Entry - #617562 - MECKEL SYNDROME 13; MKS13 - OMIM
# 617562

MECKEL SYNDROME 13; MKS13


Other entities represented in this entry:

JOUBERT SYNDROME 29, INCLUDED; JBTS29, INCLUDED

Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
17p13.1 ?Joubert syndrome 29 617562 AR 3 TMEM107 616183
17p13.1 Meckel syndrome 13 617562 AR 3 TMEM107 616183
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal recessive
HEAD & NECK
Face
- Micrognathia (MKS)
Eyes
- Retinopathy (JBTS)
- Oculomotor apraxia (JBTS)
ABDOMEN
Liver
- Liver abnormalities (JBTS)
GENITOURINARY
Kidneys
- Polycystic kidneys (MKS)
SKELETAL
- Contractures (MKS)
NEUROLOGIC
Central Nervous System
- Occipital encephalocele (MKS)
- Delayed psychomotor development (JBTS)
- Intellectual disability (JBTS)
- Ataxia (JBTS)
- Cerebellar hypoplasia (JBTS)
- Molar tooth sign (JBTS)
MISCELLANEOUS
- Perinatal death in patients with MKS13
- One patient with JBTS29 has been reported (last curated July 2017)
MOLECULAR BASIS
- Caused by mutation in the transmembrane protein 107 gene (TMEM107, 616183.0001)
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 Nephronophthisis 14 AD, AR 3 614844 ZNF423 604557
16q12.1 Joubert syndrome 19 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 ?Meckel syndrome 10 AR 3 614175 B9D2 611951
19q13.2 Joubert syndrome 34 AR 3 614175 B9D2 611951
Xp22.2 Joubert syndrome 10 XLR 3 300804 OFD1 300170
Meckel syndrome - PS249000 - 16 Entries

TEXT

A number sign (#) is used with this entry because of evidence that Meckel syndrome-13 (MKS13) and Joubert syndrome-29 (JBTS29) are caused by homozygous or compound heterozygous mutation in the TMEM107 gene (616183) on chromosome 17p13. One patient with JBTS29 has been reported.

Mutation in the TMEM107 gene can also cause OFD16 (617563).

For discussion of genetic heterogeneity of Meckel syndrome, see MKS1 (249000).

For discussion of genetic heterogeneity of Joubert syndrome, see JBTS1 (213300).


Clinical Features

Shaheen et al. (2015) reported 2 unrelated consanguineous Saudi families in which 4 infants had MKS. Features included occipital encephalocele, polydactyly, polycystic kidneys, micrognathia, contractures, and perinatal lethality.

Joubert Syndrome 29

Lambacher et al. (2016) reported a 22-year-old man from the Caribbean with Joubert syndrome. He had delayed psychomotor development, intellectual disability, ataxia, oculomotor apraxia, retinopathy, liver involvement, and cerebellar hypoplasia with the molar tooth sign on brain imaging.


Inheritance

The transmission pattern of MKS13 in the families reported by Shaheen et al. (2015) was consistent with autosomal recessive inheritance.

The transmission pattern of JBTS29 in the family reported by Lambacher et al. (2016) was consistent with autosomal recessive inheritance.


Molecular Genetics

In 2 unrelated infants, born of consanguineous Saudi parents, with MKS13, Shaheen et al. (2015) identified a homozygous loss-of-function mutation in the TMEM107 gene (616183.0001). The mutation, which was found by a combination of homozygosity mapping and whole-exome sequencing, segregated with the disorder in both families; haplotype analysis indicated a founder effect. Patient cells showed a significant reduction in the number of ciliated cells compared to controls, as well as abnormal cilia that were excessively elongated with a curly pattern. Patient fibroblasts also showed suppression of SHH (600725) signaling and reduced translocation of SMO (601500) to the cilium compared to control cells. The findings, similar to those observed in mice with loss of Tmem107 function (see ANIMAL MODEL), suggested that loss of TMEM107 impairs ciliogenesis. The families were from a cohort of 25 MKS families who underwent genetic analysis.

In a man with JBTS29, Lambacher et al. (2016) identified compound heterozygous mutations in the TMEM107 gene (616183.0002 and 616183.0004). The mutations segregated with the disorder in the family. Patient fibroblasts showed reduced ciliation, and the cilia that formed were abnormally long.


Animal Model

Using a forward genetic screen, Christopher et al. (2012) created the 'schlei' mutant mouse, which exhibited preaxial polydactyly, exencephaly, and disrupted ventral neural tube patterning. The defects were consistent with defective ciliary signaling via Shh (600725). Schlei mutants had reduced numbers of cilia in limb mesenchyme and in the lumen of the neural tube. They also had bulged or curled cilia, abnormally thin cilia in the neural tube, and changes in the positions of neural progenitors, consistent with altered fields of Shh responsiveness. Schlei mutant embryos showed normal nodal cilia and normal left-right patterning, and they lacked kidney or liver cysts. Christopher et al. (2012) identified the schlei mutation as an A-to-G transition in the Tmem107 gene, resulting in the substitution of a highly conserved glutamic acid with glycine (E125G) in transmembrane domain-4. Analysis of embryos doubly mutant for schlei and various components of the Shh pathway showed that Tmem107 functioned downstream of Shh, Ptch1 (601309), and Smo (SMOH; 601500) and acted synergistically with Gli2 (165230) and Gli3 (165240) to pattern ventral and intermediate neuronal cell types. Expanded expression of the Shh targets Gli1 (GLI; 165220) and gremlin (603054) in schlei mutant limbs suggested a broadened response to Shh signaling, and the schlei mutation reduced Gli3 function to regulate digit number, but not identity.


REFERENCES

  1. Christopher, K. J., Wang, B., Kong, Y., Weatherbee, S. D. Forward genetics uncovers transmembrane protein 107 as a novel factor required for ciliogenesis and Sonic hedgehog signaling. Dev. Biol. 368: 382-392, 2012. [PubMed: 22698544, images, related citations] [Full Text]

  2. Lambacher, N. J., Bruel, A.-L., van Dam, T. J. P., Szymanska, K., Slaats, G. G., Kuhns, S., McManus, G. J., Kennedy, J. E., Gaff, K., Wu, K. M., van der Lee, R., Burglen, L., and 12 others. TMEM107 recruits ciliopathy proteins to subdomains of the ciliary transition zone and causes Joubert syndrome. Nature Cell Biol. 18: 122-131, 2016. [PubMed: 26595381, related citations] [Full Text]

  3. Shaheen, R., Almoisheer, A., Faqeih, E., Babay, Z., Monies, D., Tassan, N., Abouelhoda, M., Kurdi, W., Al Mardawi, E., Khalil, M. M. I., Seidahmed, M. Z., Alnemer, M., and 9 others. Identification of a novel MKS locus defined by TMEM107 mutation. Hum. Molec. Genet. 24: 5211-5218, 2015. [PubMed: 26123494, related citations] [Full Text]


Creation Date:
Cassandra L. Kniffin : 07/06/2017
alopez : 07/13/2017
alopez : 07/13/2017
ckniffin : 07/11/2017

# 617562

MECKEL SYNDROME 13; MKS13


Other entities represented in this entry:

JOUBERT SYNDROME 29, INCLUDED; JBTS29, INCLUDED

ORPHA: 564;   DO: 0080253;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
17p13.1 ?Joubert syndrome 29 617562 Autosomal recessive 3 TMEM107 616183
17p13.1 Meckel syndrome 13 617562 Autosomal recessive 3 TMEM107 616183

TEXT

A number sign (#) is used with this entry because of evidence that Meckel syndrome-13 (MKS13) and Joubert syndrome-29 (JBTS29) are caused by homozygous or compound heterozygous mutation in the TMEM107 gene (616183) on chromosome 17p13. One patient with JBTS29 has been reported.

Mutation in the TMEM107 gene can also cause OFD16 (617563).

For discussion of genetic heterogeneity of Meckel syndrome, see MKS1 (249000).

For discussion of genetic heterogeneity of Joubert syndrome, see JBTS1 (213300).


Clinical Features

Shaheen et al. (2015) reported 2 unrelated consanguineous Saudi families in which 4 infants had MKS. Features included occipital encephalocele, polydactyly, polycystic kidneys, micrognathia, contractures, and perinatal lethality.

Joubert Syndrome 29

Lambacher et al. (2016) reported a 22-year-old man from the Caribbean with Joubert syndrome. He had delayed psychomotor development, intellectual disability, ataxia, oculomotor apraxia, retinopathy, liver involvement, and cerebellar hypoplasia with the molar tooth sign on brain imaging.


Inheritance

The transmission pattern of MKS13 in the families reported by Shaheen et al. (2015) was consistent with autosomal recessive inheritance.

The transmission pattern of JBTS29 in the family reported by Lambacher et al. (2016) was consistent with autosomal recessive inheritance.


Molecular Genetics

In 2 unrelated infants, born of consanguineous Saudi parents, with MKS13, Shaheen et al. (2015) identified a homozygous loss-of-function mutation in the TMEM107 gene (616183.0001). The mutation, which was found by a combination of homozygosity mapping and whole-exome sequencing, segregated with the disorder in both families; haplotype analysis indicated a founder effect. Patient cells showed a significant reduction in the number of ciliated cells compared to controls, as well as abnormal cilia that were excessively elongated with a curly pattern. Patient fibroblasts also showed suppression of SHH (600725) signaling and reduced translocation of SMO (601500) to the cilium compared to control cells. The findings, similar to those observed in mice with loss of Tmem107 function (see ANIMAL MODEL), suggested that loss of TMEM107 impairs ciliogenesis. The families were from a cohort of 25 MKS families who underwent genetic analysis.

In a man with JBTS29, Lambacher et al. (2016) identified compound heterozygous mutations in the TMEM107 gene (616183.0002 and 616183.0004). The mutations segregated with the disorder in the family. Patient fibroblasts showed reduced ciliation, and the cilia that formed were abnormally long.


Animal Model

Using a forward genetic screen, Christopher et al. (2012) created the 'schlei' mutant mouse, which exhibited preaxial polydactyly, exencephaly, and disrupted ventral neural tube patterning. The defects were consistent with defective ciliary signaling via Shh (600725). Schlei mutants had reduced numbers of cilia in limb mesenchyme and in the lumen of the neural tube. They also had bulged or curled cilia, abnormally thin cilia in the neural tube, and changes in the positions of neural progenitors, consistent with altered fields of Shh responsiveness. Schlei mutant embryos showed normal nodal cilia and normal left-right patterning, and they lacked kidney or liver cysts. Christopher et al. (2012) identified the schlei mutation as an A-to-G transition in the Tmem107 gene, resulting in the substitution of a highly conserved glutamic acid with glycine (E125G) in transmembrane domain-4. Analysis of embryos doubly mutant for schlei and various components of the Shh pathway showed that Tmem107 functioned downstream of Shh, Ptch1 (601309), and Smo (SMOH; 601500) and acted synergistically with Gli2 (165230) and Gli3 (165240) to pattern ventral and intermediate neuronal cell types. Expanded expression of the Shh targets Gli1 (GLI; 165220) and gremlin (603054) in schlei mutant limbs suggested a broadened response to Shh signaling, and the schlei mutation reduced Gli3 function to regulate digit number, but not identity.


REFERENCES

  1. Christopher, K. J., Wang, B., Kong, Y., Weatherbee, S. D. Forward genetics uncovers transmembrane protein 107 as a novel factor required for ciliogenesis and Sonic hedgehog signaling. Dev. Biol. 368: 382-392, 2012. [PubMed: 22698544] [Full Text: https://doi.org/10.1016/j.ydbio.2012.06.008]

  2. Lambacher, N. J., Bruel, A.-L., van Dam, T. J. P., Szymanska, K., Slaats, G. G., Kuhns, S., McManus, G. J., Kennedy, J. E., Gaff, K., Wu, K. M., van der Lee, R., Burglen, L., and 12 others. TMEM107 recruits ciliopathy proteins to subdomains of the ciliary transition zone and causes Joubert syndrome. Nature Cell Biol. 18: 122-131, 2016. [PubMed: 26595381] [Full Text: https://doi.org/10.1038/ncb3273]

  3. Shaheen, R., Almoisheer, A., Faqeih, E., Babay, Z., Monies, D., Tassan, N., Abouelhoda, M., Kurdi, W., Al Mardawi, E., Khalil, M. M. I., Seidahmed, M. Z., Alnemer, M., and 9 others. Identification of a novel MKS locus defined by TMEM107 mutation. Hum. Molec. Genet. 24: 5211-5218, 2015. [PubMed: 26123494] [Full Text: https://doi.org/10.1093/hmg/ddv242]


Creation Date:
Cassandra L. Kniffin : 07/06/2017

Edit History:
alopez : 07/13/2017
alopez : 07/13/2017
ckniffin : 07/11/2017