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Familial primary hypomagnesemia with hypercalciuria and nephrocalcinosis without severe ocular involvement (FHHN) is a form of familial primary hypomagnesemia (FPH), characterized by recurrent urinary tract infections, nephrolithiasis, bilateral nephrocalcinosis, renal magnesium (Mg) wasting, hypercalciuria and kidney failure.
Features include always present findings: Hyposthenuria, Nephrocalcinosis, Reduced kidney function (renal insufficiency), and Short metacarpal and others; and very common findings: Macroscopic hematuria, Elevated circulating parathyroid hormone level, Hypercalciuria, and Hypermagnesiuria and others. 55 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Kidneys and urinary system | 14 | Nephrocalcinosis, Reduced kidney function (renal insufficiency), Macroscopic hematuria |
Lab test results | 4 | Elevated circulating alkaline phosphatase concentration, Increased circulating beta-C-terminal telopeptide concentration, Elevated circulating parathyroid hormone level |
Muscles | 3 | Muscle weakness, Renal magnesium wasting, Renal calcium wasting |
Digestive system | 3 | Abdominal pain, Feeding difficulties in infancy, Vomiting |
Eyes | 2 | Strabismus, Nystagmus |
Growth and development | 2 | Short stature, Failure to thrive |
Brain and nerves | 2 | Seizure, Hypocalcemic seizures |
Blood and immune system | 1 | Recurrent urinary tract infections |
Bones and joints | 1 | Rickets |
Heart and blood vessels | 1 | Hypertension |
CLDN16 encodes claudin 16 (235 aa). Forms paracellular channels: coassembles with CLDN19 into tight junction strands with cation-selective channels through the strands, conveying epithelial permeability in a process known as paracellular tight junction permeability. Highest expression in Kidney Medulla (13.3 TPM) and Kidney Cortex (4.2 TPM).
Renal hypomagnesemia 3 is caused by mutations in the CLDN16 gene on chromosome 3.
CLDN16 is classified as a druggable target (Transporter category) with score 0.0.
Genetic testing for CLDN16 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for renal hypomagnesemia 3 has been reported in the published literature.
Phenotype severity distribution: 15 always present features, 9 very common features, 15 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for renal hypomagnesemia 3.
64 publications have been identified in PubMed for renal hypomagnesemia 3. Research spans Case Report / Case Series (47%), Epidemiology / Natural History (16%), and Review / Meta-Analysis (13%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 30 | 47% |
Disease patterns and progression | 10 | 16% |
Research summaries | 8 | 13% |
Clinical study results | 7 | 11% |
Laboratory research | 5 | 8% |
New treatment approaches | 3 | 5% |
Testing and diagnosis research | 1 | 2% |
Sheng QQ (2026). [PMID: 41845298](https://pubmed.ncbi.nlm.nih.gov/41845298/). *BMC Nephrol*. [Case Report / Case Series]
Wang C (2026). [PMID: 41896308](https://pubmed.ncbi.nlm.nih.gov/41896308/). *Sci Rep*. [Case Report / Case Series]
Li Y (2026). [PMID: 41958666](https://pubmed.ncbi.nlm.nih.gov/41958666/). *Front Immunol*. [Case Report / Case Series]
Zhao PH (2026). [PMID: 42164366](https://pubmed.ncbi.nlm.nih.gov/42164366/). *Transl Androl Urol*. [Epidemiology / Natural History]
Nakata K (2026). [PMID: 41452545](https://pubmed.ncbi.nlm.nih.gov/41452545/). *Clinical and experimental nephrology*. [Clinical Trial Publication]
Yang Y (2026). [PMID: 41924323](https://pubmed.ncbi.nlm.nih.gov/41924323/). *Clin Nephrol Case Stud*. [Case Report / Case Series]
Bragança R (2026). [PMID: 41700263](https://pubmed.ncbi.nlm.nih.gov/41700263/). *Cureus*. [Case Report / Case Series]
Kaba A (2026). [PMID: 42095997](https://pubmed.ncbi.nlm.nih.gov/42095997/). *CEN Case Rep*. [Case Report / Case Series]
Sassi A (2026). [PMID: 41934123](https://pubmed.ncbi.nlm.nih.gov/41934123/). *Curr Opin Nephrol Hypertens*. [Review / Meta-Analysis]
Rogalidou M (2026). [PMID: 41736231](https://pubmed.ncbi.nlm.nih.gov/41736231/). *Clinical and experimental pediatrics*. [Gene Therapy / Novel Therapeutics]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 3:02 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center