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A spondyloepimetaphyseal dysplasia characterized by moderate-to-severe metaphyseal changes, mild epiphyseal involvement, rhizomelic shortening of the lower limbs with bowing of the femora and/or tibiae, coxa vara, genu varum and pear-shaped vertebrae in childhood.
Features include: Tibial bowing, Flared metaphysis, Flared, irregular rib ends, and Pear-shaped vertebrae and 17 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 4 | Pear-shaped vertebrae, Femoral bowing, Delayed skeletal maturation |
MMP13 encodes matrix metallopeptidase 13 (471 aa). Plays a role in the degradation of extracellular matrix proteins including fibrillar collagen, fibronectin, TNC and ACAN. Highest expression in Pituitary (0.6 TPM) and Testis (0.1 TPM).
Spondyloepimetaphyseal dysplasia, Missouri type is associated with mutations in the MMP13 gene on chromosome 11.
MMP13 is classified as a druggable target (Druggable Genome, Enzyme, and Protease categories) with score 2.6.
Genetic testing for MMP13 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for spondyloepimetaphyseal dysplasia, Missouri type has been reported in the published literature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for spondyloepimetaphyseal dysplasia, Missouri type.
12 publications have been identified in PubMed for spondyloepimetaphyseal dysplasia, Missouri type. Kisho has analyzed 9 by research type. Research spans Case Report / Case Series (56%), Basic Science / Preclinical (33%), and Diagnostic / Biomarker (11%).
Thunström S (2026). [PMID: 42069302](https://pubmed.ncbi.nlm.nih.gov/42069302/). *Eur J Med Genet*. [Case Report / Case Series]
Šemić A (2026). [PMID: 41959455](https://pubmed.ncbi.nlm.nih.gov/41959455/). *bioRxiv*. [Basic Science / Preclinical]
Bilgeç N (2025). [PMID: 39807608](https://pubmed.ncbi.nlm.nih.gov/39807608/). *Clin Dysmorphol*. [Case Report / Case Series]
Yeter B (2025). [PMID: 39849673](https://pubmed.ncbi.nlm.nih.gov/39849673/). *J Clin Res Pediatr Endocrinol*. [Diagnostic / Biomarker]
Zamanian Najafabadi S (2025). [PMID: 40751525](https://pubmed.ncbi.nlm.nih.gov/40751525/). *Arch Iran Med*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 9:47 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
1 |
Waddling gait |
Kawaue H (2024). [PMID: 38989461](https://pubmed.ncbi.nlm.nih.gov/38989461/). *iScience*. [Basic Science / Preclinical]
Ozturk M (2024). [PMID: 38874671](https://pubmed.ncbi.nlm.nih.gov/38874671/). *Mol Biol Rep*. [Case Report / Case Series]
Klejnotowska AE (2024). [PMID: 38957076](https://pubmed.ncbi.nlm.nih.gov/38957076/). *Ophthalmic Genet*. [Case Report / Case Series]
Akalın A (2024). [PMID: 38860472](https://pubmed.ncbi.nlm.nih.gov/38860472/). *Am J Med Genet A*. [Basic Science / Preclinical]