Arthrogryposis, Distal, Type 6, also known as arthrogryposis-like hand anomaly-sensorineural deafness syndrome, is related to diamond-blackfan anemia 7 and thiamine-responsive megaloblastic anemia syndrome. An important gene associated with Arthrogryposis, Distal, Type 6 is TRIR (Telomerase RNA Component Interacting RNase), and among its related pathways/superpathways is Monoamine GPCRs. Related phenotypes are joint stiffness and sensorineural hearing impairment