A Síndrome de Alagille (SGA) é uma condição que pode apresentar diversas características, incluindo: acúmulo crônico de bile no fígado devido à falta ou diminuição dos pequenos canais que a transportam (ductos biliares) dentro do órgão; estreitamento das artérias pulmonares periféricas (vasos que levam o sangue para os pulmões); anomalias na formação e separação das vértebras (ossos da coluna vertebral); feições faciais características; alterações na parte da frente do olho, como o embriotóxon posterior (um anel visível na córnea) e outras anormalidades nessa área; retinopatia pigmentar (uma doença da retina, parte do olho que capta a luz, com alterações de pigmentação); e rins displásicos (rins que não se desenvolveram corretamente).
Introdução
O que você precisa saber de cara
A Síndrome de Alagille (SGA) é uma condição que pode apresentar diversas características, incluindo: acúmulo crônico de bile no fígado devido à falta ou diminuição dos pequenos canais que a transportam (ductos biliares) dentro do órgão; estreitamento das artérias pulmonares periféricas (vasos que levam o sangue para os pulmões); anomalias na formação e separação das vértebras (ossos da coluna vertebral); feições faciais características; alterações na parte da frente do olho, como o embriotóxon posterior (um anel visível na córnea) e outras anormalidades nessa área; retinopatia pigmentar (uma doença da retina, parte do olho que capta a luz, com alterações de pigmentação); e rins displásicos (rins que não se desenvolveram corretamente).
Tem tratamento?
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 25 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 92 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
2 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant.
Ligand for multiple Notch receptors and involved in the mediation of Notch signaling (PubMed:18660822, PubMed:20437614). May be involved in cell-fate decisions during hematopoiesis (PubMed:9462510). Seems to be involved in early and late stages of mammalian cardiovascular development. Inhibits myoblast differentiation (By similarity). Enhances fibroblast growth factor-induced angiogenesis (in vitro)
MembraneCell membrane
Alagille syndrome 1
A form of Alagille syndrome, an autosomal dominant multisystem disorder. It is clinically defined by hepatic bile duct paucity and cholestasis in association with cardiac, skeletal, and ophthalmologic manifestations. There are characteristic facial features and less frequent clinical involvement of the renal and vascular systems.
Functions as a receptor for membrane-bound ligands Jagged-1 (JAG1), Jagged-2 (JAG2) and Delta-1 (DLL1) to regulate cell-fate determination. Upon ligand activation through the released notch intracellular domain (NICD) it forms a transcriptional activator complex with RBPJ/RBPSUH and activates genes of the enhancer of split locus (PubMed:21378985, PubMed:21378989). Affects the implementation of differentiation, proliferation and apoptotic programs (By similarity). Involved in bone remodeling and
Cell membraneNucleusCytoplasm
Alagille syndrome 2
A form of Alagille syndrome, an autosomal dominant multisystem disorder. It is clinically defined by hepatic bile duct paucity and cholestasis in association with cardiac, skeletal, and ophthalmologic manifestations. There are characteristic facial features and less frequent clinical involvement of the renal and vascular systems.
Medicamentos e terapias
Mecanismo: Ileal bile acid transporter inhibitor
Mecanismo: Ileal bile acid transporter inhibitor
Mecanismo: Ileal bile acid transporter inhibitor
Variantes genéticas (ClinVar)
861 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 1,931 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
19 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome Alagille
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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
Ensaios em destaque
🟢 Recrutando agora
6 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.
Outros ensaios clínicos
31 ensaios clínicos encontrados, 7 ativos.
Publicações mais relevantes
Notch signaling in liver diseases: mechanistic insights and therapeutic implications.
The Notch signaling pathway represents an evolutionarily conserved mechanism of intercellular communication that plays critical roles in organ development and tissue homeostasis. However, its functions in liver physiology and pathology demonstrate remarkable context-dependent characteristics, with dysregulated signaling contributing to various liver disorders. This review systematically summarizes the complex roles of Notch signaling in liver health and disease. It comprehensively examines the pathway's essential functions in biliary development, hepatic regeneration, and metabolic homeostasis, while providing a detailed analysis of its pathogenic mechanisms in conditions including Alagille syndrome, drug-induced liver injury, non-alcoholic fatty liver disease, liver fibrosis, hepatocellular carcinoma, and intrahepatic cholangiocarcinoma. Our review particularly emphasizes the dual function of Notch signaling in hepatobiliary malignancies, where it can exert either oncogenic or tumor-suppressive effects depending on specific cellular contexts, molecular interactions, and microenvironmental cues. Furthermore, we highlight the evolution of therapeutic strategies from broad-spectrum γ-secretase inhibitors to more precise approaches involving ligand-specific antibodies, transcriptional complex blockers, and pathway agonists, while addressing persistent challenges in clinical translation including on-target toxicities, compensatory resistance mechanisms, and context-dependent responses. Looking forward, this review outlines promising research directions featuring biomarker-guided patient stratification, rational combination therapies with immune checkpoint inhibitors, and spatiotemporally precise regulatory strategies. By integrating foundational knowledge with recent advances, this work provides valuable insights for understanding Notch signaling's complex roles in liver pathophysiology and for developing novel therapeutic interventions.
AGEX: a comprehensive database of clinically relevant genetic variants associated with Alagille syndrome across diverse populations.
Alagille syndrome (ALGS) is a rare multisystem disorder primarily caused by pathogenic variants in JAG1 and NOTCH2. Although its genetic basis is well established, existing variant repositories often lack comprehensive clinical annotation, sufficient ethnic representation, and open accessibility. These limitations reduce their translational relevance and hinder genotype-phenotype correlation and evidence-based molecular diagnosis. To address this gap, we developed AGEX (Alagille Genetics Exploration Database), a curated, open-access resource integrating genetic variants with phenotype and population frequency data. AGEX ( http://agexbase.iitd.ac.in ) was constructed through a systematic literature review from 1999-2025, supplemented with unpublished case reports from Indian ALGS patients. Variants were curated and classified according to ACMG/AMP guidelines, with pathogenicity predictions derived from multiple in silico tools. Population allele frequency data were integrated from gnomAD, All of Us, and IndiGenome databases. Domain-level mutation mapping was performed to assess variant distribution across functional protein regions. Additionally, a prototype ALGS Severity Tier Calculator was developed to integrate genotype and phenotype parameters for semi-quantitative clinical stratification. AGEX compiles 260 variants, including 231 in JAG1 and 29 in NOTCH2, reported across 20 global populations. Four previously unreported variants were identified. Domain-level analysis revealed recurrent clustering of mutations within the DSL and EGF-like domains of JAG1, emphasizing their importance in Notch signaling. The database provides an interactive interface enabling variant browsing, phenotype-linked queries, and population-level analyses, along with a prototype severity scoring framework. AGEX represents the first dedicated integrative database for ALGS, enabling variant browsing, population-specific analyses, and phenotype-linked searches. While further longitudinal clinical validation is required, AGEX represents the first dedicated, integrative database for ALGS. By centralizing variant and clinical data, AGEX aims to accelerate diagnosis, improve patient stratification, and facilitate precision medicine strategies targeting Notch pathway dysregulation, serving as a scalable model for other rare disorder genomics.
Derivation of an iPSC line using the Sendai virus from a newborn boy with Alagille Syndrome.
We developed a well-characterized induced pluripotent stem cell (iPSC) line. This line was generated by reprogramming peripheral blood mononuclear cells from a male Alagille Syndrome baby using the Sendai viral method, which maintains genomic stability and pluripotent capacity. Markers of undifferentiated iPSCs were validated via immunocytochemistry. Trilineage potential was confirmed through immunofluorescent detection of lineage-specific markers (endoderm, mesoderm, ectoderm). Karyotypic analysis verified a normal diploid complement (46, XY). Additional assessments demonstrated Sendai virus clearance and absence of mycoplasma contamination. This iPSC line serves as a robust resource for disease modeling and regenerative medicine research.
Whole-exome sequencing illuminates unexplained pediatric cholestatic liver disease.
Unexplained liver disease in infants and children remains a significant diagnostic challenge as the spectrum of noninfectious pediatric liver disease expands. Timely, accurate etiologic assignment remains central to optimal care and resource allocation. Advances in next-generation sequencing, particularly whole-exome sequencing (WES), have transformed evaluation by enabling rapid identification of monogenic disorders that previously eluded standard algorithms. In this editorial, we synthesize recent evidence showing that comprehensive genetic testing substantially improves etiologic diagnosis in pediatric hepatology. WES markedly increases diagnostic yield in infants with cholestasis and in children with cryptogenic aminotransferase elevations, directly influencing management and outcomes. We compare yields across international reports from Asia, North America, and Europe, illustrating how WES and broad gene panels uncover heterogeneous genetic contributors to pediatric liver disease. We also address practical issues, including decreasing costs, faster turnaround times, and the importance of integrating conventional investigations with modern genomics. Finally, we emphasize that while WES is a powerful tool to "decode" unexplained disease and guide precision therapies, it must complement, not replace, careful clinical assessment and, in selected cases, liver biopsy. An integrated approach is essential for navigating heterogeneity, avoiding unnecessary procedures, and advancing personalized medicine in pediatric hepatology worldwide to improve outcomes and equity.
Elucidating the Genetic Landscape of Cerebral Palsy Following Perinatal Cerebrovascular Events.
Cerebral palsy (CP) is a heterogeneous neurodevelopmental disorder resulting from damage to the developing brain. While perinatal ischemic and hemorrhagic cerebrovascular events are well-established causes, the potential genetic contribution to these injuries remains underexplored. This study investigated the role of genetic factors in a selected CP cohort secondary to perinatal cerebrovascular injury and explored helpful clinical characteristics that may guide genetic evaluation. Chromosomal microarray and exome sequencing were performed in 61 individuals diagnosed with CP secondary to perinatal cerebrovascular injury, of which 37 with ischemic and 24 with hemorrhagic brain injury. A genetic diagnosis was established in five out of 61 cases (8.2%) with a striking difference between the hemorrhagic and ischemic groups: four out of 24 cases (16.7%) with hemorrhagic injury had a confirmed genetic diagnosis compared to only one out of 37 (2.7%) in the ischemic group. Three hemorrhagic cases carried (likely) pathogenic variants in COL4A1. One additional case carried a de novo 12pter duplication, a previously unreported association with perinatal brain hemorrhage. The single diagnosis in the ischemic group was a mosaic JAG1 variant related to Alagille syndrome. Our findings underscore the value of genetic testing in children with CP due to perinatal hemorrhagic brain injury, with a seemingly important role for COL4A1. Less diagnoses were made in the ischemic group, suggesting a potential multifactorial underlying pathophysiology. Further research in larger cohorts and by using genome-wide technologies is essential in further elucidating the genetic architecture of perinatal cerebrovascular injury.
Publicações recentes
Native liver survival and genetic associations in Korean patients with Alagille syndrome.
Pediatric oral and dental manifestations of biliary atresia and Alagille syndrome: a comparative retrospective study.
📖 RevisãoReview Article: Ileal Bile Acid Transport (IBAT) Inhibitors as an Emerging Treatment for Cholestatic Liver Disease.
Alagille syndrome caused by p.L2014Vfs*10 in NOTCH2: a case report and review of the literature.
📚 EuropePMC689 artigos no totalmostrando 199
Notch signaling in liver diseases: mechanistic insights and therapeutic implications.
Frontiers in cell and developmental biologyAGEX: a comprehensive database of clinically relevant genetic variants associated with Alagille syndrome across diverse populations.
Hepatology internationalPapilledema and Pseudopapilledema in Alagille Syndrome: A Case Report.
Neuro-ophthalmology (Aeolus Press)Defining the Contribution of Genetic Variants in MRGPRX4 With Pruritus in Paediatric Cholestasis: Evidence From Case-Control Study.
Liver international : official journal of the International Association for the Study of the LiverImpacts of Alagille syndrome on sleep of patients and their caregivers.
Sleep medicineUse of ileal bile acid transporter inhibitors in children with genetic familial cholestasis and Alagille syndrome: the why, when and how.
Archives of disease in childhood. Education and practice editionDerivation of an iPSC line using the Sendai virus from a newborn boy with Alagille Syndrome.
Stem cell researchPediatric Cholestatic Diseases in the Era of Ileal Bile Acid Transporter (IBAT) Inhibitors.
Pediatric reportsAn Unusual Case of Persistent Vitelline Vein in a Pediatric Liver Transplant Recipient: A Case Report.
Experimental and clinical transplantation : official journal of the Middle East Society for Organ TransplantationMaralixibat for the treatment of severe xanthomas in two children with Alagille syndrome: Case reports.
JPGN reportsClinical and genetic characteristics of a large cohort of children with Alagille syndrome: identification of 57 new variants in the JAG1 gene.
Journal of human geneticsAn Ophthalmic Entity More Than Liver Disease, Alagille Syndrome: A Genetically Confirmed Case Report.
Beyoglu eye journalIleal Bile Acid Transporter Inhibitors in Cholestasis: Potential for More Than Just Paediatrics?
Liver international : official journal of the International Association for the Study of the LiverWhole-exome sequencing illuminates unexplained pediatric cholestatic liver disease.
World journal of hepatologyBeyond pruritus in Alagille syndrome: potential effects of maralixibat on fibrosis and portal hypertension-insights from two case studies.
Frontiers in medicinePigmentary Retinopathy in Alagille Syndrome: Fundus Findings in a Two-Year-Old Boy.
Diagnostics (Basel, Switzerland)JAG1 of all trades, master of CKD? The role of JAG1 in autosomal dominant tubulointerstitial kidney disease.
Kidney internationalSyndromic Congenital Heart Disease Diagnosed in Adulthood: A Reminder of the Phenotypic Variability of Alagille Syndrome.
Case reports in cardiologyCoexistence of Alagille syndrome and biliary atresia in a neonate: a case report.
BMC pediatricsA patient with Alagille syndrome had a novel JAG1 gene mutation.
Genes & diseasesOcular Findings in Siblings With Alagille Syndrome: A Report of Two Cases.
CureusAssessing Growth in Children With Alagille Syndrome-An Important New Tool and Ongoing Challenges.
JAMA network openCondition-Specific Growth Charts for Children With Alagille Syndrome.
JAMA network openClinical and Molecular Genetic Study of an Alagille Syndrome Type 1 Case.
Advances in experimental medicine and biologyAn overview of paediatric autoimmune and genetic cholestatic liver disease for the adult physician.
Clinical medicine (London, England)Exploring Maralixibat for Treatment-Resistant Pruritus in Intrahepatic Cholestasis of Pregnancy and Primary Biliary Cholangitis: A Case Report.
The American journal of case reportsElevated Serum Bile Acids Predict Poor Liver Outcomes in Children With Alagille Syndrome: Results From the GALA Study Group.
Liver international : official journal of the International Association for the Study of the LiverTreatment of intractable pruritus with maralixibat in patients with Alagille syndrome before and after reversal of biliary diversion.
JPGN reportsEfficacy of ileal bile acid transport inhibitors in children with Alagille syndrome: a meta-analysis.
European journal of pediatricsAlagille syndrome due to a novel JAG1 mutation in a Chinese pediatric patient: A case report.
MedicineClinical characteristics and genetic causes of unexplained pediatric liver disease.
World journal of hepatologyA case of hypoplasia of internal carotid artery and intracranial vasculopathy with Moyamoya syndrome in association with Alagille syndrome.
Journal of cerebrovascular and endovascular neurosurgeryProspective Multicenter Longitudinal Measurement of Liver Stiffness in School-Age Children With Cholestatic Liver Disease.
Gastro hep advancesElucidating the Genetic Landscape of Cerebral Palsy Following Perinatal Cerebrovascular Events.
Pediatric neurologyPediatric Liver Diseases: Next-Generation Therapies.
Clinics in liver diseaseHow useful are the biochemical tests in guiding the diagnostic workup of infantile cholestasis?
Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationOcular findings in a patient with Alagille syndrome.
Journal francais d'ophtalmologieMono-allelic pathogenic variants in JAG1 cause autosomal dominant tubulo-interstitial kidney disease (ADTKD-JAG1).
Kidney internationalIleal bile acid transporter inhibitors in Alagille syndrome and Progressive Familial Intrahepatic Cholestasis: A systematic review into dose-response.
British journal of clinical pharmacologyPlasma proteome correlations with liver stiffness in pediatric cholestasis implicate epithelial to mesenchymal transition.
Hepatology communicationsTransplant Without Borders: Clinical Outcomes and Challenges in Transborder Living Donor Pediatric Liver Transplantation in Jordan.
Therapeutics and clinical risk managementAntisense oligonucleotide-mediated upregulation of Jag1 ameliorates liver disease phenotypes in a mouse model of Alagille syndrome.
Molecular therapy. Nucleic acidsDiagnostic approaches for infants with cholestatic liver diseases: Position paper and perspectives of the Federation of International Societies of Pediatric Gastroenterology, Hepatology, and Nutrition.
Journal of pediatric gastroenterology and nutritionGrowth hormone resistance in children with chronic cholestatic liver disease and reduced skeletal muscle mass.
Journal of pediatric gastroenterology and nutritionOdevixibat improves pruritus and bile acid level in Alagille syndrome: A case report.
World journal of gastrointestinal pharmacology and therapeuticsBile Duct Paucity in a Case of Neonatal Intrahepatic Cholestasis Due to Citrin Deficiency: Finding the Missing Piece of the Puzzle!
Journal of clinical and experimental hepatologyTreatment of Pruritus With Maralixibat in Early-Stage Chronic Graft Dysfunction of a Child With Alagille Syndrome.
CureusLiver Transplantation in Childhood: A 2-Year Single Center Experience.
Transplantation proceedingsGeneralised granuloma annulare in a child with Alagille syndrome with a novel mutation.
Indian journal of dermatology, venereology and leprologyThe evolving landscape of pediatric hepatology: key updates and future directions.
Current opinion in pediatricsA Retrospective Study of Clinical and Genetic Features in a Long-Term Cohort of Mexican Children with Alagille Syndrome.
International journal of molecular sciencesPoorly described phenotypes add to the misfortune of rare diseases.
European journal of medical genetics[A case report of adulthood Alagille syndrome].
Zhonghua nei ke za zhiEstablishment of a human induced pluripotent stem cell line from a patient with Alagille syndrome carrying heterozygous mutation in JAG1 gene.
Stem cell researchPhenotypic Divergence of JAG1- and NOTCH2-Associated Alagille Syndrome & Disease-Specific NOTCH2 Variant Classification Guidelines.
Liver international : official journal of the International Association for the Study of the LiverTranscatheter Aortic Valve Replacement and Percutaneous Coronary Intervention After Ozaki Procedure in Alagille Syndrome.
JACC. Case reportsPrompt distinction of Alagille syndrome and biliary Atresia in infants: a comparative study.
BMC pediatricsResearch trends and hotspots of adult Alagille syndrome: a bibliometric analysis.
Orphanet journal of rare diseasesMolecular Advances in Cholestatic Liver Diseases.
Advances in anatomic pathologySuccessful long-term survival following lipiodol chemoembolization for hepatocellular carcinoma in Alagille syndrome: A case report.
Radiology case reportsGenetic disorders leading to severe hyperlipidemia in children: A case report.
World journal of clinical casesSound it out: Ultrasound findings in infantile cholestasis.
Journal of pediatric gastroenterology and nutritionThe "maximum echogenicity" at the right portal vein: Biliary atresia versus Alagille syndrome.
Journal of pediatric gastroenterology and nutritionAdeno-associated Virus-mediated Silencing of Sox4 Leads to Long-Term Amelioration of Liver Phenotypes in Mouse Models of Alagille Syndrome.
GastroenterologyOptimising Maralixibat in ALGS Management: Key Considerations for Clinical Implementation.
Liver international : official journal of the International Association for the Study of the LiverAnalysis of the Disease Spectrum Characteristics of Inherited Metabolic Liver Diseases in Two Hepatology Specialist Hospitals in Beijing over the Past 20 Years.
Journal of clinical and translational hepatologyState of the Art: Complex Peripheral Pulmonary Artery Reconstruction Techniques.
Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annualProfound vision loss secondary to malignant intracranial hypertension following a multifocal intracranial hemorrhage in an adult with Alagille Syndrome.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologieA Novel Heterozygous Likely Pathogenic JAG1 Germline Variant in an Adult With Unilateral Persistent Fetal Vasculature.
American journal of medical genetics. Part ALamellar cataract in a child with Alagille syndrome.
The National medical journal of IndiaEvaluation of Cerebrovascular Reserve Using Basal/Acetazolamide Stress Brain Perfusion SPECT to Confirm Surgery in a Pediatric Moyamoya Disease.
Clinical nuclear medicinePulmonary artery stent thrombosis and symptomatic pulmonary hypertension following COVID-19 infection in Alagille patient: A case report.
World journal of clinical casesPruritus in Chronic Cholestatic Liver Diseases, Especially in Primary Biliary Cholangitis: A Narrative Review.
International journal of molecular sciencesAlagille Syndrome: Unraveling the Complexities of Genotype-Phenotype Relationships and Exploring Avenues for Improved Diagnosis and Treatment.
Cell biology internationalThe Role of Visual Electrophysiology in Systemic Hereditary Syndromes.
International journal of molecular sciencesOdevixibat treatment in a child with hypoplastic left heart syndrome and severe cholestatic pruritus: a case report.
Frontiers in pediatricsPresentation and outcome of Alagille syndrome in paediatric patients at State Academic Hospital in South Africa.
Sudanese journal of paediatricsRecent advances in the management of pediatric cholestatic liver diseases.
Journal of pediatric gastroenterology and nutritionMaralixibat Reduces Serum Bile Acids and Improves Cholestatic Pruritus in Adolescents With Alagille Syndrome.
Liver international : official journal of the International Association for the Study of the LiverClinical and genetic characteristics of patients with Alagille syndrome in China: identification of six novel JAG1 and NOTCH2 mutations.
Translational pediatricsThe burden of Alagille syndrome: uncovering the potential of emerging therapeutics - a comprehensive systematic literature review.
Journal of comparative effectiveness researchEfficacy and Safety of Ileal Bile Acid Transport Inhibitors in Inherited Cholestatic Liver Disorders: A Meta-analysis of Randomized Controlled Trials.
Journal of clinical and experimental hepatologyCraniosynostosis as a cause of intracranial hypertension in Alagille syndrome: a case series of 6 consecutive pediatric patients.
Neurosurgical focusGeneration of induced pluripotent stem cell lines TRNDi037-A and TRNDi038-A from two patients with Alagille syndrome carrying heterozygous JAG1 mutations.
Stem cell researchDose-related effects of intraduodenal quinine on plasma glucose, glucoregulatory hormones and gastric emptying of a nutrient drink, and energy intake, in men with type 2 diabetes: a double-blind, randomised, crossover study.
DiabetologiaExploring bile acid transporters as key players in cancer development and treatment: Evidence from preclinical and clinical studies.
Cancer lettersRight Ventricular Extrinsic Compression Tamponade Caused by Dilation/Necrosis of a Coloplasty Performed for Esophageal Squamous Cell Carcinoma.
Indian journal of surgical oncologyExperience and Results of Liver Transplantation in Patients With Alagille Syndrome at Our Center.
Experimental and clinical transplantation : official journal of the Middle East Society for Organ TransplantationSurgical or medical treatment of obesity-associated type 2 diabetes-an increasing clinical conundrum.
World journal of diabetesKidney and vascular involvement in Alagille syndrome.
Pediatric nephrology (Berlin, Germany)Microvillous Inclusion Disease: An Exceedingly Rare Condition With a New Treatment.
ACG case reports journal[Analysis of the etiology and clinical indicators of infantile cholestasis].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologyJag1 represses Notch activation in lateral supporting cells and inhibits an outer hair cell fate in the medial cochlea.
Development (Cambridge, England)Whole-exome sequencing reveals the genetic causes and modifiers of moyamoya syndrome.
Scientific reportsJag1 insufficiency alters liver fibrosis via T cell and hepatocyte differentiation defects.
EMBO molecular medicineInvestigation of cryptic JAG1 splice variants as a cause of Alagille syndrome and performance evaluation of splice predictor tools.
HGG advancesAssociation of Very Rare NOTCH2 Variants with Clinical Features of Alagille Syndrome.
GenesGeneration of human iPSC-derived 3D bile duct within liver organoid by incorporating human iPSC-derived blood vessel.
Nature communicationsComplex Pulmonary Artery Rehabilitation in Children with Alagille Syndrome: An Early Single-Center Experience of a Successful Collaborative Work.
Journal of cardiovascular development and diseaseTreatment of Condylar Hypoplasia in Alagille Syndrome - A Case Report.
Annals of maxillofacial surgeryChallenges and insights in Alagille syndrome: a case report.
Gastroenterology reportDurability of Aortic Homografts in Pulmonary Atresia and Major Aortopulmonary Collateral Arteries.
World journal for pediatric & congenital heart surgeryManagement of refractory pruritus in Alagille syndrome with dupilumab treatment: A case report.
JAAD case reportsClinical, pathological and genetic characteristics of 17 unrelated children with Alagille Syndrome.
BMC pediatricsExploring odevixibat's efficacy in alagille syndrome: insights from recent clinical trials and IBAT inhibitor experiences.
Expert opinion on pharmacotherapyHeritable Chronic Cholestatic Liver Diseases: A Review.
Journal of clinical and translational hepatologyAlagille syndrome with unusual common bile duct hypoplasia and gallbladder dysmorphism: Lesson based on a case report.
Radiology case reportsGastrointestinal effects of GLP-1 receptor agonists: mechanisms, management, and future directions.
The lancet. Gastroenterology & hepatologyFacial recognition models for identifying genetic syndromes associated with pulmonary stenosis in children.
Postgraduate medical journalDecreased smooth muscle cells and fibrous thickening of the tunica media in peripheral pulmonary artery stenosis in Alagille syndrome.
Cardiovascular pathology : the official journal of the Society for Cardiovascular PathologyFunctional characterization of 2,832 JAG1 variants supports reclassification for Alagille syndrome and improves guidance for clinical variant interpretation.
American journal of human genetics[Expert consensus on diagnosis and treatment of Alagille syndrome associated liver disease (2024)].
Zhonghua er ke za zhi = Chinese journal of pediatricsmRNA-specific readthrough of nonsense codons by antisense oligonucleotides (R-ASOs).
Nucleic acids researchModified by the Innovative Drugs and Strategies-Pattern of Selected Indications for Pediatric Liver Transplantation.
Pediatric transplantationTransporter Proteins as Therapeutic Drug Targets-With a Focus on SGLT2 Inhibitors.
International journal of molecular sciencesDifferences in bile acid profiles between cholestatic diseases - Development of a high throughput assay for dried bloodspots.
Clinica chimica acta; international journal of clinical chemistryWhat's new in pediatric genetic cholestatic liver disease: advances in etiology, diagnostics and therapeutic approaches.
Current opinion in pediatricsIntraretinal hemorrhages and detailed retinal phenotype of three patients with Alagille syndrome.
Ophthalmic geneticsHuman Genetics of Tricuspid Atresia and Univentricular Heart.
Advances in experimental medicine and biologyHuman Genetics of Semilunar Valve and Aortic Arch Anomalies.
Advances in experimental medicine and biologyHuman Genetics of Ventricular Septal Defect.
Advances in experimental medicine and biologyParachute Mitral Valve and Mid-Aortic Syndrome - Unusual Associations of Alagille Syndrome.
European journal of case reports in internal medicine[Alagille syndrome associated to JAG1 gene deletion. An unusual etiology].
Andes pediatrica : revista Chilena de pediatriaDual Deletion of Keap1 and Rbpjκ Genes in Liver Leads to Hepatomegaly and Hypercholesterolemia.
International journal of molecular sciencesGeneration of an Alagille Syndrome (ALGS) patient-derived induced pluripotent stem cell line (TRNDi036-A) carrying a heterozygous mutation (p.Cys693*) in the JAG1 gene.
Stem cell researchEfficacy and safety of odevixibat in patients with Alagille syndrome (ASSERT): a phase 3, double-blind, randomised, placebo-controlled trial.
The lancet. Gastroenterology & hepatologyGenetic Testing for Supravalvar Aortic Stenosis: What to Do When It Is Not Williams Syndrome.
Journal of the American Heart AssociationDiseases of bile duct in children.
World journal of gastroenterologyMacular atrophy and focal choroidal excavation in a patient with JAG1- related alagille syndrome.
Ophthalmic geneticsSuccessful Anesthesia Management of Pediatric Living Donor Liver Transplant With Mild Bilateral Pulmonary Artery Stenosis Due to Alagille Syndrome: A Case Report.
Experimental and clinical transplantation : official journal of the Middle East Society for Organ TransplantationHepatoblastoma in a cirrhotic child with Alagille syndrome.
BMJ case reportsEvolution of cerebrovascular imaging and associated clinical findings in children with Alagille syndrome.
NeuroradiologyNewly Described Mutations of the UNC45A Gene in Infants with Jaundice and Pruritus.
Current pediatric reviewsNovel use of the double kissing crush technique to stent complex pulmonary artery stenosis in a child with Alagille syndrome.
Annals of pediatric cardiologyReal-world experience of maralixibat in Alagille syndrome: Novel findings outside of clinical trials.
Journal of pediatric gastroenterology and nutritionPlasma Concentration of Antifungal Agent Micafungin for Pediatric Living Donor Liver Transplantation.
Transplantation proceedingsDiagnostic algorithm for neonatal intrahepatic cholestasis integrating single-gene testing and next-generation sequencing in East Asia.
Journal of gastroenterology and hepatologyTwo unrelated Alagille syndrome cases of South Indian origin: Showing multi-exonic deletion and a novel mutation in JAG1 gene.
Genes & diseasesPediatric Cholestatic Diseases: Common and Unique Pathogenic Mechanisms.
Annual review of pathologyNovel JAG1 variants leading to Alagille syndrome in two Chinese cases.
Scientific reportsJagged-mediated development and disease: Mechanistic insights and therapeutic implications for Alagille syndrome.
Current opinion in cell biologyProtein biomarkers GDF15 and FGF21 to differentiate mitochondrial hepatopathies from other pediatric liver diseases.
Hepatology communicationsEvent-free survival of maralixibat-treated patients with Alagille syndrome compared to a real-world cohort from GALA.
Hepatology (Baltimore, Md.)Notch signaling in thyrocytes is essential for adult thyroid function and mammalian homeostasis.
Nature metabolism"Tardus-parvus waveform" the only initial clue to mid-aortic syndrome- a rare cause of youth onset hypertension: A case report and a comprehensive review.
Radiology case reportsThe Curious Case of Alagille Syndrome: A Case Report With NANDA-I Classification, NIC, and NOC Linkage to the Patient Care Plan.
Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and AssociatesDiagnosis and management of Alagille and progressive familial intrahepatic cholestasis.
Hepatology communicationsEvaluation of Newborn Direct Bilirubin As Screening for Cholestatic Liver Disease.
JPGN reportsPrenatal diagnosis of fetal digestive system malformations and pregnancy outcomes at a tertiary referral center in Fujian, China: A retrospective study.
HeliyonAdult William's Syndrome: The Cause of an Unusual Vasculopathy and Biliary Abnormalities.
CureusSpatially segregated defects and IGF1-responsiveness of hilar and peripheral biliary organoids from a model of Alagille syndrome.
Liver international : official journal of the International Association for the Study of the LiverPaediatric research sets new standards for therapy in paediatric and adult cholestasis.
The Lancet. Child & adolescent healthCardiac complications caused by biliary diseases: A review of clinical manifestations, pathogenesis and treatment strategies of cholecardia syndrome.
Pharmacological researchDe novo variants of dominant monogenic disorders in Vietnam detected by a noninvasive prenatal test: a case series.
Personalized medicineSarcopenia is associated with osteopenia and impaired quality of life in children with genetic intrahepatic cholestatic liver disease.
Hepatology communicationsAlternative Genetic Diagnoses in Axenfeld-Rieger Syndrome Spectrum.
GenesGeneration of an Alagille syndrome (ALGS) patient-derived induced pluripotent stem cell line (TRNDi032-A) carrying a heterozygous mutation (p.Cys682Leufs*7) in the JAG1 gene.
Stem cell research[Analysis of the serum bile acid profile to facilitate diagnosis and differential diagnosis of NA(+)-taurocholate cotransporting polypeptide deficiency].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologyCharacterization of an induced pluripotent stem cell line NCHi011-A from a 23-year-old female with Alagille Syndrome harboring a heterozygous JAG1 pathogenic variant.
Stem cell researchReverse Mirizzi Syndrome.
Radiology case reports20-Year Experience With Repair of Pulmonary Atresia or Stenosis and Major Aortopulmonary Collateral Arteries.
Journal of the American College of CardiologyAlagille syndrome: understanding the genotype-phenotype relationship and its potential therapeutic impact.
Expert review of gastroenterology & hepatologyA neonatal case of vascular ring with Alagille syndrome.
SAGE open medical case reportsTreatment of Cholestasis in Infants and Young Children.
Current gastroenterology reportsEvaluation of Clinical Outcomes in Children with Intrahepatic Cholestasis Postpartial External Biliary Diversion: A Single-Center Experience.
Journal of Indian Association of Pediatric SurgeonsResolution of Pruritus in a Child With Alagille Syndrome Treated With Maralixibat for Seven Years: Durable Response and Discontinuation of Other Medications.
JPGN reportsJAG1 and THBS2 Mutations in a Child Presenting With Incomplete Alagille Syndrome.
JPGN reportsManagement of adults with Alagille syndrome.
Hepatology internationalClinical, Laboratory, Radiological, and Genetic Characteristics of Pediatric Patients with Alagille Syndrome.
Advanced biomedical researchLoss of TAZ after YAP deletion severely impairs foregut development and worsens cholestatic hepatocellular injury.
Hepatology communicationsGeneration of iPSC line NCHi012-A from a patient with Alagille syndrome and heterozygous pathogenic variant in the JAG1 gene.
Stem cell researchClinical Characterization of Alagille Syndrome in Patients with Cholestatic Liver Disease.
International journal of molecular sciencesA child with chronic kidney disease and hepatic dysfunction: Answers.
Pediatric nephrology (Berlin, Germany)Oral findings in children with congenital cholestatic disease: A systematic review of case reports and case series.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieNon-peptide, once-per-day oral orforglipron to compete with established peptide-based, injectable GLP-1 receptor agonists.
Lancet (London, England)Balanced Translocation Disrupting JAG1 Identified by Optical Genomic Mapping in Suspected Alagille Syndrome.
Human mutationPredictors of 6-year event-free survival in Alagille syndrome patients treated with maralixibat, an ileal bile acid transporter inhibitor.
Hepatology (Baltimore, Md.)Systematic review: efficacy of therapies for cholestatic pruritus.
Therapeutic advances in gastroenterologyBullous lesions following phototherapy in a newborn.
Einstein (Sao Paulo, Brazil)Generation of JAG1 gene c.1615C > T heterozygous mutation human embryonic stem cell line (SDQLCHe001-A) using cytosine base editor.
Stem cell researchCholestatic Pruritus in Children: Conventional Therapies and Beyond.
BiologyEvaluation of living donors for hereditary liver disease (siblings, heterozygotes).
Journal of hepatologyOdevixibat Treatment of Alagille Syndrome: A Case Report.
JPGN reportsCombined liver-kidney transplantation with delayed kidney implantation: A case report.
International journal of surgery case reportsAlagille syndrome: an orphan disease in Colombia and summary of recent advances in treatment and survival - a case report.
Annals of medicine and surgery (2012)Alagille-like syndrome with surprising karyotype: a case report.
Journal of medical case reportsPremature senescence of the liver in Alagille patients.
PloS oneAnalysis of risk factors associated with extracorporeal membrane oxygenation after surgical repair of peripheral pulmonary artery stenoses.
JTCVS openChildhood Cholestatic Liver Diseases that Persist Into Adulthood: Lessons for the Adult Gastroenterologist.
Journal of clinical gastroenterologyASO silencing of a glycosyltransferase, Poglut1 , improves the liver phenotypes in mouse models of Alagille syndrome.
Hepatology (Baltimore, Md.)Exome-wide assessment of isolated biliary atresia: A report from the National Birth Defects Prevention Study using child-parent trios and a case-control design to identify novel rare variants.
American journal of medical genetics. Part ATransgender and Alagille Syndrome: A Rare Case of a Trans Woman with Alagille Syndrome.
Transgender healthOdevixibat: A Review of a Bioactive Compound for the Treatment of Pruritus Approved by the FDA.
Current drug research reviewsNovel intronic JAG1 variant associated with Alagille syndrome in a three-generation Lebanese family with variable features.
Clinical dysmorphologyCosts of pediatric liver transplantation among commercially insured and Medicaid-insured patients with cholestasis in the US.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation SocietyAlagille Syndrome: A Case Report.
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of IndiaAlagille Syndrome and Repeat Oxygenator Failure during Cardiopulmonary Bypass: A Word of Caution.
The journal of extra-corporeal technologyTHREE-YEAR FOLLOW-UP OF PROGRESSIVE CHORIORETINAL ATROPHY IN ATYPICAL ALAGILLE SYNDROME: A CASE REPORT.
Retinal cases & brief reportsGenotype-phenotype relationships of truncating mutations, p.E297G and p.D482G in bile salt export pump deficiency.
JHEP reports : innovation in hepatologyAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Comunidades
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Notch signaling in liver diseases: mechanistic insights and therapeutic implications.
- AGEX: a comprehensive database of clinically relevant genetic variants associated with Alagille syndrome across diverse populations.
- Derivation of an iPSC line using the Sendai virus from a newborn boy with Alagille Syndrome.
- Whole-exome sequencing illuminates unexplained pediatric cholestatic liver disease.
- Elucidating the Genetic Landscape of Cerebral Palsy Following Perinatal Cerebrovascular Events.
- Native liver survival and genetic associations in Korean patients with Alagille syndrome.
- Pediatric oral and dental manifestations of biliary atresia and Alagille syndrome: a comparative retrospective study.
- Review Article: Ileal Bile Acid Transport (IBAT) Inhibitors as an Emerging Treatment for Cholestatic Liver Disease.
- Alagille syndrome caused by p.L2014Vfs*10 in NOTCH2: a case report and review of the literature.
- Maralixibat.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:52(Orphanet)
- MONDO:0007318(MONDO)
- GARD:804(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q1544408(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
