Raras
Buscar doenças, sintomas, genes...
Disostose acrofacial
ORPHA:364574CID-11 · LD25.2DOENÇA RARA

A Síndrome de Richieri-Costa-Pereira é uma doença genética rara com padrão de herança autossômico recessivo. Essa síndrome é causada por mutações de perda de função em ambos os alelos do gene EIF4A3. A SRCP é caracterizada clinicamente por alterações craniofaciais, além de alterações nos membros superiores e inferiores. Existe alta variabilidade clínica da doença, podendo haver casos graves, moderados e leves na mesma família.

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Introdução

O que você precisa saber de cara

📋

Disostose acrofacial é um distúrbio genético raro caracterizado por anomalias craniofaciais, como retração da face média e disostose mandibulofacial, além de malformações nos membros e vértebras. Pode apresentar traqueobroncomalácia e necessitar de gastrostomia na infância.

Pesquisas ativas
1 ensaio
3 total registrados no ClinicalTrials.gov
Publicações científicas
200 artigos
Último publicado: 2026 Feb 10
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SUS: Sem cobertura SUSScore: 0%
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🦴
Ossos e articulações
66 sintomas
😀
Face
55 sintomas
👁️
Olhos
23 sintomas
🧠
Neurológico
23 sintomas
👂
Ouvidos
17 sintomas
🧬
Pele e cabelo
15 sintomas

+ 140 sintomas em outras categorias

Características mais comuns

Morfologia anormal da pálpebra
Traqueobroncomalácia
Deslocamento pré-auricular do cabelo
Retrusão médio-facial
Disostose mandibulofacial
Forma anormal dos corpos vertebrais
396sintomas
Sem dados (396)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 396 características clínicas mais associadas, ordenadas por frequência.

Morfologia anormal da pálpebraAbnormal eyelid morphology
TraqueobroncomaláciaTracheobronchomalacia
Deslocamento pré-auricular do cabeloPreauricular hair displacement
Retrusão médio-facialMidface retrusion
Disostose mandibulofacialMandibulofacial dysostosis

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico200PubMed
Últimos 10 anos75publicações
Pico201615 papers
Linha do tempo
2026Hoje · 2026📈 2016Ano de pico🧪 2021Primeiro ensaio clínico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

8 genes identificados com associação a esta condição.

SF3B4Splicing factor 3B subunit 4Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Component of the 17S U2 SnRNP complex of the spliceosome, a large ribonucleoprotein complex that removes introns from transcribed pre-mRNAs (PubMed:10882114, PubMed:12234937, PubMed:27720643, PubMed:32494006). The 17S U2 SnRNP complex (1) directly participates in early spliceosome assembly and (2) mediates recognition of the intron branch site during pre-mRNA splicing by promoting the selection of the pre-mRNA branch-site adenosine, the nucleophile for the first step of splicing (PubMed:12234937

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (4)
Dengue Virus-Host InteractionsmRNA Splicing - Major PathwaymRNA PolyadenylationmRNA Splicing - Minor Pathway
MECANISMO DE DOENÇA

Acrofacial dysostosis 1, Nager type

A form of acrofacial dysostosis, a group of disorders which are characterized by malformation of the craniofacial skeleton and the limbs. The major facial features of AFD1 include downslanted palpebral fissures, midface retrusion, and micrognathia, the latter of which often requires the placement of a tracheostomy in early childhood. Limb defects typically involve the anterior (radial) elements of the upper limbs and manifest as small or absent thumbs, triphalangeal thumbs, radial hyoplasia or aplasia, and radioulnar synostosis. Phocomelia of the upper limbs and, occasionally, lower-limb defects have also been reported.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
104.6 TPM
Útero
91.1 TPM
Fallopian Tube
88.0 TPM
Artéria tibial
87.2 TPM
Fibroblastos
86.7 TPM
OUTRAS DOENÇAS (2)
Nager acrofacial dysostosisacrofacial dysostosis Rodriguez type
HGNC:10771UniProt:Q15427
EVC2LimbinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the EvC complex that positively regulates ciliary Hedgehog (Hh) signaling. Plays a critical role in bone formation and skeletal development. May be involved in early embryonic morphogenesis

LOCALIZAÇÃO

Cell membraneCytoplasm, cytoskeleton, cilium basal bodyCell projection, ciliumCell projection, cilium membraneNucleus

VIAS BIOLÓGICAS (2)
Hedgehog 'on' stateActivation of SMO
MECANISMO DE DOENÇA

Ellis-van Creveld syndrome

An autosomal recessive condition characterized by the clinical tetrad of chondrodystrophy, polydactyly, ectodermal dysplasia and cardiac anomalies. Patients manifest short-limb dwarfism, short ribs, postaxial polydactyly, and dysplastic nails and teeth. Congenital heart defects, most commonly an atrioventricular septal defect, are observed in 60% of affected individuals.

EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
15.1 TPM
Cervix Ectocervix
12.4 TPM
Cervix Endocervix
12.3 TPM
Fallopian Tube
11.7 TPM
Útero
11.6 TPM
OUTRAS DOENÇAS (2)
Ellis-van Creveld syndromeacrofacial dysostosis, Weyers type
HGNC:19747UniProt:Q86UK5
EFTUD2116 kDa U5 small nuclear ribonucleoprotein componentDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Required for pre-mRNA splicing as component of the spliceosome, including pre-catalytic, catalytic and post-catalytic spliceosomal complexes (PubMed:25092792, PubMed:28076346, PubMed:28502770, PubMed:28781166, PubMed:29301961, PubMed:29360106, PubMed:29361316, PubMed:30315277, PubMed:30705154). Component of the U5 snRNP and the U4/U6-U5 tri-snRNP complex, a building block of the spliceosome (PubMed:16723661). As a component of the minor spliceosome, involved in the splicing of U12-type introns i

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (3)
mRNA Splicing - Major PathwayDengue Virus-Host InteractionsmRNA Splicing - Minor Pathway
MECANISMO DE DOENÇA

Mandibulofacial dysostosis with microcephaly

A rare syndrome characterized by progressive microcephaly, midface and malar hypoplasia, micrognathia, microtia, dysplastic ears, preauricular skin tags, significant developmental delay, and speech delay. Many patients have major sequelae, including choanal atresia that results in respiratory difficulties, conductive hearing loss, and cleft palate.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
75.3 TPM
Fibroblastos
61.4 TPM
Testículo
47.4 TPM
Baço
43.1 TPM
Skin Sun Exposed Lower leg
38.3 TPM
OUTRAS DOENÇAS (1)
mandibulofacial dysostosis-microcephaly syndrome
HGNC:30858UniProt:Q15029
ZSWIM6Zinc finger SWIM domain-containing protein 6Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

involved in nervous system development, important for striatal morphology and motor regulation

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Acromelic frontonasal dysostosis

A rare variant form of frontonasal dysplasia, an array of abnormalities affecting the eyes, forehead and nose and linked to midfacial dysraphia. The clinical picture is highly variable. Major findings include true ocular hypertelorism, broadening of the nasal root, median facial cleft affecting the nose and/or upper lip and palate, unilateral or bilateral clefting of the alae nasi, lack of formation of the nasal tip, anterior cranium bifidum occultum, a V-shaped or widow's peak frontal hairline. AFND is characterized by the association of frontonasal malformations with various combinations of polydactyly, tibial hypoplasia, epibulbar dermoid, encephalocoele, corpus callosum agenesis and Dandy-Walker malformation.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
30.4 TPM
Pulmão
24.2 TPM
Brain Spinal cord cervical c-1
19.1 TPM
Vagina
19.1 TPM
Próstata
18.3 TPM
OUTRAS DOENÇAS (2)
neurodevelopmental disorder with movement abnormalities, abnormal gait, and autistic featuresacromelic frontonasal dysostosis
HGNC:29316UniProt:Q9HCJ5
DHODHDihydroorotate dehydrogenase (quinone), mitochondrialDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Catalyzes the conversion of dihydroorotate to orotate with quinone as electron acceptor. Required for UMP biosynthesis via de novo pathway

LOCALIZAÇÃO

Mitochondrion inner membrane

VIAS BIOLÓGICAS (1)
Pyrimidine biosynthesis
MECANISMO DE DOENÇA

Postaxial acrofacial dysostosis

An autosomal recessive syndrome characterized by severe micrognathia, cleft lip and/or palate, hypoplasia or aplasia of the posterior elements of the limbs, coloboma of the eyelids and supernumerary nipples.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Fígado
43.8 TPM
Linfócitos
8.6 TPM
Nervo tibial
7.5 TPM
Coração - Átrio
7.3 TPM
Fallopian Tube
7.1 TPM
OUTRAS DOENÇAS (1)
postaxial acrofacial dysostosis
HGNC:2867UniProt:Q02127
EVCEvC complex member EVCDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the EvC complex that positively regulates ciliary Hedgehog (Hh) signaling. Involved in endochondral growth and skeletal development

LOCALIZAÇÃO

Cell membraneCytoplasm, cytoskeleton, cilium basal bodyCell projection, ciliumCell projection, cilium membrane

VIAS BIOLÓGICAS (2)
Hedgehog 'on' stateActivation of SMO
MECANISMO DE DOENÇA

Ellis-van Creveld syndrome

An autosomal recessive condition characterized by the clinical tetrad of chondrodystrophy, polydactyly, ectodermal dysplasia and cardiac anomalies. Patients manifest short-limb dwarfism, short ribs, postaxial polydactyly, and dysplastic nails and teeth. Congenital heart defects, most commonly an atrioventricular septal defect, are observed in 60% of affected individuals.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
40.5 TPM
Ovário
35.4 TPM
Nervo tibial
34.1 TPM
Aorta
29.4 TPM
Útero
25.5 TPM
OUTRAS DOENÇAS (2)
Ellis-van Creveld syndromeacrofacial dysostosis, Weyers type
HGNC:3497UniProt:P57679
POLR1ADNA-directed RNA polymerase I subunit RPA1Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Catalytic core component of RNA polymerase I (Pol I), a DNA-dependent RNA polymerase which synthesizes ribosomal RNA precursors using the four ribonucleoside triphosphates as substrates. Transcribes 47S pre-rRNAs from multicopy rRNA gene clusters, giving rise to 5.8S, 18S and 28S ribosomal RNAs (PubMed:11250903, PubMed:11283244, PubMed:16858408, PubMed:34671025, PubMed:34887565, PubMed:36271492). Pol I-mediated transcription cycle proceeds through transcription initiation, transcription elongati

LOCALIZAÇÃO

Nucleus, nucleolusChromosome

VIAS BIOLÓGICAS (5)
RNA Polymerase I Promoter EscapeNoRC negatively regulates rRNA expressionRNA Polymerase I Transcription TerminationRNA Polymerase I Transcription InitiationB-WICH complex positively regulates rRNA expression
MECANISMO DE DOENÇA

Acrofacial dysostosis, Cincinnati type

A form of acrofacial dysostosis, a group of disorders characterized by malformations of the craniofacial skeleton and, in some patients, the limbs. AFDCIN patients may also have structural cardiac defects and neurologic abnormalities including developmental delay, hypotonia, motor delay and seizures. AFDCIN inheritance is autosomal dominant.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
20.0 TPM
Linfócitos
17.7 TPM
Útero
17.6 TPM
Testículo
13.2 TPM
Fallopian Tube
11.4 TPM
OUTRAS DOENÇAS (3)
leukodystrophy, hypomyelinating, 27acrofacial dysostosis Cincinnati typechoanal atresia-hearing loss-cardiac defects-craniofacial dysmorphism syndrome
HGNC:17264UniProt:O95602
CTNNB1Catenin beta-1Candidate gene tested inAltamente restrito
FUNÇÃO

Key downstream component of the canonical Wnt signaling pathway (PubMed:17524503, PubMed:18077326, PubMed:18086858, PubMed:18957423, PubMed:21262353, PubMed:22155184, PubMed:22647378, PubMed:22699938). In the absence of Wnt, forms a complex with AXIN1, AXIN2, APC, CSNK1A1 and GSK3B that promotes phosphorylation on N-terminal Ser and Thr residues and ubiquitination of CTNNB1 via BTRC and its subsequent degradation by the proteasome (PubMed:17524503, PubMed:18077326, PubMed:18086858, PubMed:189574

LOCALIZAÇÃO

CytoplasmNucleusCytoplasm, cytoskeletonCell junction, adherens junctionCell junctionCell membraneCytoplasm, cytoskeleton, microtubule organizing center, centrosomeCytoplasm, cytoskeleton, spindle poleSynapseCytoplasm, cytoskeleton, cilium basal body

VIAS BIOLÓGICAS (10)
Formation of the nephric ductSpecification of the neural plate borderSynthesis, secretion, and inactivation of Glucagon-like Peptide-1 (GLP-1)TCF dependent signaling in response to WNTTranscriptional Regulation by VENTX
MECANISMO DE DOENÇA

Colorectal cancer

A complex disease characterized by malignant lesions arising from the inner wall of the large intestine (the colon) and the rectum. Genetic alterations are often associated with progression from premalignant lesion (adenoma) to invasive adenocarcinoma. Risk factors for cancer of the colon and rectum include colon polyps, long-standing ulcerative colitis, and genetic family history.

EXPRESSÃO TECIDUAL(Ubíquo)
Cervix Endocervix
297.5 TPM
Cervix Ectocervix
257.8 TPM
Artéria tibial
233.5 TPM
Ovário
201.9 TPM
Cérebro - Hemisfério cerebelar
201.3 TPM
OUTRAS DOENÇAS (17)
hepatocellular carcinomasevere intellectual disability-progressive spastic diplegia syndromeovarian cancerpilomatrixoma
HGNC:2514UniProt:P35222

Variantes genéticas (ClinVar)

840 variantes patogênicas registradas no ClinVar.

🧬 SF3B4: NM_005850.5(SF3B4):c.61del (p.Asp21fs) ()
🧬 SF3B4: GRCh37/hg19 1q21.1-44(chr1:143932350-249224684)x3 ()
🧬 SF3B4: GRCh37/hg19 1q21.1-21.3(chr1:145398178-151386947)x3 ()
🧬 SF3B4: NM_005850.5(SF3B4):c.719del (p.Pro240fs) ()
🧬 SF3B4: NM_005850.5(SF3B4):c.1243C>T (p.Arg415Ter) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 41 variantes classificadas pelo ClinVar.

6
35
Patogênica (14.6%)
VUS (85.4%)
VARIANTES MAIS SIGNIFICATIVAS
POLR1A: NM_015425.6(POLR1A):c.2164C>T (p.Arg722Ter) [Likely pathogenic]
POLR1A: NM_015425.6(POLR1A):c.978G>A (p.Val326=) [Conflicting classifications of pathogenicity]
POLR1A: NM_015425.6(POLR1A):c.190del (p.Cys64fs) [Likely pathogenic]
POLR1A: NM_015425.6(POLR1A):c.1504G>A (p.Gly502Ser) [Uncertain significance]
POLR1A: NM_015425.6(POLR1A):c.4345C>T (p.Arg1449Ter) [Uncertain significance]

Vias biológicas (Reactome)

42 vias biológicas associadas aos genes desta condição.

mRNA Splicing - Major Pathway mRNA Splicing - Minor Pathway mRNA Polyadenylation Dengue Virus-Host Interactions Hedgehog 'on' state Activation of SMO Pyrimidine biosynthesis NoRC negatively regulates rRNA expression B-WICH complex positively regulates rRNA expression RNA Polymerase I Transcription Initiation RNA Polymerase I Promoter Escape RNA Polymerase I Transcription Termination Degradation of beta-catenin by the destruction complex Beta-catenin phosphorylation cascade TCF dependent signaling in response to WNT Formation of the beta-catenin:TCF transactivating complex LRR FLII-interacting protein 1 (LRRFIP1) activates type I IFN production Apoptotic cleavage of cell adhesion proteins Deactivation of the beta-catenin transactivating complex Synthesis, secretion, and inactivation of Glucagon-like Peptide-1 (GLP-1) Ca2+ pathway Adherens junctions interactions Binding of TCF/LEF:CTNNB1 to target gene promoters Disassembly of the destruction complex and recruitment of AXIN to the membrane VEGFR2 mediated vascular permeability Myogenesis Signaling by GSK3beta mutants CTNNB1 S33 mutants aren't phosphorylated CTNNB1 S37 mutants aren't phosphorylated CTNNB1 S45 mutants aren't phosphorylated CTNNB1 T41 mutants aren't phosphorylated RHO GTPases activate IQGAPs Transcriptional Regulation by VENTX InlA-mediated entry of Listeria monocytogenes into host cells RUNX3 regulates WNT signaling Cardiogenesis Germ layer formation at gastrulation Regulation of CDH11 function Regulation of CDH19 Expression and Function Regulation of CDH1 Function Degradation of CDH1 Regulation of CDH1 posttranslational processing and trafficking to plasma membrane

Diagnóstico

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Publicações mais relevantes

Timeline de publicações
55 papers (10 anos)
#1

The Phenotypic Spectrum of Miller Syndrome: Insight From a French Cohort.

Clinical genetics2026 Jan

Miller syndrome (MIM#263750) is a rare autosomal recessive acrofacial dysostosis associated with biallelic DHODH variants. Since the identification of the gene in 2010, five case reports have described a variable phenotype in only nine individuals from eight families. We present a cohort of 10 individuals from seven families affected by Miller syndrome, spanning the prenatal stage to 46 years of age. We report on the largest cohort of Miller syndrome to date, which highlights novel findings, including optic atrophy in multiple members of one consanguineous family. The typical postaxial limb defects, including the absence of the 5th digit, were consistent with prior descriptions, but we highlighted the frequent involvement of preaxial structures (thumb and tibial hypoplasia). A higher incidence of camptodactyly and the presence of facial nevus in two patients were notable findings. Congenital heart defects, primarily atrial septal defects, were common, and all living individuals had normal neurodevelopment. This cohort expands the phenotypic spectrum of Miller syndrome associated with variation in DHODH, presenting new findings such as preaxial involvement and facial nevus simplex. Optic atrophy in one family could prompt screening of other cases. Early prenatal diagnosis, particularly in the presence of cardinal limb and cardiac malformations, is crucial for management and genetic counseling.

#2

Nager Syndrome Revisited: Integrating In Vivo and In Vitro Models to Decipher SF3B4-Dependent Tissue Coordination.

WIREs mechanisms of disease2026

Nager syndrome (NS) is a rare congenital disorder primarily characterized by mandibulofacial dysostosis and upper limb anomalies. Pathogenic variants in SF3B4, which encodes a core spliceosomal component, represent the primary known genetic cause of NS. This review synthesizes recent findings from cellular, zebrafish, Xenopus, and mouse models to elucidate how SF3B4 deficiency perturbs neural crest cell (NCC) biology and multi-tissue development. Loss of SF3B4 induces widespread splicing abnormalities, with preferential exon skipping affecting AT-rich and GC-poor exons, thereby altering the expression of genes critical for NCC survival, proliferation, migration, and lineage specification. These cellular defects are further exacerbated by oxidative stress and activation of the p53 pathway, resulting in a broad spectrum of developmental abnormalities involving craniofacial, cardiac, skeletal, and sensory (auditory and ocular) systems. Together, these findings highlight the essential role of SF3B4 in coordinating early morphogenesis. Cross-species comparisons reveal conserved NCC vulnerabilities alongside model-specific phenotypes, highlighting the challenge of linking individual splicing alterations to distinct structural outcomes in NS. Future research directions include defining tissue-specific SF3B4-dependent splicing targets, developing human induced pluripotent stem cell-derived models, and exploring therapeutic strategies aimed at restoring splicing homeostasis or compensating for disrupted developmental signaling pathways. This article is categorized under: Congenital Diseases > Molecular and Cellular Physiology Congenital Diseases > Genetics/Genomics/Epigenetics Congenital Diseases > Stem Cells and Development.

#3

A novel EVC2 splice-site variant expands the mutational and phenotypic spectrum of Weyers acrofacial dysostosis.

BMC medical genomics2026 Feb 10
#4

Management and Outcomes of Neonates with Treacher Collins and Nager Syndromes.

The Journal of pediatrics2025 Aug

To compare management and outcomes of infants with mandibulofacial dysostosis syndromes (Treacher Collins and Nager syndromes) admitted to neonatal intensive care units (NICUs) to infants with other causes of micrognathia. The Children's Hospitals Neonatal Database from 2010 to 2023 was queried for infants with diagnoses of Treacher Collins syndrome (TCS), Nager syndrome (NS), and other infants in NICUs with micrognathia (n = 4210). We identified 103 infants with TCS and 11 with NS to compare with the micrognathia cohort (n = 4210). Compared with infants with micrognathia, those with TCS were more likely to undergo tracheostomy (54% vs 11%) and gastrostomy tube placement (67% vs 35%) and were less likely to undergo mandibular distraction (9.7% vs 28.2%). The hospital mortality rate in TCS was lower than micrognathia cohort (1.9% vs 7.2%). Apgar scores were similar for TCS and micrognathia cohorts (6 and 8 vs 7 and 8, at 1 and 5 minutes, respectively) but lower for NS (2 and 6). Infants with NS had the highest rate of intubation at birth (91%) and tracheostomy placement (72.7%), and a higher mortality rate than TCS (27.3% vs 1.9%). Hospital length of stay was longer in TCS (47.5 days) and NS (43 days) than the micrognathia cohort (37 days). Infants with mandibulofacial dysostosis (TCS and NS) were more likely to have a tracheostomy and gastrostomy tube, and less likely to undergo mandibular distraction than infants with micrognathia from other causes. NS was most severe with highest mortality rate and lowest Apgar scores. Despite a higher rate of tracheostomy and longer length of stay, the mortality rate for TCS remained low.

#5

A New Case of Nager Syndrome as a Rare Cause of Acrofacial Dysostosis.

Molecular syndromology2025 Dec

Nager acrofacial dysostosis (#154400) is a rare and mostly sporadic malformation syndrome characterized by craniofacial and extremity findings. In the study, a new case diagnosed in the neonatal period will be presented. The neonatal intensive care unit consulted with our pediatrics genetic clinic for a 2-week-old male patient, who was being followed up in their unit, due to his dysmorphic findings and extremity defects. In the physical examination, downward palpebral fissures, zygomatic bone hypoplasia, mandibular hypoplasia, retromicrognathia, bilateral microtia, bilateral external auditory canal atresia, and bilateral thumb agenesis were observed. Direct radiographs showed left radius hypoplasia and bilateral thumb agenesis. Nager syndrome was considered in the presence of typical craniofacial findings, preaxial extremity deformities, and radiological findings. In the SF3B4 sequence analysis, c.737dupC p.(V247Sfs*239) heterozygous variant was detected. As a result of the segregation analysis, it was demonstrated that the variant was de novo. Nager acrofacial dysostosis should be considered in the patients with craniofacial malformations and radial ray findings.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC123 artigos no totalmostrando 74

2026

Nager Syndrome Revisited: Integrating In Vivo and In Vitro Models to Decipher SF3B4-Dependent Tissue Coordination.

WIREs mechanisms of disease
2026

A novel EVC2 splice-site variant expands the mutational and phenotypic spectrum of Weyers acrofacial dysostosis.

BMC medical genomics
2025

A New Case of Nager Syndrome as a Rare Cause of Acrofacial Dysostosis.

Molecular syndromology
2026

The Phenotypic Spectrum of Miller Syndrome: Insight From a French Cohort.

Clinical genetics
2025

RNA Polymerase I Dysfunction Underlying Craniofacial Syndromes: Integrated Genetic Analysis Reveals Parallels to 22q11.2 Deletion Syndrome.

Genes
2025

PTBP3 Associated With 9q32 Locus Is a Candidate Gene for Nager Syndrome.

Birth defects research
2025

Facial Bone Defects Associated with Lateral Facial Clefts Tessier Type 6, 7 and 8 in Syndromic Neurocristopathies: A Detailed Micro-CT Analysis on Historical Museum Specimens.

Biology
2025

The Development of a European Registry for Facial Dysostosis Syndromes: A Delphi-Guided Approach.

The Journal of craniofacial surgery
2025

Unveiling the Phenotypic Spectrum of Miller Syndrome: A Systematic Review.

The Journal of craniofacial surgery
2025

Management and Outcomes of Neonates with Treacher Collins and Nager Syndromes.

The Journal of pediatrics
2025

Human stem cell model of neural crest cell differentiation reveals a requirement of SF3B4 in survival, maintenance, and differentiation.

Developmental dynamics : an official publication of the American Association of Anatomists
2024

A mild skeletal phenotype with overlapping features of Miller syndrome and functional characterisation of two new variants of human dihydroorotate dehydrogenase.

Heliyon
2025

Severe Phenotype With RECQL4 Syndrome: A Report of Two Cases.

American journal of medical genetics. Part A
2024

Variant characterisation and clinical profile in a large cohort of patients with Ellis-van Creveld syndrome and a family with Weyers acrofacial dysostosis.

Journal of medical genetics
2024

Transcriptomic analysis reveals mitochondrial dysfunction in the pathogenesis of Nager syndrome in sf3b4-depleted zebrafish.

Biochimica et biophysica acta. Molecular basis of disease
2024

Weyers Acrofacial Dysostosis: A Case Report.

Cureus
2023

Children with Rare Nager Syndrome-Literature Review, Clinical and Physiotherapeutic Management.

Genes
2023

EVC-EVC2 complex stability and ciliary targeting are regulated by modification with ubiquitin and SUMO.

Frontiers in cell and developmental biology
2023

Assessment of a novel variation in DHODH gene causing Miller syndrome: The first report in Chinese population.

Molecular genetics & genomic medicine
2023

POLR1A variants underlie phenotypic heterogeneity in craniofacial, neural, and cardiac anomalies.

American journal of human genetics
2022

First case report of Nager syndrome patient from Georgia.

SAGE open medical case reports
2022

Dynamic regulation and requirement for ribosomal RNA transcription during mammalian development.

Proceedings of the National Academy of Sciences of the United States of America
2022

Microdeletion of 4p16.2 in Children: A Case Report and Literature Review.

Case reports in genetics
2023

SF3B4 Frameshift Variants Represented a More Severe Clinical Manifestation in Nager Syndrome.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
2022

Phenotypic and Molecular Heterogeneity in Mandibulofacial Dysostoses: A Case Series From India.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
2021

Congenital limb deficiency: Genetic investigation of 44 individuals presenting mainly longitudinal defects in isolated or syndromic forms.

Clinical genetics
2021

Molecular mechanisms of hearing loss in Nager syndrome.

Developmental biology
2021

The role of double-step advancement genioplasty and bilateral coronoidectomy in Nager Syndrome: A case report.

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
2021

Nager syndrome in patient lacking acrofacial dysostosis: Expanding the phenotypic spectrum of SF3B4-related disease.

American journal of medical genetics. Part A
2020

Targeted Next-Generation Sequencing in the Diagnosis of Facial Dysostoses.

Frontiers in genetics
2021

Mandibulofacial dysostosis with microcephaly: An expansion of the phenotype via parental survey.

American journal of medical genetics. Part A
2020

Broad-spectrum next-generation sequencing-based diagnosis of a case of Nager syndrome.

Journal of clinical laboratory analysis
2020

Hyoid Bone Position and Head Posture in Patients With Richieri-Costa Pereira Syndrome (EIF4A3 Mutations).

The Journal of craniofacial surgery
2020

Associated syndromes in patients with Pierre Robin Sequence.

International journal of pediatric otorhinolaryngology
2020

Heterozygous mutation of the splicing factor Sf3b4 affects development of the axial skeleton and forebrain in mouse.

Developmental dynamics : an official publication of the American Association of Anatomists
2019

Erosive pustular dermatosis of the scalp in an adolescent with near-total hair regrowth: Case report and review of the literature.

Pediatric dermatology
2019

A Case of Nager Syndrome Diagnosed Before Birth.

Acta medica Okayama
2019

Genetic Polymorphisms Associated with Idiopathic Short Stature and First-Year Response to Growth Hormone Treatment.

Hormone research in paediatrics
2019

The final demise of Rodriguez lethal acrofacial dysostosis: A case report and review of the literature.

American journal of medical genetics. Part A
2018

Complexity of the 5' Untranslated Region of EIF4A3, a Critical Factor for Craniofacial and Neural Development.

Frontiers in genetics
2018

Modified Lefort Distraction Osteogenesis for the Treatment of Nager Syndrome-Associated Midface Hypoplasia: Technique and Review.

The Journal of craniofacial surgery
2018

Cephalometric Findings in Nine Individuals With Richieri-Costa-Pereira Syndrome.

The Journal of craniofacial surgery
2019

Novel mutation in EFCAB7 alters expression and interaction of Ellis-van Creveld ciliary proteins.

Congenital anomalies
2018

tp53-dependent and independent signaling underlies the pathogenesis and possible prevention of Acrofacial Dysostosis-Cincinnati type.

Human molecular genetics
2018

Decannulation and Airway Outcomes With Maxillomandibular Distraction in Treacher Collins and Nager Syndrome.

The Journal of craniofacial surgery
2018

Richieri-Costa-Pereira syndrome: Expanding its phenotypic and genotypic spectrum.

Clinical genetics
2017

Ankylosis of temporomandibular joints after mandibular distraction osteogenesis in patients with Nager syndrome: Report of two cases and literature review.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS
2017

Role of Primary Cilia in Odontogenesis.

Journal of dental research
2017

Rare syndromes of the head and face: mandibulofacial and acrofacial dysostoses.

Wiley interdisciplinary reviews. Developmental biology
2017

Synchronous Bilateral Breast Cancer in a Patient With Nager Syndrome.

Clinical breast cancer
2017

A synonymous splicing mutation in the SF3B4 gene segregates in a family with highly variable Nager syndrome.

European journal of human genetics : EJHG
2017

Mitochondrial nucleic acid binding proteins associated with diseases.

Frontiers in bioscience (Landmark edition)
2016

[Analysis of causes and whole microbial structure in a case of rampant caries].

Nan fang yi ke da xue xue bao = Journal of Southern Medical University
2016

Does canal wall down mastoidectomy benefit syndromic children with congenital aural stenosis?

International journal of pediatric otorhinolaryngology
2017

A Case Report of Absent Epiglottis in Children With Nager Syndrome: Its Impact on Swallowing.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
2016

Rodriguez acrofacial dysostosis is caused by apparently de novo heterozygous mutations in the SF3B4 gene.

American journal of medical genetics. Part A
2016

Altered mRNA Splicing, Chondrocyte Gene Expression and Abnormal Skeletal Development due to SF3B4 Mutations in Rodriguez Acrofacial Dysostosis.

PLoS genetics
2016

Use of the C-MAC® adult D blade in paediatric patients with Nager syndrome.

Anaesthesia and intensive care
2016

Rodriguez lethal acrofacial dysostosis syndrome with ambiguous genitalia.

Taiwanese journal of obstetrics & gynecology
2016

Elevated plasma dihydroorotate in Miller syndrome: Biochemical, diagnostic and clinical implications, and treatment with uridine.

Molecular genetics and metabolism
2016

The Craniofacial and Upper Limb Management of Nager Syndrome.

The Journal of craniofacial surgery
2016

Propranolol-induced gingival hyperplasia with Nager syndrome: A rare adverse drug reaction.

Journal of advanced pharmaceutical technology & research
2016

Nager Syndrome with Eventration of Diaphragm: A Rare Presentation.

Indian journal of pediatrics
2016

Sf3b4-depleted Xenopus embryos: A model to study the pathogenesis of craniofacial defects in Nager syndrome.

Developmental biology
2016

Truncation and microdeletion of EVC/EVC2 with missense mutation of EFCAB7 in Ellis-van Creveld syndrome.

Congenital anomalies
2015

Nager acrofacial dysostosis: a rare genetic disorder causing bilateral temperomandibular joint ankylosis in a 10-year-old girl.

BMJ case reports
2016

Prenatal diagnosis of Nager syndrome in a 12-week-old fetus with a whole gene deletion of SF3B4 by chromosomal microarray.

European journal of medical genetics
2016

Novel mutations in EVC cause aberrant splicing in Ellis-van Creveld syndrome.

Molecular genetics and genomics : MGG
2015

Dental Management of a Patient with Nager Acrofacial Dysostosis.

Case reports in dentistry
2015

[Nager syndrome associated with tetralogy of Fallot: A frequent association?].

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
2015

Acrofacial Dysostosis, Cincinnati Type, a Mandibulofacial Dysostosis Syndrome with Limb Anomalies, Is Caused by POLR1A Dysfunction.

American journal of human genetics
2015

A review of craniofacial disorders caused by spliceosomal defects.

Clinical genetics
2015

Nager syndrome and Pierre Robin sequence.

Pediatrics international : official journal of the Japan Pediatric Society
2015

Orbital soft tissue surgery for patients with Treacher-Collins or Nager syndrome. A new surgical approach with early correction of soft tissue: prospective study.

The British journal of oral & maxillofacial surgery
Ver todos os 123 no EuropePMC

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. The Phenotypic Spectrum of Miller Syndrome: Insight From a French Cohort.
    Clinical genetics· 2026· PMID 41339098mais citado
  2. Nager Syndrome Revisited: Integrating In Vivo and In Vitro Models to Decipher SF3B4-Dependent Tissue Coordination.
    WIREs mechanisms of disease· 2026· PMID 41667381mais citado
  3. A novel EVC2 splice-site variant expands the mutational and phenotypic spectrum of Weyers acrofacial dysostosis.
    BMC medical genomics· 2026· PMID 41664038mais citado
  4. Management and Outcomes of Neonates with Treacher Collins and Nager Syndromes.
    The Journal of pediatrics· 2025· PMID 40280475mais citado
  5. A New Case of Nager Syndrome as a Rare Cause of Acrofacial Dysostosis.
    Molecular syndromology· 2025· PMID 41378235mais citado
  6. RNA Polymerase I Dysfunction Underlying Craniofacial Syndromes: Integrated Genetic Analysis Reveals Parallels to 22q11.2 Deletion Syndrome.
    Genes (Basel)· 2025· PMID 41010008recente
  7. Facial Bone Defects Associated with Lateral Facial Clefts Tessier Type 6, 7 and 8 in Syndromic Neurocristopathies: A Detailed Micro-CT Analysis on Historical Museum Specimens.
    Biology (Basel)· 2025· PMID 40723430recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:364574(Orphanet)
  2. MONDO:0018237(MONDO)
  3. GARD:21574(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q21082523(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

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Disostose acrofacial
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Disostose acrofacial

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