basic Science / Preclinical]
Rahman RK (2025). [PMID: 39621115](https://pubmed.ncbi.nlm.nih.gov/39621115/). *Pediatric nephrology (Berlin, Germany)*. [Case Report / Case Series]
Barbetti F (2024). [PMID: 39344692](https://pubmed.ncbi.nlm.nih.gov/39344692/). *Journal of diabetes investigation*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 4:31 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning congenital malabsorptive diarrhea 4
Updated Jul 16, 2009
Research reveals new transmission patterns of rotavirus, which could inform vaccine strategies to prevent future epidemics. This discovery has the potential for significant global health impact, particularly in reducing childhood diarrhea-related morbidity.