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Idiopathic multicentric osteolysis is a very rare syndrome characterized by progressive loss of bone, usually the capsal and tarsal bones, resulting in deformity and disability, as well as chronic renal failure in many cases. The bone and renal disorders are sometimes associated with intellectual deficit and facial abnormalities.
Features include always present findings: Inability to walk, Wrist pain, Osteolysis involving tarsal bones, and Ankle pain and others; and very common findings: Carpal osteolysis, Metacarpal osteolysis, Wrist swelling, and Protein in the urine (proteinuria) and others. 40 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 9 | Carpal osteolysis, Metatarsal osteolysis, Mild bone density loss (osteopenia) |
Kidneys and urinary system | 5 | Stage 5 chronic kidney disease, Reduced kidney function (renal insufficiency), Protein in the urine (proteinuria) |
Arms and legs | 3 | Ulnar deviation of the hand or of fingers of the hand, Ulnar deviation of the hand, Camptodactyly of finger |
Brain and nerves | 2 | Inability to walk, Difficulty walking (gait disturbance) |
Muscles | 2 | Bilateral renal atrophy, Limitation of joint mobility |
Head and neck | 2 | Hypoplasia of the maxilla, Triangular face |
Eyes | 1 | Cloudy or opaque cornea (corneal opacity) |
Pregnancy and birth | 1 | Congenital diaphragmatic hernia |
Heart and blood vessels | 1 | Hypertension |
Lab test results | 1 | Abnormal electrical muscle activity (EMG) (emg abnormality) |
Growth and development | 1 | Cachexia |
MAFB encodes MAF bZIP transcription factor B (323 aa). Acts as a transcriptional activator or repressor. Highest expression in Spleen (181.0 TPM) and Skin Sun Exposed Lower leg (133.1 TPM).
Multicentric carpo-tarsal osteolysis with or without nephropathy is associated with mutations in the MAFB gene on chromosome 20.
The MAFB protein participates in MAFB (KREISLER) and HOXB1:PBX1:PKNOX1 (HOXB1:PBX1:PREP1) activate HOXA3 expression, MAFB:JUN and EGR2 activate HOXB3 expression, and MAFB, HOXB1:PBX1:PKNOX1 at active HOXA3 chromatin pathways.
MAFB is classified as a druggable target (Clinically Actionable and Transcription Factor categories) with score 0.0.
Genetic testing for MAFB is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for multicentric carpo-tarsal osteolysis with or without nephropathy has been reported in the published literature.
Phenotype severity distribution: 7 always present features, 14 very common features, 5 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for multicentric carpo-tarsal osteolysis with or without nephropathy.
248 publications have been identified in PubMed for multicentric carpo-tarsal osteolysis with or without nephropathy. Research spans Basic Science / Preclinical (39%), Review / Meta-Analysis (35%), and Epidemiology / Natural History (9%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 97 | 39% |
Research summaries | 87 | 35% |
Disease patterns and progression | 23 | 9% |
Patient case studies | 16 | 6% |
New treatment approaches | 10 | 4% |
Testing and diagnosis research | 9 | 4% |
Clinical study results | 4 | 2% |
Other research | 2 | 1% |
Tuttle KR (2026). [PMID: 41054018](https://pubmed.ncbi.nlm.nih.gov/41054018/). *Diabetes Obes Metab*. [Review / Meta-Analysis]
Mashayekhi M (2026). [PMID: 41410808](https://pubmed.ncbi.nlm.nih.gov/41410808/). *Clin Exp Nephrol*. [Review / Meta-Analysis]
Delrue C (2026). [PMID: 41898722](https://pubmed.ncbi.nlm.nih.gov/41898722/). *Int J Mol Sci*. [Review / Meta-Analysis]
Kim D (2026). [PMID: 41658793](https://pubmed.ncbi.nlm.nih.gov/41658793/). *Cureus*. [Case Report / Case Series]
Kurzhagen JT (2026). [PMID: 41765179](https://pubmed.ncbi.nlm.nih.gov/41765179/). *Kidney Int*. [Review / Meta-Analysis]
Li L (2026). [PMID: 41749115](https://pubmed.ncbi.nlm.nih.gov/41749115/). *BMC Nephrol*. [Review / Meta-Analysis]
Zhao Z (2026). [PMID: 41569692](https://pubmed.ncbi.nlm.nih.gov/41569692/). *JCI Insight*. [Diagnostic / Biomarker]
Ma Y (2026). [PMID: 41106506](https://pubmed.ncbi.nlm.nih.gov/41106506/). *Biochim Biophys Acta Mol Basis Dis*. [Basic Science / Preclinical]
Hou Q (2026). [PMID: 41811985](https://pubmed.ncbi.nlm.nih.gov/41811985/). *Sci Transl Med*. [Basic Science / Preclinical]
Nayak SPRR (2026). [PMID: 41689710](https://pubmed.ncbi.nlm.nih.gov/41689710/). *Mol Cell Biochem*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 6:02 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning multicentric carpo-tarsal osteolysis with or without nephropathy
Updated Jul 21, 2026
A novel variant in the MAFB gene has been identified in a patient with hereditary multicentric carpo-tarsal osteolysis. This discovery may enhance understanding of the genetic underpinnings of this rare condition.