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IEMbase 0248: GLB1-related Beta-galactosidase 1 deficiency, Morquio B

Scope

Field Value
IEMbase ID 248
Nosology 20.1.14.01
Gene GLB1
External IDs OMIM:253010; ORPHA:354
Generated mapping UNMAPPED; best candidate Morquio_syndrome.yaml score 0.862
Candidate DisMech targets Morquio_syndrome.yaml#Type B
Review date 2026-07-07

IEMbase phenotype signal

IEMbase represents this as GLB1-related beta-galactosidase 1 deficiency, Morquio B, with alternate labels Morquio syndrome type B, mucopolysaccharidosis type IVB variant, and MPS IVB. The record is autosomal recessive and treatability is marked unknown, with no treatment rows in the cached JSON.

Biochemical rows include decreased beta-galactosidase activity and urinary keratan sulfate and total glycosaminoglycans that range from normal to increased. Clinical rows include coarse facial features, dysostosis multiplex, hearing loss, liver dysfunction, odontoid hypoplasia, restrictive lung disease, and sternal bulging. Characteristic rows include atlanto-axial instability, cervical myelopathy, corneal clouding, degenerative hip dysplasia, genu valgum, joint laxity, kyphosis, short stature, and valvular thickening.

DisMech phenotype coverage

Morquio_syndrome.yaml#Type B is the correct local target despite the generated unmapped status. The local file explicitly includes Type B/MPS IVB/GLB1 coverage and describes keratan-sulfate-dominant beta-galactosidase dysfunction within the Morquio syndrome spectrum. It covers the same skeletal, cervical, airway, ocular, auditory, and cardiac valve manifestations as the shared MPS IV entry, while distinguishing Type B from GALNS-related Type A.

Concordance and completeness

Judgement: generated false negative; manual target is Morquio_syndrome.yaml#Type B with high concordance.

IEMbase and DisMech agree on GLB1/MPS IVB identity, beta-galactosidase deficiency, keratan sulfate storage, skeletal dysplasia, joint laxity, odontoid and atlanto-axial disease, corneal clouding, hearing loss, restrictive lung disease, short stature, kyphosis, and valvular thickening. IEMbase is more granular for the per-subtype clinical checklist, while DisMech is stronger for mechanism and syndrome-level context.

Curation actions

  • Map this record to Morquio_syndrome.yaml#Type B.
  • Review the crosswalk alias/normalization logic so Morquio syndrome type B, MPS IVB, and mucopolysaccharidosis type IVB variant resolve to the existing subtype.
  • Use IEMbase's symptom checklist as enrichment prompts if the Morquio Type B subtype is expanded.