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Absent inner and outer dynein arms

MedGen UID:
868587
Concept ID:
C4022986
Finding
HPO: HP:0012259

Definition

Complete absence of the dynein arms of respiratory motile cilia, that is, absence of the inner and the outer dynein arms, which normally are situated inside and outside of the peripheral microtubules of motile cilia. This feature is usually appreciated by electron microscopy. [from HPO]

Term Hierarchy

Conditions with this feature

Primary ciliary dyskinesia 2
MedGen UID:
338258
Concept ID:
C1847554
Disease or Syndrome
Primary ciliary dyskinesia-2 (CILD2) is an autosomal recessive disorder arising from immotile cilia that lack both outer and inner dynein arms. Ineffective airway mucociliary clearance usually manifests within the first year of life with recurrent infections resulting in a chronic respiratory condition and progressing to permanent lung damage. Some patients have nasal polyps, infertility, or hearing loss. About half of patients have situs inversus (Mitchison et al., 2012). For a phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see 244400.
Primary ciliary dyskinesia 19
MedGen UID:
762332
Concept ID:
C3543826
Disease or Syndrome
Primary ciliary dyskinesia-19 (CILD19) is an autosomal recessive ciliopathy characterized by chronic sinopulmonary infections, asthenospermia, and immotile cilia. Respiratory epithelial cells and sperm flagella of affected individuals lack both the inner and outer dynein arms. About 50% of patients have situs inversus (summary by Kott et al., 2012). For a phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see 244400.
Primary ciliary dyskinesia 22
MedGen UID:
815873
Concept ID:
C3809543
Disease or Syndrome
Primary ciliary dyskinesia-22 (CILD22) is an autosomal recessive disorder caused by defective structure and function of cilia or flagella. Ciliary dysfunction causes respiratory distress in term neonates, impaired mucociliary clearance, chronic cough, sinusitis, bronchiectasis, and male infertility. Defective motility of embryonic nodal cilia leads to situs abnormalities in about 50% of patients. CILD22 is characterized by defects of the inner and outer dynein arms (summary by Zariwala et al., 2013). For a phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).
Ciliary dyskinesia, primary, 38
MedGen UID:
1648465
Concept ID:
C4748052
Disease or Syndrome
Primary ciliary dyskinesia-38 is an autosomal recessive disorder characterized by chronic airway disease and recurrent sinopulmonary infections beginning in infancy and caused by defective ciliary function. Affected individuals often have neonatal respiratory distress and may later have infertility. About half of patients have laterality defects due to ciliary dysfunction in early embryonic development (summary by Fassad et al., 2018 and Hoben et al., 2018). For a general phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).
Ciliary dyskinesia, primary, 45
MedGen UID:
1714988
Concept ID:
C5394104
Disease or Syndrome
Primary ciliary dyskinesia-45 (CILD45) is an autosomal recessive disorder characterized by recurrent sinopulmonary infections resulting from defective mucociliary clearance. Affected individuals have onset of symptoms in infancy or early childhood, and the repetitive nature of the disorder may result in bronchiectasis. Nasal nitric oxide may be decreased, but patients do not have situs abnormalities. Male patients have infertility due to immotile sperm (summary by Thomas et al., 2020). For a phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).

Professional guidelines

PubMed

Pifferi M, Bush A, Mulé G, Gracci S, Fonnesu R, Michelucci A, Cangiotti A, Caligo MA, Miccoli M, Boner AL, Peroni D
Ann Am Thorac Soc 2021 Jun;18(6):963-970. doi: 10.1513/AnnalsATS.202007-816OC. PMID: 33760720

Recent clinical studies

Etiology

Pifferi M, Bush A, Mulé G, Gracci S, Fonnesu R, Michelucci A, Cangiotti A, Caligo MA, Miccoli M, Boner AL, Peroni D
Ann Am Thorac Soc 2021 Jun;18(6):963-970. doi: 10.1513/AnnalsATS.202007-816OC. PMID: 33760720
Martinez G, Kherraf ZE, Zouari R, Fourati Ben Mustapha S, Saut A, Pernet-Gallay K, Bertrand A, Bidart M, Hograindleur JP, Amiri-Yekta A, Kharouf M, Karaouzène T, Thierry-Mieg N, Dacheux-Deschamps D, Satre V, Bonhivers M, Touré A, Arnoult C, Ray PF, Coutton C
Hum Reprod 2018 Oct 1;33(10):1973-1984. doi: 10.1093/humrep/dey264. PMID: 30137358
Kott E, Duquesnoy P, Copin B, Legendre M, Dastot-Le Moal F, Montantin G, Jeanson L, Tamalet A, Papon JF, Siffroi JP, Rives N, Mitchell V, de Blic J, Coste A, Clement A, Escalier D, Touré A, Escudier E, Amselem S
Am J Hum Genet 2012 Nov 2;91(5):958-64. doi: 10.1016/j.ajhg.2012.10.003. PMID: 23122589Free PMC Article

Diagnosis

Long S, Fu L, Ma J, Yu H, Tang X, Hu T, Han W, Liu W, Liao H, Fu T, Huang G, Lu W, Lin T
Andrology 2024 Feb;12(2):349-364. Epub 2023 Jun 20 doi: 10.1111/andr.13476. PMID: 37302001
Pifferi M, Bush A, Mulé G, Gracci S, Fonnesu R, Michelucci A, Cangiotti A, Caligo MA, Miccoli M, Boner AL, Peroni D
Ann Am Thorac Soc 2021 Jun;18(6):963-970. doi: 10.1513/AnnalsATS.202007-816OC. PMID: 33760720
Martinez G, Kherraf ZE, Zouari R, Fourati Ben Mustapha S, Saut A, Pernet-Gallay K, Bertrand A, Bidart M, Hograindleur JP, Amiri-Yekta A, Kharouf M, Karaouzène T, Thierry-Mieg N, Dacheux-Deschamps D, Satre V, Bonhivers M, Touré A, Arnoult C, Ray PF, Coutton C
Hum Reprod 2018 Oct 1;33(10):1973-1984. doi: 10.1093/humrep/dey264. PMID: 30137358
Roomans GM, Ivanovs A, Shebani EB, Johannesson M
Ups J Med Sci 2006;111(1):155-68. doi: 10.3109/2000-1967-010. PMID: 16553254

Therapy

Mazor M, Alkrinawi S, Chalifa-Caspi V, Manor E, Sheffield VC, Aviram M, Parvari R
Am J Hum Genet 2011 May 13;88(5):599-607. Epub 2011 Apr 14 doi: 10.1016/j.ajhg.2011.03.018. PMID: 21496787Free PMC Article
Vevaina JR, Teichberg S, Buschman D, Kirkpatrick CH
Chest 1987 Jan;91(1):91-5. doi: 10.1378/chest.91.1.91. PMID: 2947784

Prognosis

Sagel SD, Kupfer O, Wagner BD, Davis SD, Dell SD, Ferkol TW, Hoppe JE, Rosenfeld M, Sullivan KM, Tiddens HAWM, Knowles MR, Leigh MW
Ann Am Thorac Soc 2023 Jan;20(1):67-74. doi: 10.1513/AnnalsATS.202204-314OC. PMID: 35984413Free PMC Article
Pifferi M, Bush A, Mulé G, Gracci S, Fonnesu R, Michelucci A, Cangiotti A, Caligo MA, Miccoli M, Boner AL, Peroni D
Ann Am Thorac Soc 2021 Jun;18(6):963-970. doi: 10.1513/AnnalsATS.202007-816OC. PMID: 33760720

Clinical prediction guides

Sagel SD, Kupfer O, Wagner BD, Davis SD, Dell SD, Ferkol TW, Hoppe JE, Rosenfeld M, Sullivan KM, Tiddens HAWM, Knowles MR, Leigh MW
Ann Am Thorac Soc 2023 Jan;20(1):67-74. doi: 10.1513/AnnalsATS.202204-314OC. PMID: 35984413Free PMC Article
Martinez G, Kherraf ZE, Zouari R, Fourati Ben Mustapha S, Saut A, Pernet-Gallay K, Bertrand A, Bidart M, Hograindleur JP, Amiri-Yekta A, Kharouf M, Karaouzène T, Thierry-Mieg N, Dacheux-Deschamps D, Satre V, Bonhivers M, Touré A, Arnoult C, Ray PF, Coutton C
Hum Reprod 2018 Oct 1;33(10):1973-1984. doi: 10.1093/humrep/dey264. PMID: 30137358
Kott E, Duquesnoy P, Copin B, Legendre M, Dastot-Le Moal F, Montantin G, Jeanson L, Tamalet A, Papon JF, Siffroi JP, Rives N, Mitchell V, de Blic J, Coste A, Clement A, Escalier D, Touré A, Escudier E, Amselem S
Am J Hum Genet 2012 Nov 2;91(5):958-64. doi: 10.1016/j.ajhg.2012.10.003. PMID: 23122589Free PMC Article
el-Amraoui A, Sahly I, Picaud S, Sahel J, Abitbol M, Petit C
Hum Mol Genet 1996 Aug;5(8):1171-8. doi: 10.1093/hmg/5.8.1171. PMID: 8842737

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