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An X-linked malformation syndrome characterized by facial asymmetry (particularly orbital), body asymmetry, midline defects (hypertelorism, frontal bossing, broad grooved or bifid nasal tip, cleft lip and/or palate, high arched palate), skeletal anomalies (clavicle pseudoarthrosis, coronal craniosynostosis, various digital and limb anomalies including syndactyly, clinodactyly of the 5th finger, broad thumbs) and ectodermal dysplasias (dental anomalies, grooved nails, wiry hair). Contrary to most X-linked disorders, females are much more severely affected whereas males are asymptomatic or present with a mild phenotype, frequently only displaying hypertelorism.
Features include very common findings: Hypertelorism, Brachycephaly, Wide nasal bridge, and Frontal bossing and others; and common findings: Abnormality of the dentition, Low muscle tone (hypotonia), Ridged nail, and Sprengel anomaly and others. 70 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 8 | 3-4 finger cutaneous syndactyly, Toe syndactyly, Clinodactyly of the 5th finger |
EFNB1 encodes ephrin B1 (346 aa). Cell surface transmembrane ligand for Eph receptors, a family of receptor tyrosine kinases which are crucial for migration, repulsion and adhesion during neuronal, vascular and epithelial development. Highest expression in Nerve Tibial (92.0 TPM) and Skin Not Sun Exposed Suprapubic (90.4 TPM).
Craniofrontonasal syndrome is caused by mutations in the EFNB1 gene on chromosome X.
The EFNB1 protein participates in EFNBs bind SDCBP and EPHBs bind EFNBs pathways.
EFNB1 is classified as a druggable target (Cell Surface, Druggable Genome, and Kinase categories) with score 6.5.
Genetic testing for EFNB1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 8 very common features, 29 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for craniofrontonasal syndrome.
14 publications have been identified in PubMed for craniofrontonasal syndrome. Research spans Case Report / Case Series (50%), Basic Science / Preclinical (29%), and Epidemiology / Natural History (14%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 7 | 50% |
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 3:03 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Head and neck | 8 | Coronal craniosynostosis, Cleft palate, Cleft upper lip |
Skin | 4 | Split nail, Fragile nails, Ridged nail |
Brain and nerves | 3 | Intellectual disability, Global developmental delay, Depressed nasal ridge |
Muscles | 2 | Low muscle tone (hypotonia), Generalized hypotonia |
Bones and joints | 2 | Joint hypermobility, Sideways curvature of the spine (scoliosis) |
Pregnancy and birth | 2 | Congenital pseudoarthrosis of the clavicle, Congenital diaphragmatic hernia |
Growth and development | 1 | Short stature |
Eyes | 1 | Nystagmus |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Laboratory research
4 |
29% |
Disease patterns and progression | 2 | 14% |
Research summaries | 1 | 7% |
Assing DL (2026). [PMID: 42026842](https://pubmed.ncbi.nlm.nih.gov/42026842/). *Mol Genet Genomic Med*. [Case Report / Case Series]
Hu AC (2026). [PMID: 41609201](https://pubmed.ncbi.nlm.nih.gov/41609201/). *J Craniofac Surg*. [Case Report / Case Series]
Yang X (2025). [PMID: 40816004](https://pubmed.ncbi.nlm.nih.gov/40816004/). *Comput Biol Med*. [Case Report / Case Series]
Serra G (2025). [PMID: 41096135](https://pubmed.ncbi.nlm.nih.gov/41096135/). *J Clin Med*. [Case Report / Case Series]
Fragale M (2025). [PMID: 40358750](https://pubmed.ncbi.nlm.nih.gov/40358750/). *Childs Nerv Syst*. [Case Report / Case Series]
Li D (2025). [PMID: 40490530](https://pubmed.ncbi.nlm.nih.gov/40490530/). *Eur J Hum Genet*. [Basic Science / Preclinical]
Alshammasi R (2025). [PMID: 40202210](https://pubmed.ncbi.nlm.nih.gov/40202210/). *J Craniofac Surg*. [Epidemiology / Natural History]
Shen B (2025). [PMID: 41811039](https://pubmed.ncbi.nlm.nih.gov/41811039/). *Zhonghua Yi Xue Yi Chuan Xue Za Zhi*. [Case Report / Case Series]
Altunoglu U (2025). [PMID: 40094327](https://pubmed.ncbi.nlm.nih.gov/40094327/). *Turk Arch Pediatr*. [Basic Science / Preclinical]
Rostamzad P (2025). [PMID: 40500610](https://pubmed.ncbi.nlm.nih.gov/40500610/). *J Craniomaxillofac Surg*. [Epidemiology / Natural History]