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Gray platelet syndrome (GPS) is a rare inherited bleeding disorder characterized by macrothrombocytopenia, myelofibrosis, splenomegaly and typical gray appearance of platelets on Wright stained peripheral blood smear.
Features include: Menorrhagia, Abnormal bleeding tendency (abnormal bleeding), Prolonged bleeding time, and Abnormal number of alpha granules and 9 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 6 | Abnormal bleeding tendency (abnormal bleeding), Prolonged bleeding time, Impaired thrombin-induced platelet aggregation |
NBEAL2 encodes neurobeachin like 2 (2,754 aa). Probably involved in thrombopoiesis. Plays a role in the development or secretion of alpha-granules, that contain several growth factors important for platelet biogenesis Highest expression in Whole Blood (178.3 TPM) and Esophagus Mucosa (135.0 TPM).
Gray platelet syndrome is caused by mutations in the NBEAL2 gene on chromosome 3.
NBEAL2 is classified as a druggable target with score 0.0.
Genetic testing for NBEAL2 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for gray platelet syndrome has been reported in the published literature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for gray platelet syndrome.
17 publications have been identified in PubMed for gray platelet syndrome. Research spans Case Report / Case Series (41%), Review / Meta-Analysis (24%), and Basic Science / Preclinical (12%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 7 | 41% |
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 5:59 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Digestive system |
1 |
Enlarged spleen (splenomegaly) |
4 |
24% |
Laboratory research | 2 | 12% |
Other research | 1 | 6% |
Testing and diagnosis research | 1 | 6% |
Disease patterns and progression | 1 | 6% |
New treatment approaches | 1 | 6% |
Marquardt R (2026). [PMID: 41111259](https://pubmed.ncbi.nlm.nih.gov/41111259/). *Immunology*. [Basic Science / Preclinical]
Díaz-Ajenjo L (2026). [PMID: 41138802](https://pubmed.ncbi.nlm.nih.gov/41138802/). *Journal of thrombosis and haemostasis : JTH*. [Case Report / Case Series]
Hateley A (2026). [PMID: 41869922](https://pubmed.ncbi.nlm.nih.gov/41869922/). *Current opinion in hematology*. [Review / Meta-Analysis]
Alzeerelhouseini H (2026). [PMID: 41975115](https://pubmed.ncbi.nlm.nih.gov/41975115/). *Ann Hematol*. [Review / Meta-Analysis]
Broojerdi MH (2025). [PMID: 40651280](https://pubmed.ncbi.nlm.nih.gov/40651280/). *Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis*. [Gene Therapy / Novel Therapeutics]
Pradeep A (2025). [PMID: 41037102](https://pubmed.ncbi.nlm.nih.gov/41037102/). *Annals of hematology*. [Case Report / Case Series]
Boeckelmann D (2025). [PMID: 41092953](https://pubmed.ncbi.nlm.nih.gov/41092953/). *Hamostaseologie*. [Case Report / Case Series]
Khatib-Massalha E (2025). [PMID: 40373279](https://pubmed.ncbi.nlm.nih.gov/40373279/). *Blood*. [Basic Science / Preclinical]
Yao HHY (2025). [PMID: 39617187](https://pubmed.ncbi.nlm.nih.gov/39617187/). *Journal of thrombosis and haemostasis : JTH*. [Review / Meta-Analysis]
Greenmyer JR (2025). [PMID: 41312564](https://pubmed.ncbi.nlm.nih.gov/41312564/). *Platelets*. [Epidemiology / Natural History]