Entry - #606744 - SECKEL SYNDROME 2; SCKL2 - OMIM

# 606744

SECKEL SYNDROME 2; SCKL2


Alternative titles; symbols

SECKEL-TYPE DWARFISM 2
MICROCEPHALIC PRIMORDIAL DWARFISM 2


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
18q11.2 Seckel syndrome 2 606744 AR 3 RBBP8 604124
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal recessive
GROWTH
Height
- Proportionate short stature at birth
Weight
- Low birth weight
- Underweight
Other
- Persistent growth deficiency
HEAD & NECK
Head
- Microcephaly
- Micrognathia
Eyes
- Microphthalmia
Nose
- Prominent nose
Mouth
- Microglossia
Teeth
- Small teeth
CARDIOVASCULAR
Heart
- Heart murmur
GENITOURINARY
External Genitalia (Male)
- Mild hypospadias
Kidneys
- Ectopic kidneys (rare)
SKELETAL
Skull
- Microcephaly
- Short anterior cranial base
- Short maxillary length
Limbs
- Slender extremities
Hands
- Swelling over proximal part of middle phalanx of second, third, and fourth fingers
- Clinodactyly of fifth finger
- Absence of epiphyseal ossification centers of distal and middle phalangeal bones of fifth finger
- Synostosis of distal interphalangeal joint of fifth finger
SKIN, NAILS, & HAIR
Skin
- Cafe au lait spots
NEUROLOGIC
Central Nervous System
- Mild global developmental delay
- Mild cerebellar hypoplasia
- Bilateral calcification of basal ganglia and cerebellum
VOICE
- High-pitched voice
MOLECULAR BASIS
- Caused by mutation in the retinoblastoma-binding protein-8 gene (RBBP8, 604124.0002)

TEXT

A number sign (#) is used with this entry because of evidence that Seckel syndrome-2 (SCKL2) is caused by homozygous mutation in the RBBP8 gene (604124) on chromosome 18q11.

Jawad syndrome (251255), a microcephaly syndrome involving impaired intellectual development and digital anomalies, is also caused by mutation in the RBBP8 gene.


Description

Seckel syndrome (SCKL) is a rare autosomal recessive disorder characterized by growth retardation, microcephaly with impaired intellectual development, and a characteristic facial appearance (Borglum et al., 2001).

For a general phenotypic description and a discussion of genetic heterogeneity of Seckel syndrome, see SCKL1 (210600).


Clinical Features

Borglum et al. (2001) studied a consanguineous family of Iraqi descent with Seckel syndrome. The parents were first cousins and had 4 children who fulfilled the criteria for Seckel syndrome, as well as a younger healthy girl. Borglum et al. (2001) mapped the locus in this family to chromosome 18 and noted a number of distinct differences between this family and individuals in chromosome 3-linked families with Seckel syndrome (SCKL1; 210600). The mental and motor retardation in the chromosome 18-linked family was milder. The growth retardation of the chromosome 18-linked patients was proportionate, whereas in the chromosome 3-linked families, the heads were small relative to other parameters. All affected sibs in the chromosome 18-linked family had one or more small cafe-au-lait spots on the skin, a finding not previously reported in Seckel syndrome. This finding suggested to the authors that the underlying defect in these patients might involve DNA repair.

Shaheen et al. (2014) studied a 9-year-old Saudi Arabian girl with short stature (height -6.2 SD below mean) who was underweight (weight -4.2 SD below mean) and also had microcephaly (head circumference -4.1 SD below mean), microphthalmia, micrognathia, microglossia, small teeth, and limited supination of upper extremities. Brain MRI showed calcification of the bilateral basal ganglia and cerebellum.


Mapping

Borglum et al. (2001) studied a consanguineous family of Iraqi descent with Seckel syndrome. A maximum multipoint lod score of 3.1 was obtained to markers proximal on chromosome 18 and with a region of overlapping homozygosity in the 4 affected children between the markers D18S78 and D18S866, corresponding to an approximately 30-cM transcentromeric region, 18p11.31-q11.2.


Inheritance

The transmission pattern of Seckel syndrome in the family reported by Qvist et al. (2011) was consistent with autosomal recessive inheritance.


Molecular Genetics

In a consanguineous Iraqi family with Seckel syndrome mapping to chromosome 18p11.31-q11.2, previously studied by Borglum et al. (2001), Qvist et al. (2011) sequenced the candidate gene RBBP8 and identified homozygosity for a splice site mutation (604124.0001) that segregated with the disease and was not found in 100 controls.

In a 9-year-old Saudi Arabian girl with Seckel syndrome, Shaheen et al. (2014) identified homozygosity for a missense mutation in the RBBP8 gene (R100W; 604124.0004).


REFERENCES

  1. Borglum, A. D., Balslev, T., Haagerup, A., Birkebaek, N., Binderup, H., Kruse, T. A., Hertz, J. M. A new locus for Seckel syndrome on chromosome 18p11.31-q11.2. Europ. J. Hum. Genet. 9: 753-757, 2001. [PubMed: 11781686, related citations] [Full Text]

  2. Qvist, P., Huertas, P., Jimeno, S., Nyegaard, M., Hassan, M. J., Jackson, S. P., Borglum, A. D. CtIP mutations cause Seckel and Jawad syndromes. PLoS Genet. 7: e1002310, 2011. Note: Electronic Article. [PubMed: 21998596, images, related citations] [Full Text]

  3. Shaheen, R., Faqeih, E., Ansari, S., Abdel-Salam, G., Al-Hassnan, Z. N., Al-Shidi, T., Alomar, R., Sogaty, S., Alkuraya, F. S. Genomic analysis of primordial dwarfism reveals novel disease genes. Genome Res. 24: 291-299, 2014. [PubMed: 24389050, images, related citations] [Full Text]


Marla J. F. O'Neill - updated : 5/12/2014
Marla J. F. O'Neill - updated : 2/14/2012
Creation Date:
Michael B. Petersen : 3/4/2002
carol : 02/18/2025
carol : 08/09/2023
carol : 05/24/2019
carol : 06/06/2018
carol : 10/18/2016
carol : 12/11/2014
carol : 5/12/2014
mcolton : 5/12/2014
carol : 3/22/2012
carol : 2/15/2012
terry : 2/14/2012
carol : 11/30/2010
mgross : 3/17/2004
carol : 5/29/2003
joanna : 4/11/2003
mgross : 3/4/2002

# 606744

SECKEL SYNDROME 2; SCKL2


Alternative titles; symbols

SECKEL-TYPE DWARFISM 2
MICROCEPHALIC PRIMORDIAL DWARFISM 2


ORPHA: 808;   DO: 0070013;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
18q11.2 Seckel syndrome 2 606744 Autosomal recessive 3 RBBP8 604124

TEXT

A number sign (#) is used with this entry because of evidence that Seckel syndrome-2 (SCKL2) is caused by homozygous mutation in the RBBP8 gene (604124) on chromosome 18q11.

Jawad syndrome (251255), a microcephaly syndrome involving impaired intellectual development and digital anomalies, is also caused by mutation in the RBBP8 gene.


Description

Seckel syndrome (SCKL) is a rare autosomal recessive disorder characterized by growth retardation, microcephaly with impaired intellectual development, and a characteristic facial appearance (Borglum et al., 2001).

For a general phenotypic description and a discussion of genetic heterogeneity of Seckel syndrome, see SCKL1 (210600).


Clinical Features

Borglum et al. (2001) studied a consanguineous family of Iraqi descent with Seckel syndrome. The parents were first cousins and had 4 children who fulfilled the criteria for Seckel syndrome, as well as a younger healthy girl. Borglum et al. (2001) mapped the locus in this family to chromosome 18 and noted a number of distinct differences between this family and individuals in chromosome 3-linked families with Seckel syndrome (SCKL1; 210600). The mental and motor retardation in the chromosome 18-linked family was milder. The growth retardation of the chromosome 18-linked patients was proportionate, whereas in the chromosome 3-linked families, the heads were small relative to other parameters. All affected sibs in the chromosome 18-linked family had one or more small cafe-au-lait spots on the skin, a finding not previously reported in Seckel syndrome. This finding suggested to the authors that the underlying defect in these patients might involve DNA repair.

Shaheen et al. (2014) studied a 9-year-old Saudi Arabian girl with short stature (height -6.2 SD below mean) who was underweight (weight -4.2 SD below mean) and also had microcephaly (head circumference -4.1 SD below mean), microphthalmia, micrognathia, microglossia, small teeth, and limited supination of upper extremities. Brain MRI showed calcification of the bilateral basal ganglia and cerebellum.


Mapping

Borglum et al. (2001) studied a consanguineous family of Iraqi descent with Seckel syndrome. A maximum multipoint lod score of 3.1 was obtained to markers proximal on chromosome 18 and with a region of overlapping homozygosity in the 4 affected children between the markers D18S78 and D18S866, corresponding to an approximately 30-cM transcentromeric region, 18p11.31-q11.2.


Inheritance

The transmission pattern of Seckel syndrome in the family reported by Qvist et al. (2011) was consistent with autosomal recessive inheritance.


Molecular Genetics

In a consanguineous Iraqi family with Seckel syndrome mapping to chromosome 18p11.31-q11.2, previously studied by Borglum et al. (2001), Qvist et al. (2011) sequenced the candidate gene RBBP8 and identified homozygosity for a splice site mutation (604124.0001) that segregated with the disease and was not found in 100 controls.

In a 9-year-old Saudi Arabian girl with Seckel syndrome, Shaheen et al. (2014) identified homozygosity for a missense mutation in the RBBP8 gene (R100W; 604124.0004).


REFERENCES

  1. Borglum, A. D., Balslev, T., Haagerup, A., Birkebaek, N., Binderup, H., Kruse, T. A., Hertz, J. M. A new locus for Seckel syndrome on chromosome 18p11.31-q11.2. Europ. J. Hum. Genet. 9: 753-757, 2001. [PubMed: 11781686] [Full Text: https://doi.org/10.1038/sj.ejhg.5200701]

  2. Qvist, P., Huertas, P., Jimeno, S., Nyegaard, M., Hassan, M. J., Jackson, S. P., Borglum, A. D. CtIP mutations cause Seckel and Jawad syndromes. PLoS Genet. 7: e1002310, 2011. Note: Electronic Article. [PubMed: 21998596] [Full Text: https://doi.org/10.1371/journal.pgen.1002310]

  3. Shaheen, R., Faqeih, E., Ansari, S., Abdel-Salam, G., Al-Hassnan, Z. N., Al-Shidi, T., Alomar, R., Sogaty, S., Alkuraya, F. S. Genomic analysis of primordial dwarfism reveals novel disease genes. Genome Res. 24: 291-299, 2014. [PubMed: 24389050] [Full Text: https://doi.org/10.1101/gr.160572.113]


Contributors:
Marla J. F. O'Neill - updated : 5/12/2014
Marla J. F. O'Neill - updated : 2/14/2012

Creation Date:
Michael B. Petersen : 3/4/2002

Edit History:
carol : 02/18/2025
carol : 08/09/2023
carol : 05/24/2019
carol : 06/06/2018
carol : 10/18/2016
carol : 12/11/2014
carol : 5/12/2014
mcolton : 5/12/2014
carol : 3/22/2012
carol : 2/15/2012
terry : 2/14/2012
carol : 11/30/2010
mgross : 3/17/2004
carol : 5/29/2003
joanna : 4/11/2003
mgross : 3/4/2002