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A rare genetic disease characterized by intrauterine growth retardation, permanent neonatal diabetes mellitus, and congenital hypothyroidism. Additional manifestations include congenital glaucoma, hepatic disease (hepatitis, fibrosis, and cirrhosis), polycystic kidneys, exocrine pancreatic dysfunction, sensorineural hearing impairment, developmental delay, and mild facial dysmorphism (such as flat nasal bridge, epicanthal folds, long philtrum, and low-set ears), among others
Features include always present findings: Increased circulating thyroglobulin concentration, Decreased circulating T4 concentration, Diabetes mellitus, and Congenital hypothyroidism and others; and common findings: Mild intellectual disability, Liver scarring (fibrosis) (hepatic fibrosis), Portal hypertension, and Buphthalmos and others. 37 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 8 |
GLIS3 encodes GLIS family zinc finger 3 (775 aa). Acts both as a repressor and an activator of transcription. Binds to the consensus sequence 5'-GACCACCCAC-3' Highest expression in Thyroid (13.1 TPM) and Ovary (9.0 TPM).
Neonatal diabetes mellitus with congenital hypothyroidism is associated with mutations in the GLIS3 gene on chromosome 9.
GLIS3 is classified as a druggable target with score 0.0.
Genetic testing for GLIS3 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 6 always present features, 6 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for neonatal diabetes mellitus with congenital hypothyroidism.
9 publications have been identified in PubMed for neonatal diabetes mellitus with congenital hypothyroidism. Research spans Case Report / Case Series (44%), Epidemiology / Natural History (33%), and Review / Meta-Analysis (22%).
Bu W (2026). [PMID: 41517795](https://pubmed.ncbi.nlm.nih.gov/41517795/). *Medicine*. [Case Report / Case Series]
Medina D (2025). [PMID: 41060163](https://pubmed.ncbi.nlm.nih.gov/41060163/). *Biomedica : revista del Instituto Nacional de Salud*. [Case Report / Case Series]
Gobble MRS (2025). [PMID: 40128490](https://pubmed.ncbi.nlm.nih.gov/40128490/). *Current diabetes reports*. [Review / Meta-Analysis]
Prinz J (2025). [PMID: 41106397](https://pubmed.ncbi.nlm.nih.gov/41106397/). *Klinische Monatsblatter fur Augenheilkunde*. [Case Report / Case Series]
Almhmoudi F (2025). [PMID: 40583116](https://pubmed.ncbi.nlm.nih.gov/40583116/). *Ophthalmic genetics*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 9:50 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Hormones | 4 | Diabetes mellitus, Congenital hypothyroidism, Anti-thyroid peroxidase antibody positivity |
Lab test results | 3 | Increased circulating thyroglobulin concentration, Anti-thyroid peroxidase antibody positivity, Elevated circulating thyroid-stimulating hormone concentration |
Brain and nerves | 3 | Mild intellectual disability, Global developmental delay, Depressed nasal bridge |
Head and neck | 2 | Sagittal craniosynostosis, Thin upper lip vermilion |
Heart and blood vessels | 2 | Portal hypertension, Ocular hypertension |
Blood and immune system | 2 | Recurrent infections, Enlarged spleen (splenomegaly) |
Bones and joints | 2 | Mild bone density loss (osteopenia), Thoracolumbar scoliosis |
Kidneys and urinary system | 2 | Polycystic kidney dysplasia, Renal cyst |
Eyes | 2 | Ocular hypertension, Developmental glaucoma |
Pregnancy and birth | 1 | Congenital hypothyroidism |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Growth and development | 1 | Intrauterine growth retardation |
Age of onset: newborn period.
Ma Q (2024). [PMID: 38970731](https://pubmed.ncbi.nlm.nih.gov/38970731/). *World journal of pediatrics : WJP*. [Epidemiology / Natural History]
Yang M (2024). [PMID: 38760653](https://pubmed.ncbi.nlm.nih.gov/38760653/). *BMC pregnancy and childbirth*. [Epidemiology / Natural History]
Emfietzoglou R (2024). [PMID: 39081187](https://pubmed.ncbi.nlm.nih.gov/39081187/). *Minerva endocrinology*. [Review / Meta-Analysis]
Chamot S (2024). [PMID: 39094977](https://pubmed.ncbi.nlm.nih.gov/39094977/). *Annals of epidemiology*. [Epidemiology / Natural History]