Entry - #609583 - JOUBERT SYNDROME 4; JBTS4 - OMIM
# 609583

JOUBERT SYNDROME 4; JBTS4


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
2q13 Joubert syndrome 4 609583 AR 3 NPHP1 607100
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal recessive
HEAD & NECK
Eyes
- Abnormal eye movements
- Oculomotor apraxia
- Nystagmus
- Hypometric saccades
GENITOURINARY
Kidneys
- Nephronophthisis
- Tubulointerstitial medullary cystic kidney disease
- Renal failure
NEUROLOGIC
Central Nervous System
- Hypotonia, mild
- Head 'tilt' in infancy
- Gross motor delay, mild
- Cognitive impairment, mild
- Ataxia
- Impaired balance
- 'Molar tooth sign' on MRI
- Cerebellar vermis hypoplasia
- Long, thickened cerebellar peduncles
MISCELLANEOUS
- Phenotypically mild form of Joubert syndrome
- Genetic heterogeneity (see JBTS1 213300, JBTS2 608091, JBTS3 608629)
- Allelic disorder to juvenile nephronophthisis-1 (256100)
MOLECULAR BASIS
- Caused by deletion in the nephrocystin gene (NPHP1, 607100.0005)
Joubert syndrome - PS213300 - 43 Entries
Location Phenotype Inheritance Phenotype
mapping key
Phenotype
MIM number
Gene/Locus Gene/Locus
MIM number
1p36.32 Joubert syndrome 25 AR 3 616781 CEP104 616690
2q13 Joubert syndrome 4 AR 3 609583 NPHP1 607100
2q33.1 Joubert syndrome 14 AR 3 614424 TMEM237 614423
2q37.1 Joubert syndrome 30 AR 3 617622 ARMC9 617612
2q37.1 Joubert syndrome 22 AR 3 615665 PDE6D 602676
3q11.1-q11.2 Joubert syndrome 8 AR 3 612291 ARL13B 608922
4p15.32 Joubert syndrome 9 AR 3 612285 CC2D2A 612013
5p13.2 Joubert syndrome 17 AR 3 614615 CPLANE1 614571
5q23.2 Joubert syndrome 31 AR 3 617761 CEP120 613446
6q23.3 Joubert syndrome 3 AR 3 608629 AHI1 608894
7q32.2 Joubert syndrome 15 AR 3 614464 CEP41 610523
8q13.1-q13.2 Joubert syndrome 21 AR 3 615636 CSPP1 611654
8q22.1 Joubert syndrome 6 AR 3 610688 TMEM67 609884
9p21.2 Joubert syndrome 40 AR 3 619582 IFT74 608040
9q34.3 Joubert syndrome 1 AR 3 213300 INPP5E 613037
10q22.2 Joubert syndrome 36 AR 3 618763 FAM149B1 618413
10q24.1 Joubert syndrome 18 AR 3 614815 TCTN3 613847
10q24.32 Joubert syndrome 32 AR 3 617757 SUFU 607035
10q24.32 Joubert syndrome 35 AR 3 618161 ARL3 604695
11q12.2 Joubert syndrome 16 AR 3 614465 TMEM138 614459
11q12.2 Joubert syndrome 2 AR 3 608091 TMEM216 613277
11q24.2 Joubert syndrome 39 AR 3 619562 TMEM218 619285
12q21.32 Joubert syndrome 5 AR 3 610188 CEP290 610142
12q24.11 Joubert syndrome 13 AR 3 614173 TCTN1 609863
12q24.31 Joubert syndrome 24 AR 3 616654 TCTN2 613846
13q21.33-q22.1 Joubert syndrome 33 AR 3 617767 PIBF1 607532
14q21.2 Joubert syndrome 37 AR 3 619185 TOGARAM1 617618
14q23.1 Joubert syndrome 23 AR 3 616490 KIAA0586 610178
15q26.1 Acrocallosal syndrome AR 3 200990 KIF7 611254
15q26.1 Joubert syndrome 12 AR 3 200990 KIF7 611254
16p12.1 Joubert syndrome 26 AR 3 616784 KATNIP 616650
16q12.1 Joubert syndrome 19 AD, AR 3 614844 ZNF423 604557
16q12.1 Nephronophthisis 14 AD, AR 3 614844 ZNF423 604557
16q12.2 Joubert syndrome 7 AR 3 611560 RPGRIP1L 610937
16q23.1 Joubert syndrome 20 AR 3 614970 TMEM231 614949
17p13.1 ?Joubert syndrome 38 AR 3 619476 KIAA0753 617112
17p13.1 ?Joubert syndrome 29 AR 3 617562 TMEM107 616183
17p13.1 Meckel syndrome 13 AR 3 617562 TMEM107 616183
17p11.2 Joubert syndrome 27 AR 3 617120 B9D1 614144
17q22 Joubert syndrome 28 AR 3 617121 MKS1 609883
19q13.2 Joubert syndrome 34 AR 3 614175 B9D2 611951
19q13.2 ?Meckel syndrome 10 AR 3 614175 B9D2 611951
Xp22.2 Joubert syndrome 10 XLR 3 300804 OFD1 300170

TEXT

A number sign (#) is used with this entry because of evidence that Joubert syndrome-4 (JBTS4) is caused by homozygous deletion in the NPHP1 gene (607100) on chromosome 2q13.

Nephronophthisis-1 (NPHP1; 256100) and Senior-Loken syndrome-1 (SLSN1; 256100) are also caused by deletion in the NPHP1 gene.

For a phenotypic description and a discussion of genetic heterogeneity of Joubert syndrome, see 213300.


Clinical Features

Parisi et al. (2004) reported 2 sibs with a relatively mild form of Joubert syndrome. One sib had mild gross motor delay, mild cognitive impairment, hypotonia, congenital head tilt, abnormal eye movements consistent with oculomotor apraxia, and nephronophthisis diagnosed at age 10 years. MRI scan showed hypoplasia of the cerebellar vermis and the 'molar tooth sign.' Her sister had similar findings, but had normal cognitive function and was without renal involvement at age 8 years. Neither sib had retinal dystrophy or abnormal breathing patterns in infancy.


Inheritance

The transmission pattern of Joubert syndrome-4 in the family reported by Parisi et al. (2004) was consistent with autosomal recessive inheritance.


Molecular Genetics

In 2 sibs with Joubert syndrome, Parisi et al. (2004) demonstrated homozygous deletion of the NPHP1 gene (607100.0005) identical to that which causes juvenile nephronophthisis (256100). The authors concluded that mutations in the NPHP1 gene are a rare cause of Joubert syndrome.

Parisi et al. (2006) screened 117 patients with Joubert syndrome for deletion of the NPHP1 gene. They found no additional mutation carriers aside from the patients identified by Parisi et al. (2004) and a 3-year-old Italian girl identified by Castori et al. (2005). Parisi et al. (2006) noted that the molar tooth sign in these patients had a distinctive appearance, with elongated but not thickened superior cerebellar peduncles.


REFERENCES

  1. Castori, M., Valente, E. M., Donati, M. A., Salvi, S., Fazzi, E., Procopio, E., Galluccio, T., Emma, F., Dallapiccola, B., Bertini, E, Italian MTS Study Group. NPHP1 gene deletion is a rare cause of Joubert syndrome related disorders. J. Med. Genet. 42: e9, 2005. [PubMed: 15689444, related citations] [Full Text]

  2. Parisi, M. A., Bennett, C. L., Eckert, M. L., Dobyns, W. B., Gleeson, J. G., Shaw, D. W. W., McDonald, R., Eddy, A., Chance, P. F., Glass, I. A. The NPHP1 gene deletion associated with juvenile nephronophthisis is present in a subset of individuals with Joubert syndrome. Am. J. Hum. Genet. 75: 82-91, 2004. [PubMed: 15138899, images, related citations] [Full Text]

  3. Parisi, M. A., Doherty, D., Eckert, M. L., Shaw, D. W. W., Ozyurek, H., Aysun, S., Giray, O., Al Swaid, A., Al Shahwan, S., Dohayan, N., Bakhsh, E., Indridason, O. S., Dobyns, W. B., Bennett, C. L., Chance, P. F., Glass, I. A. AHI1 mutations cause both retinal dystrophy and renal cystic disease in Joubert syndrome. J. Med. Genet. 43: 334-339, 2006. [PubMed: 16155189, images, related citations] [Full Text]


Contributors:
Marla J. F. O'Neill - updated : 7/6/2006
Creation Date:
Cassandra L. Kniffin : 9/15/2005
alopez : 10/23/2024
carol : 03/14/2024
carol : 11/07/2017
carol : 11/06/2017
wwang : 09/25/2008
wwang : 7/6/2006
carol : 9/20/2005
ckniffin : 9/15/2005

# 609583

JOUBERT SYNDROME 4; JBTS4


ORPHA: 220497, 475;   DO: 0110999;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
2q13 Joubert syndrome 4 609583 Autosomal recessive 3 NPHP1 607100

TEXT

A number sign (#) is used with this entry because of evidence that Joubert syndrome-4 (JBTS4) is caused by homozygous deletion in the NPHP1 gene (607100) on chromosome 2q13.

Nephronophthisis-1 (NPHP1; 256100) and Senior-Loken syndrome-1 (SLSN1; 256100) are also caused by deletion in the NPHP1 gene.

For a phenotypic description and a discussion of genetic heterogeneity of Joubert syndrome, see 213300.


Clinical Features

Parisi et al. (2004) reported 2 sibs with a relatively mild form of Joubert syndrome. One sib had mild gross motor delay, mild cognitive impairment, hypotonia, congenital head tilt, abnormal eye movements consistent with oculomotor apraxia, and nephronophthisis diagnosed at age 10 years. MRI scan showed hypoplasia of the cerebellar vermis and the 'molar tooth sign.' Her sister had similar findings, but had normal cognitive function and was without renal involvement at age 8 years. Neither sib had retinal dystrophy or abnormal breathing patterns in infancy.


Inheritance

The transmission pattern of Joubert syndrome-4 in the family reported by Parisi et al. (2004) was consistent with autosomal recessive inheritance.


Molecular Genetics

In 2 sibs with Joubert syndrome, Parisi et al. (2004) demonstrated homozygous deletion of the NPHP1 gene (607100.0005) identical to that which causes juvenile nephronophthisis (256100). The authors concluded that mutations in the NPHP1 gene are a rare cause of Joubert syndrome.

Parisi et al. (2006) screened 117 patients with Joubert syndrome for deletion of the NPHP1 gene. They found no additional mutation carriers aside from the patients identified by Parisi et al. (2004) and a 3-year-old Italian girl identified by Castori et al. (2005). Parisi et al. (2006) noted that the molar tooth sign in these patients had a distinctive appearance, with elongated but not thickened superior cerebellar peduncles.


REFERENCES

  1. Castori, M., Valente, E. M., Donati, M. A., Salvi, S., Fazzi, E., Procopio, E., Galluccio, T., Emma, F., Dallapiccola, B., Bertini, E, Italian MTS Study Group. NPHP1 gene deletion is a rare cause of Joubert syndrome related disorders. J. Med. Genet. 42: e9, 2005. [PubMed: 15689444] [Full Text: https://doi.org/10.1136/jmg.2004.027375]

  2. Parisi, M. A., Bennett, C. L., Eckert, M. L., Dobyns, W. B., Gleeson, J. G., Shaw, D. W. W., McDonald, R., Eddy, A., Chance, P. F., Glass, I. A. The NPHP1 gene deletion associated with juvenile nephronophthisis is present in a subset of individuals with Joubert syndrome. Am. J. Hum. Genet. 75: 82-91, 2004. [PubMed: 15138899] [Full Text: https://doi.org/10.1086/421846]

  3. Parisi, M. A., Doherty, D., Eckert, M. L., Shaw, D. W. W., Ozyurek, H., Aysun, S., Giray, O., Al Swaid, A., Al Shahwan, S., Dohayan, N., Bakhsh, E., Indridason, O. S., Dobyns, W. B., Bennett, C. L., Chance, P. F., Glass, I. A. AHI1 mutations cause both retinal dystrophy and renal cystic disease in Joubert syndrome. J. Med. Genet. 43: 334-339, 2006. [PubMed: 16155189] [Full Text: https://doi.org/10.1136/jmg.2005.036608]


Contributors:
Marla J. F. O'Neill - updated : 7/6/2006

Creation Date:
Cassandra L. Kniffin : 9/15/2005

Edit History:
alopez : 10/23/2024
carol : 03/14/2024
carol : 11/07/2017
carol : 11/06/2017
wwang : 09/25/2008
wwang : 7/6/2006
carol : 9/20/2005
ckniffin : 9/15/2005