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Mucopolysaccharidosis type 6 (MPS 6) is a lysosomal storage disease with progressive multisystem involvement, associated with a deficiency of arylsulfatase B (ASB) leading to the accumulation of dermatan sulfate.
Features include always present findings: Cloudy or opaque cornea (corneal opacity), Short stature, Flexion contracture, and Coarse facial features and others; and very common findings: Genu valgum, Hirsutism, Umbilical hernia, and Mitral regurgitation and others. 61 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 6 | Seizure, Hydrocephalus, Intellectual disability |
Bones and joints | 6 | Bone tissue death from poor blood supply (avascular necrosis), Excessive inward curve of the lower back (lumbar hyperlordosis), Kyphoscoliosis |
Lungs and breathing | 5 | Recurrent upper respiratory tract infections, High blood pressure in lung arteries (pulmonary arterial hypertension), Pneumonia |
Heart and blood vessels | 5 | Mitral regurgitation, High blood pressure in lung arteries (pulmonary arterial hypertension), Sinus tachycardia |
Blood and immune system | 3 | Reduced leukocyte arylsulfatase B activity, Recurrent upper respiratory tract infections, Enlarged spleen (splenomegaly) |
Digestive system | 3 | Enlarged liver (hepatomegaly), Chronic constipation, Enlarged spleen (splenomegaly) |
Eyes | 2 | Cloudy or opaque cornea (corneal opacity), Glaucoma |
Growth and development | 2 | Short stature, Disproportionate short-trunk short stature |
Head and neck | 2 | Coarse facial features, Macrocephaly |
Skin | 2 | Thickened skin, Dermatan sulfate excretion in urine |
Ears | 1 | Hearing loss (hearing impairment) |
Muscles | 1 | Flexion contracture |
Arms and legs | 1 | Split hand |
ARSB encodes arylsulfatase B (533 aa). Removes sulfate groups from chondroitin-4-sulfate (C4S) and regulates its degradation. Involved in the regulation of cell adhesion, cell migration and invasion in colonic epithelium. Highest expression in Esophagus Muscularis (16.8 TPM) and Cells Cultured fibroblasts (12.6 TPM).
Mucopolysaccharidosis type 6 is caused by mutations in the ARSB gene on chromosome 5.
The ARSB protein participates in ARSB mutants:Ca2+ pathway.
ARSB is classified as a druggable target (Cell Surface, Druggable Genome, and Enzyme categories) with score 6.5.
Genetic testing for ARSB is available. Testing is considered confirmatory for diagnosis.
1 FDA-approved treatment is available for mucopolysaccharidosis type 6, including GALSULFASE (NAGLAZYME, approved 2005). An additional 2 compounds hold orphan drug designation.
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
NAGLAZYME | GALSULFASE | — | 2005 | Available |
The following drugs have received orphan drug designation from the FDA for mucopolysaccharidosis type 6. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
odiparcil | odiparcil | Inventiva SA | 2017 | — | Designated |
Naglazyme | N-acetylgalactosamine-4-sulfatase, recombinant human | BioMarin Pharmaceutical, Inc. | 1999 | 2012 | Designated (drug approved for other indication) |
8 trials found
Phenotype severity distribution: 5 always present features, 7 very common features, 17 common features.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
8 clinical trials registered, 3 recruiting. Interventions under study include drug therapy, other interventions, and biologic therapy. Pipeline includes 1 PHASE2, 3 PHASE1. Research is primarily sponsored by academic and government institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT03655223](https://clinicaltrials.gov/study/NCT03655223) | Early Check: Expanded Screening in Newborns | — | RTI International | ACTIVE_NOT_RECRUITING |
[NCT05368038](https://clinicaltrials.gov/study/NCT05368038) | ScreenPlus: A Comprehensive, Flexible, Multi-disorder Newborn Screening Program | — | Albert Einstein College of Medicine | ENROLLING_BY_INVITATION |
[NCT05845749](https://clinicaltrials.gov/study/NCT05845749) | Safety and Efficacy of Voxzogo for Growth Deficits in MPS IVA and VI | PHASE1 | University of California, San Francisco | ACTIVE_NOT_RECRUITING |
[NCT03153319](https://clinicaltrials.gov/study/NCT03153319) | Study to Evaluate the Safety and Efficacy of Adalimumab in MPS I, II, and VI | PHASE1 | Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center | ACTIVE_NOT_RECRUITING |
[NCT02171104](https://clinicaltrials.gov/study/NCT02171104) | MT2013-31: Allo HCT for Metabolic Disorders and Severe Osteopetrosis | PHASE2 | Masonic Cancer Center, University of Minnesota | ACTIVE_NOT_RECRUITING |
16 publications have been identified in PubMed for mucopolysaccharidosis type 6. Research spans Basic Science / Preclinical (43%), Epidemiology / Natural History (21%), and Review / Meta-Analysis (14%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 6 | 43% |
Disease patterns and progression | 3 | 21% |
Research summaries | 2 | 14% |
Patient case studies | 2 | 14% |
Clinical study results | 1 | 7% |
Duret T (2026). [PMID: 41832557](https://pubmed.ncbi.nlm.nih.gov/41832557/). *Cell Commun Signal*. [Basic Science / Preclinical]
Pereira AF (2026). [PMID: 40079783](https://pubmed.ncbi.nlm.nih.gov/40079783/). *Cornea*. [Case Report / Case Series]
Geremew M (2026). [PMID: 41559547](https://pubmed.ncbi.nlm.nih.gov/41559547/). *BMC microbiology*. [Epidemiology / Natural History]
Song G (2025). [PMID: 40284031](https://pubmed.ncbi.nlm.nih.gov/40284031/). *Pharmaceuticals (Basel, Switzerland)*. [Basic Science / Preclinical]
Vechkasova AO (2025). [PMID: 41255673](https://pubmed.ncbi.nlm.nih.gov/41255673/). *World journal of clinical pediatrics*. [Epidemiology / Natural History]
Bi AS (2025). [PMID: 39303969](https://pubmed.ncbi.nlm.nih.gov/39303969/). *Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association*. [Review / Meta-Analysis]
Zhou W (2025). [PMID: 40141403](https://pubmed.ncbi.nlm.nih.gov/40141403/). *International journal of molecular sciences*. [Basic Science / Preclinical]
Bychkov I (2025). [PMID: 40677925](https://pubmed.ncbi.nlm.nih.gov/40677925/). *Human mutation*. [Case Report / Case Series]
Xu C (2025). [PMID: 40755808](https://pubmed.ncbi.nlm.nih.gov/40755808/). *PeerJ*. [Basic Science / Preclinical]
Solarz J (2025). [PMID: 40783397](https://pubmed.ncbi.nlm.nih.gov/40783397/). *Nature communications*. [Basic Science / Preclinical]
Data assembled from 9 of 12 sources · Last updated Sep 19, 2026, 5:32 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning mucopolysaccharidosis type 6
Updated Apr 26, 2026
A study published in the Journal of Community Genetics explores the use of telemedicine to enhance clinical trials for rare genetic diseases, addressing challenges such as low patient prevalence and geographic dispersion. The research highlights preliminary findings on telemedicine's effectiveness for managing hepatic glycogen storage disease and mucopolysaccharidosis VI.