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Síndrome de Hermansky-Pudlak
ORPHA:79430CID-10 · E70.3CID-11 · EC23.20DOENÇA RARA

A Síndrome de Hermansky-Pudlak (SHP) é uma doença que afeta vários sistemas do corpo, caracterizada por albinismo oculocutâneo, tendência a sangramentos e, em alguns casos, baixa de neutrófilos (um tipo de glóbulo branco), fibrose pulmonar ou uma inflamação no intestino (colite granulomatosa). A SHP engloba oito subtipos conhecidos (SHP-1 a SHP-8), a maioria dos quais apresenta as mesmas características clínicas, mas com diferentes níveis de gravidade.

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Introdução

O que você precisa saber de cara

📋

A Síndrome de Hermansky-Pudlak (SHP) é uma doença que afeta vários sistemas do corpo, caracterizada por albinismo oculocutâneo, tendência a sangramentos e, em alguns casos, baixa de neutrófilos (um tipo de glóbulo branco), fibrose pulmonar ou uma inflamação no intestino (colite granulomatosa). A SHP engloba oito subtipos conhecidos (SHP-1 a SHP-8), a maioria dos quais apresenta as mesmas características clínicas, mas com diferentes níveis de gravidade.

Pesquisas ativas
3 ensaios
11 total registrados no ClinicalTrials.gov
Publicações científicas
836 artigos
Último publicado: 2026 Apr 13

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.15
Worldwide
Início
Infancy
+ neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: E70.3
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (6)
0202010279
Dosagem de aminoácidos (erros inatos)metabolic_test
0202010295
Dosagem de ácidos orgânicos na urinagenetic_test
0202010490
Teste de triagem para erros inatos do metabolismonewborn_screening
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202080013
Teste do pezinho (triagem neonatal)
0301070040
Atendimento em reabilitação — doenças raras
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

👁️
Olhos
23 sintomas
🧠
Neurológico
11 sintomas
🧬
Pele e cabelo
11 sintomas
🩸
Sangue
10 sintomas
🫃
Digestivo
9 sintomas
🫁
Pulmão
7 sintomas

+ 56 sintomas em outras categorias

Características mais comuns

90%prev.
Contagem total de neutrófilos diminuída
Muito frequente (99-80%)
90%prev.
Imunodeficiência
Muito frequente (99-80%)
90%prev.
Hipopigmentação da pele
Muito frequente (99-80%)
90%prev.
Nistagmo
Muito frequente (99-80%)
90%prev.
Hipopigmentação da íris
Muito frequente (99-80%)
90%prev.
Sangramento anormal
Muito frequente (99-80%)
150sintomas
Muito frequente (7)
Frequente (15)
Ocasional (17)
Sem dados (111)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 150 características clínicas mais associadas, ordenadas por frequência.

Contagem total de neutrófilos diminuídaDecreased total neutrophil count
Muito frequente (99-80%)90%
ImunodeficiênciaImmunodeficiency
Muito frequente (99-80%)90%
Hipopigmentação da peleHypopigmentation of the skin
Muito frequente (99-80%)90%
NistagmoNystagmus
Muito frequente (99-80%)90%
Hipopigmentação da írisIris hypopigmentation
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico836PubMed
Últimos 10 anos200publicações
Pico202145 papers
Linha do tempo
2026Hoje · 2026🧪 1995Primeiro ensaio clínico📈 2021Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

11 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.

BLOC1S3Biogenesis of lysosome-related organelles complex 1 subunit 3Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the BLOC-1 complex, a complex that is required for normal biogenesis of lysosome-related organelles (LRO), such as platelet dense granules and melanosomes. In concert with the AP-3 complex, the BLOC-1 complex is required to target membrane protein cargos into vesicles assembled at cell bodies for delivery into neurites and nerve terminals. The BLOC-1 complex, in association with SNARE proteins, is also proposed to be involved in neurite extension. Plays a role in intracellular vesic

LOCALIZAÇÃO

Cytoplasm

VIAS BIOLÓGICAS (1)
Golgi Associated Vesicle Biogenesis
MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 8

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

OUTRAS DOENÇAS (2)
Hermansky-Pudlak syndrome 8Hermansky-Pudlak syndrome 7
HGNC:20914UniProt:Q6QNY0
AP3B1AP-3 complex subunit beta-1Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Subunit of non-clathrin- and clathrin-associated adaptor protein complex 3 (AP-3) that plays a role in protein sorting in the late-Golgi/trans-Golgi network (TGN) and/or endosomes. The AP complexes mediate both the recruitment of clathrin to membranes and the recognition of sorting signals within the cytosolic tails of transmembrane cargo molecules. AP-3 appears to be involved in the sorting of a subset of transmembrane proteins targeted to lysosomes and lysosome-related organelles. In concert w

LOCALIZAÇÃO

Cytoplasmic vesicle, clathrin-coated vesicle membraneGolgi apparatus

VIAS BIOLÓGICAS (1)
Golgi Associated Vesicle Biogenesis
MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 2

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS. HPS2 differs from the other forms of HPS in that it includes immunodeficiency in its phenotype and patients with HPS2 have an increased susceptibility to infections.

OUTRAS DOENÇAS (1)
Hermansky-Pudlak syndrome 2
HGNC:566UniProt:O00203
BLOC1S5Biogenesis of lysosome-related organelles complex 1 subunit 5Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the BLOC-1 complex, a complex that is required for normal biogenesis of lysosome-related organelles (LRO), such as platelet dense granules and melanosomes (PubMed:32565547). In concert with the AP-3 complex, the BLOC-1 complex is required to target membrane protein cargos into vesicles assembled at cell bodies for delivery into neurites and nerve terminals. The BLOC-1 complex, in association with SNARE proteins, is also proposed to be involved in neurite extension. Plays a role in i

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 11

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

OUTRAS DOENÇAS (2)
Hermansky-Pudlak syndrome 11Hermansky-Pudlak syndrome 7
HGNC:18561UniProt:Q8TDH9
AP3D1AP-3 complex subunit delta-1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Part of the AP-3 complex, an adaptor-related complex which is not clathrin-associated. The complex is associated with the Golgi region as well as more peripheral structures. It facilitates the budding of vesicles from the Golgi membrane and may be directly involved in trafficking to lysosomes. Involved in process of CD8+ T-cell and NK cell degranulation (PubMed:26744459). In concert with the BLOC-1 complex, AP-3 is required to target cargos into vesicles assembled at cell bodies for delivery int

LOCALIZAÇÃO

CytoplasmGolgi apparatus membrane

MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 10

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS. HPS10 patients manifest albinism, neutropenia, immunodeficiency, neurodevelopmental delay, generalized seizures, and impaired hearing.

OUTRAS DOENÇAS (3)
Hermansky-Pudlak syndrome 10ocular albinism with late-onset sensorineural deafnessX-linked recessive ocular albinism
HGNC:568UniProt:O14617
HPS6BLOC-2 complex member HPS6Disease-causing germline mutation(s) inTolerante
FUNÇÃO

May regulate the synthesis and function of lysosomes and of highly specialized organelles, such as melanosomes and platelet dense granules (PubMed:17041891). Acts as a cargo adapter for the dynein-dynactin motor complex to mediate the transport of lysosomes from the cell periphery to the perinuclear region. Facilitates retrograde lysosomal trafficking by linking the motor complex to lysosomes, and perinuclear positioning of lysosomes is crucial for the delivery of endocytic cargos to lysosomes,

LOCALIZAÇÃO

Microsome membraneCytoplasm, cytosolEarly endosome membraneLysosome membrane

MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 6

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
30.4 TPM
Linfócitos
26.4 TPM
Fallopian Tube
19.4 TPM
Útero
18.1 TPM
Baço
17.0 TPM
OUTRAS DOENÇAS (2)
Hermansky-Pudlak syndrome 6Hermansky-Pudlak syndrome without pulmonary fibrosis
HGNC:18817UniProt:Q86YV9
HPS5BLOC-2 complex member HPS5Disease-causing germline mutation(s) inTolerante
FUNÇÃO

May regulate the synthesis and function of lysosomes and of highly specialized organelles, such as melanosomes and platelet dense granules. Regulates intracellular vesicular trafficking in fibroblasts. May be involved in the regulation of general functions of integrins

LOCALIZAÇÃO

Cytoplasm, cytosol

MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 5

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
30.6 TPM
Testículo
25.4 TPM
Linfócitos
25.0 TPM
Fibroblastos
23.6 TPM
Aorta
20.7 TPM
OUTRAS DOENÇAS (2)
Hermansky-Pudlak syndrome 5Hermansky-Pudlak syndrome without pulmonary fibrosis
HGNC:17022UniProt:Q9UPZ3
HPS1BLOC-3 complex member HPS1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the BLOC-3 complex, a complex that acts as a guanine exchange factor (GEF) for RAB32 and RAB38, promotes the exchange of GDP to GTP, converting them from an inactive GDP-bound form into an active GTP-bound form. The BLOC-3 complex plays an important role in the control of melanin production and melanosome biogenesis and promotes the membrane localization of RAB32 and RAB38 (PubMed:23084991)

LOCALIZAÇÃO

VIAS BIOLÓGICAS (1)
RAB GEFs exchange GTP for GDP on RABs
MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 1

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

EXPRESSÃO TECIDUAL(Ubíquo)
Baço
57.7 TPM
Cervix Endocervix
54.4 TPM
Cervix Ectocervix
48.5 TPM
Sangue
48.2 TPM
Útero
47.2 TPM
OUTRAS DOENÇAS (2)
Hermansky-Pudlak syndrome 1Hermansky-Pudlak syndrome with pulmonary fibrosis
HGNC:5163UniProt:Q92902
BLOC1S6Biogenesis of lysosome-related organelles complex 1 subunit 6Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the BLOC-1 complex, a complex that is required for normal biogenesis of lysosome-related organelles (LRO), such as platelet dense granules and melanosomes. In concert with the AP-3 complex, the BLOC-1 complex is required to target membrane protein cargos into vesicles assembled at cell bodies for delivery into neurites and nerve terminals. The BLOC-1 complex, in association with SNARE proteins, is also proposed to be involved in neurite extension. May play a role in intracellular ve

LOCALIZAÇÃO

CytoplasmMembrane

VIAS BIOLÓGICAS (1)
Golgi Associated Vesicle Biogenesis
MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 9

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

OUTRAS DOENÇAS (2)
Hermansky-Pudlak syndrome 9Hermansky-Pudlak syndrome 7
HGNC:8549UniProt:Q9UL45
HPS3BLOC-2 complex member HPS3Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Involved in early stages of melanosome biogenesis and maturation

LOCALIZAÇÃO

CytoplasmCytoplasm, cytosol

MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 3

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
27.4 TPM
Linfócitos
24.4 TPM
Útero
22.8 TPM
Nervo tibial
21.4 TPM
Baço
18.9 TPM
OUTRAS DOENÇAS (2)
Hermansky-Pudlak syndrome 3Hermansky-Pudlak syndrome without pulmonary fibrosis
HGNC:15597UniProt:Q969F9
HPS4BLOC-3 complex member HPS4Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the BLOC-3 complex, a complex that acts as a guanine exchange factor (GEF) for RAB32 and RAB38, promotes the exchange of GDP to GTP, converting them from an inactive GDP-bound form into an active GTP-bound form. The BLOC-3 complex plays an important role in the control of melanin production and melanosome biogenesis and promotes the membrane localization of RAB32 and RAB38 (PubMed:23084991)

LOCALIZAÇÃO

VIAS BIOLÓGICAS (1)
RAB GEFs exchange GTP for GDP on RABs
MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 4

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
67.3 TPM
Cérebro - Hemisfério cerebelar
66.6 TPM
Testículo
44.7 TPM
Skin Sun Exposed Lower leg
40.8 TPM
Skin Not Sun Exposed Suprapubic
36.3 TPM
OUTRAS DOENÇAS (2)
Hermansky-Pudlak syndrome 4Hermansky-Pudlak syndrome with pulmonary fibrosis
HGNC:15844UniProt:Q9NQG7
DTNBP1DysbindinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the BLOC-1 complex, a complex that is required for normal biogenesis of lysosome-related organelles (LRO), such as platelet dense granules and melanosomes. In concert with the AP-3 complex, the BLOC-1 complex is required to target membrane protein cargos into vesicles assembled at cell bodies for delivery into neurites and nerve terminals. The BLOC-1 complex, in association with SNARE proteins, is also proposed to be involved in neurite extension. Associates with the BLOC-2 complex

LOCALIZAÇÃO

CytoplasmCytoplasmic vesicle membraneEndosome membraneMelanosome membranePostsynaptic densityEndoplasmic reticulumNucleusCytoplasmic vesicle, secretory vesicle, synaptic vesicle membranePostsynaptic cell membrane

VIAS BIOLÓGICAS (1)
Golgi Associated Vesicle Biogenesis
MECANISMO DE DOENÇA

Hermansky-Pudlak syndrome 7

A form of Hermansky-Pudlak syndrome, a genetically heterogeneous autosomal recessive disorder characterized by oculocutaneous albinism, bleeding due to platelet storage pool deficiency, and lysosomal storage defects. This syndrome results from defects of diverse cytoplasmic organelles including melanosomes, platelet dense granules and lysosomes. Ceroid storage in the lungs is associated with pulmonary fibrosis, a common cause of premature death in individuals with HPS.

EXPRESSÃO TECIDUAL(Ubíquo)
Brain Nucleus accumbens basal ganglia
37.2 TPM
Artéria tibial
29.7 TPM
Aorta
25.4 TPM
Cólon sigmoide
24.0 TPM
Brain Frontal Cortex BA9
21.5 TPM
OUTRAS DOENÇAS (1)
Hermansky-Pudlak syndrome 7
HGNC:17328UniProt:Q96EV8

Variantes genéticas (ClinVar)

920 variantes patogênicas registradas no ClinVar.

🧬 BLOC1S3: GRCh38/hg38 19q13.31-13.32(chr19:44626066-46268105)x3 ()
🧬 BLOC1S3: NM_001382422.1(EXOC3L2):c.1999-138A>C ()
🧬 BLOC1S3: NM_212550.5(BLOC1S3):c.87dup (p.Ser30fs) ()
🧬 BLOC1S3: NM_212550.5(BLOC1S3):c.101C>A (p.Ser34Ter) ()
🧬 BLOC1S3: NM_212550.5(BLOC1S3):c.100_101inv (p.Ser34Glu) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 2,408 variantes classificadas pelo ClinVar.

241
361
1806
Patogênica (10.0%)
VUS (15.0%)
Benigna (75.0%)
VARIANTES MAIS SIGNIFICATIVAS
CP: NM_032383.5(HPS3):c.2995C>T (p.Arg999Ter) [Likely pathogenic]
AP3B1: NM_003664.5(AP3B1):c.1219C>T (p.Arg407Ter) [Pathogenic]
AP3B1: NM_003664.5(AP3B1):c.2690A>G (p.Asp897Gly) [Uncertain significance]
BLOC1S6: NM_012388.4(BLOC1S6):c.173C>G (p.Ser58Cys) [Uncertain significance]
AP3B1: NM_003664.5(AP3B1):c.786+5G>A [Uncertain significance]

Vias biológicas (Reactome)

3 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 23
·Pré-clínico5
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 8 ensaios
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Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome de Hermansky-Pudlak

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Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

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2 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

11 ensaios clínicos encontrados, 3 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

🥇Melhor nível de evidência: Revisão sistemática
Timeline de publicações
334 papers (10 anos)
#1

Thrombin activity confinement and dense granule release drive the dynamics of arterial thrombus.

PLoS computational biology2026 Mar

The mechanisms driving spatial heterogeneity of arterial thrombus and its three-stage dynamics are poorly understood. To investigate the potential principles regulating the size of the thrombus core and shell we developed a 3D continuum computational model that describes thrombus heterogeneity, thrombin-induced platelet dense granule secretion and clot propagation through thrombin and ADP-induced platelet activation. The continuum model predicted that spatial confinement of the thrombus core was a result of thrombin transport and a threshold-like dependence of platelet activation on thrombin concentration. This new model recapitulated three-stage dynamics observed in vivo and explained it with a burst-like ADP concentration dynamics due to the confinement of thrombus core propagation and rapid dense granule pool depletion within the core. The maximal shell size in silico was regulated by the transport of ADP and the kinetics of thrombin-dependent dense granules secretion. Simulations also predicted that partial propagation of thrombin inside the thrombus shell caused irreversible platelet activation by the low-dose thrombin and defined the residual shell size. Moreover, our results provided an explanation for the reduced size of a thrombus core observed in the mouse models of Hermansky-Pudlak syndrome. The continuum model was then applied to describe a FeCl3-induced thrombosis in macrocirculation, and described the thrombin-flux-depending switch between occlusive and non-occlusive thrombosis scenarios in mouse carotid artery. Finally, our simulations reinforced the hypothesis suggesting the importance of the large ADP-dependent thrombus shell for sealing the breach in case of a penetrating injury. Taken together, our results suggest a novel mechanism that may regulate arterial thrombus dynamics and offer several insights and сlarification to the core-and-shell model of arterial thrombus organization, as well as a possible role of the large thrombus shell in hemostasis.

#2

Oculocutaneous albinism variants in 28 consanguineous families and functional classification of a pathogenic deep intron variant in TYR.

European journal of human genetics : EJHG2026 Mar 11

Oculocutaneous albinism (OCA) are genetically and clinically heterogeneous recessive disorders with at least 23 associated genes. Isolated OCA is characterized by hypopigmentation in the skin, hair, and eyes combined with ocular abnormalities. Hermansky Pudlak syndrome (HPS) and Chediak-Higaski syndrome are syndromic forms of OCA, distinguished by immunological and hematological symptoms in addition to hypopigmentation and ocular anomalies. Targeted clinical care is crucial for the patients and molecular genetic diagnosis is important for classification of patients. Current diagnostic yield is approximately 70%, and a high proportion of patients are heterozygous for pathogenic variants in OCA genes, suggesting the presence of disease-causing non-coding variants. We describe here next generation sequencing (NGS) analysis, including copy number variant (CNV) analysis, of 28 consanguineous families, comprising a total of 136 individuals presenting with OCA. We provide a molecular genetic diagnosis in all 28 families. Noteworthy, five families (18%) had pathogenic variants in a gene associated with HPS, showing the importance of an in-depth molecular genetic investigation, which should be offered to persons with albinism. Furthermore, we report the first deep intron variant in TYR causing OCA and show by minigene analysis that the variant causes inclusion of a pseudoexon.

#3

Choline and CCL22 Are Prognostic Blood Biomarkers for Hermansky-Pudlak Syndrome Pulmonary Fibrosis.

American journal of respiratory cell and molecular biology2026 Jan 01

Identifying molecular biomarkers of pulmonary fibrosis (PF) would improve monitoring the disease progression and response to treatment. Hermansky-Pudlak syndrome (HPS)PF is an inherited type of progressive PF with accelerated onset of PF in patients with HPS type 1 (HPS-1). HPSPF could serve as a model to study biomarkers of progressive PF, given that all individuals with HPS-1 eventually develop HPSPF. We used a multiomics strategy to discover progressive blood biomarkers that can recognize factors contributing to the fibrotic cascade in the lungs of individuals with HPS. Metabolomic and cytokine/chemokine profiling were performed on serum samples from patients with HPS-1, HPS-1 with PF (HPSPF), HPS-3, HPS-5, or idiopathic PF and healthy volunteers. Metabolomics, cytokine/chemokine, pulmonary function, and age data from subjects with HPS-1 and HPSPF were integrated into a multiomics network. The analysis highlighted alterations in the transsulfuration pathway, arginine metabolism, and redox balance with the progression of PF in HPS-1. Among those, CCL22 and choline were significantly elevated in HPSPF compared with HPS-1 in two independent cohorts together with age and were associated with decline of pulmonary function. In receiver operating characteristic curve analysis, both CCL22 and choline demonstrated high accuracy in predicting PF in subjects with HPS-1 and therefore could serve as prognostic blood biomarkers of HPSPF. We noted similarity in molecular signatures of CCL22 in progressive idiopathic PF and HPSPF. We found that inducible nitric oxide synthase is an upstream regulator of releasing profibrotic mediators (CCL22, CCL24, IL-18, IL-1α, IL-1β), suggesting the therapeutic potential of inducible nitric oxide synthase inhibition in progressive HPSPF.

#4

Human respiratory airway progenitors derived from pluripotent cells generate alveolar epithelial cells and model pulmonary fibrosis.

Nature biotechnology2026 Mar

Human lungs contain unique cell populations in distal respiratory airways or terminal and respiratory bronchioles (RA/TRBs) that accumulate in persons with lung injury and idiopathic pulmonary fibrosis (IPF), a lethal lung disease. As these populations are absent in rodents, deeper understanding requires a human in vitro model. Here we convert human pluripotent stem cells (hPS cells) into expandable spheres, called induced respiratory airway progenitors (iRAPs), consisting of ~98% RA/TRB-associated cell types. One hPS cell can give rise to 1010 iRAP cells. We differentiate iRAPs through a stage consistent with transitional type 2 alveolar epithelial (AT2) cells into a population corresponding to mature AT1 cells with 95% purity. iRAPs with deletion of Heřmanský-Pudlák Syndrome 1 (HPS1), which causes pulmonary fibrosis in humans, replicate the aberrant differentiation and recruitment of profibrotic fibroblasts observed in IPF, indicating that intrinsic dysfunction of RA/TRB-associated alveolar progenitors contributes to HPS1-related IPF. iRAPs may provide a system suitable for IPF drug discovery and validation.

#5

Platelet secretion defects and increased CD63 expression in Hermansky-Pudlak syndrome: a case report - Erratum.

Blood coagulation &amp; fibrinolysis : an international journal in haemostasis and thrombosis2026 Jan 01

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Internal medicine (Tokyo, Japan)
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Depigmented Fundus and Fovea Plana in Hermansky-Pudlak Syndrome.

Ophthalmology. Retina
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ISTH bleeding assessment tool and platelet function analyzer in children with mild inherited platelet function disorders.

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2023

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2023

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Kardiologia polska
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[State-of-the-art in respiratory disease research using respiratory organoids].

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European review for medical and pharmacological sciences
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Human genetics
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Overlapping Machinery in Lysosome-Related Organelle Trafficking: A Lesson from Rare Multisystem Disorders.

Cells
2023

Investigating Determinants and Evaluating Deep Learning Training Approaches for Visual Acuity in Foveal Hypoplasia.

Ophthalmology science
2023

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CNS spectrums
2023

Ocular findings and a comparative study of hair, skin and iris color in Chinese patients with albinism.

Ophthalmic genetics
2022

Hermansky-Pudlak syndrome type 1 causes impaired anti-microbial immunity and inflammation due to dysregulated immunometabolism.

Mucosal immunology
2022

[Pulmonary phenotypes of inborn errors of metabolism].

Revue des maladies respiratoires
2023

Hermansky-Pudlak Syndrome: Spectrum in Oman.

Journal of pediatric hematology/oncology
2022

Case series on Silvery Hair Syndromes: Single Center Experience.

Indian journal of dermatology
2022

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Molecular genetics and metabolism
2022

Oculocutaneous albinism and bleeding diathesis due to a novel deletion in the HPS3 gene.

Frontiers in genetics
2022

Amelanotic melanoma in a patient with Hermansky-Pudlak syndrome.

JAAD case reports
2022

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2022

Hermansky-Pudlak syndrome type 2: A rare cause of severe periodontitis in adolescents-A case study.

Frontiers in pediatrics
2022

Dermatologic manifestations in patients with the Hermansky-Pudlak syndrome types 1 and 3.

Orphanet journal of rare diseases
2022

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Genes
2022

AP-3 complex subunit delta gene, ap3d1, regulates melanogenesis and melanophore survival via autophagy in zebrafish (Danio rerio).

Pigment cell &amp; melanoma research
2022

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Genes
2022

Dysregulated myosin in Hermansky-Pudlak syndrome lung fibroblasts is associated with increased cell motility.

Respiratory research
2022

Thromboxane-Prostanoid Receptor Signaling Drives Persistent Fibroblast Activation in Pulmonary Fibrosis.

American journal of respiratory and critical care medicine
2023

Pulmonary and Intestinal Involvement in a Patient with Myeloperoxidase-specific Antineutrophil Cytoplasmic Antibody-positive Hermansky-Pudlak Syndrome.

Internal medicine (Tokyo, Japan)
2022

Progressive pulmonary fibrosis in a murine model of Hermansky-Pudlak syndrome.

Respiratory research
2022

Zebrafish Syndromic Albinism Models as Tools for Understanding and Treating Pigment Cell Disease in Humans.

Cancers
2022

Lung Transplantation for Pulmonary Fibrosis Associated With Hermansky-Pudlak Syndrome. A Single-center Experience.

Transplantation direct
2021

HPS6 Regulates the Biogenesis of Weibel-Palade Body in Endothelial Cells Through Trafficking v-ATPase to Its Limiting Membrane.

Frontiers in cell and developmental biology
2022

The Microscopy-Based Assay to Study and Analyze the Recycling Endosomes using SNARE Trafficking.

Journal of visualized experiments : JoVE
2022

Novel AP3B1 mutations in a Hermansky-Pudlak syndrome type2 with neonatal interstitial lung disease.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
2022

Genotypic and Phenotypic Spectrum of Foveal Hypoplasia: A Multicenter Study.

Ophthalmology
2022

Clinical exome sequencing for diagnosing severe cryptogenic liver disease in adults: A case series.

Liver international : official journal of the International Association for the Study of the Liver
2022

New insights into the pathogenesis of Hermansky-Pudlak syndrome.

Pigment cell &amp; melanoma research
2021

Hermansky-Pudlak Syndrome: Identification of Novel Variants in the Genes HPS3, HPS5, and DTNBP1 (HPS-7).

Frontiers in pharmacology
2021

Two Novel Homozygous HPS6 Mutations (Double Mutant) Identified by Whole-Exome Sequencing in a Saudi Consanguineous Family Suspected for Oculocutaneous Albinism.

Life (Basel, Switzerland)
2021

A Role of Phosphatidylserine in the Function of Recycling Endosomes.

Frontiers in cell and developmental biology
2022

Eyelash trichomegaly: a systematic review of acquired and congenital aetiologies of lengthened lashes.

Journal of the European Academy of Dermatology and Venereology : JEADV
2021

Genetic Variability in Slovenian Cohort of Patients with Oculocutaneous Albinism.

Acta chimica Slovenica
2024

Recurrent perianal abscess in a patient with Hermansky-Pudlak syndrome-associated granulomatous colitis: a case report.

Annals of coloproctology
2021

Modeling of lung phenotype of Hermansky-Pudlak syndrome type I using patient-specific iPSCs.

Respiratory research
2021

A Novel Likely Pathogenic Variant in the BLOC1S5 Gene Associated with Hermansky-Pudlak Syndrome Type 11 and an Overview of Human BLOC-1 Deficiencies.

Cells
2021

Whole-Exome Sequencing Identified a Novel Homozygous Frameshift Mutation of HPS3 in a Consanguineous Family with Hermansky-Pudlak Syndrome.

BioMed research international
2021

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mBio
2021

A novel likely pathogenic variant in a patient with Hermansky-Pudlak syndrome.

Cold Spring Harbor molecular case studies
2021

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Genes
2021

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2021

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Clinical and translational medicine
2021

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Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
2021

Automated Digital Quantification of Pulmonary Fibrosis in Human Histopathology Specimens.

Frontiers in medicine
2021

Generation and characterization of a control and patient-derived human iPSC line containing the Hermansky Pudlak type 2 (HPS2) associated heterozygous compound mutation in AP3B1.

Stem cell research
2021

A novel BLOC1S5-related HPS-11 patient and zebrafish with bloc1s5 disruption.

Pigment cell &amp; melanoma research
2021

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Pigment cell &amp; melanoma research
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Hermansky-Pudlak syndrome: Five Chinese patients with novel variants in HPS1 and HPS6.

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2021

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2021

Hermansky-Pudlak Syndrome and Lung Disease: Pathogenesis and Therapeutics.

Frontiers in pharmacology
2021

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2021

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Respirology case reports
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Primary immunodeficiency associated with hypopigmentation: A differential diagnosis approach.

Allergologia et immunopathologia
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Hermansky-Pudlak syndrome-2 alters mitochondrial homeostasis in the alveolar epithelium of the lung.

Respiratory research
2021

The first Hermansky-Pudlak syndrome type 9 patient with two novel variants in Chinese population.

The Journal of dermatology
2021

Hermansky-Pudlak syndrome pulmonary fibrosis: a rare inherited interstitial lung disease.

European respiratory review : an official journal of the European Respiratory Society
2021

The presentation and outcomes of Hermansky-Pudlak syndrome in obstetrics and gynecological settings: A systematic review.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
2021

A zinc transporter, transmembrane protein 163, is critical for the biogenesis of platelet dense granules.

Blood
2021

Severe hidradenitis suppurativa in a patient affected by Hermansky-Pudlak Syndrome type 9: possible shared pathogenetic aspects.

Italian journal of dermatology and venereology
2021

Inflammatory bowel disease in Hermansky-Pudlak syndrome: a retrospective single-centre cohort study.

Journal of internal medicine
2020

Melanogenesis Connection with Innate Immunity and Toll-Like Receptors.

International journal of molecular sciences
2021

Interstitial Pneumonia Secondary to Hermansky-Pudlak Syndrome Type 4 Treated with Different Antifibrotic Agents.

Internal medicine (Tokyo, Japan)
2021

Genetically encoded multimode reporter of adaptor complex 3 traffic in budding yeast.

Traffic (Copenhagen, Denmark)
2020

HPS1 Regulates the Maturation of Large Dense Core Vesicles and Lysozyme Secretion in Paneth Cells.

Frontiers in immunology
2021

Periodic albinism of a widely used albino mutant of Xenopus laevis caused by deletion of two exons in the Hermansky-Pudlak syndrome type 4 gene.

Genes to cells : devoted to molecular &amp; cellular mechanisms
2021

Melanosome transport and regulation in development and disease.

Pharmacology &amp; therapeutics
2020

Hermansky-Pudlak syndrome-associated pneumothorax with rapid progression of respiratory failure: a case report.

BMC pulmonary medicine
2021

Rab GTPases: Key players in melanosome biogenesis, transport, and transfer.

Pigment cell &amp; melanoma research
2021

Current landscape of Oculocutaneous Albinism in Japan.

Pigment cell &amp; melanoma research
2020

Identification of two novel mutations in a Japanese patient with Hermansky-Pudlak syndrome type 5.

The Journal of dermatology
2021

Partial albinism and immunodeficiency in patients with Hermansky-Pudlak Type II: Introducing 2 novel mutations.

Scandinavian journal of immunology
2020

The spectrum of primary immunodeficiencies at a tertiary care hospital in Pakistan.

The World Allergy Organization journal
2021

Genetic variants and mutational spectrum of Chinese Hermansky-Pudlak syndrome patients.

Pigment cell &amp; melanoma research
2021

Novel variants in the BLOC1S3 gene in patients presenting a mild form of Hermansky-Pudlak syndrome.

Pigment cell &amp; melanoma research
2021

Intractable diffuse pulmonary diseases: Manual for diagnosis and treatment.

Respiratory investigation
2020

BLOC1S5 pathogenic variants cause a new type of Hermansky-Pudlak syndrome.

Genetics in medicine : official journal of the American College of Medical Genetics
2020

Donskoy cats as a new model of oculocutaneous albinism with the identification of a splice-site variant in Hermansky-Pudlak Syndrome 5 gene.

Pigment cell &amp; melanoma research
2020

Novel Brown Coat Color (Cocoa) in French Bulldogs Results from a Nonsense Variant in HPS3.

Genes
2020

Albinism with pulmonary fibrosis: Hermansky-Pudlak syndrome.

Polish archives of internal medicine
2020

Genetic variants associated with Hermansky-Pudlak syndrome.

Platelets
2021

A new case with Hermansky-Pudlak syndrome type 9, a rare cause of syndromic albinism with severe defect of platelets dense bodies.

Platelets
2020

Retinal biomarkers and pharmacological targets for Hermansky-Pudlak syndrome 7.

Scientific reports
2020

The Mutation of the Ap3b1 Gene Causes Uterine Hypoplasia in Pearl Mice.

Reproductive sciences (Thousand Oaks, Calif.)
2020

Hermansky-Pudlak syndrome: Mutation update.

Human mutation
2020

Novel variant in HPS3 gene in a patient with Hermansky Pudlak syndrome (HPS) type 3.

Platelets
2020

Novel AP3B1 compound heterozygous mutations in a Japanese patient with Hermansky-Pudlak syndrome type 2.

The Journal of dermatology
2019

Characterizing renal involvement in Hermansky-Pudlak Syndrome in a zebrafish model.

Scientific reports
2019

Extracorporeal Membrane Oxygenation Bridge to Lung Transplantation in a Patient with Hermansky-Pudlak Syndrome and Progressive Pulmonary Fibrosis.

Acute and critical care
2019

Possible value of antifibrotic drugs in patients with progressive fibrosing non-IPF interstitial lung diseases.

BMC pulmonary medicine
2020

Speckled lentiginous nevus in a patient with Hermansky-Pudlak syndrome type 1.

The Journal of dermatology
2020

Subclinical hypopigmentation of the skin and hair in a Japanese patient with Hermansky-Pudlak syndrome type 3.

The Journal of dermatology
2019

Novel genetic variant of HPS1 gene in Hermansky-Pudlak syndrome with fulminant progression of pulmonary fibrosis: a case report.

BMC pulmonary medicine
2020

Hexa-Longin domain scaffolds for inter-Rab signalling.

Bioinformatics (Oxford, England)
2019

Treatment of Hermansky-Pudlak syndrome Associated granulomatous colitis with anti-TNF agents: case series and review of literature.

European journal of gastroenterology &amp; hepatology
2019

A novel mutation causes Hermansky-Pudlak syndrome type 4 with pulmonary fibrosis in 2 siblings from China.

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Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Thrombin activity confinement and dense granule release drive the dynamics of arterial thrombus.
    PLoS computational biology· 2026· PMID 41860898mais citado
  2. Oculocutaneous albinism variants in 28 consanguineous families and functional classification of a pathogenic deep intron variant in TYR.
    European journal of human genetics : EJHG· 2026· PMID 41807736mais citado
  3. Choline and CCL22 Are Prognostic Blood Biomarkers for Hermansky-Pudlak Syndrome Pulmonary Fibrosis.
    American journal of respiratory cell and molecular biology· 2026· PMID 40720784mais citado
  4. Human respiratory airway progenitors derived from pluripotent cells generate alveolar epithelial cells and model pulmonary fibrosis.
    Nature biotechnology· 2026· PMID 39994483mais citado
  5. Platelet secretion defects and increased CD63 expression in Hermansky-Pudlak syndrome: a case report - Erratum.
    Blood coagulation &amp; fibrinolysis : an international journal in haemostasis and thrombosis· 2026· PMID 41476381mais citado
  6. A dileucine motif in TMEM163 is essential for its binding with both AP-3 and BLOC-1 complex.
    J Biol Chem· 2026· PMID 41985787recente
  7. Case report: Double-lung transplantation for Hermansky-Pudlak syndrome-associated pulmonary fibrosis and early-stage lung cancer.
    Front Immunol· 2026· PMID 41953037recente
  8. Hermansky-Pudlak Syndrome Type 1 with pulmonary fibrosis: A case report and re-view of management.
    Rofo· 2026· PMID 41911684recente
  9. Hermansky-Pudlak Syndrome Type 3 Complicated by Schizophrenia and Crohn's-Like Colitis.
    J Dermatol· 2026· PMID 41906413recente
  10. BLOC1S1 variants cause lysosomal and autophagic defects resulting in a hypomyelinating leukodystrophy with epileptic encephalopathy.
    Am J Hum Genet· 2026· PMID 41887224recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:79430(Orphanet)
  2. MONDO:0019312(MONDO)
  3. GARD:6643(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Artigo Wikipedia(Wikipedia)
  7. Q1506216(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome de Hermansky-Pudlak
Compêndio · Raras BR

Síndrome de Hermansky-Pudlak

ORPHA:79430 · MONDO:0019312
Prevalência
1-9 / 1 000 000
Herança
Autosomal recessive
CID-10
E70.3 · Albinismo
CID-11
Ensaios
3 ativos
Início
Infancy, Neonatal
Prevalência
0.15 (Worldwide)
MedGen
UMLS
C0079504
EuropePMC
Wikidata
Wikipedia
Papers 10a
Evidência
🥇 Rev. sistemática
DiscussaoAtiva

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