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        Genomics Precision Diagnostic > Prenatal > Meckel-Gruber Syndrome Precision Panel

        Meckel-Gruber Syndrome Precision Panel

        Meckel-Gruber Syndrome (MKS) is a lethal, autosomal recessive neurodevelopmental condition characterized by a triad of symptoms which are occipital encephalocele, large polycystic kidneys and postaxial polydactyly.
        Overview
        Indication
        Clinical Utility
        Genes & Diseases
        Methodology
        References

        Overview

        • Meckel-Gruber Syndrome (MKS) is a lethal, autosomal recessive neurodevelopmental condition characterized by a triad of symptoms which are occipital encephalocele, large polycystic kidneys and postaxial polydactyly. It is caused by mutations in genes encoding proteins that allow an appropriate structure and function of the primary cilium. It belongs to a group of diseases known as ciliopathies, and since cilia are present in a variety of organs in the human organism it has several other manifestations. Associated abnormalities include oral clefting, genital anomalies, CNS alterations and liver fibrosis. The leading cause of death is pulmonary hypoplasia.  

        • The Igenomix Meckel-Gruber Syndrome Precision Panel can be used to make a directed and accurate diagnosis ultimately leading to a better management and prognosis of the disease. It provides a comprehensive analysis of the genes involved in this disease using next-generation sequencing (NGS) to fully understand the spectrum of relevant genes involved.  

        Indication

        • The Igenomix Meckel-Gruber Syndrome Precision Panel is indicated for those patients with a clinical suspicion or diagnosis of Meckel-Gruber Syndrome presenting with: 
          • CNS abnormalities: occipital encephalocele, Dandy-Walker malformation, hydrocephalus, Arnold-Chiari malformation, microcephaly 
          • Polycystic kidneys 
          • Polydactyly 
          • Hepatic fibrosis 
          • Cardiac malformations: atrial septal defect, coarctation of aorta and pulmonary stenosis 
          • Cleft lip and palate 
          • Genital anomalies 

        Clinical Utility

        The clinical utility of this panel is: 

        • The genetic and molecular confirmation for an accurate clinical diagnosis of a symptomatic patient.  
        • Early initiation of treatment with a multidisciplinary team in the form of surgical repair of anatomic abnormalities. 
        • Risk assessment of asymptomatic family members according to the mode of inheritance. 
        • Improvement of delineation of genotype-phenotype correlation. 

        Genes & Diseases

        See all genes and diseases

        GENE 

        OMIM DISEASES 

        INHERITANCE* 

        % GENE COVERAGE (20X) 

        HGMD** 

        AHI1 

        Joubert 
        Syndrome 

        AR 

        96.79 

        85 of 97 

        ARL13B 

        Joubert
        Syndrome
         

        AR 

        99.77 

        10 of 10 

        ARL3 

        Joubert 
        Syndrome 

        AD,AR 

        99.99 

        4 of 4 

        ARMC9 

        Joubert
        Syndrome
         

        AR 

        99.95 

        10 of 10 

        B9D1 

        Joubert
        Syndrome,
        Meckel
        Syndrome
         

        AR 

        90.23 

        11 of 11 

        B9D2 

        Meckel
        Syndrome
         

        AR 

        84.81 

        4 of 5 

        CC2D2A 

        Coach Syndrome,
        Joubert Syndrome,
        Meckel Syndrome
         

        AR 

        99.43 

        98 of 100 

        CEP104 

        Joubert
        Syndrome
         

        AR 

        99.89 

        9 of 9 

        CEP120 

        Joubert Syndrome,
        Short-Rib Thoracic
        Dysplasia With Or
        Without Polydactyly,
         
        Jeune Syndrome 

        AR 

        99.8 

        9 of 9 

        CEP290 

        Bardet-Biedl Syndrome,
        Joubert Syndrome,
        Meckel Syndrome,
        Senior-
        Loken 
        Syndrome
         

        AR 

        96.47 

        293 of 327 

        CEP41 

        Joubert 
        Syndrome 

        AR 

        100 

        17 of 17 

        CEP55 

        Multinucleated Neurons, 
        Anhydramnios, Renal
        Dysplasia, Cerebellar
        Hypoplasia, And
        Hydranencephaly,
        Meckel Syndrome
         

        AR 

        99.22 

        3 of 3 

        CPLANE1 

        Joubert Syndrome, 
        Varadi-Papp
        Syndrome,
         
        Monomelic 
        Amyotrophy,
         
        Orofaciodigital 
        Syndrome
         

        AR 

        na 

        na 

        CSPP1 

        Joubert Syndrome,
        Meckel 
        Syndrome 

        AR 

        98.32 

        29 of 30 

        FAM149B1 

        Joubert Syndro
        Syndrome
         

        AR 

        99.94 

        2 of 2 

        IFT172 

        Retinitis Pigmentosa,
        Short-Rib Thoracic
        Dysplasia With Or
        Without Polydactyly,
        Bardet-Biedl Syndrome, 
        Jeune Syndrome 

        AR 

        100 

        37 of 37 

        INPP5E 

        Joubert Syndrome,
        Mental Retardation,
        Truncal Obesity,
        Retinal Dystrophy,
        And 
        Micropenis,
        Joubert Syndrome
         

        AR 

        99.89 

        56 of 56 

        KATNIP 

        Joubert
        Syndrome
         

        AR 

        99.97 

        7 of 7 

        KIAA0586 

        Joubert Syndrome,
        Short-Rib Thoracic
        Dysplasia With
        Polydactyly
         

        AR 

        99.84 

        31 of 32 

        KIF14 

        Meckel Syndrome
        Autosomal Recessive
        Primary Microcephaly
         

        AR 

        99.84 

        18 of 18 

        KIF7 

        Acrocallosal Syndrome,
         
        Hydrolethalus Syndrome,
        Macrocephaly With
        Multiple Epiphyseal
        Dysplasia And
        Distinctive Facies,
         
        Orofaciodigital 
        Syndrome
         

        AR 

        94.91 

        47 of 50 

        MKS1 

        Bardet-Biedl
        Syndrome,
        Joubert Syndrome,
        Meckel Syndrome
         

        AR 

        99.98 

        49 of 49 

        NPHP1 

        Joubert Syndrome,
        Nephronophthisis,
        Senior-
        Loken 
        Syndrome,
        Bardet-Biedl
        Syndrome
         

        AR 

        100 

        58 of 59 

        NPHP3 

        Meckel Syndrome,
        Nephronophthisis,
        Renal-Hepatic-
        Pancreatic Dysplasia,
        NPHP3-Related Meckel-
        like Syndrome, Senior-
        Loken Syndrome 

        AR 

        99.99 

        84 of 84 

        OFD1 

        Joubert Syndrome, 
        Orofaciodigital Syndrome,
        Retinitis Pigmentosa,
        Simpson-
        Golabi–
        Behmel Syndrome,
        Primary Ciliary
        Dyskinesia
         

        X,XR,XD,G 

        98.09 

        NA of NA 

        PDE6D 

        Joubert Syndrome,
        Orofaciodigital Syndrome
         

        AR 

        100 

        2 of 2 

        PIBF1 

        Joubert
        Syndrome
         

        AR 

        99.83 

        7 of 7 

        RPGRIP1L 

        Coach Syndrome,
        Joubert Syndrome,
        Meckel Syndrome
         

        AR 

        99.96 

        52 of 52 

        SUFU 

        Joubert Syndrome,
        Medulloblastoma, 
        Acrocallosal 
        Syndrome, 
        Gorlin Syndrome,
        Microform
        Holoprosencephaly
         

        AD,AR 

        99.99 

        43 of 43 

        TCTN1 

        Joubert Syndrome 

        AR 

        94.98 

        10 of 10 

        TCTN2 

        Joubert Syndrome,
        Meckel Syndrome
         

        AR 

        100 

        14 of 14 

        TCTN3 

        Joubert Syndrome,
         
        Orofaciodigital 
        Syndrome 

        AR 

        99.99 

        13 of 13 

        TMEM107 

        Meckel Syndrome,
        Orofaciodigital
        Syndrome
         

        AR 

        100 

        3 of 3 

        TMEM138 

        Joubert
        Syndrome
         

        AR 

        99.94 

        9 of 9 

        TMEM216 

        Joubert Syndrome,
        Meckel Syndrome, 
        Orofaciodigital 
        Syndrome
         

        AR 

        98.74 

        8 of 8 

        TMEM231 

        Joubert Syndrome,
        Meckel Syndrome, 
        Orofaciodigital Syndrome 

        AR 

        98.63 

        20 of 21 

        TMEM237 

        Joubert Syndrome 

        AR 

        100 

        11 of 11 

        TMEM67 

        Bardet-Biedl Syndrome,
        Coach Syndrome,
        Joubert Syndrome,
        Meckel Syndrome,
        Nephronophthisis,
        Rhyns Syndrome 

        AR 

        96.93 

        177 of 179 

        TTC21B 

        Asphyxiating
        Thoracic Dystrophy,
        Nephronophthisis,
        Joubert Syndrome, 
        Jeune Syndrome 

        AD,AR 

        100 

        67 of 67 

        WDPCP 

        Bardet-Biedl
        Syndrome,
        Congenital
        Heart Defects, Hamartomas
        Of Tongue,
        And
        Polysyndactyly,
        Meckel Syndrome
         

        AR 

        99.3 

        8 of 8 

        ZNF423 

        Nephronophthisis,
        Joubert 
        Syndrome 

        AD,AR 

        100 

        10 of 10 

        * Inheritance: AD: Autosomal Dominant; AR: Autosomal Recessive; X: X linked; XLR: X linked Recessive; Mi: Mitochondrial; Mu: Multifactorial 

        ** HGMD: Number of clinically relevant mutations according to HGMD

        Methodology

        References

        See scientific referrals

        Hartill, V., Szymanska, K., Sharif, S. M., Wheway, G., & Johnson, C. A. (2017). Meckel-Gruber Syndrome: An Update on Diagnosis, Clinical Management, and Research Advances. Frontiers in pediatrics, 5, 244. https://doi.org/10.3389/fped.2017.00244 

        Radhakrishnan, P., Nayak, S. S., Shukla, A., Lindstrand, A., & Girisha, K. M. (2019). Meckel syndrome: Clinical and mutation profile in six fetuses. Clinical genetics, 96(6), 560–565. https://doi.org/10.1111/cge.13623 

        Szymanska, K., Hartill, V. L., & Johnson, C. A. (2014). Unraveling the genetics of Joubert and Meckel-Gruber syndromes. Journal of pediatric genetics, 3(2), 65–78. https://doi.org/10.3233/PGE-14090 

        Khurana, S., Saini, V., Wadhwa, V., & Kaur, H. (2017). Meckel-Gruber syndrome: ultrasonographic and fetal autopsy correlation. Journal of ultrasound, 20(2), 167–170. https://doi.org/10.1007/s40477-016-0231-4 

        Smith, U., Consugar, M., Tee, L., McKee, B., Maina, E., & Whelan, S. et al. (2006). The transmembrane protein meckelin (MKS3) is mutated in Meckel-Gruber syndrome and the wpk rat. Nature Genetics, 38(2), 191-196. doi: 10.1038/ng1713 

        Magann, E., Haas, D., Hill, J., Chauhan, S., Watson, E., & Learman, L. (2011). Oligohydramnios, Small for Gestational Age and Pregnancy Outcomes: An Analysis Using Precise Measures. Gynecologic And Obstetric Investigation, 72(4), 239-244. doi: 10.1159/000324570 

        Barker, A. R., Thomas, R., & Dawe, H. R. (2014). Meckel-Gruber syndrome and the role of primary cilia in kidney, skeleton, and central nervous system development. Organogenesis, 10(1), 96–107. https://doi.org/10.4161/org.27375 

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