What Is Orofaciodigital Syndrome 1?
Source: Genetic and Rare Diseases (GARD) Information Center
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Orofaciodigital Syndrome 1
OFDS1; Oral-Facial-Digital Syndrome Type 1; Papillon-Léage-Psaume Syndrome
Orofaciodigital syndrome 1 (OFDS1) is a condition that affects the development of the oral cavity (the mouth and teeth), facial features, and digits (fingers and toes). It belongs to a group of disorders called orofaciodigital syndromes (OFDS). Explore genetics of this condition.
Polydactyly
Image by National Human Genome Research Institute (NHGRI)
Oral-Facial-Digital Syndrome 5
Image by Sydney S. Gellis and Murray Feingold/Wikimedia
Source: Genetic and Rare Diseases (GARD) Information Center
Mutation
Image by National Human Genome Research Institute (NHGRI)
Only one gene, OFD1, has been associated with oral-facial-digital syndrome. Mutations in this gene cause oral-facial-digital syndrome type I. OFD1 gene mutations were also found in an affected family whose disorder was classified as type VII; however, researchers now believe that type VII is the same as type I.
The OFD1 gene provides instructions for making a protein whose function is not fully understood. It appears to play an important role in the early development of many parts of the body, including the brain, face, limbs, and kidneys. Mutations in the OFD1 gene prevent cells from making enough functional OFD1 protein, which disrupts the normal development of these structures. It is unclear how a shortage of this protein causes the specific features of oral-facial-digital syndrome type I.
Researchers are actively searching for the genetic changes responsible for the other forms of oral-facial-digital syndrome.
Source: MedlinePlus Genetics
Ideogram of human chromosome X
Image by Office of Biological and Environmental Research of the U.S. Department of Energy Office of Science, the Biological and Environmental Research Information System, Oak Ridge National Laboratory.
The OFD1 gene provides instructions for making a protein whose function is not fully understood. It appears to play a critical role in the early development of many parts of the body, including the brain, face, limbs, and kidneys.
The OFD1 protein is located at the base of cilia, which are finger-like projections that stick out from the surface of cells. Cilia are involved in cell movement and in many different chemical signaling pathways. They play important roles in the development and function of many parts of the body. Researchers suspect that the OFD1 protein is essential for the normal formation of cilia.
Studies suggest that the OFD1 protein may have additional functions. In the earliest stages of development, it appears to be involved in determining the left-right axis (the imaginary line that separates the left and right sides of the body). The OFD1 protein is also found in the nucleus, although its function in this cell structure is unknown.
About 100 mutations in the OFD1 gene have been found in people with oral-facial-digital syndrome type I, which is the most common form of the disorder. These mutations include changes in single DNA building blocks (base pairs) and larger deletions of genetic material from the OFD1 gene. Most of these genetic changes lead to the production of an abnormally short, nonfunctional version of the OFD1 protein. It is unclear how a shortage of functional OFD1 protein leads to the specific features of oral-facial-digital syndrome type I. However, studies suggest that a lack of this protein prevents the normal formation of cilia, which affects the development of many tissues and organs.
Mutations in the OFD1 gene can also cause several other disorders with features that overlap with those of oral-facial-digital syndrome (described above), such as Joubert syndrome. This disorder is characterized by particular brain abnormalities, weak muscle tone (hypotonia), delayed development, unusual eye movements, and breathing problems.
The OFD1 mutations responsible for Joubert syndrome lead to the production of an abnormally short version of the OFD1 protein. However, studies suggest that these mutations result in a somewhat longer protein than the mutations that cause oral-facial-digital syndrome. This protein may retain some of its usual function in cilia. The abnormal protein probably disrupts the development or function of cilia in some way, although it is unclear how these changes result in the signs and symptoms of Joubert syndrome.
MedlinePlus Genetics provides information about Primary ciliary dyskinesia
MedlinePlus Genetics provides information about Simpson-Golabi-Behmel syndrome
At least one OFD1 gene mutation has been found in a family with a form of X-linked intellectual disability. Individuals with this condition have severe intellectual disability, an unusually large head size (macrocephaly), and breathing problems.
This OFD1 gene mutation leads to the production of an abnormally short version of the OFD1 protein. However, the altered protein appears to be longer than the abnormal proteins involved in oral-facial-digital syndrome (described above). This protein may retain some of its usual function in cilia. The abnormal protein probably disrupts the development or function of cilia in some way, although it is unclear how these changes result in the signs and symptoms of X-linked intellectual disability.
Source: MedlinePlus Genetics
Lobed tongue
Image by Elements of Morphology, National Human Genome Research Institute
Source: Genetic and Rare Diseases (GARD) Information Center
Genetic testing
Image by genome.gov
Genetic testing for orofaciodigital syndrome 1 is clinically available. OFD1 is the only gene currently known to be associated with this condition. Testing is often used to confirm or establish the diagnosis in an individual when OFD1 is suspected. A change (mutation) in the OFD1 gene is detected in up to 85% of individuals who have OFD1.
Source: Genetic and Rare Diseases (GARD) Information Center
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