Entry - #123150 - JACKSON-WEISS SYNDROME; JWS - OMIM
# 123150

JACKSON-WEISS SYNDROME; JWS


Alternative titles; symbols

CRANIOSYNOSTOSIS, MIDFACIAL HYPOPLASIA, AND FOOT ABNORMALITIES


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
8p11.23 Jackson-Weiss syndrome 123150 AD 3 FGFR1 136350
10q26.13 Jackson-Weiss syndrome 123150 AD 3 FGFR2 176943
Clinical Synopsis
 

INHERITANCE
- Autosomal dominant
HEAD & NECK
Face
- Midface hypoplasia
SKELETAL
Skull
- Craniosynostosis
Feet
- Medially deviated, broad great toes
- Cutaneous syndactyly of second and third toes
- Short, broad metatarsal
- Tarsonavicular and calcaneonavicular fusion
MOLECULAR BASIS
- Caused by mutation in the fibroblast growth factor receptor-2 gene (FGFR2, 176943.0007)
- Caused by mutation in the fibroblast growth factor receptor-1 gene (FGFR1, 136350.0001)

TEXT

A number sign (#) is used with this entry because of evidence that Jackson-Weiss syndrome (JWS) is caused by heterozygous mutation in the gene encoding fibroblast growth factor receptor-2 (FGFR2; 176943) on chromosome 10q26.

One patient with a disorder considered to be Jackson-Weiss syndrome was found to have a mutation in the FGFR1 gene (see 136350.0001).


Description

Jackson-Weiss syndrome (JWS) is an autosomal dominant condition consisting of craniosynostosis characterized by premature fusion of the cranial sutures as well as radiographic anomalies of the feet (summary by Heike et al., 2001).


Clinical Features

Jackson et al. (1976) reported a syndrome of craniosynostosis, midfacial hypoplasia, and foot anomalies in an Amish kindred. Enlarged great toes and craniofacial abnormalities suggested Pfeiffer syndrome (101600); however, thumb abnormalities were not present. In all, 88 affected persons were observed and another 50 were reliably reported to be affected. An autosomal dominant pedigree pattern with variable severity was observed. Indeed, phenotypic expression was so variable that the entire spectrum of the dominantly inherited craniofacial dysostoses and acrocephalosyndactylies (except classic Apert syndrome, 101200) was seen in the kindred. Jackson et al. (1976) noted that one branch of the same family with webbing of the second and third toes had been reported by Cross and Opitz (1969) as having nonspecific craniostenosis with recessive inheritance. Jackson et al. (1976) identified other family members with webbing of the second and third toes. They concluded that all affected members of the family had the same dominant disorder. Although Jackson et al. (1976) concluded that mental retardation was not a feature, it was present in some of the patients reported by Cross and Opitz (1969).

Heike et al. (2001) studied a previously unrecognized branch of the original family reported by Jackson et al. (1976) and emphasized the importance of including foot radiographs as part of the clinical evaluation of Jackson-Weiss syndrome patients. See MOLECULAR GENETICS section.

Apparent validation of the Jackson-Weiss syndrome was provided by the report of Escobar and Bixler (1977).

Winter and Reardon (1996) proposed that the designation Jackson-Weiss syndrome should for the time being 'be reserved for large pedigrees showing extreme intrafamilial variability of craniosynostosis phenotypes encompassing features of Crouzon, Pfeiffer, and Apert syndromes.' The confused state of the nosology of the FGFR-related craniosynostosis syndromes is indicated by the disputes raised by Cohen (1996) on the Winter and Reardon (1996) letter.


Inheritance

The transmission pattern of JWS in the families reported by Jackson et al. (1976) was consistent with autosomal dominant inheritance.


Mapping

By 2-point linkage and haplotype analyses using 13 dinucleotide repeat markers on chromosome 10, Li et al. (1994) showed that the Jackson-Weiss syndrome maps to the same region, 10q23-q26, as the Crouzon syndrome (123500).

Exclusion Studies

Lewanda et al. (1994) used markers spanning the entirety of the short arm of chromosome 7 to exclude the Jackson-Weiss locus from that region, thus proving that it is not allelic to the Saethre-Chotzen syndrome (101400) or to Greig cephalopolysyndactyly (175700).


Molecular Genetics

In a study of the family in which the Jackson-Weiss syndrome was originally described, Jabs et al. (1994) discovered an ala344-to-gly (A344G; 176943.0007) mutation in the conserved region of the immunoglobulin IIIc domain of the gene for fibroblast growth factor receptor-2. Mutations in the FGFR2 gene have also been found in patients with Crouzon syndrome.

Heike et al. (2001) studied a previously unrecognized branch of the original family reported by Jackson et al. (1976) and found the A344G mutation in FGFR2 in all affected members. The proband in this family had a leg-length discrepancy and unilateral absence of the fifth digital ray in her right foot. The family demonstrated the wide variability in expression of this mutation. Only one of the affected patients in this branch of the family demonstrated the classic clinical features of craniosynostosis, and all patients exhibited radiographic changes in the feet.

In a patient with Jackson-Weiss syndrome, Meyers et al. (1996) identified heterozygosity for a 1045A-C transversion in exon IIIa of the FGFR2 gene, resulting in a gln289-to-pro (Q289P; 176943.0014) substitution.

Roscioli et al. (2000) reported a patient with what they considered to be the Jackson-Weiss syndrome, who had the FGFR1 pro252-to-arg (P252R) mutation (see 136350.0001).


REFERENCES

  1. Cohen, M. M., Jr. A matter of reading English. (Letter) Am. J. Med. Genet. 63: 503-504, 1996. [PubMed: 8737661, related citations] [Full Text]

  2. Cross, H. E., Opitz, J. M. Craniosynostosis in the Amish. J. Pediat. 75: 1037-1044, 1969.

  3. Escobar, V., Bixler, D. Are the acrocephalosyndactyly syndromes variable expressions of a single gene defect? Birth Defects Orig. Art. Ser. XIII(3C): 139-154, 1977.

  4. Escobar, V., Bixler, D. On the classification of the acrocephalosyndactyly syndromes. Clin. Genet. 12: 169-178, 1977. [PubMed: 908170, related citations] [Full Text]

  5. Heike, C., Seto, M., Hing, A., Palidin, A., Hu, F., Preston, R. A., Ehrlich, G. D., Cunningham, M. Century of Jackson-Weiss syndrome: further definition of clinical and radiographic findings in 'lost' descendants of the original kindred. Am. J. Med. Genet. 100: 315-324, 2001. [PubMed: 11343323, related citations] [Full Text]

  6. Jabs, E. W., Li, X., Scott, A. F., Meyers, G., Chen, W., Eccles, M., Mao, J., Charnas, L. R., Jackson, C. E., Jaye, M. Jackson-Weiss and Crouzon syndromes are allelic with mutations in fibroblast growth factor receptor 2. Nature Genet. 8: 275-279, 1994. Note: Erratum: Nature Genet. 9: 451 only, 1995. [PubMed: 7874170, related citations] [Full Text]

  7. Jackson, C. E., Weiss, L., Reynolds, W. A., Forman, T. F., Peterson, J. A. Craniosynostosis midfacial hypoplasia, and foot abnormalities: an autosomal dominant phenotype in a large Amish kindred. J. Pediat. 88: 963-968, 1976. [PubMed: 1271196, related citations] [Full Text]

  8. Lewanda, A. F., Cohen, M. M., Jr., Jackson, C. E., Taylor, E. W., Li, X., Beloff, M., Day, D., Clarren, S. K., Ortiz, R., Garcia, C., Hauselman, E., Figueroa, A., Wulfsberg, E., Wilson, M., Warman, M. L., Padwa, B. L., Whiteman, D. A. H., Mulliken, J. B., Jabs, E. W. Genetic heterogeneity among craniosynostosis syndromes: mapping the Saethre-Chotzen syndrome locus between D7S513 and D7S516 and exclusion of Jackson-Weiss and Crouzon syndrome loci from 7p. Genomics 19: 115-119, 1994. [PubMed: 8188211, related citations] [Full Text]

  9. Li, X., Lewanda, A. F., Eluma, F., Jerald, H., Choi, H., Alozie, I., Proukakis, C., Talbot, C. C., Jr., Kolk, C. V., Bird, L. M., Jones, M. C., Cunningham, M., Clarren, S. K., Pyeritz, R. E., Weissenbach, J., Jackson, C. E., Jabs, E. W. Two craniosynostotic syndrome loci, Crouzon and Jackson-Weiss, map to chromosome 10q23-q26. Genomics 22: 418-424, 1994. [PubMed: 7806229, related citations] [Full Text]

  10. Meyers, G. A., Day, D., Goldberg, R., Daentl, D. L., Przylepa, K. A., Abrams, L. J., Graham, J. M., Jr., Feingold, M., Moeschler, J. B., Rawnsley, E., Scott, A. F., Jabs, E. W. FGFR2 exon IIIa and IIIc mutations in Crouzon, Jackson-Weiss, and Pfeiffer syndromes: evidence for missense changes, insertions, and a deletion due to alternative RNA splicing. Am. J. Hum. Genet. 58: 491-498, 1996. [PubMed: 8644708, related citations]

  11. Roscioli, T., Flanagan, S., Kumar, P., Masel, J., Gattas, M., Hyland, V. J., Glass, I. A. Clinical findings in a patient with FGFR1 P252R mutation and comparison with the literature. Am. J. Med. Genet. 93: 22-28, 2000. [PubMed: 10861678, related citations] [Full Text]

  12. Winter, R. M., Reardon, W. Lumpers, splitters, and FGFRs. (Letter) Am. J. Med. Genet. 63: 501-502, 1996. [PubMed: 8737660, related citations] [Full Text]


Anne M. Stumpf - updated : 02/27/2020
Sonja A. Rasmussen - updated : 6/13/2001
Victor A. McKusick - updated : 7/10/2000
Creation Date:
Victor A. McKusick : 6/4/1986
carol : 10/31/2022
alopez : 02/27/2020
carol : 09/24/2012
carol : 4/25/2012
terry : 4/24/2012
terry : 3/16/2010
carol : 3/16/2010
mcapotos : 6/13/2001
mcapotos : 6/13/2001
carol : 7/18/2000
terry : 7/10/2000
carol : 3/29/2000
carol : 7/15/1998
alopez : 7/29/1997
alopez : 7/7/1997
mark : 1/3/1997
mark : 6/25/1996
terry : 6/14/1996
mark : 6/7/1995
carol : 12/5/1994
mimadm : 9/24/1994
jason : 6/28/1994
warfield : 4/8/1994
pfoster : 4/5/1994

# 123150

JACKSON-WEISS SYNDROME; JWS


Alternative titles; symbols

CRANIOSYNOSTOSIS, MIDFACIAL HYPOPLASIA, AND FOOT ABNORMALITIES


SNOMEDCT: 709105005;   ORPHA: 1540;   DO: 0111337;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
8p11.23 Jackson-Weiss syndrome 123150 Autosomal dominant 3 FGFR1 136350
10q26.13 Jackson-Weiss syndrome 123150 Autosomal dominant 3 FGFR2 176943

TEXT

A number sign (#) is used with this entry because of evidence that Jackson-Weiss syndrome (JWS) is caused by heterozygous mutation in the gene encoding fibroblast growth factor receptor-2 (FGFR2; 176943) on chromosome 10q26.

One patient with a disorder considered to be Jackson-Weiss syndrome was found to have a mutation in the FGFR1 gene (see 136350.0001).


Description

Jackson-Weiss syndrome (JWS) is an autosomal dominant condition consisting of craniosynostosis characterized by premature fusion of the cranial sutures as well as radiographic anomalies of the feet (summary by Heike et al., 2001).


Clinical Features

Jackson et al. (1976) reported a syndrome of craniosynostosis, midfacial hypoplasia, and foot anomalies in an Amish kindred. Enlarged great toes and craniofacial abnormalities suggested Pfeiffer syndrome (101600); however, thumb abnormalities were not present. In all, 88 affected persons were observed and another 50 were reliably reported to be affected. An autosomal dominant pedigree pattern with variable severity was observed. Indeed, phenotypic expression was so variable that the entire spectrum of the dominantly inherited craniofacial dysostoses and acrocephalosyndactylies (except classic Apert syndrome, 101200) was seen in the kindred. Jackson et al. (1976) noted that one branch of the same family with webbing of the second and third toes had been reported by Cross and Opitz (1969) as having nonspecific craniostenosis with recessive inheritance. Jackson et al. (1976) identified other family members with webbing of the second and third toes. They concluded that all affected members of the family had the same dominant disorder. Although Jackson et al. (1976) concluded that mental retardation was not a feature, it was present in some of the patients reported by Cross and Opitz (1969).

Heike et al. (2001) studied a previously unrecognized branch of the original family reported by Jackson et al. (1976) and emphasized the importance of including foot radiographs as part of the clinical evaluation of Jackson-Weiss syndrome patients. See MOLECULAR GENETICS section.

Apparent validation of the Jackson-Weiss syndrome was provided by the report of Escobar and Bixler (1977).

Winter and Reardon (1996) proposed that the designation Jackson-Weiss syndrome should for the time being 'be reserved for large pedigrees showing extreme intrafamilial variability of craniosynostosis phenotypes encompassing features of Crouzon, Pfeiffer, and Apert syndromes.' The confused state of the nosology of the FGFR-related craniosynostosis syndromes is indicated by the disputes raised by Cohen (1996) on the Winter and Reardon (1996) letter.


Inheritance

The transmission pattern of JWS in the families reported by Jackson et al. (1976) was consistent with autosomal dominant inheritance.


Mapping

By 2-point linkage and haplotype analyses using 13 dinucleotide repeat markers on chromosome 10, Li et al. (1994) showed that the Jackson-Weiss syndrome maps to the same region, 10q23-q26, as the Crouzon syndrome (123500).

Exclusion Studies

Lewanda et al. (1994) used markers spanning the entirety of the short arm of chromosome 7 to exclude the Jackson-Weiss locus from that region, thus proving that it is not allelic to the Saethre-Chotzen syndrome (101400) or to Greig cephalopolysyndactyly (175700).


Molecular Genetics

In a study of the family in which the Jackson-Weiss syndrome was originally described, Jabs et al. (1994) discovered an ala344-to-gly (A344G; 176943.0007) mutation in the conserved region of the immunoglobulin IIIc domain of the gene for fibroblast growth factor receptor-2. Mutations in the FGFR2 gene have also been found in patients with Crouzon syndrome.

Heike et al. (2001) studied a previously unrecognized branch of the original family reported by Jackson et al. (1976) and found the A344G mutation in FGFR2 in all affected members. The proband in this family had a leg-length discrepancy and unilateral absence of the fifth digital ray in her right foot. The family demonstrated the wide variability in expression of this mutation. Only one of the affected patients in this branch of the family demonstrated the classic clinical features of craniosynostosis, and all patients exhibited radiographic changes in the feet.

In a patient with Jackson-Weiss syndrome, Meyers et al. (1996) identified heterozygosity for a 1045A-C transversion in exon IIIa of the FGFR2 gene, resulting in a gln289-to-pro (Q289P; 176943.0014) substitution.

Roscioli et al. (2000) reported a patient with what they considered to be the Jackson-Weiss syndrome, who had the FGFR1 pro252-to-arg (P252R) mutation (see 136350.0001).


See Also:

Escobar and Bixler (1977)

REFERENCES

  1. Cohen, M. M., Jr. A matter of reading English. (Letter) Am. J. Med. Genet. 63: 503-504, 1996. [PubMed: 8737661] [Full Text: https://doi.org/10.1002/ajmg.1320630303]

  2. Cross, H. E., Opitz, J. M. Craniosynostosis in the Amish. J. Pediat. 75: 1037-1044, 1969.

  3. Escobar, V., Bixler, D. Are the acrocephalosyndactyly syndromes variable expressions of a single gene defect? Birth Defects Orig. Art. Ser. XIII(3C): 139-154, 1977.

  4. Escobar, V., Bixler, D. On the classification of the acrocephalosyndactyly syndromes. Clin. Genet. 12: 169-178, 1977. [PubMed: 908170] [Full Text: https://doi.org/10.1111/j.1399-0004.1977.tb00920.x]

  5. Heike, C., Seto, M., Hing, A., Palidin, A., Hu, F., Preston, R. A., Ehrlich, G. D., Cunningham, M. Century of Jackson-Weiss syndrome: further definition of clinical and radiographic findings in 'lost' descendants of the original kindred. Am. J. Med. Genet. 100: 315-324, 2001. [PubMed: 11343323] [Full Text: https://doi.org/10.1002/ajmg.1266]

  6. Jabs, E. W., Li, X., Scott, A. F., Meyers, G., Chen, W., Eccles, M., Mao, J., Charnas, L. R., Jackson, C. E., Jaye, M. Jackson-Weiss and Crouzon syndromes are allelic with mutations in fibroblast growth factor receptor 2. Nature Genet. 8: 275-279, 1994. Note: Erratum: Nature Genet. 9: 451 only, 1995. [PubMed: 7874170] [Full Text: https://doi.org/10.1038/ng1194-275]

  7. Jackson, C. E., Weiss, L., Reynolds, W. A., Forman, T. F., Peterson, J. A. Craniosynostosis midfacial hypoplasia, and foot abnormalities: an autosomal dominant phenotype in a large Amish kindred. J. Pediat. 88: 963-968, 1976. [PubMed: 1271196] [Full Text: https://doi.org/10.1016/s0022-3476(76)81050-5]

  8. Lewanda, A. F., Cohen, M. M., Jr., Jackson, C. E., Taylor, E. W., Li, X., Beloff, M., Day, D., Clarren, S. K., Ortiz, R., Garcia, C., Hauselman, E., Figueroa, A., Wulfsberg, E., Wilson, M., Warman, M. L., Padwa, B. L., Whiteman, D. A. H., Mulliken, J. B., Jabs, E. W. Genetic heterogeneity among craniosynostosis syndromes: mapping the Saethre-Chotzen syndrome locus between D7S513 and D7S516 and exclusion of Jackson-Weiss and Crouzon syndrome loci from 7p. Genomics 19: 115-119, 1994. [PubMed: 8188211] [Full Text: https://doi.org/10.1006/geno.1994.1020]

  9. Li, X., Lewanda, A. F., Eluma, F., Jerald, H., Choi, H., Alozie, I., Proukakis, C., Talbot, C. C., Jr., Kolk, C. V., Bird, L. M., Jones, M. C., Cunningham, M., Clarren, S. K., Pyeritz, R. E., Weissenbach, J., Jackson, C. E., Jabs, E. W. Two craniosynostotic syndrome loci, Crouzon and Jackson-Weiss, map to chromosome 10q23-q26. Genomics 22: 418-424, 1994. [PubMed: 7806229] [Full Text: https://doi.org/10.1006/geno.1994.1403]

  10. Meyers, G. A., Day, D., Goldberg, R., Daentl, D. L., Przylepa, K. A., Abrams, L. J., Graham, J. M., Jr., Feingold, M., Moeschler, J. B., Rawnsley, E., Scott, A. F., Jabs, E. W. FGFR2 exon IIIa and IIIc mutations in Crouzon, Jackson-Weiss, and Pfeiffer syndromes: evidence for missense changes, insertions, and a deletion due to alternative RNA splicing. Am. J. Hum. Genet. 58: 491-498, 1996. [PubMed: 8644708]

  11. Roscioli, T., Flanagan, S., Kumar, P., Masel, J., Gattas, M., Hyland, V. J., Glass, I. A. Clinical findings in a patient with FGFR1 P252R mutation and comparison with the literature. Am. J. Med. Genet. 93: 22-28, 2000. [PubMed: 10861678] [Full Text: https://doi.org/10.1002/1096-8628(20000703)93:1<22::aid-ajmg5>3.0.co;2-u]

  12. Winter, R. M., Reardon, W. Lumpers, splitters, and FGFRs. (Letter) Am. J. Med. Genet. 63: 501-502, 1996. [PubMed: 8737660] [Full Text: https://doi.org/10.1002/ajmg.1320630302]


Contributors:
Anne M. Stumpf - updated : 02/27/2020
Sonja A. Rasmussen - updated : 6/13/2001
Victor A. McKusick - updated : 7/10/2000

Creation Date:
Victor A. McKusick : 6/4/1986

Edit History:
carol : 10/31/2022
alopez : 02/27/2020
carol : 09/24/2012
carol : 4/25/2012
terry : 4/24/2012
terry : 3/16/2010
carol : 3/16/2010
mcapotos : 6/13/2001
mcapotos : 6/13/2001
carol : 7/18/2000
terry : 7/10/2000
carol : 3/29/2000
carol : 7/15/1998
alopez : 7/29/1997
alopez : 7/7/1997
mark : 1/3/1997
mark : 6/25/1996
terry : 6/14/1996
mark : 6/7/1995
carol : 12/5/1994
mimadm : 9/24/1994
jason : 6/28/1994
warfield : 4/8/1994
pfoster : 4/5/1994