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A group of rare, autosomal recessive inherited disorders characterized by a constricted thoracic cage, short ribs, and a 'trident' appearance of the acetabular roof. Polydactyly may or may not be present. Other abnormalities include cleft lip and palate and abnormalities of the brain, eye, heart, liver, pancreas, intestine, kidney, and genitalia.
Features include sometimes findings: Liver scarring (fibrosis) (hepatic fibrosis), Ventricular septal defect, Pachygyria, and Cerebellar vermis hypoplasia and others; and rarely findings: Motor delay, Retinal dystrophy, Delayed speech and language development, and Tricuspid regurgitation and others. 40 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 3 | Preaxial hand polydactyly, Postaxial hand polydactyly, Postaxial polysyndactyly of foot |
NEK1 encodes NIMA related kinase 1 (1,258 aa). Phosphorylates serines and threonines, but also appears to possess tyrosine kinase activity. Involved in DNA damage checkpoint control and for proper DNA damage repair. Highest expression in Nerve Tibial (63.9 TPM) and Testis (14.3 TPM).
Short-rib thoracic dysplasia 6 with or without polydactyly is associated with mutations in the NEK1 gene on chromosome 4.
The NEK1 protein participates in ATR activation at DNA DSBs and ME1 tetramerizes pathways.
NEK1 is classified as a druggable target (Druggable Genome, Enzyme, Kinase, Serine Threonine Kinase, and Tyrosine Kinase categories) with score 0.0.
Genetic testing for NEK1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for short-rib thoracic dysplasia 6 with or without polydactyly has been reported in the published literature.
No clinical trials have been registered for short-rib thoracic dysplasia 6 with or without polydactyly.
207 publications have been identified in PubMed for short-rib thoracic dysplasia 6 with or without polydactyly. Research spans Case Report / Case Series (39%), Basic Science / Preclinical (20%), and Epidemiology / Natural History (20%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 66 | 39% |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 5:51 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Digestive system | 3 | Liver scarring (fibrosis) (hepatic fibrosis), Pancreatic fibrosis, Intestinal malrotation |
Head and neck | 2 | Median cleft upper lip, Cleft palate |
Heart and blood vessels | 2 | Ventricular septal defect, Atrial septal defect |
Lungs and breathing | 1 | Pulmonary hypoplasia |
Pregnancy and birth | 1 | Hydrops fetalis |
Kidneys and urinary system | 1 | Polycystic kidney dysplasia |
Eyes | 1 | Retinal dystrophy |
Bones and joints | 1 | Short long bone |
Brain and nerves | 1 | Delayed speech and language development |
Laboratory research |
33 |
20% |
Disease patterns and progression | 33 | 20% |
Research summaries | 19 | 11% |
Clinical study results | 6 | 4% |
New treatment approaches | 6 | 4% |
Testing and diagnosis research | 4 | 2% |
Other research | 2 | 1% |
Liu Y (2026). [PMID: 41518077](https://pubmed.ncbi.nlm.nih.gov/41518077/). *Genesis*. [Gene Therapy / Novel Therapeutics]
Pomeroy JJ (2026). [PMID: 42175648](https://pubmed.ncbi.nlm.nih.gov/42175648/). *Am J Med Genet A*. [Review / Meta-Analysis]
Wang Z (2026). [PMID: 41503593](https://pubmed.ncbi.nlm.nih.gov/41503593/). *Clin Case Rep*. [Case Report / Case Series]
Romo-Aguas JC (2026). [PMID: 42022048](https://pubmed.ncbi.nlm.nih.gov/42022048/). *Ophthalmol Sci*. [Epidemiology / Natural History]
Elsherbini A (2026). [PMID: 41689580](https://pubmed.ncbi.nlm.nih.gov/41689580/). *The Journal of hand surgery*. [Review / Meta-Analysis]
Khorashadizadeh M (2026). [PMID: 42218462](https://pubmed.ncbi.nlm.nih.gov/42218462/). *BMC Pediatr*. [Epidemiology / Natural History]
Umair M (2026). [PMID: 41760364](https://pubmed.ncbi.nlm.nih.gov/41760364/). *Clin Genet*. [Basic Science / Preclinical]
Mokhtari A (2026). [PMID: 40842263](https://pubmed.ncbi.nlm.nih.gov/40842263/). *Clin Genet*. [Basic Science / Preclinical]
Minotti C (2026). [PMID: 40583039](https://pubmed.ncbi.nlm.nih.gov/40583039/). *Clin Genet*. [Case Report / Case Series]
Abola MV (2026). [PMID: 41037671](https://pubmed.ncbi.nlm.nih.gov/41037671/). *Journal of pediatric orthopedics*. [Review / Meta-Analysis]