Doença vitreorretiniana genética rara, ligada ao cromossomo X, caracterizada por desenvolvimento anormal da retina com cegueira congênita. As manifestações associadas comuns incluem perda auditiva neurossensorial e atraso no desenvolvimento, deficiência intelectual e/ou distúrbios comportamentais.
Introdução
O que você precisa saber de cara
Doença vitreorretiniana genética rara, ligada ao cromossomo X, caracterizada por desenvolvimento anormal da retina com cegueira congênita. As manifestações associadas comuns incluem perda auditiva neurossensorial e atraso no desenvolvimento, deficiência intelectual e/ou distúrbios comportamentais.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
Do básico ao detalhe, leia no seu ritmo
Preparando trilha educativa...
Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 26 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 75 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: X-linked recessive.
Activates the canonical Wnt signaling pathway through FZD4 and LRP5 coreceptor. Plays a central role in retinal vascularization by acting as a ligand for FZD4 that signals via stabilizing beta-catenin (CTNNB1) and activating LEF/TCF-mediated transcriptional programs. Acts in concert with TSPAN12 to activate FZD4 independently of the Wnt-dependent activation of FZD4, suggesting the existence of a Wnt-independent signaling that also promote accumulation the beta-catenin (CTNNB1). May be involved i
Secreted
Norrie disease
Recessive disorder characterized by very early childhood blindness due to degenerative and proliferative changes of the neuroretina. Approximately 50% of patients show some form of progressive mental disorder, often with psychotic features, and about one-third of patients develop sensorineural deafness in the second decade. In addition, some patients have more complex phenotypes, including growth failure and seizure.
Variantes genéticas (ClinVar)
251 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
1 via biológica associada aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Doença de Norrie
Selecione um estado ou use sua localização para ver resultados.
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
5' UTR variant in the NDP gene leads to incorrect splicing and familial exudative vitreoretinopathy.
Familial exudative vitreoretinopathy (FEVR) represents a clinically and genetically diverse ophthalmic disorder marked by incomplete development of retinal blood vessels. The NDP gene predominantly underlies X-linked FEVR. Copy number variation sequencing, chromosomal microarray, whole exome sequencing and Sanger sequencing were performed to identify and validate the candidate variant. The functional effect of the candidate variant was further investigated in HEK293 and HeLa cells with pcMINI and pcMINI-N vectors by means of minigene splicing assay in vitro. A summary of known pathogenic variants in the 5'-untranslated regions (5' UTR) of the NDP gene and their clinical characteristics was formulated. Whole exome sequencing identified a novel hemizygous 5' UTR variant (NM_000266.4: c.-167_-166delinsAAGG) in the NDP gene. Sanger sequencing confirmed cosegregation of this variant with FEVR in the affected family members. Minigene splicing assays demonstrated that this variant resulted in partial deletions in exon 2. Pathogenic variations in the 5' UTR were categorized into three types: 1. indels in dipyrimidine repeats (exon 1); 2. variants in splice sites (intron 1); and 3. variants in exon 2 (5' UTR). Among patients with variations in dipyrimidine repeats (5 out of 8), most were diagnosed with retinopathy of prematurity (ROP). Patients with splice-site variants in intron 1 (4 out of 6) were predominantly diagnosed with Norrie disease (ND), while all patients (7 out of 7) with variations in exon 2 (5' UTR region) were diagnosed with FEVR. A likely pathogenic variant was identified in 5'UTR of the NDP gene, and validation confirmed its impact on NDP splicing. The present analysis results also indicate a correlation between the location of the variations in 5'UTR and disease, providing assistance in disease prognosis.
Distinct structural mechanisms of LGR4 modulation by Norrin and RSPOs in Wnt/β-catenin signaling.
The Wnt/β-catenin pathway requires precise regulation for proper development and tissue homeostasis, yet the structural mechanisms enabling its fine-tuned control remain incompletely understood. Here, we reveal how LGR4 achieves differential signaling outcomes through distinct recognition of two key modulators: Norrin and R-spondins (RSPOs). Using cryo-electron microscopy, we determined the structure of full-length LGR4 bound to Norrin in a 2:2 stoichiometry, revealing a molecular bridging mechanism where Norrin dimer connect two LGR4 protomers in a spatial arrangement fundamentally distinct from the LGR4-RSPO2-ZNRF3 complex. Notably, Norrin binding to LGR4 sterically hinders simultaneous interaction with the Frizzled4 receptor, establishing a regulatory checkpoint in Wnt signaling. The partially overlapping binding sites for Norrin and RSPOs on LGR4 enable mutually exclusive interactions that drive distinct signaling outcomes. Disease-linked mutations map to distinct functional regions: those disrupting LGR4 interaction are associated with familial exudative vitreoretinopathy (FEVR), while others impairing Frizzled4 binding are linked to Norrie disease. Furthermore, we developed a high-affinity nanobody that blocks both Norrin and RSPO binding to LGR4, providing a potential tool for therapeutic intervention. These findings elucidate the structural basis of LGR4's dual signaling roles and lay the groundwork for therapeutic strategies targeting Wnt-related diseases.
Exon 2 mutation of NDP gene presenting as extensive peripheral retinal ischaemia: a manifestation of Norrie disease.
Norrie Disease: Cochlear Enhancement and Cerebellar Signal Abnormalities.
Norrie disease is a rare X-linked condition characterized by early childhood blindness and later onset sensorineural hearing loss. We report two male infants with genetically confirmed Norrie disease and characteristic ocular abnormalities consisting of bilateral funnel retinal detachments, anterior segment dysgenesis, and/or buphthalmos and microphthalmia. MRI demonstrated enhancement of the cranial nerves, cochleae, and cerebellum with cerebellar restricted diffusion. Intracranial findings mimicked meningitis, labyrinthitis, and cerebellitis. Neither infant showed clinical signs of infection. Labyrinthine and cerebellar signal abnormalities have not been previously reported in the context of Norrie disease. Clinicians should consider Norrie disease when encountering such findings and be aware that the described intracranial features of Norrie disease do not necessarily indicate CNS infection.
Abnormal cochlear enhancement in Norrie disease.
Norrie disease (ND) is a rare x-linked disease with retinal and cochlear vascular abnormalities. Clinically, it is characterized by congenital blindness and progressive sensorineural hearing loss during adolescence. We present images of a 3 year old child with ND and normal hearing demonstrating bilateral cochlear enhancement on brain MRI, a finding which has not been previously reported. ND mouse models show progressive degeneration of the endolymph-producing stria vascularis (SV); we hypothesize that these changes allow gadolinium leakage into the endolymph. Our images indicate that cochlear enhancement precedes changes in hearing and suggest that temporal bone/internal auditory canal MR imaging should be considered in the evaluation of ND. Future studies are needed to characterize the temporal evolution of this cochlear enhancement and how it corresponds with hearing loss. Mouse models suggest that it may be a transient phenomenon and diminish as the SV degenerates further. As ND gene therapy trials approach clinical use, cochlear enhancement could aid candidate selection and provide insight into treatment effect.
Publicações recentes
Case Report: Acute keratoconus as the presenting feature in undiagnosed Norrie disease: hypothesis from a novel NDP mutation.
5' UTR variant in the NDP gene leads to incorrect splicing and familial exudative vitreoretinopathy.
Distinct structural mechanisms of LGR4 modulation by Norrin and RSPOs in Wnt/β-catenin signaling.
Exon 2 mutation of NDP gene presenting as extensive peripheral retinal ischaemia: a manifestation of Norrie disease.
Norrie Disease: Cochlear Enhancement and Cerebellar Signal Abnormalities.
📚 EuropePMC201 artigos no totalmostrando 101
5' UTR variant in the NDP gene leads to incorrect splicing and familial exudative vitreoretinopathy.
Orphanet journal of rare diseasesDistinct structural mechanisms of LGR4 modulation by Norrin and RSPOs in Wnt/β-catenin signaling.
Nature communicationsExon 2 mutation of NDP gene presenting as extensive peripheral retinal ischaemia: a manifestation of Norrie disease.
BMJ case reportsNorrie Disease: Cochlear Enhancement and Cerebellar Signal Abnormalities.
AJNR. American journal of neuroradiologyRescue of cochlear vascular pathology prevents sensory hair cell loss in Norrie disease.
Proceedings of the National Academy of Sciences of the United States of AmericaAbnormal cochlear enhancement in Norrie disease.
The neuroradiology journalFamilial Exudative Vitreoretinopathy With and Without Pathogenic Variants of Norrin/β-Catenin Signaling Genes.
Ophthalmology scienceThe tale of capturing Norrin.
eLifeInvestigating the Impact of Dimer Interface Mutations on Norrin's Secretion and Norrin/β-Catenin Pathway Activation.
Investigative ophthalmology & visual scienceTransabdominal Fetal Ultrasound Before Early-Term Planned Delivery for Norrie Disease.
Journal of vitreoretinal diseasesNovel mutation in the NDP gene associated with Norrie disease in a Chinese pedigree.
Molecular genetics & genomic medicineOverlap between ophthalmology and psychiatry - A narrative review focused on congenital and inherited conditions.
Psychiatry researchMechanisms Underlying Rare Inherited Pediatric Retinal Vascular Diseases: FEVR, Norrie Disease, Persistent Fetal Vascular Syndrome.
CellsSystemic gene therapy rescues retinal dysfunction and hearing loss in a model of Norrie disease.
EMBO molecular medicineLoss of Tbx3 in Mouse Eye Causes Retinal Angiogenesis Defects Reminiscent of Human Disease.
Investigative ophthalmology & visual scienceAvascular Peripheral Retina in Infants.
Turkish journal of ophthalmologyThe role of PLVAP in endothelial cells.
Cell and tissue researchFirst implication of MIP in bilateral microphthalmia with persistent fetal vasculature.
American journal of medical genetics. Part AXp11.3 microdeletion causing Norrie disease and X-linked Kabuki syndrome.
American journal of ophthalmology case reportsOcular Manifestations in Patients with Sensorineural Hearing Loss.
Journal of ophthalmic & vision researchClinical Exome Sequencing Identifies NDP Gene Variants in Two Chinese Families with X-Linked Norrie Disease.
Genetic testing and molecular biomarkersDual phenotype: co-occurring Leber congenital amaurosis and familial exudative vitreoretinopathy: a case report.
Ophthalmic geneticsNext-generation sequencing reveals a case of Norrie disease in a child with bilateral ocular malformation.
Frontiers in geneticsLong-Term Anatomic and Visual Outcomes of Planned Preterm Delivery and Treatment of Norrie Disease.
Ophthalmic surgery, lasers & imaging retinaWhole-genome sequencing revealed different demographic histories among the Korean endemic hill pigeon (Columba rupestris), rock pigeon (Columba livia var. domestica) and oriental turtle dove (Streptopelia orientalis).
Genes & genomicsOcular manifestations of Chinese patients with copy number variants in the NDP gene.
Molecular visionSpectrum of Mutations in NDP Resulting in Ocular Disease; a Systematic Review.
Frontiers in geneticsEndolymphatic Hydrop Phenotype in Familial Norrie Disease Caused by Large Fragment Deletion of NDP.
Frontiers in aging neurosciencePlanned Preterm Delivery and Treatment of Severe Infantile FEVR With Osteoporosis-Pseudoglioma Syndrome.
Ophthalmic surgery, lasers & imaging retinaNDP-related retinopathies: clinical phenotype of female carriers.
The British journal of ophthalmologyA Survey of Multigenic Protein-Altering Variant Frequency in Familial Exudative Vitreo-Retinopathy (FEVR) Patients by Targeted Sequencing of Seven FEVR-Linked Genes.
GenesHearing Function, Degeneration, and Disease: Spotlight on the Stria Vascularis.
Frontiers in cell and developmental biologyStructure and function of the retina of low-density lipoprotein receptor-related protein 5 (Lrp5)-deficient rats.
Experimental eye researchThe timing of auditory sensory deficits in Norrie disease has implications for therapeutic intervention.
JCI insightA novel frameshift c.22_25dupGCAT mutation of the NDP gene in a Chinese infant with Norrie disease: A case report.
MedicineMultiple Cranial Nerve Gadolinium Enhancement in Norrie Disease.
Annals of neurologyNorrie disease protein is essential for cochlear hair cell maturation.
Proceedings of the National Academy of Sciences of the United States of AmericaCase report: A case of Norrie disease due to deletion of the entire coding region of NDP gene.
American journal of ophthalmology case reportsRetinoschisis and Norrie disease: a missing link.
BMC research notesIdentification of a variant in NDP associated with X-linked retinal dysplasia in the English cocker spaniel dog.
PloS oneNorrie disease with a spontaneously shrinking choroid plexus abnormality: a case report.
Ophthalmic geneticsNovel Norrie disease gene mutations in Chinese patients with familial exudative vitreoretinopathy.
BMC ophthalmologyImpact of sight and hearing loss in patients with Norrie disease: advantages of Dual Sensory clinics in patient care.
BMJ paediatrics openEthacrynic acid, a loop diuretic, suppresses epithelial-mesenchymal transition of A549 lung cancer cells via blocking of NDP-induced WNT signaling.
Biochemical pharmacologyPrenatal diagnosis of Norrie disease after whole exome sequencing of an affected proband during an ongoing pregnancy: a case report.
BMC medical geneticsIdentification of Gene Mutations in Atypical Retinopathy of Prematurity Cases.
Journal of ophthalmologyThe X-linked retinopathies: Physiological insights, pathogenic mechanisms, phenotypic features and novel therapies.
Progress in retinal and eye researchA novel c.287G>T NDP missense mutation in a Chinese family with Norrie disease.
Ophthalmic geneticsOcular manifestations of Norrie disease.
Journal francais d'ophtalmologieNovel Pathogenic Variant in the Cys110 Residue: A Genotype-Phenotype Report of a Patient with Norrie Disease.
Journal of pediatric geneticsNovel mutation in CTNNB1 causes familial exudative vitreoretinopathy (FEVR) and microcephaly: case report and review of the literature.
Ophthalmic genetics[Norrie disease caused by a c.361C>T missense variant of the NDP gene in a pedigree].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsComprehensive analysis of syndromic hearing loss patients in Japan.
Scientific reportsThinking outside the box: cataplexy without narcolepsy.
Sleep medicine[Genetic analysis and prenatal diagnosis for a pedigree affected with X-linked Norrie disease].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsNorrie disease gene polymorphism in Indonesian infants with retinopathy of prematurity.
BMJ open ophthalmologyHypoxia tolerance in the Norrin-deficient retina and the chronically hypoxic brain studied at single-cell resolution.
Proceedings of the National Academy of Sciences of the United States of AmericaVascular regeneration in adult mouse cochlea stimulated by VEGF-A165 and driven by NG2-derived cells ex vivo.
Hearing researchMolecularly defined cortical astroglia subpopulation modulates neurons via secretion of Norrin.
Nature neuroscienceGermline Mutations in CTNNB1 Associated With Syndromic FEVR or Norrie Disease.
Investigative ophthalmology & visual scienceWnt Signaling in vascular eye diseases.
Progress in retinal and eye researchPrenatal diagnosis of familial exudative vitreoretinopathy and Norrie disease.
Molecular genetics & genomic medicineEndothelial Cell-Specific Inactivation of TSPAN12 (Tetraspanin 12) Reveals Pathological Consequences of Barrier Defects in an Otherwise Intact Vasculature.
Arteriosclerosis, thrombosis, and vascular biologyPrenatal diagnosis of Norrie disease based on ultrasound findings.
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and GynecologyIntrogression of regulatory alleles and a missense coding mutation drive plumage pattern diversity in the rock pigeon.
eLifeDendrobium nobile Lindley and its bibenzyl component moscatilin are able to protect retinal cells from ischemia/hypoxia by dowregulating placental growth factor and upregulating Norrie disease protein.
BMC complementary and alternative medicineWnt-Spectrum Vitreoretinopathy Masquerading as Congenital Toxoplasmosis.
Ophthalmic surgery, lasers & imaging retinaWNT7A/B promote choroidal neovascularization.
Experimental eye researchPreimplantation genetic diagnosis as a strategy to prevent having a child born with an heritable eye disease.
Ophthalmic geneticsRefractory epilepsy in Norrie disease.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyIdentification of A Novel Missense Mutation in The Norrie Disease Gene: The First Molecular Genetic Analysis and Prenatal Diagnosis of Norrie Disease in An Iranian Family.
Cell journalA novel contiguous deletion involving NDP, MAOB and EFHC2 gene in a patient with familial Norrie disease: bilateral blindness and leucocoria without other deficits.
Journal of geneticsNext-generation sequencing reveals a novel NDP gene mutation in a Chinese family with Norrie disease.
Indian journal of ophthalmologyCochlear Implants and Psychiatric Assessments: a Norrie Disease Case Report.
Psychiatria DanubinaA novel c.240_241insGG mutation in NDP gene in a family with Norrie disease.
Clinical & experimental optometryNorrin treatment improves ganglion cell survival in an oxygen-induced retinopathy model of retinal ischemia.
Experimental eye researchGenotype-Phenotype Characterization of Novel Variants in Six Italian Patients with Familial Exudative Vitreoretinopathy.
Journal of ophthalmologyThe importance of biochemical and genetic findings in the diagnosis of atypical Norrie disease.
Clinical chemistry and laboratory medicineClinical and genetic analysis of Indian patients with NDP-related retinopathies.
International ophthalmologyLong-term consequences of developmental vascular defects on retinal vessel homeostasis and function in a mouse model of Norrie disease.
PloS onePrenatal Diagnosis of a Case of Norrie Disease with Late Development of Bilateral Ocular Malformation.
Fetal and pediatric pathologyRepair of Total Tractional Retinal Detachment in Norrie Disease: Report of Technique and Successful Surgical Outcome.
Ophthalmic surgery, lasers & imaging retinaLaser-capture micro dissection combined with next-generation sequencing analysis of cell type-specific deafness gene expression in the mouse cochlea.
Hearing research[Preimplantation genetic diagnosis and monogenic inherited eye diseases].
Ceska a slovenska oftalmologie : casopis Ceske oftalmologicke spolecnosti a Slovenske oftalmologicke spolecnostiA novel missense mutation of NDP in a Chinese family with X-linked familial exudative vitreoretinopathy.
Journal of the Chinese Medical Association : JCMAPlasmalemma vesicle-associated protein: A crucial component of vascular homeostasis.
Experimental and therapeutic medicinePrenatal Diagnosis of Persistent Hyperplastic Primary Vitreous: Report of 2 Cases and Review of the Literature.
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in MedicineWNT Stimulation Dissociates a Frizzled 4 Inactive-State Complex with Gα12/13.
Molecular pharmacologyImmediate Sequential Bilateral Pediatric Vitreoretinal Surgery: An International Multicenter Study.
OphthalmologyMutation spectrum of the Norrie disease pseudoglioma (NDP) gene in Indian patients with FEVR.
Molecular visionDifferential diagnosis of Norrie disease and X-linked familial exudative vitreoretinopathy (XL-FEVR) based on clinical and molecular evaluation.
Klinika ocznaA novel c.2T>A NDP missense mutation in a Chinese family with Norrie disease.
Acta ophthalmologicaBilateral persistent fetal vasculature due to a mutation in the Norrie disease protein gene.
The neuroradiology journal[Analysis of the NDP gene in a Chinese family with X-linked recessive Norrie disease].
[Zhonghua yan ke za zhi] Chinese journal of ophthalmologyFamilial Exudative Vitreoretinopathy.
Turkish journal of ophthalmologyStructure and functional properties of Norrin mimic Wnt for signalling with Frizzled4, Lrp5/6, and proteoglycan.
eLifeFrizzled-4 Variations Associated with Retinopathy and Intrauterine Growth Retardation: A Potential Marker for Prematurity and Retinopathy.
OphthalmologyPeripheral Avascular Retina in a Term Male Neonate With Microvillus Inclusion Disease and Pancreatic Insufficiency.
Ophthalmic surgery, lasers & imaging retinaUtilization of gene mapping and candidate gene mutation screening for diagnosing clinically equivocal conditions: a Norrie disease case study.
Eye scienceEpilepsy phenotypes in siblings with Norrie disease.
Brain & developmentComplex genetics of familial exudative vitreoretinopathy and related pediatric retinal detachments.
Taiwan journal of ophthalmologyAssociações
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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.
- 5' UTR variant in the NDP gene leads to incorrect splicing and familial exudative vitreoretinopathy.
- Distinct structural mechanisms of LGR4 modulation by Norrin and RSPOs in Wnt/β-catenin signaling.
- Exon 2 mutation of NDP gene presenting as extensive peripheral retinal ischaemia: a manifestation of Norrie disease.
- Norrie Disease: Cochlear Enhancement and Cerebellar Signal Abnormalities.
- Abnormal cochlear enhancement in Norrie disease.
- Case Report: Acute keratoconus as the presenting feature in undiagnosed Norrie disease: hypothesis from a novel NDP mutation.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:649(Orphanet)
- OMIM OMIM:310600(OMIM)
- MONDO:0010691(MONDO)
- GARD:7224(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q1415842(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.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar