Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Wolcott-Rallison syndrome (WRS) is a very rare genetic disease, characterized by permanent neonatal diabetes mellitus (PNDM) with multiple epiphyseal dysplasia and other clinical manifestations, including recurrent episodes of acute liver failure.
Features include always present findings: Epiphyseal dysplasia and Insulin-resistant diabetes mellitus. 36 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 5 | Carpal bone hypoplasia, Weak and brittle bones (osteoporosis), Excessive inward curvature of the lower spine (hyperlordosis) |
EIF2AK3 encodes eukaryotic translation initiation factor 2 alpha kinase 3 (1,116 aa). Metabolic-stress sensing protein kinase that phosphorylates the alpha subunit of eukaryotic translation initiation factor 2 (EIF2S1/eIF-2-alpha) in response to various stress, such as unfolded protein response (UPR). Highest expression in Cells EBV-transformed lymphocytes (45.2 TPM) and Minor Salivary Gland (27.3 TPM).
Wolcott-Rallison syndrome is associated with mutations in the EIF2AK3 gene on chromosome 2.
The EIF2AK3 protein participates in EIF2AK3(30-144)-ALK(1058-1620) fusion, EIF2AK3(30-144)-p-7Y-ALK(1058-1620) fusion, and ALK mutants bind type I TKIs pathways.
EIF2AK3 is classified as a druggable target (Druggable Genome, Enzyme, Kinase, Serine Threonine Kinase, and Tyrosine Kinase categories) with score 34.8.
Genetic testing for EIF2AK3 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
14 publications have been identified in PubMed for Wolcott-Rallison syndrome. Research spans Case Report / Case Series (71%), Basic Science / Preclinical (14%), and Review / Meta-Analysis (7%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 10 | 71% |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 1:06 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Wolcott-Rallison syndrome
Arms and legs
4 |
Ivory epiphyses of the toes, Cone-shaped epiphyses of the phalanges of the hand, Shortening of all middle phalanges of the fingers |
Digestive system | 2 | Enlarged liver (hepatomegaly), Reduced pancreatic beta cells |
Hormones | 2 | Type I diabetes mellitus, Insulin-resistant diabetes mellitus |
Head and neck | 2 | High palate, Microcephaly |
Brain and nerves | 2 | Global developmental delay, Depressed nasal bridge |
Growth and development | 1 | Short stature |
Kidneys and urinary system | 1 | Reduced kidney function (renal insufficiency) |
Age of onset: childhood, infancy.
Laboratory research |
2 |
14% |
Research summaries | 1 | 7% |
Disease patterns and progression | 1 | 7% |
Gaur BK (2026). [PMID: 40990967](https://pubmed.ncbi.nlm.nih.gov/40990967/). *J Pediatr Endocrinol Metab*. [Case Report / Case Series]
Zhu Q (2026). [PMID: 41887407](https://pubmed.ncbi.nlm.nih.gov/41887407/). *Klin Padiatr*. [Case Report / Case Series]
Hassan SS (2026). [PMID: 41275391](https://pubmed.ncbi.nlm.nih.gov/41275391/). *J Pediatr Endocrinol Metab*. [Epidemiology / Natural History]
Almeida LM (2026). [PMID: 41686355](https://pubmed.ncbi.nlm.nih.gov/41686355/). *Pharmacol Rep*. [Basic Science / Preclinical]
Yakine F (2026). [PMID: 41769619](https://pubmed.ncbi.nlm.nih.gov/41769619/). *Cureus*. [Case Report / Case Series]
Noorian S (2025). [PMID: 41356638](https://pubmed.ncbi.nlm.nih.gov/41356638/). *Clin Case Rep*. [Case Report / Case Series]
Konduri M (2025). [PMID: 40441422](https://pubmed.ncbi.nlm.nih.gov/40441422/). *Eur J Med Genet*. [Case Report / Case Series]
Almeida LM (2025). [PMID: 38659860](https://pubmed.ncbi.nlm.nih.gov/38659860/). *bioRxiv*. [Basic Science / Preclinical]
Brownell M (2025). [PMID: 41039715](https://pubmed.ncbi.nlm.nih.gov/41039715/). *Pediatr Transplant*. [Case Report / Case Series]
Teke S (2025). [PMID: 40432266](https://pubmed.ncbi.nlm.nih.gov/40432266/). *J Pediatr Endocrinol Metab*. [Case Report / Case Series]