Raras
Buscar doenças, sintomas, genes...
Sindactilia não-sindrômica
ORPHA:90025CID-10 · Q70CID-11 · LB79DOENÇA RARA

Condição congênita caracterizada por membranas entre os dedos das mãos e/ou dos pés, unindo os dedos. Em casos raros, a união dos dedos das mãos ou dos pés pode envolver fusão óssea entre os dedos. As causas comuns incluem Síndrome de Down e sindactilia hereditária.

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Introdução

O que você precisa saber de cara

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Condição congênita caracterizada por membranas entre os dedos das mãos e/ou dos pés, unindo os dedos. Em casos raros, a união dos dedos das mãos ou dos pés pode envolver fusão óssea entre os dedos. As causas comuns incluem Síndrome de Down e sindactilia hereditária.

Publicações científicas
6 artigos
Último publicado: 2020 Jul
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q70
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
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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
44 sintomas
💪
Músculos
2 sintomas

+ 19 sintomas em outras categorias

Características mais comuns

Sindactilia dos dedos 3-4 do pé
Hipotonia de início na segunda infância
Palma curta
Hálux curto
Aplasia/Hipoplasia das falanges médias da mão
Polegar curto
65sintomas
Sem dados (65)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 65 características clínicas mais associadas, ordenadas por frequência.

Sindactilia dos dedos 3-4 do pé3-4 toe syndactyly
Hipotonia de início na segunda infânciaHP:0010091
Palma curtaShort palm
Hálux curtoShort hallux
Aplasia/Hipoplasia das falanges médias da mãoAplasia/Hypoplasia of the middle phalanges of the hand

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa6desde 2020
Total histórico6PubMed
Últimos 10 anos2publicações
Pico20151 papers
Linha do tempo
20202020Hoje · 2026
Publicações por ano (últimos 10 anos)

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Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

8 genes identificados com associação a esta condição.

BHLHA9Class A basic helix-loop-helix protein 9Disease-causing germline mutation(s) inDesconhecido
FUNÇÃO

Transcription factor, which play a role in limb development. Is an essential player in the regulatory network governing transcription of genes implicated in limb morphogenesis

LOCALIZAÇÃO

NucleusCytoplasm

MECANISMO DE DOENÇA

Split-hand/foot malformation with long bone deficiency 3

A disease characterized by the association of split-hand/foot malformation with long bone deficiency involving the tibia and fibula. Split-hand/foot malformation is a limb malformation involving the central rays of the autopod. Phenotypic expression is extremely variable between and within families, and even between limbs of a single patient, ranging from syndactyly and oligodactyly to the most severe monodactyly with only a single phalanx. Limb features include median clefts of the hands and feet, and aplasia and/or hypoplasia of the phalanges, metacarpals, and metatarsals.

OUTRAS DOENÇAS (4)
mesoaxial synostotic syndactyly with phalangeal reductionCamptosynpolydactyly, complexGollop-Wolfgang complextibial aplasia-ectrodactyly syndrome
HGNC:35126UniProt:Q7RTU4
SHHSonic hedgehog proteinCandidate gene tested inAltamente restrito
FUNÇÃO

The C-terminal part of the sonic hedgehog protein precursor displays an autoproteolysis and a cholesterol transferase activity (By similarity). Both activities result in the cleavage of the full-length protein into two parts (ShhN and ShhC) followed by the covalent attachment of a cholesterol moiety to the C-terminal of the newly generated ShhN (By similarity). Both activities occur in the endoplasmic reticulum (By similarity). Once cleaved, ShhC is degraded in the endoplasmic reticulum (By simi

LOCALIZAÇÃO

Endoplasmic reticulum membraneGolgi apparatus membraneSecretedCell membrane

VIAS BIOLÓGICAS (5)
Hedgehog 'on' stateActivation of SMOLigand-receptor interactionsRelease of Hh-Np from the secreting cellFormation of lateral plate mesoderm
MECANISMO DE DOENÇA

Microphthalmia/Coloboma 5

A disorder of eye formation, ranging from small size of a single eye to complete bilateral absence of ocular tissues. Ocular abnormalities like opacities of the cornea and lens, scaring of the retina and choroid, and other abnormalities may also be present. Ocular colobomas are a set of malformations resulting from abnormal morphogenesis of the optic cup and stalk, and the fusion of the fetal fissure (optic fissure).

EXPRESSÃO TECIDUAL(Tecido-específico)
Nervo tibial
21.7 TPM
Glândula adrenal
7.7 TPM
Fígado
7.4 TPM
Estômago
3.8 TPM
Rim - Medula
3.5 TPM
OUTRAS DOENÇAS (15)
microphthalmia, isolated, with coloboma 5holoprosencephaly 3solitary median maxillary central incisor syndrometibia, hypoplasia or aplasia of, with polydactyly
HGNC:10848UniProt:Q15465
FBLN1Fibulin-1Candidate gene tested inAltamente restrito
FUNÇÃO

Incorporated into fibronectin-containing matrix fibers. May play a role in cell adhesion and migration along protein fibers within the extracellular matrix (ECM). Could be important for certain developmental processes and contribute to the supramolecular organization of ECM architecture, in particular to those of basement membranes. Has been implicated in a role in cellular transformation and tumor invasion, it appears to be a tumor suppressor. May play a role in haemostasis and thrombosis owing

LOCALIZAÇÃO

Secreted, extracellular space, extracellular matrix

VIAS BIOLÓGICAS (1)
Molecules associated with elastic fibres
EXPRESSÃO TECIDUAL(Ubíquo)
Cervix Ectocervix
863.8 TPM
Cervix Endocervix
863.3 TPM
Vagina
740.8 TPM
Fibroblastos
662.3 TPM
Fallopian Tube
454.7 TPM
OUTRAS DOENÇAS (2)
synpolydactyly type 2FBLN1-related developmental delay-central nervous system anomaly-syndactyly syndrome
HGNC:3600UniProt:P23142
GJA1Gap junction alpha-1 proteinDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Structural component of the gap junction, a specialized intercellular structure consisting of a cluster of closely packed pairs of transmembrane channels, the connexons, that allow passage of small molecules and electrical signals between neighboring cells (By similarity). Forms homotypic and heterotypic channels gated by transjunctional voltage (By similarity). May play a critical role in the physiology of hearing by participating in the recycling of potassium to the cochlear endolymph (Probabl

LOCALIZAÇÃO

Cell membraneCell junction, gap junctionEndoplasmic reticulumCell junction

VIAS BIOLÓGICAS (4)
Regulation of gap junction activitySARS-CoV-2 targets PDZ proteins in cell-cell junctionGap junction assemblyMicrotubule-dependent trafficking of connexons from Golgi to the plasma membrane
MECANISMO DE DOENÇA

Oculodentodigital dysplasia

A disease characterized by a typical facial appearance and variable involvement of the eyes, dentition, and fingers. Characteristic facial features include a narrow, pinched nose with hypoplastic alae nasi, prominent columella and thin anteverted nares together with a narrow nasal bridge, and prominent epicanthic folds giving the impression of hypertelorism. The teeth are usually small and carious. Typical eye findings include microphthalmia and microcornea. The characteristic digital malformation is complete syndactyly of the fourth and fifth fingers (syndactyly type III) but the third finger may be involved and associated camptodactyly is a common finding. Cardiac abnormalities are observed in rare instances.

EXPRESSÃO TECIDUAL(Ubíquo)
Skin Not Sun Exposed Suprapubic
485.1 TPM
Glândula adrenal
439.8 TPM
Skin Sun Exposed Lower leg
408.1 TPM
Aorta
387.9 TPM
Cervix Endocervix
368.9 TPM
OUTRAS DOENÇAS (10)
oculodentodigital dysplasiaoculodentodigital dysplasia, autosomal recessiveautosomal dominant palmoplantar keratoderma and congenital alopeciacraniometaphyseal dysplasia, autosomal recessive
HGNC:4274UniProt:P17302
GLI3Transcriptional activator GLI3Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Has a dual function as a transcriptional activator and a repressor of the sonic hedgehog (Shh) pathway, and plays a role in limb development. The full-length GLI3 form (GLI3FL) after phosphorylation and nuclear translocation, acts as an activator (GLI3A) while GLI3R, its C-terminally truncated form, acts as a repressor. A proper balance between the GLI3 activator and the repressor GLI3R, rather than the repressor gradient itself or the activator/repressor ratio gradient, specifies limb digit num

LOCALIZAÇÃO

NucleusCytoplasmCell projection, cilium

VIAS BIOLÓGICAS (2)
GLI3 is processed to GLI3R by the proteasomeHedgehog 'off' state
MECANISMO DE DOENÇA

Greig cephalo-poly-syndactyly syndrome

Autosomal dominant disorder affecting limb and craniofacial development. It is characterized by pre- and postaxial polydactyly, syndactyly of fingers and toes, macrocephaly and hypertelorism.

EXPRESSÃO TECIDUAL(Ubíquo)
Útero
27.0 TPM
Cólon sigmoide
21.9 TPM
Fallopian Tube
19.5 TPM
Ovário
19.4 TPM
Cervix Ectocervix
15.9 TPM
OUTRAS DOENÇAS (8)
Pallister-Hall syndromepolysyndactyly 4polydactyly, postaxial, type A1Greig cephalopolysyndactyly syndrome
HGNC:4319UniProt:P10071
FGF16Fibroblast growth factor 16Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Plays an important role in the regulation of embryonic development, cell proliferation and cell differentiation, and is required for normal cardiomyocyte proliferation and heart development

LOCALIZAÇÃO

Secreted

VIAS BIOLÓGICAS (10)
PI5P, PP2A and IER3 Regulate PI3K/AKT SignalingPIP3 activates AKT signalingConstitutive Signaling by Aberrant PI3K in CancerPI-3K cascade:FGFR3Negative regulation of FGFR3 signaling
MECANISMO DE DOENÇA

Metacarpal 4-5 fusion

A rare congenital malformation of the hand characterized by the partial or complete fusion of the fourth and fifth metacarpals. The anomaly occurs as an isolated trait or part of a syndrome.

EXPRESSÃO TECIDUAL(Baixa expressão)
Tecido adiposo
0.7 TPM
Mama
0.4 TPM
Bladder
0.4 TPM
Aorta
0.3 TPM
Adipose Visceral Omentum
0.3 TPM
OUTRAS DOENÇAS (1)
syndactyly type 8
HGNC:3672UniProt:O43320
HOXD13Homeobox protein Hox-D13Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Sequence-specific transcription factor that binds gene promoters and activates their transcription (PubMed:24789103). Part of a developmental regulatory system that provides cells with specific positional identities on the anterior-posterior axis (By similarity)

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Synpolydactyly 1

Limb malformation that shows a characteristic manifestation in both hands and feet. This condition is inherited as an autosomal dominant trait with reduced penetrance.

EXPRESSÃO TECIDUAL(Tecido-específico)
Cólon sigmoide
34.0 TPM
Vagina
31.9 TPM
Cervix Ectocervix
28.0 TPM
Próstata
19.3 TPM
Cervix Endocervix
10.6 TPM
OUTRAS DOENÇAS (8)
syndactyly type 5synpolydactyly type 1brachydactyly type E1brachydactyly-syndactyly syndrome
HGNC:5136UniProt:P35453
LMBR1Limb region 1 protein homologDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Putative membrane receptor

LOCALIZAÇÃO

Membrane

MECANISMO DE DOENÇA

Preaxial polydactyly 2

Polydactyly consists of duplication of the distal phalanx. The thumb in PPD2 is usually opposable and possesses a normal metacarpal.

EXPRESSÃO TECIDUAL(Ubíquo)
Glândula adrenal
16.9 TPM
Testículo
14.8 TPM
Útero
13.0 TPM
Cérebro - Hemisfério cerebelar
12.8 TPM
Ovário
12.4 TPM
INTERAÇÕES PROTEICAS (5)
OUTRAS DOENÇAS (7)
syndactyly type 4laurin-Sandrow syndrometriphalangeal thumb-polysyndactyly syndromeacheiropody
HGNC:13243UniProt:Q8WVP7

Variantes genéticas (ClinVar)

522 variantes patogênicas registradas no ClinVar.

🧬 BHLHA9: GRCh38/hg38 17p13.3(chr17:240638-1939562)x1 ()
🧬 BHLHA9: GRCh37/hg19 17p13.3(chr17:257557-1791653)x4 ()
🧬 BHLHA9: GRCh37/hg19 17p13.3(chr17:1092566-1555778)x3 ()
🧬 BHLHA9: GRCh37/hg19 17p13.3(chr17:1141153-1203450)x1 ()
🧬 BHLHA9: GRCh37/hg19 17p13.3(chr17:1092258-1496540)x3 ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 4 variantes classificadas pelo ClinVar.

2
2
Patogênica (50.0%)
VUS (50.0%)
VARIANTES MAIS SIGNIFICATIVAS
LRP2: NM_004525.3(LRP2):c.3889G>T (p.Gly1297Trp) [Conflicting classifications of pathogenicity]
AGGF1: NM_018046.5(AGGF1):c.112_132dup (p.Arg44_Glu45insSerCysLysArgGlnValArg) [Likely pathogenic]
RAB19: NM_001008749.3(RAB19):c.331T>C (p.Trp111Arg) [Uncertain significance]
CDH20: NM_031891.4(CDH20):c.2059C>T (p.Arg687Trp) [Uncertain significance]

Vias biológicas (Reactome)

54 vias biológicas associadas aos genes desta condição.

Class B/2 (Secretin family receptors) Hedgehog ligand biogenesis Hh mutants are degraded by ERAD Release of Hh-Np from the secreting cell Ligand-receptor interactions Hedgehog 'on' state Activation of SMO HHAT G278V doesn't palmitoylate Hh-Np Formation of lateral plate mesoderm Formation of axial mesoderm Developmental Lineage of Multipotent Pancreatic Progenitor Cells Molecules associated with elastic fibres Oligomerization of connexins into connexons Transport of connexins along the secretory pathway Microtubule-dependent trafficking of connexons from Golgi to the plasma membrane Gap junction assembly Gap junction degradation Regulation of gap junction activity Formation of annular gap junctions RHOQ GTPase cycle RHOJ GTPase cycle SARS-CoV-2 targets PDZ proteins in cell-cell junction Mechanical load activates signaling by PIEZO1 and integrins in osteocytes GLI3 is processed to GLI3R by the proteasome Hedgehog 'off' state GLI proteins bind promoters of Hh responsive genes to promote transcription RUNX2 regulates osteoblast differentiation PI3K Cascade PIP3 activates AKT signaling Signaling by activated point mutants of FGFR3 FGFR4 ligand binding and activation FGFR3c ligand binding and activation FGFR2c ligand binding and activation Activated point mutants of FGFR2 Constitutive Signaling by Aberrant PI3K in Cancer Phospholipase C-mediated cascade; FGFR2 Phospholipase C-mediated cascade; FGFR3 Phospholipase C-mediated cascade; FGFR4 PI-3K cascade:FGFR2 SHC-mediated cascade:FGFR2 FRS-mediated FGFR2 signaling SHC-mediated cascade:FGFR3 FRS-mediated FGFR3 signaling PI-3K cascade:FGFR3 FRS-mediated FGFR4 signaling SHC-mediated cascade:FGFR4 PI-3K cascade:FGFR4 Negative regulation of FGFR2 signaling Negative regulation of FGFR3 signaling Negative regulation of FGFR4 signaling Signaling by FGFR2 in disease Signaling by FGFR3 in disease RAF/MAP kinase cascade PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

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Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Sindactilia não-sindrômica

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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

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Publicações mais relevantes

Timeline de publicações
2 papers (10 anos)
#1

Identification of novel missense mutations associated with non-syndromic syndactyly in two vietnamese trios by whole exome sequencing.

Clinica chimica acta; international journal of clinical chemistry2020 Jul

Syndactyly is a congenital disorder caused by an irregularity in limb formation during the embryonic development. Many studies have demonstrated the critical effect of genetic factor in controlling the outcome of non-syndromic syndactyly. However the signaling pathway causing this disease has not been fully understood. The aim of this study was to identify the genetic mutations that related to syndactyly type I-c and I-d by exome sequencing. The exome sequence from two patients revealed two novel heterozygous missense mutations: GLI3: cG1622A pT541M and GJA1: cT274C p.Y92H. Sanger sequencing result confirmed that these mutations were present under heterozygous form in the affected mothers, but not in the unaffected fathers. In-silico analyses by SIFT, Polyphen-2, PredictSNP, PhD-SNP, and PROVEAN did confirm the damaging effect of these mutations in the structure and function of the proteins. The result suggested that the two novel mutations may be pathogenic for the disease in these families under the dominant model, provided the initial data for further functional studies to investigate whether those mutations play a disturbing role in the molecular network of syndactyly.

#2

Advances in the Molecular Genetics of Non-syndromic Syndactyly.

Current genomics2015 Jun

Syndactyly, webbing of adjacent digits with or without bony fusion, is one of the most common hereditary limb malformations. It occurs either as an isolated abnormality or as a component of more than 300 syndromic anomalies. There are currently nine types of phenotypically diverse nonsyndromic syndactyly. Non-syndromic syndactyly is usually inherited as an autosomal dominant trait, although the more severe presenting types and subtypes may show autosomal recessive or X-linked pattern of inheritance. The phenotype appears to be not only caused by a main gene, but also dependant on genetic background and subsequent signaling pathways involved in limb formation. So far, the principal genes identified to be involved in congenital syndactyly are mainly involved in the zone of polarizing activity and sonic hedgehog pathway. This review summarizes the recent progress made in the molecular genetics, including known genes and loci responsible for non-syndromic syndactyly, and the signaling pathways those genetic factors involved in, as well as clinical features and animal models. We hope our review will contribute to the understanding of underlying pathogenesis of this complicated disorder and have implication on genetic counseling.

Publicações recentes

Ver todas no PubMed

Associações

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Comunidades

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

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. Identification of novel missense mutations associated with non-syndromic syndactyly in two vietnamese trios by whole exome sequencing.
    Clinica chimica acta; international journal of clinical chemistry· 2020· PMID 32165123mais citado
  2. Advances in the Molecular Genetics of Non-syndromic Syndactyly.
    Current genomics· 2015· PMID 26069458mais citado
  3. Birth prevalence for congenital limb defects in the northern Netherlands: a 30-year population-based study.
    BMC Musculoskelet Disord· 2013· PMID 24237863recente
  4. The epidemiology, genetics and future management of syndactyly.
    Open Orthop J· 2012· PMID 22448207recente
  5. A simple method for characterising syndactyly in clinical practice.
    Genet Couns· 2005· PMID 16261692recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:90025(Orphanet)
  2. MONDO:0019530(MONDO)
  3. Variantes catalogadas(ClinVar)
  4. Busca completa no PubMed(PubMed)
  5. Artigo Wikipedia(Wikipedia)
  6. Q1360044(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

Sindactilia não-sindrômica
Compêndio · Raras BR

Sindactilia não-sindrômica

ORPHA:90025 · MONDO:0019530
CID-10
Q70 · Sindactilia
CID-11
MedGen
UMLS
C0039075
EuropePMC
Wikidata
Wikipedia
Papers 10a
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