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Progressive familial intrahepatic cholestasis type 2 (PFIC2), a type of progressive familial intrahepatic cholestasis (PFIC), is a severe, neonatal, hereditary disorder in bile formation that is hepatocellular in origin and not associated with extrahepatic features. Initially, PFIC2 was reported under the name Byler syndrome.
Features include: Diarrhea, Fat malabsorption, Intermittent jaundice, and Short stature and 9 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 8 | Diarrhea, Fat malabsorption, Intermittent jaundice |
Growth and development | 2 | Short stature, Failure to thrive |
Lab test results | 2 | Elevated circulating alkaline phosphatase concentration, Conjugated hyperbilirubinemia |
Skin | 1 | Pruritus |
Blood and immune system | 1 | Enlarged spleen (splenomegaly) |
ABCB11 encodes ATP binding cassette subfamily B member 11 (1,321 aa). Catalyzes the transport of the major hydrophobic bile salts, such as taurine and glycine-conjugated cholic acid across the canalicular membrane of hepatocytes in an ATP-dependent manner, therefore participates in hepatic bile acid homeostasis and consequently to lipid homeostasis through regulation of biliary lipid secretion in a bile salts dependent manner.
Progressive familial intrahepatic cholestasis type 2 is associated with mutations in the ABCB11 gene on chromosome 2.
The ABCB11 protein participates in Defective ABCB11 causes PFIC2 and BRIC2, Recycling of bile acids and salts, and ABCB11 transports bile salts from cytosol to extracellular region pathways.
ABCB11 is classified as a druggable target (Abc Transporter, Cell Surface, Druggable Genome, and Transporter categories) with score 2.4.
253 pathogenic variants reported in ABCB11 in ClinVar, including hotspot variants LRG_1199p1:p.Arg1153Cys (2-star review) and LRG_1199p1:p.Glu297Gly (2-star review).
Variant | Significance | Review Stars | Hotspot |
|---|---|---|---|
LRG_1199p1:p.Arg1153Cys | Pathogenic/Likely pathogenic | 2 stars | Yes |
LRG_1199p1:p.Glu297Gly | Pathogenic | 2 stars | Yes |
Genetic testing for ABCB11 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for progressive familial intrahepatic cholestasis type 2 has been reported in the published literature.
Estimated prevalence: 1-9 in 100,000 (Uncommon).
No clinical trials have been registered for progressive familial intrahepatic cholestasis type 2.
36 publications have been identified in PubMed for progressive familial intrahepatic cholestasis type 2. Research spans Case Report / Case Series (28%), Basic Science / Preclinical (25%), and Epidemiology / Natural History (17%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 10 | 28% |
Laboratory research | 9 | 25% |
Disease patterns and progression | 6 | 17% |
Research summaries | 4 | 11% |
New treatment approaches | 3 | 8% |
Testing and diagnosis research | 2 | 6% |
Clinical study results | 2 | 6% |
Hasmee N (2026). [PMID: 42119236](https://pubmed.ncbi.nlm.nih.gov/42119236/). *J Pediatr Nurs*. [Case Report / Case Series]
Elkoofy NM (2026). [PMID: 40537152](https://pubmed.ncbi.nlm.nih.gov/40537152/). *Clinical genetics*. [Epidemiology / Natural History]
Zhao D (2026). [PMID: 41659993](https://pubmed.ncbi.nlm.nih.gov/41659993/). *Journal of clinical and translational hepatology*. [Epidemiology / Natural History]
Felzen A (2026). [PMID: 41110689](https://pubmed.ncbi.nlm.nih.gov/41110689/). *Biochimica et biophysica acta. Molecular and cell biology of lipids*. [Review / Meta-Analysis]
Grotra R (2026). [PMID: 41550713](https://pubmed.ncbi.nlm.nih.gov/41550713/). *Journal of clinical and experimental hepatology*. [Case Report / Case Series]
Daniel D (2026). [PMID: 41724715](https://pubmed.ncbi.nlm.nih.gov/41724715/). *Journal of clinical apheresis*. [Clinical Trial Publication]
Zhou Z (2026). [PMID: 41511375](https://pubmed.ncbi.nlm.nih.gov/41511375/). *Cells*. [Basic Science / Preclinical]
Shagrani M (2026). [PMID: 41875361](https://pubmed.ncbi.nlm.nih.gov/41875361/). *Liver Transpl*. [Clinical Trial Publication]
de Vries HD (2026). [PMID: 41954415](https://pubmed.ncbi.nlm.nih.gov/41954415/). *Liver Int*. [Basic Science / Preclinical]
Lapalus M (2025). [PMID: 40508041](https://pubmed.ncbi.nlm.nih.gov/40508041/). *International journal of molecular sciences*. [Gene Therapy / Novel Therapeutics]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 6:47 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning progressive familial intrahepatic cholestasis type 2
Updated Aug 5, 2026
A recent study published in PubMed highlights the differing effects of two ABCB11 variants on patients with progressive familial intrahepatic cholestasis type 2. This research provides insights into the genetic underpinnings of the disease, which could inform future therapeutic strategies.