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Dubin-Johnson syndrome (DJS) is a benign, inherited liver disorder characterized clinically by chronic, predominantly conjugated, hyperbilirubinemia and histopathologically by black-brown pigment deposition in parenchymal liver cells.
Features include very common findings: Conjugated hyperbilirubinemia, Biliary tract abnormality, Jaundice, and Abnormality of the liver and others; and common findings: Abnormal gastric mucosa morphology. 11 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 5 | Biliary tract abnormality, Jaundice, Abnormality of the liver |
ABCC2 encodes ATP binding cassette subfamily C member 2 (1,545 aa). ATP-dependent transporter of the ATP-binding cassette (ABC) family that binds and hydrolyzes ATP to enable active transport of various substrates including many drugs, toxicants and endogenous compound across cell membranes. Highest expression in Liver (60.1 TPM) and Kidney Cortex (7.5 TPM).
Dubin-Johnson syndrome is associated with mutations in the ABCC2 gene on chromosome 10.
The ABCC2 protein participates in ABCC2, ABCG2 tetramer, Defective ABCC2 causes DJS, and Paracetamol ADME pathways.
ABCC2 is classified as a druggable target (Abc Transporter, Cell Surface, Druggable Genome, and Transporter categories) with score 2.2.
66 pathogenic variants reported in ABCC2 in ClinVar, including hotspot variants LRG_1208p1:p.Arg1066Ter (2-star review) and LRG_1208p1:p.Arg768Trp (2-star review).
Genetic testing for ABCC2 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Dubin-Johnson syndrome has been reported in the published literature.
Phenotype severity distribution: 5 very common features, 1 common feature.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for Dubin-Johnson syndrome.
22 publications have been identified in PubMed for Dubin-Johnson syndrome. Research spans Case Report / Case Series (29%), Review / Meta-Analysis (19%), and Epidemiology / Natural History (19%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 6 | 29% |
Data assembled from 7 of 12 sources · Last updated Sep 18, 2026, 9:27 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Dubin-Johnson syndrome
Lab test results |
1 |
Conjugated hyperbilirubinemia |
Blood and immune system | 1 | Blood clotting problems (abnormality of coagulation) |
Metabolism | 1 | Fever |
Kidneys and urinary system | 1 | Abnormal urinary color |
Brain and nerves | 1 | Fatigue |
Variant
Significance |
|---|
Review Stars |
|---|
Hotspot |
|---|
LRG_1208p1:p.Arg1066Ter | Pathogenic/Likely pathogenic | 2 stars | Yes |
LRG_1208p1:p.Arg768Trp | Pathogenic/Likely pathogenic | 2 stars | Yes |
LRG_1208p1:p.Ile1173Phe | Pathogenic | 2 stars | Yes |
4 |
19% |
Disease patterns and progression | 4 | 19% |
Testing and diagnosis research | 3 | 14% |
Laboratory research | 3 | 14% |
New treatment approaches | 1 | 5% |
Stevenson CK (2026). [PMID: 41418635](https://pubmed.ncbi.nlm.nih.gov/41418635/). *Environ Int*. [Basic Science / Preclinical]
Zhao D (2026). [PMID: 41659993](https://pubmed.ncbi.nlm.nih.gov/41659993/). *J Clin Transl Hepatol*. [Review / Meta-Analysis]
Huynh Van T (2026). [PMID: 41871897](https://pubmed.ncbi.nlm.nih.gov/41871897/). *BMJ Case Rep*. [Case Report / Case Series]
Zheng S (2026). [PMID: 41659992](https://pubmed.ncbi.nlm.nih.gov/41659992/). *J Clin Transl Hepatol*. [Review / Meta-Analysis]
Sayin AZ (2026). [PMID: 41543361](https://pubmed.ncbi.nlm.nih.gov/41543361/). *CPT Pharmacometrics Syst Pharmacol*. [Epidemiology / Natural History]
Urbani G (2026). [PMID: 41622857](https://pubmed.ncbi.nlm.nih.gov/41622857/). *Scand J Gastroenterol*. [Case Report / Case Series]
Ajani T (2026). [PMID: 41873646](https://pubmed.ncbi.nlm.nih.gov/41873646/). *J Investig Med High Impact Case Rep*. [Case Report / Case Series]
Gao F (2026). [PMID: 42051946](https://pubmed.ncbi.nlm.nih.gov/42051946/). *Front Pediatr*. [Epidemiology / Natural History]
Wang M (2026). [PMID: 42140583](https://pubmed.ncbi.nlm.nih.gov/42140583/). *Clin Res Hepatol Gastroenterol*. [Epidemiology / Natural History]
Viñuela M (2025). [PMID: 40135020](https://pubmed.ncbi.nlm.nih.gov/40135020/). *Cureus*. [Case Report / Case Series]
AI-curated news mentioning Dubin-Johnson syndrome
Updated Aug 6, 2026
A case report highlights a rare diagnosis of Dubin-Johnson syndrome during pregnancy, contributing to the understanding of this genetic condition. This case underscores the importance of awareness and diagnosis in unique clinical scenarios.