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Doença de Hirschsprung
ORPHA:388CID-10 · Q43.1CID-11 · LB16.1DOENÇA RARA

A Doença de Hirschsprung (DH) é uma condição intestinal congênita (de nascença) que afeta o movimento do intestino. Ela se caracteriza por sinais de obstrução intestinal, ou seja, de que o intestino está bloqueado ou entupido. Isso ocorre porque uma parte, de tamanho e extensão variáveis, na porção final do intestino grosso, não possui as células nervosas necessárias para o seu funcionamento adequado.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A Doença de Hirschsprung (DH) é uma condição intestinal congênita (de nascença) que afeta o movimento do intestino. Ela se caracteriza por sinais de obstrução intestinal, ou seja, de que o intestino está bloqueado ou entupido. Isso ocorre porque uma parte, de tamanho e extensão variáveis, na porção final do intestino grosso, não possui as células nervosas necessárias para o seu funcionamento adequado.

Pesquisas ativas
18 ensaios
71 total registrados no ClinicalTrials.gov
Publicações científicas
2.456 artigos
Último publicado: 2026 Apr 17

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-5 / 10 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
13.2
Europe
Início
Childhood
+ infancy, neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q43.1
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

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

Partes do corpo afetadas

🫃
Digestivo
9 sintomas
📏
Crescimento
4 sintomas
🦴
Ossos e articulações
2 sintomas

+ 4 sintomas em outras categorias

Características mais comuns

90%prev.
Dor abdominal
Muito frequente (99-80%)
90%prev.
Megacólon agangliônico
Muito frequente (99-80%)
90%prev.
Anormalidade funcional do trato gastrointestinal
Muito frequente (99-80%)
90%prev.
Náusea e vômito
Muito frequente (99-80%)
90%prev.
Obstrução intestinal
Muito frequente (99-80%)
90%prev.
Constipação
Muito frequente (99-80%)
19sintomas
Muito frequente (6)
Frequente (5)
Ocasional (8)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 19 características clínicas mais associadas, ordenadas por frequência.

Dor abdominalAbdominal pain
Muito frequente (99-80%)90%
Megacólon agangliônicoAganglionic megacolon
Muito frequente (99-80%)90%
Anormalidade funcional do trato gastrointestinalFunctional abnormality of the gastrointestinal tract
Muito frequente (99-80%)90%
Náusea e vômitoNausea and vomiting
Muito frequente (99-80%)90%
Obstrução intestinalIntestinal obstruction
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico2.456PubMed
Últimos 10 anos200publicações
Pico2025129 papers
Linha do tempo
2026Hoje · 2026🧪 2001Primeiro ensaio clínico📈 2025Ano 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

14 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive, Multigenic/multifactorial, Not applicable.

ECE1Endothelin-converting enzyme 1Major susceptibility factor inAltamente restrito
FUNÇÃO

Converts big endothelin-1 to endothelin-1

LOCALIZAÇÃO

Cell membrane

VIAS BIOLÓGICAS (1)
Peptide ligand-binding receptors
MECANISMO DE DOENÇA

Hirschsprung disease, cardiac defects, and autonomic dysfunction

A disorder characterized by skip-lesions Hirschsprung disease, craniofacial abnormalities and other dysmorphic features, cardiac defects including ductus arteriosus, small subaortic ventricular septal defect, small atrial septal defect, and autonomic dysfunction.

EXPRESSÃO TECIDUAL(Ubíquo)
Artéria tibial
161.3 TPM
Tecido adiposo
140.5 TPM
Glândula adrenal
139.9 TPM
Cervix Endocervix
131.6 TPM
Ovário
130.1 TPM
OUTRAS DOENÇAS (3)
Hirschsprung disease, cardiac defects, and autonomic dysfunctionHirschsprung diseaseessential hypertension, genetic
HGNC:3146UniProt:P42892
ERBB3Receptor tyrosine-protein kinase erbB-3Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Tyrosine-protein kinase that plays an essential role as cell surface receptor for neuregulins. Binds to neuregulin-1 (NRG1) and is activated by it; ligand-binding increases phosphorylation on tyrosine residues and promotes its association with the p85 subunit of phosphatidylinositol 3-kinase (PubMed:20682778). May also be activated by CSPG5 (PubMed:15358134). Involved in the regulation of myeloid cell differentiation (PubMed:27416908)

LOCALIZAÇÃO

Cell membraneSecreted

VIAS BIOLÓGICAS (5)
Signaling by ERBB2Signaling by ERBB4Signaling by ERBB2 TMD/JMD mutantsSignaling by ERBB2 KD MutantsDownregulation of ERBB2:ERBB3 signaling
MECANISMO DE DOENÇA

Lethal congenital contracture syndrome 2

A form of lethal congenital contracture syndrome, an autosomal recessive disorder characterized by degeneration of anterior horn neurons, extreme skeletal muscle atrophy, and congenital non-progressive joint contractures (arthrogryposis). The contractures can involve the upper or lower limbs and/or the vertebral column, leading to various degrees of flexion or extension limitations evident at birth. LCCS2 patients manifest craniofacial/ocular findings, lack of hydrops, multiple pterygia, and fractures, as well as a normal duration of pregnancy and a unique feature of a markedly distended urinary bladder (neurogenic bladder defect). The phenotype suggests a spinal cord neuropathic etiology.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
116.8 TPM
Skin Sun Exposed Lower leg
71.9 TPM
Skin Not Sun Exposed Suprapubic
66.7 TPM
Esôfago - Mucosa
62.6 TPM
Glândula salivar
60.2 TPM
OUTRAS DOENÇAS (4)
visceral neuropathy, familial, 1, autosomal recessivelethal congenital contracture syndrome 2Hirschsprung diseaseerythroleukemia, familial, susceptibility to
HGNC:3431UniProt:P21860
SMOSpermine oxidaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Flavoenzyme which catalyzes the oxidation of spermine to spermidine. Can also use N(1)-acetylspermine and spermidine as substrates, with different affinity depending on the isoform (isozyme) and on the experimental conditions. Plays an important role in the regulation of polyamine intracellular concentration and has the potential to act as a determinant of cellular sensitivity to the antitumor polyamine analogs. May contribute to beta-alanine production via aldehyde dehydrogenase conversion of 3

LOCALIZAÇÃO

CytoplasmNucleus

VIAS BIOLÓGICAS (1)
Hedgehog 'off' state
EXPRESSÃO TECIDUAL(Ubíquo)
Cervix Endocervix
62.8 TPM
Ovário
60.7 TPM
Cervix Ectocervix
56.8 TPM
Útero
50.1 TPM
Pituitária
38.7 TPM
OUTRAS DOENÇAS (5)
congenital hypothalamic hamartoma syndromebasal cell carcinoma, susceptibility to, 1Curry-Jones syndromemeningioma
HGNC:11119UniProt:Q9NWM0
RETProto-oncogene tyrosine-protein kinase receptor RetDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Receptor tyrosine-protein kinase involved in numerous cellular mechanisms including cell proliferation, neuronal navigation, cell migration, and cell differentiation in response to glia cell line-derived growth family factors (GDNF, NRTN, ARTN, PSPN and GDF15) (PubMed:20064382, PubMed:20616503, PubMed:20702524, PubMed:21357690, PubMed:21454698, PubMed:24560924, PubMed:28846097, PubMed:28846099, PubMed:28953886, PubMed:31118272). In contrast to most receptor tyrosine kinases, RET requires not onl

LOCALIZAÇÃO

Cell membraneEndosome membrane

VIAS BIOLÓGICAS (4)
RET signalingFormation of the ureteric budFormation of the nephric ductNPAS4 regulates expression of target genes
MECANISMO DE DOENÇA

Hirschsprung disease 1

A disorder of neural crest development characterized by absence of enteric ganglia along a variable length of the intestine. It is the most common cause of congenital intestinal obstruction. Early symptoms range from complete acute neonatal obstruction, characterized by vomiting, abdominal distention and failure to pass stool, to chronic constipation in the older child.

EXPRESSÃO TECIDUAL(Tecido-específico)
Substância negra
6.3 TPM
Pituitária
4.8 TPM
Cerebelo
4.0 TPM
Cólon sigmoide
4.0 TPM
Brain Frontal Cortex BA9
3.8 TPM
OUTRAS DOENÇAS (12)
multiple endocrine neoplasia type 2Bpheochromocytomafamilial medullary thyroid carcinomamultiple endocrine neoplasia type 2A
HGNC:9967UniProt:P07949
ABCD1ATP-binding cassette sub-family D member 1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

ATP-dependent transporter of the ATP-binding cassette (ABC) family involved in the transport of very long chain fatty acid (VLCFA)-CoA from the cytosol to the peroxisome lumen (PubMed:11248239, PubMed:15682271, PubMed:16946495, PubMed:18757502, PubMed:21145416, PubMed:23671276, PubMed:29397936, PubMed:33500543). Coupled to the ATP-dependent transporter activity also has a fatty acyl-CoA thioesterase activity (ACOT) and hydrolyzes VLCFA-CoA into VLCFA prior their ATP-dependent transport into pero

LOCALIZAÇÃO

Peroxisome membraneMitochondrion membraneLysosome membraneEndoplasmic reticulum membrane

VIAS BIOLÓGICAS (5)
ABC transporters in lipid homeostasisBeta-oxidation of very long chain fatty acidsalpha-linolenic acid (ALA) metabolismLinoleic acid (LA) metabolismClass I peroxisomal membrane protein import
MECANISMO DE DOENÇA

Adrenoleukodystrophy

A peroxisomal metabolic disorder characterized by progressive multifocal demyelination of the central nervous system and by peripheral adrenal insufficiency (Addison disease). It results in mental deterioration, corticospinal tract dysfunction, and cortical blindness. Different clinical manifestations exist like: cerebral childhood ALD (CALD), adult cerebral ALD (ACALD), adrenomyeloneuropathy (AMN) and 'Addison disease only' (ADO) phenotype.

OUTRAS DOENÇAS (5)
adrenoleukodystrophyadrenomyeloneuropathyCADDSX-linked cerebral adrenoleukodystrophy
HGNC:61UniProt:P33897
EDN3Endothelin-3Major susceptibility factor inModerado
FUNÇÃO

Endothelins are endothelium-derived vasoconstrictor peptides

LOCALIZAÇÃO

Secreted

VIAS BIOLÓGICAS (3)
G alpha (q) signalling eventsPeptide ligand-binding receptorsTranscriptional and post-translational regulation of MITF-M expression and activity
MECANISMO DE DOENÇA

Hirschsprung disease 4

A disorder of neural crest development characterized by absence of enteric ganglia along a variable length of the intestine. It is the most common cause of congenital intestinal obstruction. Early symptoms range from complete acute neonatal obstruction, characterized by vomiting, abdominal distention and failure to pass stool, to chronic constipation in the older child.

EXPRESSÃO TECIDUAL(Ubíquo)
Vagina
141.1 TPM
Tireoide
34.8 TPM
Glândula salivar
26.3 TPM
Esôfago - Mucosa
24.2 TPM
Intestino delgado
19.7 TPM
OUTRAS DOENÇAS (5)
Waardenburg syndrome type 4BWaardenburg-Shah syndromecentral hypoventilation syndrome, congenital, 1, with or without Hirschsprung diseaseHirschsprung disease
HGNC:3178UniProt:P14138
SREBF1Sterol regulatory element-binding protein 1Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Precursor of the transcription factor form (Processed sterol regulatory element-binding protein 1), which is embedded in the endoplasmic reticulum membrane (PubMed:32322062). Low sterol concentrations promote processing of this form, releasing the transcription factor form that translocates into the nucleus and activates transcription of genes involved in cholesterol biosynthesis and lipid homeostasis (By similarity) Key transcription factor that regulates expression of genes involved in cholest

LOCALIZAÇÃO

Endoplasmic reticulum membraneGolgi apparatus membraneCytoplasmic vesicle, COPII-coated vesicle membraneNucleus

VIAS BIOLÓGICAS (1)
Regulation of cholesterol biosynthesis by SREBP (SREBF)
MECANISMO DE DOENÇA

IFAP syndrome 2

An autosomal dominant form of IFAP syndrome, a disease characterized by a peculiar triad of follicular ichthyosis, total or subtotal atrichia, and photophobia of varying degree. IFAP2 patients manifest ichthyosis follicularis or follicular hyperkeratosis, hyperkeratotic plaques, sparse to no body hair, and photophobia with punctate corneal epithelial defects, corneal pannus, and complicated cataract. Ultrastructural hair analysis shows trichorrhexis nodosa.

EXPRESSÃO TECIDUAL(Ubíquo)
Glândula adrenal
285.2 TPM
Nervo tibial
115.4 TPM
Fígado
93.3 TPM
Fallopian Tube
82.9 TPM
Cervix Ectocervix
82.9 TPM
OUTRAS DOENÇAS (3)
IFAP syndrome 2hereditary mucoepithelial dysplasiaHirschsprung disease
HGNC:11289UniProt:P36956
ERBB2Receptor tyrosine-protein kinase erbB-2Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Protein tyrosine kinase that is part of several cell surface receptor complexes, but that apparently needs a coreceptor for ligand binding. Essential component of a neuregulin-receptor complex, although neuregulins do not interact with it alone. GP30 is a potential ligand for this receptor. Regulates outgrowth and stabilization of peripheral microtubules (MTs). Upon ERBB2 activation, the MEMO1-RHOA-DIAPH1 signaling pathway elicits the phosphorylation and thus the inhibition of GSK3B at cell memb

LOCALIZAÇÃO

Cell membraneCell projection, ruffle membraneEarly endosomeCytoplasm, perinuclear regionNucleusCytoplasm

VIAS BIOLÓGICAS (9)
Signaling by ERBB2Constitutive Signaling by Overexpressed ERBB2Drug-mediated inhibition of ERBB2 signalingDownregulation of ERBB2 signalingSema4D induced cell migration and growth-cone collapse
MECANISMO DE DOENÇA

Glioma

Gliomas are benign or malignant central nervous system neoplasms derived from glial cells. They comprise astrocytomas and glioblastoma multiforme that are derived from astrocytes, oligodendrogliomas derived from oligodendrocytes and ependymomas derived from ependymocytes.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
130.1 TPM
Skin Sun Exposed Lower leg
118.3 TPM
Esôfago - Mucosa
113.1 TPM
Skin Not Sun Exposed Suprapubic
110.9 TPM
Tireoide
99.3 TPM
OUTRAS DOENÇAS (9)
gastric cancervisceral neuropathy, familial, 2, autosomal recessiveglioma susceptibility 1lung cancer
HGNC:3430UniProt:P04626
GDNFGlial cell line-derived neurotrophic factorMajor susceptibility factor inRestrito
FUNÇÃO

Neurotrophic factor that enhances survival and morphological differentiation of dopaminergic neurons and increases their high-affinity dopamine uptake (PubMed:8493557). Acts by binding to its coreceptor, GFRA1, leading to autophosphorylation and activation of the RET receptor (PubMed:10829012, PubMed:25242331, PubMed:31535977). Involved in the development of the neural crest (PubMed:15242795)

LOCALIZAÇÃO

Secreted

VIAS BIOLÓGICAS (4)
RAF/MAP kinase cascadeRET signalingFormation of the ureteric budNCAM1 interactions
MECANISMO DE DOENÇA

Hirschsprung disease 3

A disorder of neural crest development characterized by absence of enteric ganglia along a variable length of the intestine. It is the most common cause of congenital intestinal obstruction. Early symptoms range from complete acute neonatal obstruction, characterized by vomiting, abdominal distention and failure to pass stool, to chronic constipation in the older child.

EXPRESSÃO TECIDUAL(Tecido-específico)
Cólon sigmoide
11.6 TPM
Esôfago - Muscular
6.2 TPM
Fibroblastos
5.7 TPM
Esôfago - Junção
4.9 TPM
Cólon transverso
4.6 TPM
OUTRAS DOENÇAS (3)
central hypoventilation syndrome, congenital, 1, with or without Hirschsprung diseaseHirschsprung diseaseHirschsprung disease, susceptibility to, 3
HGNC:4232UniProt:P39905
SEMA3DSemaphorin-3DMajor susceptibility factor inTolerante
FUNÇÃO

Induces the collapse and paralysis of neuronal growth cones. Could potentially act as repulsive cues toward specific neuronal populations. Binds to neuropilin (By similarity)

LOCALIZAÇÃO

Secreted

EXPRESSÃO TECIDUAL(Tecido-específico)
Baço
20.9 TPM
Tireoide
20.7 TPM
Aorta
9.7 TPM
Artéria coronária
6.3 TPM
Testículo
4.0 TPM
OUTRAS DOENÇAS (1)
Hirschsprung disease
HGNC:10726UniProt:O95025
EDNRBEndothelin receptor type BMajor susceptibility factor inRestrito
FUNÇÃO

Non-specific receptor for endothelin 1, 2, and 3. Mediates its action by association with G proteins that activate a phosphatidylinositol-calcium second messenger system

LOCALIZAÇÃO

Cell membrane

VIAS BIOLÓGICAS (3)
G alpha (q) signalling eventsPeptide ligand-binding receptorsTranscriptional and post-translational regulation of MITF-M expression and activity
MECANISMO DE DOENÇA

Waardenburg syndrome 4A

A disorder characterized by the association of Waardenburg features (depigmentation and deafness) with the absence of enteric ganglia in the distal part of the intestine (Hirschsprung disease).

EXPRESSÃO TECIDUAL(Ubíquo)
Adipose Visceral Omentum
73.2 TPM
Pulmão
65.4 TPM
Tecido adiposo
60.6 TPM
Brain Caudate basal ganglia
48.8 TPM
Mama
45.5 TPM
OUTRAS DOENÇAS (6)
Waardenburg syndrome type 4AABCD syndromeWaardenburg syndrome type 2Waardenburg-Shah syndrome
HGNC:3180UniProt:P24530
NRTNNeurturinMajor susceptibility factor inModerado
FUNÇÃO

Growth factor that supports the survival of sympathetic neurons in culture (PubMed:8945474). May regulate the development and maintenance of the CNS (PubMed:8945474). Involved in the development of the neural crest (PubMed:15242795). Might control the size of non-neuronal cell population such as haemopoietic cells (PubMed:8945474). Acts by binding to its coreceptor, GFRA2, leading to autophosphorylation and activation of the RET receptor (PubMed:10829012, PubMed:29414779, PubMed:31535977). Hepar

LOCALIZAÇÃO

Secreted

VIAS BIOLÓGICAS (3)
RAF/MAP kinase cascadeRET signalingNCAM1 interactions
EXPRESSÃO TECIDUAL(Tecido-específico)
Coração - Átrio
22.8 TPM
Esôfago - Muscular
19.8 TPM
Cólon sigmoide
16.8 TPM
Esôfago - Junção
15.8 TPM
Coração - Ventrículo esquerdo
10.8 TPM
OUTRAS DOENÇAS (1)
Hirschsprung disease
HGNC:8007UniProt:Q99748
ATP7ACopper-transporting ATPase 1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

ATP-driven copper (Cu(+)) ion pump that plays an important role in intracellular copper ion homeostasis (PubMed:10419525, PubMed:11092760, PubMed:28389643). Within a catalytic cycle, acquires Cu(+) ion from donor protein on the cytoplasmic side of the membrane and delivers it to acceptor protein on the lumenal side. The transfer of Cu(+) ion across the membrane is coupled to ATP hydrolysis and is associated with a transient phosphorylation that shifts the pump conformation from inward-facing to

LOCALIZAÇÃO

Golgi apparatus, trans-Golgi network membraneCell membraneMelanosome membraneEarly endosome membraneCell projection, axonCell projection, dendritePostsynaptic densityCytoplasm, cytosolEndoplasmic reticulum

VIAS BIOLÓGICAS (1)
Detoxification of Reactive Oxygen Species
MECANISMO DE DOENÇA

Menkes disease

An X-linked recessive disorder of copper metabolism characterized by generalized copper deficiency. MNKD results in progressive neurodegeneration and connective-tissue disturbances: focal cerebral and cerebellar degeneration, early growth retardation, peculiar hair, hypopigmentation, cutis laxa, vascular complications and death in early childhood. The clinical features result from the dysfunction of several copper-dependent enzymes. A mild form of the disease has been described, in which cerebellar ataxia and moderate developmental delay predominate.

OUTRAS DOENÇAS (4)
occipital horn syndromeX-linked distal spinal muscular atrophy type 3Menkes diseaseHirschsprung disease
HGNC:869UniProt:Q04656
SEMA3CSemaphorin-3CMajor susceptibility factor inTolerante
FUNÇÃO

Binds to plexin family members and plays an important role in the regulation of developmental processes. Required for normal cardiovascular development during embryogenesis. Functions as attractant for growing axons, and thereby plays an important role in axon growth and axon guidance (By similarity)

LOCALIZAÇÃO

Secreted

EXPRESSÃO TECIDUAL(Ubíquo)
Cólon sigmoide
63.7 TPM
Cervix Ectocervix
49.5 TPM
Fibroblastos
46.0 TPM
Esôfago - Muscular
38.1 TPM
Ovário
35.6 TPM
OUTRAS DOENÇAS (1)
Hirschsprung disease
HGNC:10725UniProt:Q99985

Variantes genéticas (ClinVar)

627 variantes patogênicas registradas no ClinVar.

🧬 SEMA3C: GRCh37/hg19 7q11.23-21.3(chr7:74666254-97791584)x1 ()
🧬 SEMA3C: Single allele ()
🧬 SEMA3C: GRCh37/hg19 7q21.11-21.3(chr7:77821356-93340137) ()
🧬 SEMA3C: GRCh37/hg19 7q11.23-21.11(chr7:77310644-84461089) ()
🧬 SEMA3C: NC_000007.13:g.(?_80276057)_(83739925_?)del ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 908 variantes classificadas pelo ClinVar.

182
726
Patogênica (20.0%)
VUS (80.0%)
VARIANTES MAIS SIGNIFICATIVAS
LOC110011216: NM_003924.4(PHOX2B):c.651_760del (p.Pro218fs) [Pathogenic]
RET: NM_020975.6(RET):c.754G>T (p.Glu252Ter) [Pathogenic]
PHOX2B: NM_003924.4(PHOX2B):c.753_791dup (p.Ala266_Gly267insAlaAlaAlaAlaAlaAlaAlaGlyGlyL... [Likely pathogenic]
RET: NM_020975.6(RET):c.2672C>T (p.Ser891Leu) [Likely pathogenic]
RET: NM_020975.6(RET):c.247AAC[1] (p.Asn84del) [Uncertain significance]

Vias biológicas (Reactome)

58 vias biológicas associadas aos genes desta condição.

Peptide ligand-binding receptors Signaling by ERBB2 Signaling by ERBB4 SHC1 events in ERBB2 signaling PIP3 activates AKT signaling GRB7 events in ERBB2 signaling Downregulation of ERBB2:ERBB3 signaling PI3K events in ERBB2 signaling Constitutive Signaling by Aberrant PI3K in Cancer RAF/MAP kinase cascade ERBB2 Regulates Cell Motility PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling ERBB2 Activates PTK6 Signaling Downregulation of ERBB2 signaling Signaling by ERBB2 KD Mutants Signaling by ERBB2 TMD/JMD mutants PAOs oxidise polyamines to amines Interconversion of polyamines RET signaling NPAS4 regulates expression of target genes Formation of the nephric duct Formation of the ureteric bud ABC transporters in lipid homeostasis Linoleic acid (LA) metabolism alpha-linolenic acid (ALA) metabolism Beta-oxidation of very long chain fatty acids Defective ABCD1 causes ALD Class I peroxisomal membrane protein import G alpha (q) signalling events Transcriptional and post-translational regulation of MITF-M expression and activity Regulation of cholesterol biosynthesis by SREBP (SREBF) PPARA activates gene expression Activation of gene expression by SREBF (SREBP) Transcriptional regulation of white adipocyte differentiation Zymostenol biosynthesis via lathosterol (Kandutsch-Russell pathway) NR1H2 & NR1H3 regulate gene expression linked to lipogenesis FOXO-mediated transcription of oxidative stress, metabolic and neuronal genes RORA,B,C and NR1D1 (REV-ERBA) regulate gene expression PLCG1 events in ERBB2 signaling GRB2 events in ERBB2 signaling Sema4D induced cell migration and growth-cone collapse TFAP2 (AP-2) family regulates transcription of growth factors and their receptors Constitutive Signaling by Overexpressed ERBB2 Drug-mediated inhibition of ERBB2 signaling Resistance of ERBB2 KD mutants to trastuzumab Resistance of ERBB2 KD mutants to sapitinib Resistance of ERBB2 KD mutants to tesevatinib Resistance of ERBB2 KD mutants to neratinib Resistance of ERBB2 KD mutants to osimertinib Resistance of ERBB2 KD mutants to afatinib Resistance of ERBB2 KD mutants to AEE788 Resistance of ERBB2 KD mutants to lapatinib Signaling by ERBB2 ECD mutants Drug resistance in ERBB2 TMD/JMD mutants NCAM1 interactions Detoxification of Reactive Oxygen Species Ion influx/efflux at host-pathogen interface Ion transport by P-type ATPases

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.
Aprovado1
·Pré-clínico19
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
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🇧🇷 Atendimento SUS — Doença de Hirschsprung

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Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

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Outros ensaios clínicos

71 ensaios clínicos encontrados, 18 ativos.

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Publicações mais relevantes

Timeline de publicações
1.415 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 1.415

#1

Dual roles of GDNF in enteric glial cell plasticity: direct transdifferentiation via the CaMKII/NeuroD1 pathway and cooperative regulation in a neural stem cell-inducing medium.

Stem cell research &amp; therapy2026 Mar 11

Hirschsprung disease (HSCR) is a congenital condition featuring aganglionosis in the distal colon, causing functional obstruction. While EGF and bFGF are well-characterized neurogenic factors, the precise mechanistic role of GDNF in modulating enteric glial cell plasticity remains incompletely understood. EGCs were identified via proteomic profiling and immunofluorescence in Ednrb⁻/⁻ mice modeling HSCR. EGC/PK060399egfr and primary EGCs were induced with neural stem cell-inducing medium (NSC-Med). Morphological changes, EdU assay, immunofluorescence, RT‒qPCR, and Western blotting were employed to assess the expression of stemness- and neuron-associated markers. Metabolomic and transcriptomic analyses were performed to evaluate metabolic remodeling and signaling pathways. Following treatment with NSC-Med, immunofluorescence analysis revealed that neurospheres expressed high proportions of Nestin-positive (97.09%), Sox2-positive (50.11%), and p75NTR-positive (77.87%) cells. Metabolomic profiling revealed a significant enhancement of the Warburg effect in the NSC-Med group. Western blot analysis further revealed elevated expression of PKM2, along with significant increases in both extracellular and intracellular lactate levels following NSC-Med treatment. NSC-Med treatment significantly enhanced proliferation, as demonstrated by a 2.3-fold increase in EdU incorporation (P < 0.05). Transcriptomic analysis revealed the activation of the calcium signaling pathway in the GDNF group. Western blotting revealed a significant increase in CaMKII phosphorylation, and treatment with the calcium chelator BAPTA-AM attenuated GDNF-induced NeuroD1 upregulation. NSC-Med promotes stem cell-associated features and gene expression in enteric glial cells. GDNF-a key component of NSC-Med-activates a neurogenic cascade via the calcium signaling pathway (CaMKII-NeuroD1 axis), which offers a potential targeted molecular strategy for HSCR therapy.

#2

Mobile health applications for parents of children with Hirschsprung disease: a requirement analysis.

European journal of pediatrics2026 Feb 27

Hirschsprung disease (HD) is a congenital gastrointestinal disorder that occurs due to the absence of nerve cells in segments of the large intestine, resulting in impaired propulsive bowel movements. Postoperative complications and the need for continuous care place parents of affected children under significant educational challenges. Mobile health (mHealth) applications can serve as effective tools to enhance parental education and self-management. The aim of this study was to identify the requirements and functional needs of a mHealth application specifically designed for parents of children with HD. This research was conducted as a mixed-methods study in two phases. First, a targeted literature review was performed, and a list of informational needs and functional capabilities of the application was extracted. These items were then compiled into a Delphi questionnaire and distributed to 13 pediatric gastroenterologists and pediatric surgeons. Responses were analyzed based on the mean score of each item, and items with low mean scores were excluded. In the qualitative phase, semi-structured interviews were conducted with six parents of children with HD to collect their perspectives on educational needs and desired application features. Qualitative data were analyzed using the conventional content analysis method. In the Delphi phase, 67 items across four main categories-demographic data, disease-related clinical data, educational content, and application functional capabilities-were approved, while two items ("insurance coverage" and "guardian access to medical record information") were excluded. Analysis of qualitative findings led to the extraction of four themes, nine categories, and 20 subcategories. Parents identified their most important needs as comprehensive and understandable educational content, reminder and care-tracking tools, remote communication and consultation capabilities, and a simple, user-friendly design.  Integrating the perspectives of specialists and parents resulted in the development of a comprehensive set of requirements for designing a mHealth application tailored to parents of children with HD. This framework can serve as a model for developing similar educational applications for other pediatric gastrointestinal diseases and provides a foundation for future supportive digital intervention design. • Parents of children with Hirschsprung disease often face ongoing challenges in understanding postoperative care, recognizing warning signs, and managing long-term complications. • Mobile health applications have been increasingly used to support education, self-management, and communication in chronic pediatric conditions. • This study identifi es the specifi c informational and functional requirements of a mobile health application tailored for parents of children with Hirschsprung disease through a mixed-methods needs assessment. • By integrating the perspectives of both specialists and parents, the study provides a practical framework to guide the development of a user-centered application in this field.

#3

Familial cartilage-hair hypoplasia: prenatal ultrasound features and clinical outcomes in three siblings with identical RMRP variants.

BMJ case reports2026 Feb 20

Cartilage-hair hypoplasia (CHH) is a rare autosomal recessive skeletal dysplasia. It is often associated with short stature, metaphyseal abnormalities, hair hypoplasia and immune dysfunction. This case describes a pregnant woman in her mid-30s with two previous children diagnosed with CHH with molecular confirmation of two pathogenic variants of the ribonuclease mitochondrial RNA processing gene. The couple is healthy and non-consanguineous. Routine ultrasound examination of the current pregnancy suggested this fetus was also likely to be affected. The couple opted not to perform invasive prenatal diagnosis. Umbilical cord blood was collected at birth for genetic testing, confirming the diagnosis. CHH has a significant impact on the quality of life of those affected. Genetic counselling may help parents understand the disease and its prognosis. Obstetric ultrasound plays an important role in the diagnosis by allowing early detection of suspected cases as well as assessing fetal growth.

#4

Interrater reliability in pediatric high-resolution anorectal manometry recordings.

Journal of pediatric gastroenterology and nutrition2026 Feb 02

High-resolution anorectal manometry (HR-ARM) is a diagnostic test assessing anorectal neuromuscular function in children with constipation and/or fecal incontinence. Interrater reliability of HR-ARM in children has not been previously studied. The aim of this study was to assess the interrater reliability of pediatric HR-ARM studies. Ten pediatric gastroenterologists specialized in neurogastroenterology and motility analyzed ten deidentified pediatric HR-ARM studies using dedicated analysis software (Solar GI HRM v9.1, MMS, Enschede, the Netherlands). Anal canal resting pressure, squeeze pressure and duration, presence of the rectoanal inhibitory reflex (RAIR), bear down maneuver (normal/abnormal), and final interpretation of the study (normal/abnormal) were evaluated. Fleiss' Kappa (κ) and intraclass correlation coefficient (ICC) were used for categorical and continuous data, respectively. Interrater reliability was excellent for resting pressure (ICC 0.97, 95% confidence interval [CI 0.93-0.99), squeeze pressure (ICC 0.97, 95% CI 0.94-0.99), and squeeze duration (ICC 0.93, 95% CI 0.85-0.98). A fair interrater agreement for the RAIR (κ = 0.35) was seen, and a moderate interrater agreement was seen for interpretation of the bear down maneuver and the final interpretation of the study either being normal or abnormal (κ = 0.50 and κ = 0.43, respectively). This study demonstrated excellent interrater reliability in assessing HR-ARM anal canal resting pressure, squeeze pressure, and squeeze duration and suboptimal reliability in interpreting the detection of a RAIR and bear down maneuver. These findings highlight the need for standardization of HR-ARM protocols and interpretation criteria in children.

#5

Transcription factor ZEB2 is essential for ureteral smooth muscle cell differentiation.

PLoS genetics2026 Jan

Mowat-Wilson Syndrome (MWS) is an autosomal dominant genetic disorder caused by heterozygous mutations or deletions in the Zinc finger E-box-binding homeobox 2 (ZEB2) gene. Congenital anomalies of the kidney and urinary tract (CAKUT), including hydroureter and hydronephrosis, have been reported in patients with MWS. However, the role of the ZEB2 gene in urinary tract development and the cellular and molecular mechanisms underlying the CAKUT phenotypes in MWS remain unknown. In this study, we examined ZEB2 expression in the developing mouse ureter and generated Zeb2 ureteral mesenchyme-specific conditional knockout mice (Zeb2 cKO) by crossing Zeb2 floxed mice with Tbx18Cre+ mice. The urinary tract of Zeb2 cKO mice and their wild-type littermates was analyzed for morphological and histological changes. Our results show that ZEB2 is expressed in TBX18+ ureteral mesenchymal cells during mouse ureter development. Deleting Zeb2 in these cells caused hydroureter and hydronephrosis, indicating obstructive uropathy. Cellular and molecular marker analysis revealed that the TAGLN+ACTA2+ ureteral smooth muscle cell (SMC) layer was absent in Zeb2 cKO mice. In contrast, the tunica adventitia cell layer was significantly expanded compared to controls. At the molecular level, Zeb2 cKO mice had significantly decreased TBX18 expression but increased SOX9 expression in the developing ureter compared to wild-type controls. Our findings demonstrate that ZEB2 is crucial for normal ureteral SMC differentiation during ureter development. Additionally, our study suggests that MWS patients may have abnormal ureteral SMC development, which contributes to the abnormalities of the urinary tract.

Publicações recentes

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📚 EuropePMC1.397 artigos no totalmostrando 196

2026

Hirschsprung disease and associated urological morbidities: institutional experience and systemic review.

World journal of urology
2026

Case report: small bowel volvulus following laparoscopic-assisted Soave pull-through for adult Hirschsprung disease: a diagnostic dilemma.

International journal of surgery case reports
2026

Airway Obstruction as the First Clue: Syndromic Neurocristopathy With Neuroblastoma, Hirschsprung Disease, and PHOX2B Mutation in a Neonate.

Pediatric blood &amp; cancer
2026

Definitive ileostomy in Total Colonic Aganglionosis: results and considerations from a single-center experience.

Journal of pediatric surgery
2026

Dual roles of GDNF in enteric glial cell plasticity: direct transdifferentiation via the CaMKII/NeuroD1 pathway and cooperative regulation in a neural stem cell-inducing medium.

Stem cell research &amp; therapy
2026

Neurotrophin-3 rs1805149A>G variant in Hirschsprung disease: An investigative study.

World journal of gastrointestinal surgery
2026

Case Report: Identification of a de novo missense variant in the N-terminal zinc-finger domain of ZEB2 in a patient presenting with neurodevelopmental delay and recurrent pulmonary infections.

Frontiers in genetics
2026

Definitive surgery for Hirschsprung disease between 3 and 12 months achieves best outcomes: A systematic review with meta-analysis.

Journal of pediatric surgery
2026

The role of gut microbiota in Hirschsprung's disease: from pathogenic mechanisms to microbiota-targeted therapies.

PeerJ
2026

The PODCAST-question: postoperative dilation versus calibration after surgical treatment of Hirschsprung's disease-what is necessary?

Pediatric surgery international
2026

Surgical Complications in Hirschsprung Disease and the Impact of Botulinum Toxin Injection on Hirschsprung-Associated Enterocolitis.

Journal of clinical medicine
2026

Mobile health applications for parents of children with Hirschsprung disease: a requirement analysis.

European journal of pediatrics
2026

DNER as a novel protein contributes to HSCR pathogenesis: multi-omics combined Mendelian randomization analysis.

Pediatric research
2026

Skip segment hirschsprung disease: Unicentric experience with four cases and systematic literature review.

Journal of pediatric surgery
2026

Familial cartilage-hair hypoplasia: prenatal ultrasound features and clinical outcomes in three siblings with identical RMRP variants.

BMJ case reports
2026

Indirect Evidence for the Volume-Outcome Relationship in Corrective Surgery for Hirschsprung Disease: Insights from Adult Colorectal Surgery.

European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
2026

Toxic megacolon: A rare presentation and novel treatment.

JPGN reports
2026

Gender Equity in pediatric surgical care in Central and South Asia: A systematic review and meta-analysis.

Journal of pediatric surgery
2026

Thrombospondin-1-mediated macrophage efferocytosis dysfunction exacerbates intestinal pathology in Hirschsprung's disease.

International immunopharmacology
2026

Contrast enema in Hirschsprung disease: radiological signs and clinical symptoms as predictors in a logistic regression model.

Pediatric radiology
2026

[Incomplete penetrance of SOX10 gene mutation in a family with Waardenburg syndrome type Ⅳ].

Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery
2026

Proximal ganglionic intestine in Hirschsprung disease is fibrotic and stiff.

JCI insight
2026

Sod1 trisomy causes ENS developmental defects and susceptibility to Hirschsprung disease via neuronal Ret suppression and glial remodeling.

bioRxiv : the preprint server for biology
2026

A call for personalized transition of care in congenital surgical anomalies: A population-based cohort study on healthcare utilization from birth to adulthood.

Journal of pediatric surgery
2025

Case of neonate with total intestinal hirschsprung disease managed with a proximal jejunostomy.

Intestinal Failure (New York, N.Y.)
2026

Outcomes of robotic-assisted soave pull-through procedure for Hirschsprung disease: a systematic review and meta-analysis.

Journal of robotic surgery
2026

Perioperative outcomes in primary neonatal pullthrough versus pullthrough in older children with Hirschsprung disease: a systematic review and meta-analysis.

Scientific reports
2026

Interrater reliability in pediatric high-resolution anorectal manometry recordings.

Journal of pediatric gastroenterology and nutrition
2026

Diagnostic assessment of Hirschsprung disease using fluorescence confocal microscopy: A feasibility study.

Journal of pediatric surgery
2026

Predictors of successful transitions in a bowel management program.

Journal of pediatric surgery
2026

A case of Hirschsprung disease of total intestinal aganglionosis with intestinal dilatation and peristalsis on prenatal ultrasound.

Taiwanese journal of obstetrics &amp; gynecology
2026

Neonatal erythroderma and immunodysplasia: Overlap of cartilage-hair hypoplasia and Omenn syndrome.

European journal of medical genetics
2026

Early functional outcomes of the Swenson ileoanal pull-through for total colonic Hirschsprung disease at a high-volume referral center.

Journal of pediatric surgery
2026

ETB receptor deficiency amplifies allergic airway inflammation and hyperresponsiveness.

ERJ open research
2026

Multidisciplinary management of postoperative continence issues in rectosigmoid Hirschsprung disease: a unicentric experience on 86 patients.

Pediatric surgery international
2026

Paediatric caecal volvulus, a rare presentation of african degenerative leiomyopathy - a case report.

International journal of colorectal disease
2026

Transcription factor ZEB2 is essential for ureteral smooth muscle cell differentiation.

PLoS genetics
2026

Deep learning-based automated contrast enema analysis to improve the assessment of Hirschsprung disease.

European radiology
2026

Artificial intelligence in the diagnosis of Hirschsprung disease: A scoping review and rationale for a multicentric approach.

Journal of pediatric surgery
2026

Endothelin-3 and T-type Ca2+ channels drive enteric neural crest cell calcium activity, contractility and migration.

Nature communications
2026

Perlecan, CollagenXVIII, and Agrin Expression in Normo-, Hypo-, and Aganglionic Segments in Hirschsprung's Disease.

Neurogastroenterology and motility
2026

Dyggve-Melchior-Clausen syndrome in three siblings: a unique case series with dual diagnosis of Down syndrome and Hirschsprung disease.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2026

Safety and feasibility of one-stage neonatal approach for short-segment Hirschsprung's disease.

PloS one
2026

Xq28 Variants as Novel Male-Specific Susceptibility Factors for Hirschsprung Disease.

The Journal of surgical research
2026

Is trisomy 21 a risk factor for postoperative complications after pediatric surgery for neonatal gastrointestinal disease? A retrospective study using a National Clinical Database in Japan.

Pediatric surgery international
2026

Nutritional management of neonates who undergo major surgery for gastrointestinal disorders: a joint position paper of the Italian Society of Neonatology (SIN), the Italian Society of Pediatric Surgery (SICP), and the Italian Society of Pediatric Nutrition (SINUPE).

Italian journal of pediatrics
2026

Cartilage-hair hypoplasia in a patient with compound heterozygous variants in the RMRP gene: A case report.

Medicine
2025

Landscape of Phenotype-Genotype Correlations in Romanian Patients with Medullary Thyroid Carcinoma.

Cancers
2026

Retinol dehydrogenase 10-mediated retinoic acid signaling regulates the neural crest cell microenvironment during enteric nervous system formation.

Human molecular genetics
2026

Does surgical approach affect Hirschsprung-associated enterocolitis risk? A comparison between transanal Swenson-like and endorectal pull-throughs.

PloS one
2025

Ultrasound Evaluation of Perianal Diseases in Infants.

Journal of medical ultrasound
2025

Cecal growth factors promote enteric neurosphere formation and hindgut colonization in the avian model.

Frontiers in cell and developmental biology
2025

RET Gene Alterations in Clinical Practice: A Comprehensive Review and Database Update.

Genes
2026

Refractory/Relapsed Hodgkin Lymphoma in Cartilage Hair Hypoplasia-Anauxetic Dysplasia Spectrum: Long-term HSCT-free Remission in 2 Pediatric Siblings.

Journal of pediatric hematology/oncology
2025

Clinical decision-making in neonatal gastrointestinal surgical emergencies: comparison between ChatGPT and human clinicians.

World journal of pediatric surgery
2025

Sclerotherapy as first-line treatment of rectal prolapse in children, including those with anorectal malformations.

Pediatric surgery international
2025

Comparative efficacy of Soave versus Swenson procedures for Hirschsprung disease: a systematic review and meta-analysis.

Pediatric surgery international
2025

Intestinal failure outcomes in children with small-Intestinal Hirschsprung disease: A matched study.

Journal of pediatric surgery
2025

Evaluating single incision laparoscopy-assisted extracorporeal biopsy as an alternative to frozen sections in the management of Hirschsprung disease.

The Medical journal of Malaysia
2025

Gut Microbiome profile on hirschsprung diseases with hirschsprung associated enterocolitis and non-hirschsprung associated enterocolitis: A systematic review.

The Medical journal of Malaysia
2025

The effect of serum eosinophilia and lymphocytosis on functional outcomes of Hirschsprung disease patients after Duhamel procedure.

The Medical journal of Malaysia
2025

Alterations in intestinal microbiota composition in children with Hhirschsprung disease: A comparative study with healthy controls.

The Medical journal of Malaysia
2025

Preoperative nutritional support in children with Hirschsprung disease: a prospective multicenter open-label randomized controlled trial.

Nature communications
2025

Outcome of single-stage transanal Swenson pull-through without frozen section in short-segment Hirschsprung's disease.

JPMA. The Journal of the Pakistan Medical Association
2025

Morphological evidence suggestive of a hierarchical mode of glial cell diversification and intrinsic developmental plasticity within the murine enteric nervous system.

Frontiers in neuroscience
2026

Redefining the prevalence of different clinical variants in MEN2A and their correlation with RET germline mutations: a single-center series and experience.

Endocrine-related cancer
2025

Outcomes of pull-through surgery among children with Hirschsprung's disease in Tanzania: a comparative study.

BMC surgery
2025

Surgical Techniques for the Treatment of Hirschsprung's Disease-A Historical Systematic Review and Current Status Quo.

Annali italiani di chirurgia
2025

Pelvic floor muscle morphology and its association with non-retentive fecal incontinence following surgical treatment for hirschsprung disease in pediatric patients.

Pediatric surgery international
2026

Tight Junction Defects in Aganglionic and Ganglionic Colon in Children With Hirschsprung Disease.

Laboratory investigation; a journal of technical methods and pathology
2026

Longitudinal analysis of gut microbiota dysbiosis and bacterial signatures predictive of postoperative enterocolitis in children with Hirschsprung disease.

Clinical and experimental pediatrics
2025

Association Between Congenital Gastrointestinal Malformation Outcome and Largely Asymptomatic SARS-CoV-2 Infection in Pediatric Patients-A Systematic Review.

Journal of clinical medicine
2026

Vinculin influences essential processes in enteric nervous system development and Hirschsprung disease pathogenesis.

The Journal of clinical investigation
2025

School toilet facilities perception of children with hirschsprung disease: a parents perspective.

Pediatric surgery international
2025

Advances in research on congenital and hereditary intestinal diseases: From molecular mechanisms to precision medicine.

Intractable &amp; rare diseases research
2025

Unlocking the Neurogenic Potential of Enteric Glial Cells for Hirschsprung Disease Therapy.

Cellular and molecular gastroenterology and hepatology
2026

[Histopathological diagnosis of intestinal motility disorders: Hirschsprung disease and differential diagnoses].

Pathologie (Heidelberg, Germany)
2026

Modeling Mowat-Wilson syndrome with patient iPSCs reveals transcriptional and phenotypic defects in neural progenitors.

Neurobiology of disease
2025

A double-colon dilemma: unusual presentation of complete tubular colonic duplication in a 7-month-old.

Journal of surgical case reports
2025

Altered enteric neurodevelopment in the Ncx knockout mouse model of intestinal neuronal dysplasia.

Pediatric surgery international
2025

Extracellular vesicle-mediated transfer of MIR22HG inhibits the colonization of enteric neural crest cells in the colon by decreasing MPP3 expression.

Communications biology
2025

Dual Challenges: A Case Report of Hirschsprung's Disease and Anorectal Malformation in a Child.

Pediatric gastroenterology, hepatology &amp; nutrition
2025

Comparative Analysis of Surgical Outcomes Following Duhamel, Soave, and Transanal Endorectal Pull-through Techniques in Hirschsprung's Disease.

Medical archives (Sarajevo, Bosnia and Herzegovina)
2025

A Case of Peutz-Jeghers Syndrome Complicated With Hirschsprung Disease.

Cureus
2025

Combinatorial multiomic analysis from a pedigree of Sox10Dom Hirschsprung mice implicates Dach1 as a modifier of Enteric Nervous System development.

bioRxiv : the preprint server for biology
2025

The relation between Down syndrome and co-occurring conditions in children and young adults: A population-based cohort in Denmark, 1977-2016.

Research in developmental disabilities
2025

Diagnostic significance of microcolon findings in neonatal contrast enema for patients with intestinal atresia.

Pediatric surgery international
2026

Hirschsprung Disease on Fetal Autopsy Leading to the Diagnosis of Congenital Central Hypoventilation Syndrome in a Stillborn Fetus.

Clinical genetics
2026

Neonatal Intestinal Perforations: When Should We Perform a Rectal Biopsy to Rule Out Hirschsprung's Disease?

Journal of laparoendoscopic &amp; advanced surgical techniques. Part A
2025

Historical aspects of anatomic landmarks during pull-through for hirschsprung disease: focusing on resection levels of the aganglionic rectum and rectal cuff issues.

Pediatric surgery international
2025

Altered Development of Gut Microbiota and Gastrointestinal Inflammation in Children with Post-Operative Hirschsprung's Disease.

International journal of molecular sciences
2025

Preface: concepts and controversies in Hirschsprung disease.

World journal of pediatric surgery
2025

Tracing the enteric neural crest cell pathway from origin to colonization: insights into Hirschsprung's disease.

Molecular biology reports
2026

Integrated genomic analysis of EDNRB common and rare variants in Hirschsprung disease.

Genes &amp; diseases
2025

Comparison of machine learning models in the interpretation of barium enemas in Hirschsprung's disease.

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica
2026

Tight junction dysfunction and cytoskeletal remodeling in Hirschsprung‑associated enterocolitis: A decade of mechanistic insights and therapeutic prospects (Review).

Molecular medicine reports
2025

Long-term effects of Hirschsprung disease in adults: meta-analysis and patient-level regression study.

BJS open
2025

Refining the Sox10Dom/+ mouse model: A new breeding strategy with relevance to Hirschsprung disease genetics.

Animal models and experimental medicine
2025

A Rare Co-Occurrence of Gastric Heterotopia and Autonomic Nervous System Dysfunction: An Attempt to Explain If There Is a Need to Explore Possible Syndromic Link.

Journal of medical cases
2026

Bowel function and quality of life in adolescents with Hirschsprung Disease.

Journal of pediatric surgery
2025

Beyond Hirschsprung: outcomes of symptomatic infants after exclusion of Hirschsprung disease on rectal suction biopsy.

Pediatric surgery international
2025

Incidence of Hirschsprung Disease at the Central Pediatrics Teaching Hospital in Iraq: A Pathological Overview.

Endocrine, metabolic &amp; immune disorders drug targets
2025

Joint disruption of Ret and Ednrb transcription shifts cell fate trajectories in the enteric nervous system in Hirschsprung disease.

Proceedings of the National Academy of Sciences of the United States of America
2025

Infrequent, but Not Intricate Radiological and Pathological Diagnosis of Chronic Intestinal Pseudo-Obstruction-Presented in a Two Pediatrics Cases of the Visceral Myopathy.

Diagnostics (Basel, Switzerland)
2025

Interdisciplinary transition of care for congenital gastrointestinal malformations: analysis of a standardized program.

International journal of adolescent medicine and health
2025

The PHOX2B c.428A>G missense variant affects post-transcriptional regulation and may explain the absence of neural crest-derived tumors in congenital central hypoventilation syndrome.

Frontiers in physiology
2025

Homozygous PGAP2 Mutation Causes Hyperphosphatasia with Mental Retardation Syndrome-3: Genetic and Clinical Evaluation of the Ultra-Rare Inherited Glycosylphosphatidylinositol Biosynthesis Defect.

Molecular syndromology
2025

Risk factors for Hirschsprung's disease in infancy: A study from the NHANES database.

Medicine
2025

Strong agreement between self-administered and interview-obtained bowel function score in patients with Hirschsprung disease and anorectal malformation.

Pediatric surgery international
2026

The Placode Lineage Contributes to the Enteric Nervous System: A Caution for Cell Transplantation Therapy for Hirschsprung Disease.

Cellular and molecular gastroenterology and hepatology
2025

Exploring potential sex differences in Hirschsprung disease: a national cohort study of diagnostic patterns and early postoperative outcome.

Pediatric surgery international
2025

Development of a nomogram for predicting postoperative Hirschsprung-associated enterocolitis.

Frontiers in pediatrics
2025

Delayed Diagnosis of Hirschsprung Disease in an 18-Year-Old Male Patient With Fecaloma and Colonic Perforation: A Case Report.

Cureus
2025

Robotic surgery for Hirschsprung disease: a systematic review and meta-analysis.

Journal of robotic surgery
2026

Beyond aganglionosis: BCL-2 and Laminin signatures Elucidate Hirschsprung disease and Hirschsprung-Associated Enterocolitis pathogenesis.

Pediatric research
2025

Single-incision laparoscopic endorectal pull-through for Hirschsprung disease: a prospective institutional study and systematic review with meta-analysis.

Surgical endoscopy
2025

Intramuscular enteric glia persist in Hirschsprung disease and undergo neurogenesis in response to GDNF-NCAM1 signaling.

Scientific reports
2026

Internal anal sphincter achalasia in chronic functional constipation in children: A myth rather than reality.

Journal of pediatric surgery
2025

EMB is essential for enteric nervous system development mediated by PI3K signaling.

Genome medicine
2025

Early postoperative complications following laparoscopic-assisted modified Soave procedure for Hirschsprung's disease: Incidence, Clavien-Dindo classification, and risk factor analysis.

PloS one
2025

FGL2-induced metabolic dysregulation in enteric neural crest cells provides insight into Hirschsprung disease pathogenesis.

iScience
2025

Clinicopathologic features of allied disorders of Hirschsprung disease and status update.

World journal of gastrointestinal surgery
2025

Colonic Volvulus Associated with Hirschsprung's Disease in the Pediatric Age.

International journal of colorectal disease
2025

Retinoic Acid Inhibition Alters Intestinal Composition in Zebrafish: A Non-genetic Model to Study Hirschsprung Disease?

Neurogastroenterology and motility
2025

Compound inheritance of rare and common RET variants in a Chinese family with three unfavorable pregnancies involving Hirschsprung's disease.

Taiwanese journal of obstetrics &amp; gynecology
2025

Genotype-phenotype correlations of germline mutations in exon 10 of the RET proto-oncogene from 14 MEN2A families of Ethnic Han Chinese.

PloS one
2025

Sex Differences in Postoperative Outcomes of Hirschsprung Disease: Propensity Score Matching Analysis.

Journal of pediatric surgery
2025

Abnormal choline transporter immunohistochemical staining in older children with chronic constipation not associated with Hirschsprung disease.

American journal of clinical pathology
2025

Understanding the Long-term Psychosocial and Health Care Needs of Adults With Congenital Colorectal and Pelvic Malformations.

Diseases of the colon and rectum
2025

Whole-Gut Spatial Genomic Analysis Reveals Molecular Regionalization of the Differentiating Zebrafish Enteric Nervous System.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2025

Systematic Review of Reported Outcomes for Antegrade Continence Enema in Patients With Anorectal Malformation and Hirschsprung Disease.

Journal of pediatric surgery
2025

Microenvironmental TFPI2 in Hirschsprung Disease: Mechanisms in ENCC Development.

Journal of pediatric surgery
2025

Label-free diagnostic procedure for hirschsprung's disease to detect intestinal mucosal characteristics of aganglionosis by Raman spectroscopy with optimized decision algorithms.

Lasers in medical science
2025

High suspicion unveils Hidden pathology of pediatric gastrointestinal surgical cases misidentified as medical: Three case reports.

World journal of clinical pediatrics
2025

Developments and prospects of robotic-assisted surgery in the treatment of pediatric Hirschsprung's disease: a comprehensive review.

Seminars in pediatric surgery
2025

Impaired nutrient absorption, reduced bone mass and alterations in the gut microbiome contribute to postnatal growth retardation in a mouse model of MWS.

Scientific reports
2025

A case series on the outcomes of laparoscopic pull-through surgery combined with Swenson-like technique and intraoperative frozen section biopsy for Hirschsprung's disease in children.

Journal of surgical case reports
2026

Safety and utility of long-acting steroid injection for management of post-operative stricture in patients with anorectal malformation and Hirschsprung Disease.

Journal of pediatric surgery
2025

Full-thickness rectal biopsies in diagnosis of Hirschsprung disease: 13 years of experience of a single center.

Northern clinics of Istanbul
2025

Significance of interstitial cells of Cajal in Hirschsprung's disease and intestinal neuronal dysplasia - A comparative study.

Indian journal of pathology &amp; microbiology
2025

Single-Incision Laparoscopic Endorectal Pull-Through for Hirschsprung's Disease in Neonates: A Prospective Study on Medium-Term Outcomes.

Journal of pediatric surgery
2026

Meconium-related obstruction: Contemporary experience in a multi-institutional consortium.

Journal of pediatric surgery
2026

Failure to launch: Pediatric colorectal surgery center utilization by patients over 18 years of age.

Journal of pediatric surgery
2026

From Gut Dysbiosis to Skin Inflammation: Exploring the Hirschsprung's Disease-Psoriasis Link.

Pediatric dermatology
2025

Topical treatment of the anal sphincter in children with functional constipation and Hirschsprung disease.

Journal of pediatric gastroenterology and nutrition
2025

Surgical pathology of Hirschsprung disease (HSCR).

World journal of pediatric surgery
2025

AI-powered 3D pathology protocol enhances enteric nervous system visualization and quantification for clinical diagnostics.

Theranostics
2025

Impairment of stromal-epithelial regenerative cross-talk in Hirschsprung disease primes for the progression to enterocolitis.

Science translational medicine
2025

Albumin: a novel biomarker for predicting intraoperative hypothermia in HSCR.

Annals of medicine
2025

Gender differences in self-reported quality of life and bowel function among patients with anorectal malformation and Hirschsprung's disease compared to a healthy population: a multicenter cross-sectional study.

Pediatric surgery international
2025

ZEB2: a multifunctional regulator of neural injury repair.

International immunopharmacology
2025

Postoperative outcomes of robotic-assisted vs. laparoscopic pull-through surgery in pediatric Hirschsprung's disease: a systematic review and meta-analysis.

Pediatric surgery international
2025

Single Cell Profiling in the Sox10Dom Hirschsprung Mouse Implicates Hox Genes in Enteric Neuron Trajectory Allocation.

Cellular and molecular gastroenterology and hepatology
2025

Intraoperative quantitative analysis of intestinal perfusion by ICG fluorescence in Hirschsprung disease: a single-center retrospective cohort study.

Pediatric surgery international
2025

Volume-outcome relationship in corrective surgery for Hirschsprung's disease: a systematic literature review of direct evidence and an overview of indirect evidence.

Pediatric surgery international
2025

Perioperative outcomes of neonatal versus delayed surgery for Hirschsprung disease: a nationwide retrospective cohort study in Japan.

Pediatric surgery international
2025

Colonic web in infants and toddlers: a cause of chronic bowel obstruction.

BMJ case reports
2025

Assessment of Surgical Outcomes in Patients With Hirschsprung Disease: A 20-year Experience.

Journal of pediatric surgery
2025

RET (C620R) Mutation in a Hirschsprung Disease Family: A Case Report Unveiling Asymptomatic Pheochromocytoma and Unmanifested Medullary Thyroid Carcinoma.

Cureus
2025

Robot-Assisted Laparoscopic Endorectal Pull-Through Combined with Deloyers Turnover in Long-Segment Hirschsprung Disease: A Case Report.

European journal of pediatric surgery reports
2025

Secretagogin Downregulation Impairs Nerve Cell Migration in Hirschsprung Disease via Inhibition of the LEF-1/NCAM1 Axis.

Molecular &amp; cellular proteomics : MCP
2025

Waardenburg Syndrome Type 4 in Mongolian Children: Genetic and Clinical Characterization.

International journal of molecular sciences
2025

The burden of delayed diagnosis in Hirschsprung disease: insights from a Paediatric Colorectal Centre in South Africa.

BMC pediatrics
2025

Impaired Fertility and Sexual Function in Women With Hirschsprung Disease: Results From an International Multi-Centre Cross-Sectional Study.

BJOG : an international journal of obstetrics and gynaecology
2025

Features of defecation dysfunction among patients with Hirschsprung disease in early childhood.

BMC gastroenterology
2025

Evaluating the Empowerment Potential of an International Sexual Support Website for Patients with Anorectal Malformations and Hirschsprung Disease, their Parents and Healthcare Providers.

European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
2025

Optimized chemogenetic ablation and regeneration of enteric nervous system neurons in zebrafish.

bioRxiv : the preprint server for biology
2025

The clinical utility and safety of rectal suction biopsy in children, a single center report.

Journal of pediatric gastroenterology and nutrition
2025

Deciphering the complexity of enteric niches in Hirschsprung disease: from metaphorical insights to therapeutic transformation.

Frontiers in pediatrics
2025

Hirschsprung disease at a tertiary hospital: Patient profile, management and outcomes.

Health SA = SA Gesondheid
2025

Post pull- through bowel function outcome and contributing factors in children; a cross-sectional study from low resource setting.

BMC surgery
2025

The association between short-term postoperative complications and bowel function after surgery for Hirschsprung disease.

BMC pediatrics
2025

Risk factors and nomogram model for short-term postoperative complications in patients with hirschsprung disease.

BMC medical informatics and decision making
2026

Artificial Intelligence Enhances Diagnostic Accuracy of Contrast Enemas in Hirschsprung Disease Compared to Clinical Experts.

European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
2026

Success of Antegrade Continence Enema (ACE) in Pediatric Patients with Impaired Fecal Control.

European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
2025

[Treatment of colostomy evagination in a child with Hirschsprung's disease].

Khirurgiia
2025

Application of enhanced recovery after surgery in perioperative care of infants and children with Hirschsprung disease.

World journal of gastrointestinal surgery
2025

BMI1 facilitates Wnt signaling by epigenetic silencing of Axin2 to promote cell proliferation and migration in Hirschsprung's disease.

Integrative biology : quantitative biosciences from nano to macro
2025

Unique challenges in managing pediatric colorectal diseases in under-resourced areas: context-aware adaptive responses from short-term surgical outreach visits.

La Pediatria medica e chirurgica : Medical and surgical pediatrics
2025

Sodium Butyrate Promotes Enteric Glial Cells Neurogenesis by Inhibiting Kdm2a and Inducing Klf4 Expression.

Journal of pediatric surgery
2025

Integrating psychological support in the care of children and adolescents with anorectal malformation or Hirschsprung disease: a ten-year experience.

Pediatric surgery international
2025

Systematic Review on Questionnaires Reporting Bowel Function and Health-Related Quality of Life in Patients With Hirschsprung Disease.

Journal of pediatric surgery
2025

Bridging Knowledge and Practice: Insights Into Hirschsprung's Disease and Home Management.

Neonatal network : NN
2025

Spatial Transcriptomics of Hirschsprung Disease Resection Margins Marks Differential Gene Expression in Myenteric Plexus.

Gastroenterology
2025

Evaluating the quality and reliability of youtube videos on Hirschsprung's disease: a comprehensive analysis for patients, parents and health professionals.

Pediatric surgery international
2025

Psychometric comparison of CHU9D and PedsQL 4.0 proxy version administered to parents of children with congenital colorectal conditions in Australia.

The European journal of health economics : HEPAC : health economics in prevention and care
2025

Does the absence of hypertrophic nerves on rectal biopsy predict long-segment or total colonic aganglionosis?

Pediatric surgery international
2025

HMGB1 Derived from the Pyroptotic Microenvironment Promotes Macrophage Extracellular Traps in Hirschsprung-Associated Enterocolitis.

Advanced biology
2025

Prematurity Associated With Increased Complications and Reoperation After Pull-Through in Hirschsprung Disease.

The Journal of surgical research
2025

Comments on the "Risk factors of bowel perforation in neonates with Hirschsprung disease".

Pediatric surgery international
2025

A note on the history of Hirschsprung's disease, and an over 120 years apology.

Pediatric surgery international
2025

History of surgery for Hirschsprung disease: a view from Melbourne.

World journal of pediatric surgery
2025

Bananagram: an alternative to distal loopogram prior to colostomy closure for Hirschsprung disease.

World journal of pediatric surgery
2025

Acetylcholine from tuft cells promotes M2 macrophages polarization in Hirschsprung-associated enterocolitis.

Frontiers in immunology
2025

Alteration of Hair Melanin in Patients With Mowat-Wilson Syndrome: The Role of the ZEB2 Gene in Regulating Melanogenesis Through SLC45A2.

Pigment cell &amp; melanoma research
2025

Rapid, objective intraoperative mapping of Hirschsprung disease with a portable electrochemical acetylcholine sensor.

Pediatric surgery international
Ver todos os 1.397 no EuropePMC

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

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.

  1. Dual roles of GDNF in enteric glial cell plasticity: direct transdifferentiation via the CaMKII/NeuroD1 pathway and cooperative regulation in a neural stem cell-inducing medium.
    Stem cell research &amp; therapy· 2026· PMID 41814387mais citado
  2. Mobile health applications for parents of children with Hirschsprung disease: a requirement analysis.
    European journal of pediatrics· 2026· PMID 41748839mais citado
  3. Familial cartilage-hair hypoplasia: prenatal ultrasound features and clinical outcomes in three siblings with identical RMRP variants.
    BMJ case reports· 2026· PMID 41720498mais citado
  4. Interrater reliability in pediatric high-resolution anorectal manometry recordings.
    Journal of pediatric gastroenterology and nutrition· 2026· PMID 41623264mais citado
  5. Transcription factor ZEB2 is essential for ureteral smooth muscle cell differentiation.
    PLoS genetics· 2026· PMID 41576029mais citado
  6. Electrode Placement and Continence Outcomes in Pediatric Hirschsprung's Disease: Rectal Versus Surface Stimulation After Trans-Anal Pull-Through Surgeries.
    Ann Rehabil Med· 2026· PMID 41992564recente
  7. International Congenital Central Hypoventilation Syndrome (CCHS) Registry: Analysis of Patient-Reported Symptoms by PHOX2B Variant.
    Pediatr Pulmonol· 2026· PMID 41981969recente
  8. A 37-year-old asymptomatic African-American female with fundus spots.
    Retin Cases Brief Rep· 2026· PMID 41960999recente
  9. Phenotypic Expansion and Molecular Implications in Recessive FUZ-Related Ciliopathy.
    Clin Genet· 2026· PMID 41952398recente
  10. Longitudinal Changes in Senna-Based Laxative Dosing in Pediatric Constipation: A Single-Center Retrospective Study.
    J Pediatr Surg· 2026· PMID 41951122recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:388(Orphanet)
  2. MONDO:0018309(MONDO)
  3. GARD:6660(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Artigo Wikipedia(Wikipedia)
  7. Q1343645(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

Doença de Hirschsprung
Compêndio · Raras BR

Doença de Hirschsprung

ORPHA:388 · MONDO:0018309
Prevalência
1-5 / 10 000
Herança
Autosomal dominant, Autosomal recessive, Multigenic/multifactorial, Not applicable
CID-10
Q43.1 · Doença de Hirschsprung
CID-11
Ensaios
18 ativos
Início
Childhood, Infancy, Neonatal
Prevalência
13.2 (Europe)
MedGen
UMLS
C0019569
EuropePMC
Wikidata
Wikipedia
Papers 10a
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