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A very rare lethal skeletal dysplasia characterized by fetal hydrops, short limbs and abnormal chondro-osseous calcification. The disease is characterized by early in utero lethality and affected fetuses are considered as nonviable.
Features include always present findings: Abnormal lung lobation, Thoracic hypoplasia, Hypoplasia of the calcaneus, and Short metacarpal and others; and very common findings: Micromelia, Severe short-limb dwarfism, Anterior rib punctate calcifications, and Platyspondyly and others. 84 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 16 | Bone marrow hypocellularity, Fractured rib, Multiple prenatal fractures |
Arms and legs | 8 | Short finger, Severe short-limb dwarfism, Aplasia of distal finger phalanx |
Digestive system | 4 | Enlarged liver (hepatomegaly), Hepatic calcification, Pancreatic islet-cell hyperplasia |
Pregnancy and birth | 3 | Nonimmune hydrops fetalis, Echogenic fetal bowel, Hydrops fetalis |
Lungs and breathing | 2 | Abnormal lung lobation, Pulmonary hypoplasia |
Growth and development | 2 | Severe short-limb dwarfism, Disproportionate short-limb short stature |
Head and neck | 2 | Hypoplasia of the maxilla, Macrocephaly |
Brain and nerves | 2 | Depressed nasal ridge, Depressed nasal bridge |
Skin | 1 | Lymphedema |
Blood and immune system | 1 | Abnormal leukocyte morphology |
Age of onset: before birth.
LBR encodes lamin B receptor (615 aa). Catalyzes the reduction of the C14-unsaturated bond of lanosterol, as part of the metabolic pathway leading to cholesterol biosynthesis. Highest expression in Colon Sigmoid (89.3 TPM) and Cells EBV-transformed lymphocytes (88.9 TPM).
Greenberg dysplasia has been associated with mutations in the LBR gene on chromosome 1.
The LBR protein participates in 4,4-dimethylcholesta-8(9),14,24-trien-3beta-ol is reduced to 4,4-dimethylcholesta-8(9),24-dien-3beta-ol [LBR], 4,4-dimethylcholesta-8(9),14,24-trien-3beta-ol is reduced to 4,4-dimethylcholesta-8(9),24-dien-3beta-ol [TM7SF2], and RHOC activates endoplasmic reticulum effectors pathways.
LBR is classified as a druggable target with score 0.0.
Genetic testing for LBR is available. Testing is considered supportive for diagnosis.
Phenotype severity distribution: 22 always present features, 18 very common features, 28 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Greenberg dysplasia.
5 publications have been identified in PubMed for Greenberg dysplasia. Research spans Review / Meta-Analysis (40%), Basic Science / Preclinical (40%), and Case Report / Case Series (20%).
Yin J (2025). [PMID: 40980134](https://pubmed.ncbi.nlm.nih.gov/40980134/). *Frontiers in pediatrics*. [Case Report / Case Series]
Merchant N (2025). [PMID: 39813116](https://pubmed.ncbi.nlm.nih.gov/39813116/). *The Journal of clinical endocrinology and metabolism*. [Review / Meta-Analysis]
Folkestad L (2025). [PMID: 39665364](https://pubmed.ncbi.nlm.nih.gov/39665364/). *Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research*. [Review / Meta-Analysis]
Dirimtekin E (2025). [PMID: 41059452](https://pubmed.ncbi.nlm.nih.gov/41059452/). *Molecular syndromology*. [Basic Science / Preclinical]
Chen Y (2025). [PMID: 40355051](https://pubmed.ncbi.nlm.nih.gov/40355051/). *Biochimica et biophysica acta. Molecular basis of disease*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 18, 2026, 7:56 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Greenberg dysplasia