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Features include always present findings: Achilles tendon calcification, Elevated circulating parathyroid hormone level, Calvarial osteosclerosis, and Hypercalcemia and others. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 3 | Fatigue, Headache, Cerebral calcification |
KL encodes klotho (1,012 aa). May have weak glycosidase activity towards glucuronylated steroids. Highest expression in Kidney Cortex (18.7 TPM) and Kidney Medulla (10.7 TPM).
Tumoral calcinosis, hyperphosphatemic, familial, 3 is associated with mutations in the KL gene on chromosome 13.
The KL protein participates in p-11Y PDGFRA Y288C, CDC42 GEFs activate CDC42, and TPST1,2 transfer SO4(2-) from PAPS to FVIII pathways.
KL is classified as a druggable target (Druggable Genome, Enzyme, Hormone Activity, and Transporter categories) with score 2.5.
Genetic testing for KL is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 12 always present features.
No clinical trials have been registered for tumoral calcinosis, hyperphosphatemic, familial, 3.
7 publications have been identified in PubMed for tumoral calcinosis, hyperphosphatemic, familial, 3. Research spans Case Report / Case Series (100%).
Ranzinger D (2025). [PMID: 40317874](https://pubmed.ncbi.nlm.nih.gov/40317874/). *J Dtsch Dermatol Ges*. [Case Report / Case Series]
Alqarni MM (2025). [PMID: 40524990](https://pubmed.ncbi.nlm.nih.gov/40524990/). *Cureus*. [Case Report / Case Series]
Kashayi-Chowdojirao S (2025). [PMID: 41100632](https://pubmed.ncbi.nlm.nih.gov/41100632/). *JBJS Case Connect*. [Case Report / Case Series]
Ali I (2025). [PMID: 40330379](https://pubmed.ncbi.nlm.nih.gov/40330379/). *Cureus*. [Case Report / Case Series]
Fabbriciani G (2024). [PMID: 38916164](https://pubmed.ncbi.nlm.nih.gov/38916164/). *Reumatismo*. [Case Report / Case Series]
Moran H (2024). [PMID: 39395830](https://pubmed.ncbi.nlm.nih.gov/39395830/). *BMJ Case Rep*. [Case Report / Case Series]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 2:16 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Bones and joints
2 |
Calvarial osteosclerosis, Mild bone density loss (osteopenia) |
Muscles | 1 | Achilles tendon calcification |
Lab test results | 1 | Elevated circulating parathyroid hormone level |
Kidneys and urinary system | 1 | Nephrolithiasis |
Alghubishi SA (2024). [PMID: 39539886](https://pubmed.ncbi.nlm.nih.gov/39539886/). *Cureus*. [Case Report / Case Series]