raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:348

Fructose-1,6-bisphosphatase deficiency

Synonyms: FBPase deficiency · Fructose-1,6-diphosphatase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
All ages
Status
active

Fructose-1,6-biphosphatase (FBP) deficiency is a disorder of fructose metabolism characterized by recurrent episodes of fasting hypoglycemia with lactic acidosis, that may be life-threatening in neonates and infants.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFructose-1,6-bisphosphatase deficiencyFBPase deficiency · Fructose-1,6-diphosphatase deficiency
frDéficit en fructose-1,6-diphosphataseDéficit en FBPase · Déficit en fructose-1,6-bisphosphatase
deFruktose-1,6-Bisphosphatase-MangelFBPase-Mangel · Fruktose-1,6-Diphosphatase-Mangel
esDeficiencia de fructosa-1,6 bifosfatasaDeficiencia de FBPasa · Deficiencia de fructosa-1,6 difosfatasa
itDeficit di fruttosio 1,6-difosfatasi
nlFructose-1,6-bisfosfatasedeficiëntieFBPase-deficiëntie · Fructose-1,6-difosfatasedeficiëntie
ptDeficiência de frutose-1,6-bisfosfatase
plNiedobór fruktozo-1,6-difosfatazy= en
csDeficit fruktóza-1,6-bisfosfatázy= en
ukДефіцит фруктозо-1,6-бісфосфатазиДефіцит FBPази · Дефіцит фруктозо-1,6-дифосфатази
zh果糖-1,6-二磷酸酶缺乏症果糖-1,6-二磷酸酶缺乏
trFruktoz-1,6-bisfosfataz eksikliğiFBPase eksikliği · Fruktoz-1,6-difosfataz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM229700Evalidated
ICD-10E74.1NTBTattributedvalidated
ICD-115C51.5YNTBTindexvalidated
MONDO0009251Evalidated
MeSHD015319Evalidated
UMLSC0016756Evalidated
GARD2400Evalidated
MedDRA10081516Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
FBP1Disease-causing germline mutation(s) inAssessedHGNC:3606ENSG000001651406115709q22.32fructose-bisphosphatase 19382095[PMID]_12126934[PMID]_24007283[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.67 / 100 000ItalyValue and classValidated11953730[PMID]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

34 annotations · validated 2019-04-19
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0001943Hypoglycemia
HP:0003128Lactic acidosis
HP:0001942Metabolic acidosis
Frequent (79-30%)
HP:0002014Diarrhea
HP:0003162Fasting hypoglycemia
HP:0002149Hyperuricemia
HP:0004913Intermittent lactic acidemia
HP:0002013Vomiting
Occasional (29-5%)
HP:0005949Apneic episodes in infancy
HP:0001259Coma
HP:0002329Drowsiness
HP:0002094Dyspnea
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0002876Episodic tachypnea
HP:0001262Excessive daytime somnolence
HP:0001397Hepatic steatosis
HP:0002240Hepatomegaly
HP:0001252Hypotonia
HP:0040301Increased urinary glycerol
HP:0001249Intellectual disability
HP:0004879Intermittent hyperventilation
HP:0000737Irritability
HP:0001946Ketosis
HP:0003265Neonatal hyperbilirubinemia
HP:0001998Neonatal hypoglycemia
HP:0000980Pallor
HP:0004372Reduced consciousness
HP:0002098Respiratory distress
HP:0006582Reye syndrome-like episodes
HP:0001250Seizure
HP:0001649Tachycardia
HP:0002119Ventriculomegaly
Very rare (<4-1%)
HP:0003348Hyperalaninemia

Run the differential on the 4 obligate / very frequent terms

Annotation source: 25601412[PMID]_28420223[PMID]_9382095[PMID]_1995492[PMID]_2347355[PMID]_4341015[PMID]_4193749[PMID]

7

Sources for this card