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A rare genetic hepatic disease characterized by low biliary phospholipid concentration with symptomatic and recurring cholelithiasis which develops before the age of 40 years.
Features include always present findings: Cholestasis, Cholelithiasis, Cholesterol gallstones, and Portal inflammation and others; and sometimes findings: Jaundice. 12 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 7 | Cholestasis, Liver scarring (fibrosis) (hepatic fibrosis), Cholelithiasis |
ABCB4 encodes ATP binding cassette subfamily B member 4 (1,286 aa). Energy-dependent phospholipid efflux translocator that acts as a positive regulator of biliary lipid secretion. Highest expression in Liver (28.7 TPM) and Adrenal Gland (6.1 TPM).
Gallbladder disease 1 is associated with mutations in the ABCB4 gene on chromosome 7.
The ABCB4 protein participates in ABCB4 V571Dfs*16 and Expression of ABCB4 pathways.
ABCB4 is classified as a druggable target (Abc Transporter, Druggable Genome, Enzyme, and Transporter categories) with score 0.9.
114 pathogenic variants reported in ABCB4 in ClinVar, including hotspot variants 909965 and NP_000434.1:p.Asn510Ser (2-star review).
Variant |
|---|
Genetic testing for ABCB4 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 always present features.
Estimated prevalence: Unknown (Unknown prevalence).
1 clinical trial registered. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
16 publications have been identified in PubMed for gallbladder disease 1. Research spans Epidemiology / Natural History (25%), Review / Meta-Analysis (19%), and Basic Science / Preclinical (19%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 4 | 25% |
Data assembled from 8 of 12 sources · Last updated Sep 20, 2026, 2:11 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Lab test results
2 |
Elevated circulating alkaline phosphatase concentration, Elevated circulating hepatic transaminase concentration |
Significance
Review Stars |
|---|
Hotspot |
|---|
909965 | Conflicting classifications of pathogenicity | — | Yes |
NP_000434.1:p.Asn510Ser | Pathogenic/Likely pathogenic | 2 stars | Yes |
NP_000434.1:p.Arg176Trp | Pathogenic/Likely pathogenic | 2 stars | Yes |
NP_000434.1:p.Ser320Phe | Pathogenic | 2 stars | Yes |
Research summaries |
3 |
19% |
Laboratory research | 3 | 19% |
Other research | 2 | 13% |
Patient case studies | 2 | 13% |
Clinical study results | 2 | 13% |
Qin Z (2026). [PMID: 42096369](https://pubmed.ncbi.nlm.nih.gov/42096369/). *Dig Dis*. [Epidemiology / Natural History]
Vargas Aignasse R (2025). [PMID: 40499451](https://pubmed.ncbi.nlm.nih.gov/40499451/). *Int J Surg Case Rep*. [Case Report / Case Series]
Correia SR (2025). [PMID: 39515607](https://pubmed.ncbi.nlm.nih.gov/39515607/). *Clin Res Hepatol Gastroenterol*. [Other]
Soret PA (2025). [PMID: 39782681](https://pubmed.ncbi.nlm.nih.gov/39782681/). *Curr Opin Gastroenterol*. [Review / Meta-Analysis]
Mingos N (2025). [PMID: 40900044](https://pubmed.ncbi.nlm.nih.gov/40900044/). *Gastrointest Endosc*. [Other]
Alrashdan FB (2025). [PMID: 41001167](https://pubmed.ncbi.nlm.nih.gov/41001167/). *Clin Case Rep*. [Case Report / Case Series]
Utsunomiya G (2025). [PMID: 40967782](https://pubmed.ncbi.nlm.nih.gov/40967782/). *J Vet Med Sci*. [Basic Science / Preclinical]
Bell EL (2025). [PMID: 40513781](https://pubmed.ncbi.nlm.nih.gov/40513781/). *J Lipid Res*. [Basic Science / Preclinical]
van Erpecum KJ (2025). [PMID: 40240189](https://pubmed.ncbi.nlm.nih.gov/40240189/). *Eur J Intern Med*. [Review / Meta-Analysis]
Losa A (2025). [PMID: 38986841](https://pubmed.ncbi.nlm.nih.gov/38986841/). *Gastroenterol Hepatol*. [Clinical Trial Publication]