Sindrome di Meckel-Gruber tipo I (OMIM 249000), tipo II (OMIM 603194), Tipo III (OMIM 607361)
Sindrome di Meckel-Gruber
tipo I (OMIM 249000),
tipo II (OMIM 603194),
tipo III (OMIM 607361)
redatto da P.Parisella
E' una malattia trasmessa con carattere autosomico recessivo caratterizzata da Polidattilia per lo più postassiale, Reni Policistici, Encefalocele Occipitale, Oligoamnios/Anidramnios in fase avanzata di gravidanza, Displasia Duttale Epatica.
Possono essere presenti anomalie del SNC (microcefalia, ipoplasia cerebellare, idrocefalo, agenesia del corpo calloso, Dandy-Walker), anomalie gastrointestinali (onfalocele,ano imperforato,asplenia, splenomegalia), anomalie facciali (micrognazia, palatoschisi, ipotelorismo), anomalie cardiache(difetti settali).
La diagnosi ecografica prenatale si basa sulla triade: ENCEFALOCELE OCCIPITALE, POLIDATTILIA, RENI POLICISTICI.
GENETICA: MKS1 mappa in 17q23, MKS2 mappa in 11q13, MKS3 mappa in 8q22.1 I tre tipi, a diversa espressione genetica, hanno diversa espressione fenotipica. La polidattilia frequente in MKS1 è rara in MKS3. La MKS1 ha anche una variante campomelica.
Ahdab-Barmada, M., Claassen, D. A distinctive triad of
malformations of the central nervous system in the Meckel-Gruber syndrome. J.
Neuropath. Exp. Neurol. 49: 610-620, 1990. Farag, T. I., Usha, R., Uma, R., Mady, S. A., Al-Nagdy, K.,
El-Badramany, M. H. Phenotypic variability in Meckel-Gruber syndrome. Clin.
Genet. 38: 176-179, 1990. Friedrich, U., Hansen, K. B., Hauge, M., Hagerstrand, I.,
Kristoffersen, K., Ludvigsen, E., Merrild, U., Norgaard-Pedersen, B., Petersen,
G. B., Therkelsen, A. J. Prenatal diagnosis of polycystic kidneys and
encephalocele (Meckel syndrome). Clin. Genet. 15: 278-286, 1979. Fryns, J. P., Vandenberghe, K., van Assche, F. A., Cassiman,
J. J., van den Berghe, H. Prenatal diagnosis of Meckel syndrome. J. Genet. Hum.
28: 89-94, 1980. Mecke, S., Passarge, E. Encephalocele, polycystic kidneys,
and polydactyly as an autosomal recessive trait simulating certain other
disorders: the Meckel syndrome. Ann. Genet. 14: 97-103, 1971. Nelson, J., Nevin, N. C., Hanna, E. J. Polydactyly in a
carrier of the gene for the Meckel syndrome. Am. J. Med. Genet. 53: 207-209,
1994. Nevin, N. C., Thompson, W., Davidson, G., Horner, W. T.
Prenatal diagnosis of the Meckel syndrome. Clin. Genet. 15: 1-4, 1979. Opitz, J. M., Howe, J. J. The Meckel syndrome (dysencephalia
splanchnocystica, the Gruber syndrome). Birth Defects Orig. Art. Ser. 5:
167-179, 1969. Pachi, A., Giancotti, A., Torcia, F., de Prosperi, V.,
Maggi, E. Meckel-Gruber syndrome: ultrasonographic diagnosis at 13 weeks'
gestational age in an at-risk case. Prenatal Diag. 9: 187-190, 1989.
Tipo II
Ahdab-Barmada, M., Claasen, D. A distinctive triad
malformations of the central nervous system in the Meckel-Gruber syndrome. J.
Neuropath. Exp. Neurol. 49: 610-620, 1990. Roume, J., Ma, H. W., Le Merrer, M., Cormier-Daire, V.,
Girlich, D., Genin, E., Munnich, A. Genetic heterogeneity in Meckel syndrome.
J. Med. Genet. 34: 1003-1006, 1997. Valente, E. M., Logan, C. V., Mougou-Zerelli, S., Lee, J.
H., Silhavy, J. L., Brancati, F., Iannicelli, M., Travaglini, L., Romani, S.,
Illi, B., Adams, M., Szymanska, K., and 39 others. Mutations in TMEM216 perturb
ciliogenesis and cause Joubert, Meckel and related syndromes. (Letter) Nature
Genet. 42: 619-625, 2010.
Tipo III
Consugar, M. B., Kubly, V. J., Lager, D. J., Hommerding, C.
J., Wong, W. C., Bakker, E., Gattone, V. H., II, Torres, V. E., Breuning, M.
H., Harris, P. C. Molecular diagnostics of Meckel-Gruber syndrome highlights
phenotypic differences between MKS1 and MKS3. Hum. Genet. 121: 591-599, 2007. Morgan, N. V., Gissen, P., Sharif, S. M., Baumber, L.,
Sutherland, J., Kelly, D. A., Aminu, K., Bennett, C. P., Woods, C. G., Mueller,
R. F., Trembath, R. C., Maher, E. R., Johnson, C. A. A novel locus for
Meckel-Gruber syndrome, MKS3, maps to chromosome 8q24. Hum. Genet. 111:
456-461, 2002. Smith, U. R., Consugar, M., Tee, L. J., McKee, B. M., Maina,
E. N., Whelan, S., Morgan, N. V., Goranson, E., Gissen, P., Lilliquist, S.,
Aligianis, I. A., Ward, C. J., and 19 others. The transmembrane protein
meckelin (MKS3) is mutated in Meckel-Gruber syndrome and wpk rat. Nature Genet.
38: 191-196, 2006.