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Larsen-like syndrome, B3GAT3 type is a rare, genetic, primary bone dysplasia characterized by laxity, dislocations and contractures of the joints, short stature, foot deformities (e.g. clubfeet), broad tips of fingers and toes, short neck, dysmorphic facial features (hypertelorism, downslanting palpebral fissures, upturned nose with anteverted nares, high arched palate) and various cardiac malformations. Severe disease is associated with multiple fractures, osteopenia, arachnodactyly and blue sclerae. A broad spectrum of additional features, including scoliosis, radio-ulnar synostosis, mild developmental delay, and various eye disorders (glaucoma, amblyopia, hyperopia, astigmatism, ptosis), are also reported.
Features include always present findings: Radioulnar synostosis, Midface retrusion, Long philtrum, and Motor delay; and very common findings: Short stature, Generalized hypotonia, Multiple joint dislocation, and Mild bone density loss (osteopenia) and others. 81 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 10 | Delayed skeletal maturation, Joint hypermobility, Accelerated skeletal maturation |
Heart and blood vessels | 6 | Aortic root aneurysm, Bicuspid aortic valve, Enlarged heart (cardiomegaly) |
Head and neck | 4 | Cleft palate, Flat face, Small face |
Muscles | 3 | Low muscle tone (hypotonia), Generalized hypotonia, Elbow flexion contracture |
Brain and nerves | 2 | Hydrocephalus, Depressed nasal bridge |
Eyes | 2 | Amblyopia, Developmental glaucoma |
Growth and development | 1 | Short stature |
Digestive system | 1 | Abnormal abdominal wall morphology |
Arms and legs | 1 | Broad distal phalanges of all fingers |
Pregnancy and birth | 1 | Congenital diaphragmatic hernia |
Skin | 1 | Hyperextensible skin |
Age of onset: childhood, at birth.
B3GAT3 encodes beta-1,3-glucuronyltransferase 3 (335 aa). Glycosaminoglycans biosynthesis. Involved in forming the linkage tetrasaccharide present in heparan sulfate and chondroitin sulfate. Highest expression in Brain Cerebellar Hemisphere (89.7 TPM) and Brain Cerebellum (87.7 TPM).
Larsen-like syndrome, B3GAT3 type is associated with mutations in the B3GAT3 gene on chromosome 11.
The B3GAT3 protein participates in Defective B3GAT3 causes JDSSDHD and Defective B3GAT3 does not transfer GlcA to tetrasaccharide linker pathways.
B3GAT3 is classified as a druggable target (Enzyme category) with score 0.0.
Genetic testing for B3GAT3 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Larsen-like syndrome, B3GAT3 type has been reported in the published literature.
Phenotype severity distribution: 4 always present features, 5 very common features, 16 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Larsen-like syndrome, B3GAT3 type.
158 publications have been identified in PubMed for Larsen-like syndrome, B3GAT3 type. Research spans Review / Meta-Analysis (32%), Basic Science / Preclinical (25%), and Epidemiology / Natural History (21%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 51 | 32% |
Laboratory research | 39 | 25% |
Disease patterns and progression | 33 | 21% |
Other research | 12 | 8% |
Testing and diagnosis research | 12 | 8% |
Patient case studies | 6 | 4% |
Clinical study results | 3 | 2% |
New treatment approaches | 2 | 1% |
Kathiriya IS (2026). [PMID: 41461901](https://pubmed.ncbi.nlm.nih.gov/41461901/). *Nature cardiovascular research*. [Basic Science / Preclinical]
Elsherbini A (2026). [PMID: 41689580](https://pubmed.ncbi.nlm.nih.gov/41689580/). *J Hand Surg Am*. [Review / Meta-Analysis]
Ehmann AL (2026). [PMID: 41636311](https://pubmed.ncbi.nlm.nih.gov/41636311/). *Biopsychosoc Sci Med*. [Other]
de Oliveira FG (2026). [PMID: 41507828](https://pubmed.ncbi.nlm.nih.gov/41507828/). *BMC Cardiovasc Disord*. [Epidemiology / Natural History]
Gurvitz M (2026). [PMID: 41411480](https://pubmed.ncbi.nlm.nih.gov/41411480/). *Journal of the American College of Cardiology*. [Other]
Dombrowsky G (2026). [PMID: 41501857](https://pubmed.ncbi.nlm.nih.gov/41501857/). *Genome Med*. [Basic Science / Preclinical]
Kiess A (2026). [PMID: 40042535](https://pubmed.ncbi.nlm.nih.gov/40042535/). *Pediatr Cardiol*. [Epidemiology / Natural History]
Fahrenholz M (2026). [PMID: 42150546](https://pubmed.ncbi.nlm.nih.gov/42150546/). *Anasthesiol Intensivmed Notfallmed Schmerzther*. [Review / Meta-Analysis]
Su H (2026). [PMID: 40878857](https://pubmed.ncbi.nlm.nih.gov/40878857/). *European heart journal*. [Review / Meta-Analysis]
Li Q (2026). [PMID: 42158192](https://pubmed.ncbi.nlm.nih.gov/42158192/). *Front Public Health*. [Epidemiology / Natural History]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 3:01 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Larsen-like syndrome, B3GAT3 type