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Interstitial lung disease due to ABCA3 deficiency is a rare genetic respiratory disease characterized by a variable clinical outcome ranging from a fatal respiratory distress syndrome in the neonatal period to chronic interstitial lung disease developing in infancy or childhood with chronic cough, rapid breathing, shortness of breath and recurrent pulmonary infections. Clinical manifestations of respiratory failure include grunting, intercostal retractions, nasal flaring, cyanosis, and progressive dyspnea.
Features include always present findings: Ground-glass opacification and Reticular pattern on pulmonary HRCT; and very common findings: Intraalveolar phospholipid accumulation and Neonatal respiratory distress. 26 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lungs and breathing | 18 | Paraseptal emphysema, Bronchial wall thickening, Absent bronchoalveolar surfactant-protein C |
ABCA3 encodes ATP binding cassette subfamily A member 3 (1,704 aa). Catalyzes the ATP-dependent transport of phospholipids such as phosphatidylcholine and phosphoglycerol from the cytoplasm into the lumen side of lamellar bodies, in turn participates in the lamellar bodies biogenesis and homeostasis of pulmonary surfactant. Highest expression in Lung (104.9 TPM) and Brain Cerebellum (83.5 TPM).
Interstitial lung disease due to ABCA3 deficiency is caused by mutations in the ABCA3 gene on chromosome 16.
ABCA3 is classified as a druggable target (Abc Transporter, Druggable Genome, and Transporter categories) with score 0.5.
99 pathogenic variants reported in ABCA3 in ClinVar, including hotspot variants 973875 and 884983.
Variant |
|---|
Genetic testing for ABCA3 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for interstitial lung disease due to ABCA3 deficiency has been reported in the published literature.
Phenotype severity distribution: 2 always present features, 2 very common features, 5 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for interstitial lung disease due to ABCA3 deficiency.
14 publications have been identified in PubMed for interstitial lung disease due to ABCA3 deficiency. Research spans Basic Science / Preclinical (36%), Case Report / Case Series (21%), and Epidemiology / Natural History (14%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 5 | 36% |
Data assembled from 8 of 12 sources · Last updated Sep 19, 2026, 6:57 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Growth and development |
1 |
Failure to thrive |
Pregnancy and birth | 1 | Neonatal respiratory distress |
Age of onset: newborn period.
Significance
Review Stars |
|---|
Hotspot |
|---|
973875 | Pathogenic/Likely pathogenic | — | Yes |
884983 | Conflicting classifications of pathogenicity | — | Yes |
NP_001080.2:p.Glu292Val | Pathogenic/Likely pathogenic | 2 stars | Yes |
Patient case studies |
3 |
21% |
Disease patterns and progression | 2 | 14% |
New treatment approaches | 2 | 14% |
Testing and diagnosis research | 1 | 7% |
Clinical study results | 1 | 7% |
Postle AD (2026). [PMID: 41672236](https://pubmed.ncbi.nlm.nih.gov/41672236/). *Biochimica et biophysica acta. Molecular and cell biology of lipids*. [Basic Science / Preclinical]
Cooney AL (2026). [PMID: 42089300](https://pubmed.ncbi.nlm.nih.gov/42089300/). *Am J Respir Cell Mol Biol*. [Gene Therapy / Novel Therapeutics]
Barry-Loncq DE Jong M (2026). [PMID: 40414277](https://pubmed.ncbi.nlm.nih.gov/40414277/). *J Card Fail*. [Clinical Trial Publication]
Schröder LJ (2026). [PMID: 41792753](https://pubmed.ncbi.nlm.nih.gov/41792753/). *Respir Res*. [Basic Science / Preclinical]
Keehan LA (2026). [PMID: 41653023](https://pubmed.ncbi.nlm.nih.gov/41653023/). *Genet Med*. [Epidemiology / Natural History]
Beverstock AM (2026). [PMID: 40852890](https://pubmed.ncbi.nlm.nih.gov/40852890/). *Journal of neonatal-perinatal medicine*. [Case Report / Case Series]
Chuchalin AG (2026). [PMID: 41859789](https://pubmed.ncbi.nlm.nih.gov/41859789/). *Terapevticheskii arkhiv*. [Case Report / Case Series]
McCray PB (2025). [PMID: 40771632](https://pubmed.ncbi.nlm.nih.gov/40771632/). *Transactions of the American Clinical and Climatological Association*. [Gene Therapy / Novel Therapeutics]
Lim K (2025). [PMID: 39815007](https://pubmed.ncbi.nlm.nih.gov/39815007/). *The EMBO journal*. [Basic Science / Preclinical]
Pankoke S (2025). [PMID: 40167611](https://pubmed.ncbi.nlm.nih.gov/40167611/). *Cell and tissue research*. [Basic Science / Preclinical]