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Ciliary dyskinesia, primary, 50(CILD50)

MedGen UID:
1841109
Concept ID:
C5830473
Disease or Syndrome
Synonym: CILD50
 
Gene (location): DNAH7 (2q32.3)
 
Monarch Initiative: MONDO:0957252
OMIM®: 620356

Definition

Primary ciliary dyskinesia-50 (CILD50) is characterized by chronic sinusitis and bronchitis as well as male infertility. Patient sperm have markedly reduced progressive motility, and multiple morphologic abnormalities of the flagella (MMAF) have been observed. Ultrastructurally, patients exhibit defects or loss of the inner dynein arms of the sperm flagella (Wei et al., 2021; Gao et al., 2022). For a general phenotypic description and discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400). [from OMIM]

Clinical features

From HPO
Male infertility
MedGen UID:
5796
Concept ID:
C0021364
Disease or Syndrome
The inability of the male to effect fertilization of an ovum after a specified period of unprotected intercourse. Male sterility is permanent infertility.
Reduced sperm motility
MedGen UID:
907698
Concept ID:
C4082176
Finding
An abnormal reduction in the mobility of ejaculated sperm.
Short sperm flagella
MedGen UID:
1623693
Concept ID:
C4539787
Finding
Sperm cells with abnormally short flagella.
Coiled sperm flagella
MedGen UID:
1611216
Concept ID:
C4539789
Finding
Sperm cells whose flagella are twisted (coiled).
Reduced progressive sperm motility
MedGen UID:
1730031
Concept ID:
C5436680
Finding
A reduced proportion of sperm that move in a straight line or large circles; alternatively, an increased proportion of sperm that move in tight circles or in some other non-linear fashion.
Chronic bronchitis
MedGen UID:
3084
Concept ID:
C0008677
Disease or Syndrome
Chronic inflammation of the bronchi.
Absent inner dynein arms
MedGen UID:
868589
Concept ID:
C4022988
Finding
Absence of the inner dynein arms of respiratory motile cilia, which normally are situated within the peripheral microtubules of motile cilia. This feature is usually appreciated by electron microscopy.
Chronic sinusitis
MedGen UID:
101751
Concept ID:
C0149516
Disease or Syndrome
A chronic form of sinusitis.

Professional guidelines

PubMed

Çağlar HT, Pekcan S, Erden S, Ünal G, Yılmaz Aİ, Ercan F, Savaş S, Ayman FN, İstanbullu HA
Pediatr Pulmonol 2024 Oct;59(10):2457-2463. Epub 2024 May 2 doi: 10.1002/ppul.27038. PMID: 38695576
Lei C, Wang R, Yang D, Guo T, Luo H
Zhong Nan Da Xue Xue Bao Yi Xue Ban 2022 Jan 28;47(1):116-122. doi: 10.11817/j.issn.1672-7347.2022.210379. PMID: 35545371Free PMC Article
Lucas JS, Alanin MC, Collins S, Harris A, Johansen HK, Nielsen KG, Papon JF, Robinson P, Walker WT
Expert Rev Respir Med 2017 Oct;11(10):779-790. Epub 2017 Aug 2 doi: 10.1080/17476348.2017.1360770. PMID: 28745925

Recent clinical studies

Etiology

Çağlar HT, Pekcan S, Erden S, Ünal G, Yılmaz Aİ, Ercan F, Savaş S, Ayman FN, İstanbullu HA
Pediatr Pulmonol 2024 Oct;59(10):2457-2463. Epub 2024 May 2 doi: 10.1002/ppul.27038. PMID: 38695576
Oh J, Lee JS, Park MS, Kang YA, Cho HJ, Kim SY, Jung J, Yoon SO, Kim KW
Yonsei Med J 2024 Jan;65(1):48-54. doi: 10.3349/ymj.2023.0238. PMID: 38154480Free PMC Article
Raidt J, Loges NT, Olbrich H, Wallmeier J, Pennekamp P, Omran H
Presse Med 2023 Sep;52(3):104171. Epub 2023 Jul 27 doi: 10.1016/j.lpm.2023.104171. PMID: 37516247
Lucas JS, Davis SD, Omran H, Shoemark A
Lancet Respir Med 2020 Feb;8(2):202-216. Epub 2019 Oct 14 doi: 10.1016/S2213-2600(19)30374-1. PMID: 31624012
Lucas JS, Alanin MC, Collins S, Harris A, Johansen HK, Nielsen KG, Papon JF, Robinson P, Walker WT
Expert Rev Respir Med 2017 Oct;11(10):779-790. Epub 2017 Aug 2 doi: 10.1080/17476348.2017.1360770. PMID: 28745925

Diagnosis

Takeuchi K, Abo M, Date H, Gotoh S, Kamijo A, Kaneko T, Keicho N, Kodama S, Koinuma G, Kondo M, Masuda S, Mori E, Morimoto K, Nagao M, Nakano A, Nakatani K, Nishida N, Nishikido T, Ohara H, Okinaka Y, Sakaida H, Shiraishi K, Suzaki I, Tojima I, Tsunemi Y, Kainuma K, Ota N, Takeno S, Fujieda S
Auris Nasus Larynx 2024 Jun;51(3):553-568. Epub 2024 Mar 27 doi: 10.1016/j.anl.2024.02.001. PMID: 38537559
Raidt J, Loges NT, Olbrich H, Wallmeier J, Pennekamp P, Omran H
Presse Med 2023 Sep;52(3):104171. Epub 2023 Jul 27 doi: 10.1016/j.lpm.2023.104171. PMID: 37516247
Lucas JS, Davis SD, Omran H, Shoemark A
Lancet Respir Med 2020 Feb;8(2):202-216. Epub 2019 Oct 14 doi: 10.1016/S2213-2600(19)30374-1. PMID: 31624012
Knowles MR, Zariwala M, Leigh M
Clin Chest Med 2016 Sep;37(3):449-61. Epub 2016 Jun 30 doi: 10.1016/j.ccm.2016.04.008. PMID: 27514592Free PMC Article
Bush A
Acta Otorhinolaryngol Belg 2000;54(3):317-24. PMID: 11082768

Therapy

Ullmann N, Santamaria F, Allegorico A, Fainardi V, Borrelli M, Ferraro VA, Proietti E, Parisi GF, Romagnoli V, Lucca F, Gallucci M, Mappa L, Lelli M, Amato D, Petrarca L, Cimino G, Sacco O, Calogero C, Patria MF, Acquafredda A, Ferlisi A, Maschio M, Kantar A, Cutrera R
Pediatr Pulmonol 2023 Apr;58(4):1127-1135. Epub 2023 Jan 9 doi: 10.1002/ppul.26303. PMID: 36588099
Lucas JS, Alanin MC, Collins S, Harris A, Johansen HK, Nielsen KG, Papon JF, Robinson P, Walker WT
Expert Rev Respir Med 2017 Oct;11(10):779-790. Epub 2017 Aug 2 doi: 10.1080/17476348.2017.1360770. PMID: 28745925
Knowles MR, Zariwala M, Leigh M
Clin Chest Med 2016 Sep;37(3):449-61. Epub 2016 Jun 30 doi: 10.1016/j.ccm.2016.04.008. PMID: 27514592Free PMC Article
Boon M, Jorissen M, Proesmans M, De Boeck K
Eur J Pediatr 2013 Feb;172(2):151-62. Epub 2012 Jul 10 doi: 10.1007/s00431-012-1785-6. PMID: 22777640
Carlén B, Stenram U
Ultrastruct Pathol 2005 May-Aug;29(3-4):217-20. doi: 10.1080/01913120590951220. PMID: 16036877

Prognosis

Çağlar HT, Pekcan S, Erden S, Ünal G, Yılmaz Aİ, Ercan F, Savaş S, Ayman FN, İstanbullu HA
Pediatr Pulmonol 2024 Oct;59(10):2457-2463. Epub 2024 May 2 doi: 10.1002/ppul.27038. PMID: 38695576
Shteinberg M, Chalmers JD, Narayana JK, Dicker AJ, Rahat MA, Simanovitch E, Bidgood L, Cohen S, Stein N, Abo-Hilu N, Abbott J, Avital S, Fireman-Klein E, Richardson H, Muhammad E, Jrbashyan J, Schneer S, Nasrallah N, Eisenberg I, Chotirmall SH, Adir Y
Ann Am Thorac Soc 2024 May;21(5):748-758. doi: 10.1513/AnnalsATS.202306-551OC. PMID: 38194593
Paternò S, Pisani L, Zanconato S, Ferraro VA, Carraro S
Int J Mol Sci 2023 Nov 10;24(22) doi: 10.3390/ijms242216159. PMID: 38003348Free PMC Article
Legendre M, Zaragosi LE, Mitchison HM
Semin Cell Dev Biol 2021 Feb;110:19-33. Epub 2020 Dec 2 doi: 10.1016/j.semcdb.2020.11.007. PMID: 33279404
Lucas JS, Alanin MC, Collins S, Harris A, Johansen HK, Nielsen KG, Papon JF, Robinson P, Walker WT
Expert Rev Respir Med 2017 Oct;11(10):779-790. Epub 2017 Aug 2 doi: 10.1080/17476348.2017.1360770. PMID: 28745925

Clinical prediction guides

Marozkina N
Int J Mol Sci 2024 Sep 18;25(18) doi: 10.3390/ijms251810043. PMID: 39337527Free PMC Article
Çağlar HT, Pekcan S, Erden S, Ünal G, Yılmaz Aİ, Ercan F, Savaş S, Ayman FN, İstanbullu HA
Pediatr Pulmonol 2024 Oct;59(10):2457-2463. Epub 2024 May 2 doi: 10.1002/ppul.27038. PMID: 38695576
Guo Z, Chen W, Wang L, Qian L
J Pediatr 2020 Oct;225:157-165.e5. Epub 2020 Jun 2 doi: 10.1016/j.jpeds.2020.05.052. PMID: 32502479
Madhivanan K, Aguilar RC
Traffic 2014 Oct;15(10):1031-56. Epub 2014 Aug 11 doi: 10.1111/tra.12195. PMID: 25040720Free PMC Article
Leigh MW, Pittman JE, Carson JL, Ferkol TW, Dell SD, Davis SD, Knowles MR, Zariwala MA
Genet Med 2009 Jul;11(7):473-87. doi: 10.1097/GIM.0b013e3181a53562. PMID: 19606528Free PMC Article

Recent systematic reviews

Hasanain AA, Soliman MAR, Elwy R, Ezzat AAM, Abdel-Bari SH, Marx S, Jenkins A, El Refaee E, Zohdi A
Br J Neurosurg 2022 Jun;36(3):329-339. Epub 2022 May 17 doi: 10.1080/02688697.2022.2074373. PMID: 35579079
Møller ME, Alanin MC, Grønhøj C, Aanæs K, Høiby N, von Buchwald C
Am J Rhinol Allergy 2017 Sep 1;31(5):293-298. doi: 10.2500/ajra.2017.31.4461. PMID: 28859703Free PMC Article

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