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An autosomal recessive lysosomal storage disease caused by mutation(s) in the HYAL1 gene, encoding hyaluronidase-1. It is characterized by short stature and hyaluronidase deficiency.
Features include always present findings: Submucous cleft hard palate, Short stature, Bifid uvula, and Knee pain and others; and common findings: Ankle pain, Hip pain, Wrist hypermobility, and Finger joint hypermobility and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 2 | Finger joint hypermobility, Lumbar scoliosis |
HYAL1 encodes hyaluronidase 1 (435 aa). May have a role in promoting tumor progression. May block the TGFB1-enhanced cell growth Highest expression in Spleen (117.6 TPM) and Liver (94.4 TPM).
Mucopolysaccharidosis type 9 has been associated with mutations in the HYAL1 gene on chromosome 3.
The HYAL1 protein participates in HYAL1 V251Ffs*20, HYAL1-like proteins, and HYAL1 hydrolyses (HA)50 pathways.
HYAL1 is classified as a druggable target (Druggable Genome and Enzyme categories) with score 0.0.
Genetic testing for HYAL1 is available. Testing is considered supportive for diagnosis.
Biomarker and diagnostic research for mucopolysaccharidosis type 9 has been reported in the published literature.
Phenotype severity distribution: 12 always present features, 6 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
56 publications have been identified in PubMed for mucopolysaccharidosis type 9. Research spans Epidemiology / Natural History (29%), Case Report / Case Series (18%), and Diagnostic / Biomarker (13%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 16 | 29% |
Data assembled from 8 of 12 sources · Last updated Sep 20, 2026, 11:12 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Head and neck
1 |
Submucous cleft hard palate |
Growth and development | 1 | Short stature |
Brain and nerves | 1 | Depressed nasal bridge |
Arms and legs | 1 | Finger joint hypermobility |
Ears | 1 | Recurrent otitis media |
Patient case studies | 10 | 18% |
Testing and diagnosis research | 7 | 13% |
Research summaries | 7 | 13% |
Clinical study results | 7 | 13% |
New treatment approaches | 6 | 11% |
Laboratory research | 3 | 5% |
Zou H (2026). [PMID: 41742100](https://pubmed.ncbi.nlm.nih.gov/41742100/). *BMC Pediatr*. [Case Report / Case Series]
Wang M (2026). [PMID: 42081553](https://pubmed.ncbi.nlm.nih.gov/42081553/). *JMIR Pediatr Parent*. [Epidemiology / Natural History]
Avendano JP (2026). [PMID: 41733192](https://pubmed.ncbi.nlm.nih.gov/41733192/). *J Pediatr Orthop*. [Epidemiology / Natural History]
Phillips D (2026). [PMID: 41566383](https://pubmed.ncbi.nlm.nih.gov/41566383/). *Orphanet J Rare Dis*. [Diagnostic / Biomarker]
Shih A (2026). [PMID: 42156211](https://pubmed.ncbi.nlm.nih.gov/42156211/). *Mol Genet Metab*. [Diagnostic / Biomarker]
Mungan NO (2026). [PMID: 42121657](https://pubmed.ncbi.nlm.nih.gov/42121657/). *Healthcare (Basel)*. [Review / Meta-Analysis]
van Binsbergen BAW (2026). [PMID: 41931085](https://pubmed.ncbi.nlm.nih.gov/41931085/). *J Hand Surg Am*. [Clinical Trial Publication]
Ahrens-Nicklas RC (2026). [PMID: 42127296](https://pubmed.ncbi.nlm.nih.gov/42127296/). *N Engl J Med*. [Gene Therapy / Novel Therapeutics]
Jin X (2026). [PMID: 41376155](https://pubmed.ncbi.nlm.nih.gov/41376155/). *Mol Ther*. [Case Report / Case Series]
Martinez-Saez L (2026). [PMID: 40302410](https://pubmed.ncbi.nlm.nih.gov/40302410/). *Equine Vet J*. [Review / Meta-Analysis]