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Any sclerosteosis in which the cause of the disease is a mutation in the LRP4 gene.
Features include always present findings: Facial palsy, Thickened calvaria, and Cutaneous finger syndactyly; and common findings: Hearing loss (hearing impairment), Vertigo, Spastic ataxia, and Difficulty walking (gait disturbance) and others. 16 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 4 | Facial palsy, Macrocephaly, Mandibular prognathia |
LRP4 encodes LDL receptor related protein 4 (1,905 aa). Mediates SOST-dependent inhibition of bone formation. Functions as a specific facilitator of SOST-mediated inhibition of Wnt signaling. Highest expression in Skin Sun Exposed Lower leg (55.9 TPM) and Skin Not Sun Exposed Suprapubic (55.2 TPM).
Sclerosteosis 2 is associated with mutations in the LRP4 gene on chromosome 11.
LRP4 is classified as a druggable target (Cell Surface and Kinase categories) with score 0.0.
Genetic testing for LRP4 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features, 7 common features.
No clinical trials have been registered for sclerosteosis 2.
3 publications have been identified in PubMed for sclerosteosis 2. Research spans Case Report / Case Series (67%) and Basic Science / Preclinical (33%).
Sridhar S (2026). [PMID: 40824295](https://pubmed.ncbi.nlm.nih.gov/40824295/). *QJM*. [Case Report / Case Series]
Chen Y (2025). [PMID: 41408627](https://pubmed.ncbi.nlm.nih.gov/41408627/). *BMC Oral Health*. [Case Report / Case Series]
Katchkovsky S (2025). [PMID: 39443289](https://pubmed.ncbi.nlm.nih.gov/39443289/). *FEBS Lett*. [Basic Science / Preclinical]
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 1:59 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Brain and nerves |
3 |
Spastic ataxia, Difficulty walking (gait disturbance), Cranial nerve compression |
Ears | 2 | Hearing loss (hearing impairment), Vertigo |
Arms and legs | 2 | Cutaneous finger syndactyly, Short finger |
Skin | 1 | Nail dysplasia |