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A life-threatening multiorgan disorder which develops in the first months of life, presenting with respiratory distress and proteinuria in the nephrotic range, and leading to severe interstitial lung disease and renal failure. Some patients additionally display cutaneous alterations, ranging from blistering and skin erosions to an epidermolysis bullosa-like phenotype, with toe nail dystrophy and sparse hair.
Features include always present findings: Nephrotic syndrome, Sparse eyebrow, Onycholysis, and Sparse eyelashes and others; and common findings: Abnormal lung tissue (abnormal pulmonary interstitial morphology) and Recurrent respiratory infections. 31 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Kidneys and urinary system | 6 | Nephrotic syndrome, Reduced kidney function (renal insufficiency), Focal segmental glomerulosclerosis |
Lungs and breathing | 5 | Respiratory acidosis, Abnormal lung tissue (abnormal pulmonary interstitial morphology), Respiratory distress |
Skin | 4 | Fragile skin, Erythema, Abnormal blistering of the skin |
Muscles | 2 | Low muscle tone (hypotonia), Renal tubular atrophy |
Head and neck | 2 | Round face, Microcephaly |
Blood and immune system | 1 | Recurrent respiratory infections |
Pregnancy and birth | 1 | Neonatal respiratory distress |
Age of onset: at birth.
ITGA3 encodes integrin subunit alpha 3 (1,051 aa). Integrin alpha-3/beta-1 is a receptor for fibronectin, laminin, collagen, epiligrin, thrombospondin and CSPG4. Highest expression in Artery Tibial (186.8 TPM) and Artery Aorta (178.4 TPM).
Epidermolysis bullosa, junctional 7, with interstitial lung disease and nephrotic syndrome is caused by mutations in the ITGA3 gene on chromosome 17.
ITGA3 is classified as a druggable target (Cell Surface, Druggable Genome, and External Side Of Plasma Membrane categories) with score 0.0.
Genetic testing for ITGA3 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 9 always present features, 2 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for epidermolysis bullosa, junctional 7, with interstitial lung disease and nephrotic syndrome.
3 publications have been identified in PubMed for epidermolysis bullosa, junctional 7, with interstitial lung disease and nephrotic syndrome. Research spans Basic Science / Preclinical (67%) and Epidemiology / Natural History (33%).
Chateau A (2025). [PMID: 40369731](https://pubmed.ncbi.nlm.nih.gov/40369731/). *International journal of dermatology*. [Epidemiology / Natural History]
Xuan W (2025). [PMID: 40945909](https://pubmed.ncbi.nlm.nih.gov/40945909/). *The American journal of pathology*. [Basic Science / Preclinical]
Dermitzakis I (2024). [PMID: 39194704](https://pubmed.ncbi.nlm.nih.gov/39194704/). *Current issues in molecular biology*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 11:36 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center