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Bardet-Biedl syndrome 22(BBS22)

MedGen UID:
1794146
Concept ID:
C5561936
Disease or Syndrome
Synonym: BBS22
 
Gene (location): IFT74 (9p21.2)
 
Monarch Initiative: MONDO:0014926
OMIM®: 617119

Definition

Bardet-Biedl syndrome-22 (BBS22) is an autosomal recessive ciliopathy described in a single patient and characterized by retinitis pigmentosa, obesity, polydactyly, hypogonadism, and intellectual disability (Lindstrand et al., 2016). For a general phenotypic description and a discussion of genetic heterogeneity of Bardet-Biedl syndrome, see BBS1 (209900). [from OMIM]

Clinical features

From HPO
Polydactyly
MedGen UID:
57774
Concept ID:
C0152427
Congenital Abnormality
A congenital anomaly characterized by the presence of supernumerary fingers or toes.
Postaxial foot polydactyly
MedGen UID:
384489
Concept ID:
C2112129
Finding
Polydactyly of the foot most commonly refers to the presence of six toes on one foot. Postaxial polydactyly affects the lateral ray and the duplication may range from a well-formed articulated digit to a rudimentary digit.
Obesity
MedGen UID:
18127
Concept ID:
C0028754
Disease or Syndrome
Accumulation of substantial excess body fat.
Large for gestational age
MedGen UID:
341215
Concept ID:
C1848395
Finding
The term large for gestational age applies to babies whose birth weight lies above the 90th percentile for that gestational age.
Polyphagia
MedGen UID:
9369
Concept ID:
C0020505
Finding
A neurological anomaly with gross overeating associated with an abnormally strong desire or need to eat.
Delayed speech and language development
MedGen UID:
105318
Concept ID:
C0454644
Finding
A degree of language development that is significantly below the norm for a child of a specified age.
Intellectual disability
MedGen UID:
811461
Concept ID:
C3714756
Mental or Behavioral Dysfunction
Intellectual disability, previously referred to as mental retardation, is characterized by subnormal intellectual functioning that occurs during the developmental period. It is defined by an IQ score below 70.
Macrocephaly
MedGen UID:
745757
Concept ID:
C2243051
Finding
Occipitofrontal (head) circumference greater than 97th centile compared to appropriate, age matched, sex-matched normal standards. Alternatively, a apparently increased size of the cranium.
Microcephaly
MedGen UID:
1644158
Concept ID:
C4551563
Finding
Head circumference below 2 standard deviations below the mean for age and gender.
Hypogonadism
MedGen UID:
5711
Concept ID:
C0020619
Disease or Syndrome
A decreased functionality of the gonad.
Visual impairment
MedGen UID:
777085
Concept ID:
C3665347
Finding
Visual impairment (or vision impairment) is vision loss (of a person) to such a degree as to qualify as an additional support need through a significant limitation of visual capability resulting from either disease, trauma, or congenital or degenerative conditions that cannot be corrected by conventional means, such as refractive correction, medication, or surgery.
Macular hypopigmentation
MedGen UID:
870316
Concept ID:
C4024759
Finding
Decreased amount of pigmentation in the macula lutea.
Rod-cone dystrophy
MedGen UID:
1632921
Concept ID:
C4551714
Disease or Syndrome
An inherited retinal disease subtype in which the rod photoreceptors appear to be more severely affected than the cone photoreceptors. Typical presentation is with nyctalopia (due to rod dysfunction) followed by loss of mid-peripheral field of vision, which gradually extends and leaves many patients with a small central island of vision due to the preservation of macular cones.

Professional guidelines

PubMed

Roberts KJ, Ariza AJ, Selvaraj K, Quadri M, Mangarelli C, Neault S, Davis EE, Binns HJ
Int J Obes (Lond) 2022 Aug;46(8):1493-1501. Epub 2022 May 13 doi: 10.1038/s41366-022-01139-7. PMID: 35562395Free PMC Article
Tang X, Liu C, Liu X, Chen J, Fan X, Liu J, Ma D, Cao G, Chen Z, Xu D, Zhu Y, Jiang X, Cheng L, Wu Y, Hou L, Li Y, Shao X, Zheng S, Zhang A, Zheng B, Jian S, Rong Z, Su Q, Gao X, Rao J, Shen Q, Xu H; Chinese Children Genetic Kidney Disease Database (CCGKDD); “Internet Plus” Nephrology Alliance of the National Center for Children’s Care
J Med Genet 2022 Feb;59(2):147-154. Epub 2020 Dec 15 doi: 10.1136/jmedgenet-2020-107184. PMID: 33323469
Jiman OA, Taylor RL, Lenassi E, Smith JC, Douzgou S, Ellingford JM, Barton S, Hardcastle C, Fletcher T, Campbell C, Ashworth J, Biswas S, Ramsden SC; UK Inherited Retinal Disease Consortium, Manson FD, Black GC
Eur J Hum Genet 2020 May;28(5):576-586. Epub 2019 Dec 13 doi: 10.1038/s41431-019-0548-5. PMID: 31836858Free PMC Article

Recent clinical studies

Etiology

Parameswarappa DC, Das AV, Thakur PS, Takkar B, Multani PK, Padhy SK, Doctor MB, Agarwal K, Jalali S
Indian J Ophthalmol 2022 Jul;70(7):2533-2538. doi: 10.4103/ijo.IJO_2268_21. PMID: 35791150Free PMC Article
Simonini C, Floeck A, Strizek B, Mueller A, Gembruch U, Geipel A
Arch Gynecol Obstet 2022 Jul;306(1):71-83. Epub 2021 Oct 1 doi: 10.1007/s00404-021-06265-7. PMID: 34596737Free PMC Article
Atmış B, Karabay-Bayazıt A, Melek E, Bişgin A, Anarat A
Turk J Pediatr 2019;61(2):186-192. doi: 10.24953/turkjped.2019.02.006. PMID: 31951329
Haws RM, Joshi A, Shah SA, Alkandari O, Turman MA
Pediatr Nephrol 2016 Nov;31(11):2153-61. Epub 2016 Jun 1 doi: 10.1007/s00467-016-3415-4. PMID: 27245600
Cramer MT, Guay-Woodford LM
Adv Chronic Kidney Dis 2015 Jul;22(4):297-305. doi: 10.1053/j.ackd.2015.04.001. PMID: 26088074

Diagnosis

Nawaz H, Mujahid, Khan SA, Bibi F, Waqas A, Bari A, Fardous, Khan N, Muhammad N, Khan A, Paracha SA, Alam Q, Kamal MA, Rafeeq MM, Muhammad N, Haq FU, Khan S, Mahmood A, Khan S, Umair M
Genes (Basel) 2023 May 19;14(5) doi: 10.3390/genes14051113. PMID: 37239474Free PMC Article
Morisada N, Hamada R, Miura K, Ye MJ, Nozu K, Hattori M, Iijima K
CEN Case Rep 2020 Aug;9(3):260-265. Epub 2020 Apr 6 doi: 10.1007/s13730-020-00472-y. PMID: 32253632Free PMC Article
Atmış B, Karabay-Bayazıt A, Melek E, Bişgin A, Anarat A
Turk J Pediatr 2019;61(2):186-192. doi: 10.24953/turkjped.2019.02.006. PMID: 31951329
Haws RM, Joshi A, Shah SA, Alkandari O, Turman MA
Pediatr Nephrol 2016 Nov;31(11):2153-61. Epub 2016 Jun 1 doi: 10.1007/s00467-016-3415-4. PMID: 27245600
Cramer MT, Guay-Woodford LM
Adv Chronic Kidney Dis 2015 Jul;22(4):297-305. doi: 10.1053/j.ackd.2015.04.001. PMID: 26088074

Therapy

Haws R, Brady S, Davis E, Fletty K, Yuan G, Gordon G, Stewart M, Yanovski J
Diabetes Obes Metab 2020 Nov;22(11):2133-2140. Epub 2020 Jul 22 doi: 10.1111/dom.14133. PMID: 32627316Free PMC Article
Hayat A, Khan AA, Rauf A, Khan SU, Hussain S, Ullah A, Ahmad W, Shams S, Khan B
Clin Dysmorphol 2020 Jan;29(1):17-23. doi: 10.1097/MCD.0000000000000294. PMID: 31469663
Haws RM, Joshi A, Shah SA, Alkandari O, Turman MA
Pediatr Nephrol 2016 Nov;31(11):2153-61. Epub 2016 Jun 1 doi: 10.1007/s00467-016-3415-4. PMID: 27245600

Prognosis

Zhong F, Tan M, Gao Y
Eur J Med Genet 2023 Jun;66(6):104753. Epub 2023 Mar 30 doi: 10.1016/j.ejmg.2023.104753. PMID: 37003573
Atmış B, Karabay-Bayazıt A, Melek E, Bişgin A, Anarat A
Turk J Pediatr 2019;61(2):186-192. doi: 10.24953/turkjped.2019.02.006. PMID: 31951329
Mary L, Chennen K, Stoetzel C, Antin M, Leuvrey A, Nourisson E, Alanio-Detton E, Antal MC, Attié-Bitach T, Bouvagnet P, Bouvier R, Buenerd A, Clémenson A, Devisme L, Gasser B, Gilbert-Dussardier B, Guimiot F, Khau Van Kien P, Leroy B, Loget P, Martinovic J, Pelluard F, Perez MJ, Petit F, Pinson L, Rooryck-Thambo C, Poch O, Dollfus H, Schaefer E, Muller J
Clin Genet 2019 Mar;95(3):384-397. doi: 10.1111/cge.13500. PMID: 30614526
Haws RM, Joshi A, Shah SA, Alkandari O, Turman MA
Pediatr Nephrol 2016 Nov;31(11):2153-61. Epub 2016 Jun 1 doi: 10.1007/s00467-016-3415-4. PMID: 27245600
Russell-Eggitt IM, Clayton PT, Coffey R, Kriss A, Taylor DS, Taylor JF
Ophthalmology 1998 Jul;105(7):1274-80. doi: 10.1016/S0161-6420(98)97033-6. PMID: 9663233

Clinical prediction guides

Parameswarappa DC, Das AV, Thakur PS, Takkar B, Multani PK, Padhy SK, Doctor MB, Agarwal K, Jalali S
Indian J Ophthalmol 2022 Jul;70(7):2533-2538. doi: 10.4103/ijo.IJO_2268_21. PMID: 35791150Free PMC Article
Simonini C, Floeck A, Strizek B, Mueller A, Gembruch U, Geipel A
Arch Gynecol Obstet 2022 Jul;306(1):71-83. Epub 2021 Oct 1 doi: 10.1007/s00404-021-06265-7. PMID: 34596737Free PMC Article
Tsyklauri O, Niederlova V, Forsythe E, Prasai A, Drobek A, Kasparek P, Sparks K, Trachtulec Z, Prochazka J, Sedlacek R, Beales P, Huranova M, Stepanek O
EMBO Rep 2021 Feb 3;22(2):e50785. Epub 2021 Jan 11 doi: 10.15252/embr.202050785. PMID: 33426789Free PMC Article
Cramer MT, Guay-Woodford LM
Adv Chronic Kidney Dis 2015 Jul;22(4):297-305. doi: 10.1053/j.ackd.2015.04.001. PMID: 26088074
Elbedour K, Zucker N, Zalzstein E, Barki Y, Carmi R
Am J Med Genet 1994 Aug 15;52(2):164-9. doi: 10.1002/ajmg.1320520208. PMID: 7802002

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