Entry - #614225 - WARBURG MICRO SYNDROME 2; WARBM2 - OMIM
# 614225

WARBURG MICRO SYNDROME 2; WARBM2


Alternative titles; symbols

MICRO SYNDROME 2


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
1q41 Warburg micro syndrome 2 614225 AR 3 RAB3GAP2 609275
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal recessive
GROWTH
Height
- Postnatal growth retardation
HEAD & NECK
Head
- Postnatal microcephaly
- Brachycephaly
Face
- Low anterior hairline
Ears
- Large ears
- Asymmetric ears
Eyes
- Congenital cataracts, bilateral
- Microphthalmia
- Microcornea
- Atonic pupils
- Optic nerve atrophy
- Absent visual evoked potentials
Nose
- Short nose
- Prominent nasal root
GENITOURINARY
External Genitalia (Male)
- Micropenis
- Scrotal hypoplasia
External Genitalia (Female)
- Hypoplasia of labia majora
Internal Genitalia (Male)
- Cryptorchidism
SKELETAL
Skull
- Microcephaly, postnatal
Limbs
- Contractures
Feet
- Overlapping toes
SKIN, NAILS, & HAIR
Hair
- Low anterior hairline
NEUROLOGIC
Central Nervous System
- Global developmental delay
- Severe mental retardation
- Minimal to absent speech
- Axial hypotonia
- Progressive spastic diplegia to quadriplegia
- Generalized brain atrophy
- Frontotemporal polymicrogyria
- Wide Sylvian fissures
- Hypoplastic corpus callosum
- Increased subdural space around frontal lobes
MOLECULAR BASIS
- Caused by mutation in the RAB3 GTPase-activating protein (noncatalytic) subunit 2 gene (RAB3GAP2, 609275.0002)

TEXT

A number sign (#) is used with this entry because of evidence that Warburg Micro syndrome-2 (WARBM2) is caused by homozygous mutation in the RAB3GAP2 gene (609275) on chromosome 1q41.

Martsolf syndrome (212720), a clinically overlapping but milder disorder, is also caused by mutation in the RAB3GAP2 gene.

For a general phenotypic description and a discussion of genetic heterogeneity of Warburg Micro syndrome, see 600118.


Clinical Features

Borck et al. (2011) reported a girl from a consanguineous Turkish family with Warburg Micro syndrome who presented with congenital cataracts, microphthalmia, absent visual evoked potentials, microcephaly, polymicrogyria, hypoplasia of the corpus callosum, and severe developmental delay.


Molecular Genetics

In a girl from a consanguineous Turkish family with Warburg Micro syndrome, Borck et al. (2011) identified homozygosity for a small in-frame deletion in the RAB3GAP2 gene (609275.0002). The parents were heterozygous carriers of the mutation, which was not found in 188 Turkish and 170 German control chromosomes. Analysis of RAB3GAP2 in 10 additional unrelated children with suspected Warburg Micro syndrome who were negative for mutation in the RAB3GAP1 (602536) gene revealed no further mutations.

In affected individuals from 7 families with the typical features of Warburg Micro syndrome, Handley et al. (2013) identified homozygosity for mutations in the RAB3GAP2 gene (see, e.g., 609275.0004-609275.0006).


Genotype/Phenotype Correlations

Handley et al. (2013) reviewed brain MRI findings in 17 patients with mutations in the RAB3GAP1, RAB3GAP2, and RAB18 (602207) genes. While brain findings were remarkably similar among the patients, the overall impression was of a relatively milder brain phenotype in the 9 patients with mutations in RAB3GAP2, with frontal polymicrogyria mostly not extending beyond the perisylvian fissure to the temporal and occipital lobes, no apparent white matter loss, and no cerebellar or cerebellar vermis hypoplasia.


REFERENCES

  1. Borck, G., Wunram, H., Steiert, A., Volk, A. E., Korber, F., Roters, S., Herkenrath, P., Wollnik, B., Morris-Rosendahl, D. J., Kubisch, C. A homozygous RAB3GAP2 mutation causes Warburg Micro syndrome. Hum. Genet. 129: 45-50, 2011. [PubMed: 20967465, related citations] [Full Text]

  2. Handley, M. T., Morris-Rosendahl, D. J., Brown, S., Macdonald, F., Hardy, C., Bem, D., Carpanini, S. M., Borck, G., Martorell, L., Izzi, C., Faravelli, F., Accorsi, P., and 23 others. Mutation spectrum in RAB3GAP1, RAB3GAP2, and RAB18 and genotype-phenotype correlations in Warburg Micro syndrome and Martsolf syndrome. Hum. Mutat. 34: 686-696, 2013. [PubMed: 23420520, related citations] [Full Text]


Contributors:
Marla J. F. O'Neill - updated : 2/20/2014
Creation Date:
Nara Sobreira : 9/14/2011
carol : 09/25/2015
alopez : 2/26/2014
mcolton : 2/20/2014
carol : 1/12/2012
carol : 9/14/2011

# 614225

WARBURG MICRO SYNDROME 2; WARBM2


Alternative titles; symbols

MICRO SYNDROME 2


ORPHA: 2510;   DO: 0110717;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
1q41 Warburg micro syndrome 2 614225 Autosomal recessive 3 RAB3GAP2 609275

TEXT

A number sign (#) is used with this entry because of evidence that Warburg Micro syndrome-2 (WARBM2) is caused by homozygous mutation in the RAB3GAP2 gene (609275) on chromosome 1q41.

Martsolf syndrome (212720), a clinically overlapping but milder disorder, is also caused by mutation in the RAB3GAP2 gene.

For a general phenotypic description and a discussion of genetic heterogeneity of Warburg Micro syndrome, see 600118.


Clinical Features

Borck et al. (2011) reported a girl from a consanguineous Turkish family with Warburg Micro syndrome who presented with congenital cataracts, microphthalmia, absent visual evoked potentials, microcephaly, polymicrogyria, hypoplasia of the corpus callosum, and severe developmental delay.


Molecular Genetics

In a girl from a consanguineous Turkish family with Warburg Micro syndrome, Borck et al. (2011) identified homozygosity for a small in-frame deletion in the RAB3GAP2 gene (609275.0002). The parents were heterozygous carriers of the mutation, which was not found in 188 Turkish and 170 German control chromosomes. Analysis of RAB3GAP2 in 10 additional unrelated children with suspected Warburg Micro syndrome who were negative for mutation in the RAB3GAP1 (602536) gene revealed no further mutations.

In affected individuals from 7 families with the typical features of Warburg Micro syndrome, Handley et al. (2013) identified homozygosity for mutations in the RAB3GAP2 gene (see, e.g., 609275.0004-609275.0006).


Genotype/Phenotype Correlations

Handley et al. (2013) reviewed brain MRI findings in 17 patients with mutations in the RAB3GAP1, RAB3GAP2, and RAB18 (602207) genes. While brain findings were remarkably similar among the patients, the overall impression was of a relatively milder brain phenotype in the 9 patients with mutations in RAB3GAP2, with frontal polymicrogyria mostly not extending beyond the perisylvian fissure to the temporal and occipital lobes, no apparent white matter loss, and no cerebellar or cerebellar vermis hypoplasia.


REFERENCES

  1. Borck, G., Wunram, H., Steiert, A., Volk, A. E., Korber, F., Roters, S., Herkenrath, P., Wollnik, B., Morris-Rosendahl, D. J., Kubisch, C. A homozygous RAB3GAP2 mutation causes Warburg Micro syndrome. Hum. Genet. 129: 45-50, 2011. [PubMed: 20967465] [Full Text: https://doi.org/10.1007/s00439-010-0896-2]

  2. Handley, M. T., Morris-Rosendahl, D. J., Brown, S., Macdonald, F., Hardy, C., Bem, D., Carpanini, S. M., Borck, G., Martorell, L., Izzi, C., Faravelli, F., Accorsi, P., and 23 others. Mutation spectrum in RAB3GAP1, RAB3GAP2, and RAB18 and genotype-phenotype correlations in Warburg Micro syndrome and Martsolf syndrome. Hum. Mutat. 34: 686-696, 2013. [PubMed: 23420520] [Full Text: https://doi.org/10.1002/humu.22296]


Contributors:
Marla J. F. O'Neill - updated : 2/20/2014

Creation Date:
Nara Sobreira : 9/14/2011

Edit History:
carol : 09/25/2015
alopez : 2/26/2014
mcolton : 2/20/2014
carol : 1/12/2012
carol : 9/14/2011