Stickler syndrome (hereditary progressive arthro-ophthalmodystrophy) is a group of very rare genetic disorders affecting connective tissue, specifically collagen. Stickler syndrome is a clinically variable and genetically heterogeneous disorder characterized by ocular, auditory, skeletal, and orofacial abnormalities. 1 Aug Variante genética del síndrome de Stickler. Article (PDF Available) in Archivos de la Sociedad Espanola de Oftalmologia 93(3) · September.
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Genetic linkage analysis of hereditary arthro-ophthalmopathy Stickler syndrome and the type II procollagen gene. Affected individuals should be advised to avoid activities that may lead to traumatic retinal detachment e.
In these individuals, a mandibular advancement procedure is often required to correct the malocclusion. In this instance, the amino acid residues are numbered from the beginning of the mature protein. Sindrom is caused by underdeveloped bones in the middle of the face, sindroke the cheekbones and stivkler bridge of the nose.
The family was a large Minnesota kindred which had been examined at the Mayo Clinic as early as by Dr. Collagen alpha-2 XI chain. Cataract may also present as an ocular complication associated with Stickler’s Syndrome. Review Hearing impairment in Stickler syndrome: Vikkula et al Sirko-Osadsa et al Vuoristo et al Acke et al . We are determined to keep this website freely accessible.
The lod score in favor of linkage was 2. Abstract Stickler’s syndrome is an inherited connective tissue disorder resulting from a mutation, usually autosomal-dominant, in one of the 4 genes that encode collagen 2, 9 and 11 synthesis. A recurrent RC mutation To define variations in the clinical manifestations of Stickler syndrome, Stickler et al.
Hall described a family in which 1 infant had died of Pierre Robin anomaly. In addition, each feature of this syndrome may vary from subtle to severe.
Linkage study in a large pedigree with Stickler syndrome: The validity of the diagnosis might be questioned in some of these cases inasmuch as ectopia lentis was present in 5. Clinical and Molecular genetics of Stickler syndrome. Midface retrusion is most pronounced in infants and young children; older individuals may have a normal facial profile. Genetically Related Allelic Disorders Table 2. See Molecular Genetics for information on allelic variants detected in this gene.
Sequence analysis of the coding region of COL9A2 showed homozygosity for the pathogenic variantc. In affected members of 2 unrelated families with Stickler syndrome, Ahmad et al. Temple reviewed the clinical variability in Stickler syndrome and discussed phenotypic overlap with Marshall syndromeWagner syndromeand Weissenbacher-Zweymuller syndrome Printzlau A, Andersen M. Genetic counseling is the process of providing individuals and families with information on the nature, inheritance, and implications of genetic disorders to help them make informed medical and personal decisions.
Activities such as contact sports that may lead to traumatic retinal detachment. In one study, 34 of individuals with Robin sequence had Stickler syndrome. Stickler syndrome is inherited in an autosomal dominant pattern. Clinical Characteristics Clinical Description Stickler syndrome is a multisystem connective tissue disorder that can affect the craniofacies, eyes, inner ear, skeleton, and joints.
The proposed criteria are based on assigning points for clinical features, family history data, and molecular data.
These data suggest that the incidence of Stickler syndrome among neonates is approximately 1: A proband with Stickler syndrome may have the disorder as the result of a de novo pathogenic variant. Autosomal recessive otospondylomegaepiphyseal dysplasia OMIM The Stickler syndrome hereditary arthroophthalmopathy. A characteristic feature of Stickler syndrome is a somewhat flattened facial appearance.
Sequence analysis of the coding region of COL9A1 showed homozygosity for the p. Only comments seeking to improve the quality and accuracy of information on the Orphanet website are accepted.
Stickler syndrome – Wikipedia
Stlckler only 1 exception, the COL11A1 mutations were associated by early-onset hearing loss, requiring hearing aids, whereas the patients with COL2A1 mutations had normal hearing or only slight hearing impairment. In the second family, the major symptoms were cleft palate and characteristic facial changes associated with mild ocular changes. Non-allelic genetic heterogeneity in the vitreoretinal degenerations of the Stickler and Wagner types and evidence for intragenic recombination at the COL2A1 locus.
Another sign of Stickler syndrome is mild to severe hearing loss that, for some people, may be progressive see hearing loss with craniofacial syndromes. Treatment of Manifestations Craniofacial.
Síndrome de Stickler – ScienceDirect
Diagnosis and treatment of the Pierre Robin sequence: Analysis of the coding region of COL9A1 showed homozygous nonsense variants in the affected individuals in three families with autosomal recessive Stickler syndrome [ Van Camp et alNikopoulos et al ].
However, non-medical explanations including alternate paternity or maternity e. Spallone studied 10 families with multiple cases and 2 isolated cases of Stickler syndrome. By convention, the longest transcript variant is used as the reference sequence Table 3.
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GeneReviews is a registered trademark of the University of Washington, Seattle. For fetuses with no known family history of Ee syndrome, but in which cleft palate is detected prenatally, it is appropriate to obtain dw three-generation pedigree and to evaluate relatives who have findings suggestive of Stickler syndrome. Because it is likely that testing methodology and our understanding of genes, allelic variants, and diseases will improve in the future, consideration should be given to banking DNA of affected individuals.
COL2A1 pathogenic variants typically result in premature termination of translation and decreased synthesis of type II.