Entry - #614134 - STICKLER SYNDROME, TYPE IV; STL4 - OMIM
# 614134

STICKLER SYNDROME, TYPE IV; STL4


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
6q13 Stickler syndrome, type IV 614134 AR 3 COL9A1 120210
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal recessive
GROWTH
Height
- Short stature
HEAD & NECK
Ears
- Sensorineural hearing loss, moderate-severe
Eyes
- Amblyopia
- Myopia, moderate-high
- Astigmatism
- Cataract
- Vitreoretinopathy
- "Aged vitreous" appearance
- Retinal detachment
- Atrophic retinal holes
- Retinal pigmentary changes
- Chorioretinal degeneration
SKELETAL
- Epiphyseal dysplasia
Skull
- Hypoplastic maxilla (childhood)
Spine
- Platyspondyly
- Scoliosis
Pelvis
- Flattened femoral epiphyses
- Irregular femoral epiphyses
- Broad, short femoral neck
- Coxa vara
Limbs
- Joint hypermobility (rare)
- Genua valga
- Broad, short femoral neck
Hands
- Flat, squared metacarpal epiphyses (II-V)
Feet
- Pes planovalgus
VOICE
- Nasal speech
MOLECULAR BASIS
- Caused by mutation in the collagen IX, alpha-1 polypeptide gene (COL9A1, 120210.0002)

TEXT

A number sign (#) is used with this entry because of evidence that Stickler syndrome type IV (STL4) is caused by homozygous mutation in the COL9A1 gene (120210) on chromosome 6q13.

For a general phenotypic description and a discussion of genetic heterogeneity of Stickler syndrome, see 108300.


Clinical Features

Van Camp et al. (2006) described a consanguineous Moroccan family in which 4 of 10 sibs had features characteristic of Stickler syndrome, including moderate to severe sensorineural hearing loss, moderate to high myopia with vitreoretinopathy, and epiphyseal dysplasia.

Nikopoulos et al. (2011) reported 2 sisters in a Turkish family and 1 boy in a Moroccan family with features of autosomal recessive Stickler syndrome. All 3 individuals had myopia, vitreous changes, sensorineural hearing loss, and epiphyseal dysplasia. They also had exudative rhegmatogenous retinal detachment.


Inheritance

Stickler syndrome IV has an autosomal recessive inheritance pattern (Van Camp et al., 2006).


Molecular Genetics

In 4 sibs with Stickler syndrome, offspring of healthy, consanguineous Moroccan parents, Van Camp et al. (2006) identified a homozygous nonsense mutation (R295X; 120210.0002) in the COL9A1 gene. The parents and 4 other sibs were heterozygous for the mutation, and 2 other sibs were homozygous for the wildtype allele.

In affected members of 2 consanguineous families segregating autosomal recessive Stickler syndrome, Nikopoulos et al. (2011) identified homozygous mutations in the COL9A1 gene. One affected boy in a Moroccan family was homozygous for the R295X mutation, and 2 affected sisters in a Turkish family were homozygous for a novel nonsense mutation (R507X; 120210.0003).


REFERENCES

  1. Nikopoulos, K., Schrauwen, I., Simon, M., Collin, R. W. J., Veckeneer, M., Keymolen, K., Van Camp, G., Cremers, F. P. M., van den Born, L. I. Autosomal recessive Stickler syndrome in two families is caused by mutations in the COL9A1 gene. Invest. Ophthal. Vis. Sci. 52: 4774-4779, 2011. [PubMed: 21421862, related citations] [Full Text]

  2. Van Camp, G., Snoeckx, R. L., Hilgert, N., van den Ende, J., Fukuoka, H., Wagatsuma, M., Suzuki, H., Smets, R. M. E., Vanhoenacker, F., Declau, F., Van De Heyning, P., Usami, S. A new autosomal recessive form of Stickler syndrome is caused by a mutation in the COL9A1 gene. Am. J. Hum. Genet. 79: 449-457, 2006. [PubMed: 16909383, images, related citations] [Full Text]


Contributors:
Ingrid M. Wentzensen - updated : 12/05/2014
Creation Date:
Carol A. Bocchini : 8/4/2011
carol : 07/31/2017
carol : 07/13/2017
carol : 12/05/2014
joanna : 3/6/2012
carol : 8/4/2011

# 614134

STICKLER SYNDROME, TYPE IV; STL4


ORPHA: 250984, 828;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
6q13 Stickler syndrome, type IV 614134 Autosomal recessive 3 COL9A1 120210

TEXT

A number sign (#) is used with this entry because of evidence that Stickler syndrome type IV (STL4) is caused by homozygous mutation in the COL9A1 gene (120210) on chromosome 6q13.

For a general phenotypic description and a discussion of genetic heterogeneity of Stickler syndrome, see 108300.


Clinical Features

Van Camp et al. (2006) described a consanguineous Moroccan family in which 4 of 10 sibs had features characteristic of Stickler syndrome, including moderate to severe sensorineural hearing loss, moderate to high myopia with vitreoretinopathy, and epiphyseal dysplasia.

Nikopoulos et al. (2011) reported 2 sisters in a Turkish family and 1 boy in a Moroccan family with features of autosomal recessive Stickler syndrome. All 3 individuals had myopia, vitreous changes, sensorineural hearing loss, and epiphyseal dysplasia. They also had exudative rhegmatogenous retinal detachment.


Inheritance

Stickler syndrome IV has an autosomal recessive inheritance pattern (Van Camp et al., 2006).


Molecular Genetics

In 4 sibs with Stickler syndrome, offspring of healthy, consanguineous Moroccan parents, Van Camp et al. (2006) identified a homozygous nonsense mutation (R295X; 120210.0002) in the COL9A1 gene. The parents and 4 other sibs were heterozygous for the mutation, and 2 other sibs were homozygous for the wildtype allele.

In affected members of 2 consanguineous families segregating autosomal recessive Stickler syndrome, Nikopoulos et al. (2011) identified homozygous mutations in the COL9A1 gene. One affected boy in a Moroccan family was homozygous for the R295X mutation, and 2 affected sisters in a Turkish family were homozygous for a novel nonsense mutation (R507X; 120210.0003).


REFERENCES

  1. Nikopoulos, K., Schrauwen, I., Simon, M., Collin, R. W. J., Veckeneer, M., Keymolen, K., Van Camp, G., Cremers, F. P. M., van den Born, L. I. Autosomal recessive Stickler syndrome in two families is caused by mutations in the COL9A1 gene. Invest. Ophthal. Vis. Sci. 52: 4774-4779, 2011. [PubMed: 21421862] [Full Text: https://doi.org/10.1167/iovs.10-7128]

  2. Van Camp, G., Snoeckx, R. L., Hilgert, N., van den Ende, J., Fukuoka, H., Wagatsuma, M., Suzuki, H., Smets, R. M. E., Vanhoenacker, F., Declau, F., Van De Heyning, P., Usami, S. A new autosomal recessive form of Stickler syndrome is caused by a mutation in the COL9A1 gene. Am. J. Hum. Genet. 79: 449-457, 2006. [PubMed: 16909383] [Full Text: https://doi.org/10.1086/506478]


Contributors:
Ingrid M. Wentzensen - updated : 12/05/2014

Creation Date:
Carol A. Bocchini : 8/4/2011

Edit History:
carol : 07/31/2017
carol : 07/13/2017
carol : 12/05/2014
joanna : 3/6/2012
carol : 8/4/2011