Entry - #614970 - JOUBERT SYNDROME 20; JBTS20 - OMIM
# 614970

JOUBERT SYNDROME 20; JBTS20


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
16q23.1 Joubert syndrome 20 614970 AR 3 TMEM231 614949
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal recessive
HEAD & NECK
Eyes
- Oculomotor apraxia
- Retinopathy (in some patients)
RESPIRATORY
- Breathing abnormalities
GENITOURINARY
Kidneys
- Renal cysts (in some patients)
SKELETAL
Feet
- Postaxial polydactyly (in some patients)
- Syndactyly (in some patients)
NEUROLOGIC
Central Nervous System
- Delayed psychomotor development, severe
- Lack of speech
- Lack of independent ambulation
- Molar tooth sign seen on MRI
Behavioral Psychiatric Manifestations
- Aggressive behavior (in some patients)
MISCELLANEOUS
- Onset at birth
- Two families of French-Canadian origin have been reported (last curated December 2012)
MOLECULAR BASIS
- Caused by mutation in the transmembrane protein 231 gene (TMEM231, 614949.0001)
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-20 (JBTS20) is caused by compound heterozygous mutation in the TMEM231 gene (614949) on chromosome 16q23.

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


Clinical Features

Srour et al. (2012) reported 3 patients from 2 unrelated French Canadian families with Joubert syndrome. The patients were 14, 9, and 4 years old, respectively. All had developmental delay and were nonverbal and nonambulatory. Other features included oculomotor apraxia, breathing abnormalities, and the molar tooth sign on brain MRI. Two had postaxial polydactyly, 2 had retinal involvement, and 2 had renal cysts with normal renal function. Two sibs in 1 family showed significant aggressive behavior and self-mutilation.


Inheritance

The transmission pattern of JBTS20 in the families reported by Srour et al. (2012) was consistent with autosomal recessive inheritance.


Molecular Genetics

In 3 patients from 2 French Canadian families with Joubert syndrome-20, Srour et al. (2012) identified compound heterozygosity for 2 mutations in the TMEM231 gene (614949.0001 and 614949.0002). The mutations were identified by exome sequencing and confirmed by Sanger sequencing. The TMEM231 gene is a component of a protein complex in the basal body, a ring-like structure that functions in the transition zone at the base of cilia (Chih et al., 2012).


Animal Model

Chih et al. (2012) found that knockout of Tmem231 in mice led to lethality around embryonic day 15.5 with severe vascular defects. The phenotype included microphthalmia and polydactyly, and defects in patterning of the ventral spinal cord, consistent with a ciliopathy. Tmem231 -/- embryos showed loss of cilia and altered Shh (600725) gene expression, including absence of Shh-positive floorplate cells.


REFERENCES

  1. Chih, B., Liu, P., Chinn, Y., Chalouni, C., Komuves, L. G., Hass, P. E., Sandoval, W., Peterson, A. S. A ciliopathy complex at the transition zone protects the cilia as a privileged membrane domain. Nature Cell Biol. 14: 61-72, 2012. [PubMed: 22179047, related citations] [Full Text]

  2. Srour, M., Hamdan, F. F., Schwartzentruber, J. A., Patry, L., Ospina, L. H., Shevell, M. I., Desilets, V., Dobrzeniecka, S., Mathonnet, G., Lemyre, E., Massicotte, C., Labuda, D., Amrom, D., Andermann, E., Sebire, G., Maranda, B., FORGE Canada Consortium, Rouleau, G. A., Majewski, J., Michaud, J. L. Mutations in TMEM231 cause Joubert syndrome in French Canadians. J. Med. Genet. 49: 636-641, 2012. [PubMed: 23012439, related citations] [Full Text]


Creation Date:
Cassandra L. Kniffin : 12/5/2012
carol : 05/25/2017
carol : 12/06/2012
carol : 12/6/2012
ckniffin : 12/5/2012

# 614970

JOUBERT SYNDROME 20; JBTS20


ORPHA: 220493, 475;   DO: 0110989;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
16q23.1 Joubert syndrome 20 614970 Autosomal recessive 3 TMEM231 614949

TEXT

A number sign (#) is used with this entry because of evidence that Joubert syndrome-20 (JBTS20) is caused by compound heterozygous mutation in the TMEM231 gene (614949) on chromosome 16q23.

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


Clinical Features

Srour et al. (2012) reported 3 patients from 2 unrelated French Canadian families with Joubert syndrome. The patients were 14, 9, and 4 years old, respectively. All had developmental delay and were nonverbal and nonambulatory. Other features included oculomotor apraxia, breathing abnormalities, and the molar tooth sign on brain MRI. Two had postaxial polydactyly, 2 had retinal involvement, and 2 had renal cysts with normal renal function. Two sibs in 1 family showed significant aggressive behavior and self-mutilation.


Inheritance

The transmission pattern of JBTS20 in the families reported by Srour et al. (2012) was consistent with autosomal recessive inheritance.


Molecular Genetics

In 3 patients from 2 French Canadian families with Joubert syndrome-20, Srour et al. (2012) identified compound heterozygosity for 2 mutations in the TMEM231 gene (614949.0001 and 614949.0002). The mutations were identified by exome sequencing and confirmed by Sanger sequencing. The TMEM231 gene is a component of a protein complex in the basal body, a ring-like structure that functions in the transition zone at the base of cilia (Chih et al., 2012).


Animal Model

Chih et al. (2012) found that knockout of Tmem231 in mice led to lethality around embryonic day 15.5 with severe vascular defects. The phenotype included microphthalmia and polydactyly, and defects in patterning of the ventral spinal cord, consistent with a ciliopathy. Tmem231 -/- embryos showed loss of cilia and altered Shh (600725) gene expression, including absence of Shh-positive floorplate cells.


REFERENCES

  1. Chih, B., Liu, P., Chinn, Y., Chalouni, C., Komuves, L. G., Hass, P. E., Sandoval, W., Peterson, A. S. A ciliopathy complex at the transition zone protects the cilia as a privileged membrane domain. Nature Cell Biol. 14: 61-72, 2012. [PubMed: 22179047] [Full Text: https://doi.org/10.1038/ncb2410]

  2. Srour, M., Hamdan, F. F., Schwartzentruber, J. A., Patry, L., Ospina, L. H., Shevell, M. I., Desilets, V., Dobrzeniecka, S., Mathonnet, G., Lemyre, E., Massicotte, C., Labuda, D., Amrom, D., Andermann, E., Sebire, G., Maranda, B., FORGE Canada Consortium, Rouleau, G. A., Majewski, J., Michaud, J. L. Mutations in TMEM231 cause Joubert syndrome in French Canadians. J. Med. Genet. 49: 636-641, 2012. [PubMed: 23012439] [Full Text: https://doi.org/10.1136/jmedgenet-2012-101132]


Creation Date:
Cassandra L. Kniffin : 12/5/2012

Edit History:
carol : 05/25/2017
carol : 12/06/2012
carol : 12/6/2012
ckniffin : 12/5/2012