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An autosomal recessive disorder characterized by onset of megaloblastic anemia associated with decreased serum vitamin B12 (cobalamin, Cbl) in infancy or early childhood. Low molecular weight (LMW) proteinuria is frequently present, but sometimes occurs later and is usually mild or subclinical. Patients often present with vague symptoms, including failure to thrive, loss of appetite, fatigue, lethargy, and/or recurrent infections. Some patients may present later in childhood with neurologic abnormalities related to B12 deficiency, such as sensorimotor neuropathy and/or cognitive disturbances.
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 2:14 PM UTC
Online Mendelian Inheritance in Man
Common questions about Imerslund-Grasbeck syndrome type 1
Features include always present findings: Microscopic hematuria, Megaloblastic anemia, and Protein in the urine (proteinuria). 10 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 2 | Paresthesia, Progressive loss of mental abilities (dementia) |
Kidneys and urinary system | 2 | Microscopic hematuria, Protein in the urine (proteinuria) |
Digestive system | 1 | Malabsorption of Vitamin B12 |
Blood and immune system | 1 | Megaloblastic anemia |
CUBN encodes cubilin (3,623 aa). Endocytic receptor which plays a role in lipoprotein, vitamin and iron metabolism by facilitating their uptake. Highest expression in Kidney Cortex (17.1 TPM) and Nerve Tibial (10.9 TPM).
Imerslund-Grasbeck syndrome type 1 is associated with mutations in the CUBN gene on chromosome 10.
The CUBN protein participates in CUBN:AMN mutants pathway.
CUBN is classified as a druggable target (Transporter category) with score 3.0.
Genetic testing for CUBN is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features.
No clinical trials have been registered for Imerslund-Grasbeck syndrome type 1.
12 publications have been identified in PubMed for Imerslund-Grasbeck syndrome type 1. Research spans Case Report / Case Series (67%), Review / Meta-Analysis (17%), and Basic Science / Preclinical (17%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 8 | 67% |
Research summaries | 2 | 17% |
Laboratory research | 2 | 17% |
Sakakibara N (2026). [PMID: 41624452](https://pubmed.ncbi.nlm.nih.gov/41624452/). *Kidney international reports*. [Basic Science / Preclinical]
Pul S (2026). [PMID: 41236624](https://pubmed.ncbi.nlm.nih.gov/41236624/). *Pediatric nephrology (Berlin, Germany)*. [Case Report / Case Series]
Lerdkrai C (2026). [PMID: 41938542](https://pubmed.ncbi.nlm.nih.gov/41938542/). *Veterinary world*. [Basic Science / Preclinical]
Takizawa K (2026). [PMID: 42233899](https://pubmed.ncbi.nlm.nih.gov/42233899/). *Kidney Int*. [Case Report / Case Series]
Pietrobon A (2025). [PMID: 39911140](https://pubmed.ncbi.nlm.nih.gov/39911140/). *Canadian journal of kidney health and disease*. [Case Report / Case Series]
Makrooni R (2025). [PMID: 41199191](https://pubmed.ncbi.nlm.nih.gov/41199191/). *BMC pediatrics*. [Case Report / Case Series]
Xing L (2025). [PMID: 40963966](https://pubmed.ncbi.nlm.nih.gov/40963966/). *Frontiers in pediatrics*. [Review / Meta-Analysis]
Sengupta S (2025). [PMID: 39920538](https://pubmed.ncbi.nlm.nih.gov/39920538/). *Indian journal of pediatrics*. [Case Report / Case Series]
Sakakibara N (2025). [PMID: 40163114](https://pubmed.ncbi.nlm.nih.gov/40163114/). *Pediatric nephrology (Berlin, Germany)*. [Case Report / Case Series]
Zhang D (2024). [PMID: 39334390](https://pubmed.ncbi.nlm.nih.gov/39334390/). *Italian journal of pediatrics*. [Case Report / Case Series]