raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:216820

Osteogenesis imperfecta type 4

Synonyms: OI type 4

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal dominant, Autosomal recessive, X-linked recessive
Age of onset
Infancy, Neonatal
Status
active

A moderately severe form of osteogenesis imperfecta characterized by increased bone fragility and low bone mass that clinically manifests from infancy as susceptibility to bone fractures, short stature, mild to moderate scoliosis in most, gray-blue or white sclera, and dentinogenesis imperfecta.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enOsteogenesis imperfecta type 4OI type 4
frOstéogenèse imparfaite type 4= en
deOsteogenesis imperfecta Typ 4OI Typ 4
esOsteogénesis imperfecta tipo 4OI tipo 4
itOsteogenesi imperfetta tipo 4OI tipo 4
nlOsteogenesis imperfecta type 4= en
ptOsteogenesis imperfecta tipo 4OI tipo 4 · Osteogenesis imperfeita tipo 4
plWrodzona łamliwość kości typu 4OI typu 4
csOsteogenesis imperfecta, typ 4OI typ 4
ukНедосконалий остеогенез, тип 4Тип ОІ 4
zh成骨不全症4型4型OI
trOsteogenezis imperfekta tip 4OI tip 4

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM166220Evalidated
OMIM259440BTNTvalidated
OMIM610682BTNTvalidated
OMIM610968BTNTvalidated
OMIM613849BTNTvalidated
OMIM613982BTNTvalidated
OMIM615066BTNTvalidated
OMIM615220BTNTvalidated
OMIM616507BTNTvalidated
ICD-10Q78.0NTBTattributedvalidated
ICD-11LD24.K0NTBTindexvalidated
MONDO0008148Evalidated
MeSHC000631847Evalidated
UMLSC0268363Evalidated
GARD8696Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

11 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
WNT1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:12774ENSG0000012508416482012q13.12Wnt family member 123434763[PMID]_25046257[PMID]
COL1A1Disease-causing germline mutation(s) inAssessedHGNC:2197ENSG0000010882112015017q21.33collagen type I alpha 1 chain21438135[PMID]_20301472[PMID]
COL1A2Disease-causing germline mutation(s) inAssessedHGNC:2198ENSG000001646921201607q21.3collagen type I alpha 2 chain21438135[PMID]_20301472[PMID]
CRTAPDisease-causing germline mutation(s) inAssessedHGNC:2379ENSG000001702756054973p22.3cartilage associated protein21438135[PMID]
FKBP10Disease-causing germline mutation(s) inAssessedHGNC:18169ENSG0000014175660706317q21.2FKBP prolyl isomerase 1021438135[PMID]_25046257[PMID]
MBTPS2Disease-causing germline mutation(s) inAssessedHGNC:15455ENSG00000012174300294Xp22.12membrane bound transcription factor peptidase, site 227380894[PMID]
PPIBDisease-causing germline mutation(s) inAssessedHGNC:9255ENSG0000016679412384115q22.31peptidylprolyl isomerase B21282188[PMID]
SERPINF1Disease-causing germline mutation(s) inAssessedHGNC:8824ENSG0000013238617286017p13.3serpin family F member 125046257[PMID]
SP7Disease-causing germline mutation(s) inAssessedHGNC:17321ENSG0000017037460663312q13.13Sp7 transcription factor21438135[PMID]
SPARCDisease-causing germline mutation(s) inAssessedHGNC:11219ENSG000001131401821205q33.1secreted protein acidic and cysteine rich26027498[PMID]
TMEM38BDisease-causing germline mutation(s) inAssessedHGNC:25535ENSG000000952096112369q31.2transmembrane protein 38B23313006[PMID]_25046257[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Prevalence at birth1-9 / 100 0001.35 / 100 000SwedenValue and classValidated25944380[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card