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Non-acquired combined pituitary hormone deficiency-sensorineural hearing loss-spine abnormalities syndrome is a rare, genetic, non-acquired, combined pituitary hormone deficiency disorder characterized by panhypopituitarism (with or without ACTH deficiency) associated with spine abnormalities, including frequent rigid cervical spine and short neck with limited rotation, and variable degrees of sensorineural hearing loss. The anterior pituitary gland is usually abnormal (typically hypoplastic) and rarely a mild developmental delay or intellectual disability may be associated.
Features include: Anterior pituitary hypoplasia, Short stature, Inner ear hearing loss (sensorineural hearing impairment), and Pituitary dwarfism and 5 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Hormones | 3 | Anterior pituitary hypoplasia, Pituitary dwarfism, Decreased response to growth hormone stimulation test |
Growth and development | 3 | Short stature, Pituitary dwarfism, Decreased response to growth hormone stimulation test |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Brain and nerves | 1 | Intellectual disability |
LHX3 encodes LIM homeobox 3 (397 aa). Transcription factor. Highest expression in Pituitary (89.7 TPM) and Testis (0.4 TPM).
Non-acquired combined pituitary hormone deficiency with spine abnormalities is associated with mutations in the LHX3 gene on chromosome 9.
The LHX3 protein participates in ISL1:LHX3/4:LDB1:SLIT2 gene, SLIT2 gene expression is stimulated by ISL1, and Regulation of expression of SLITs and ROBOs pathways.
LHX3 is classified as a druggable target (Transcription Factor and Transcription Factor Complex categories) with score 0.0.
Genetic testing for LHX3 is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for non-acquired combined pituitary hormone deficiency with spine abnormalities.
6 publications have been identified in PubMed for non-acquired combined pituitary hormone deficiency with spine abnormalities. Research spans Review / Meta-Analysis (33%), Case Report / Case Series (33%), and Basic Science / Preclinical (33%).
SirDeshpande P (2025). [PMID: 41510421](https://pubmed.ncbi.nlm.nih.gov/41510421/). *Cureus*. [Review / Meta-Analysis]
Ribeiro AC (2025). [PMID: 41561060](https://pubmed.ncbi.nlm.nih.gov/41561060/). *Front Endocrinol (Lausanne)*. [Case Report / Case Series]
Fu D (2025). [PMID: 41291534](https://pubmed.ncbi.nlm.nih.gov/41291534/). *BMC Pediatr*. [Case Report / Case Series]
Staels W (2024). [PMID: 39415786](https://pubmed.ncbi.nlm.nih.gov/39415786/). *Front Endocrinol (Lausanne)*. [Review / Meta-Analysis]
Tailor K (2024). [PMID: 39850478](https://pubmed.ncbi.nlm.nih.gov/39850478/). *Front Endocrinol (Lausanne)*. [Basic Science / Preclinical]
Siva Sankari G (2024). [PMID: 37286379](https://pubmed.ncbi.nlm.nih.gov/37286379/). *J Biomol Struct Dyn*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:35 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center