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Bardet-Biedl syndrome 17(BBS17)

MedGen UID:
811538
Concept ID:
C3714980
Disease or Syndrome
Synonym: BBS17
 
Gene (location): LZTFL1 (3p21.31)
 
Monarch Initiative: MONDO:0014445
OMIM®: 615994

Definition

Bardet-Biedl syndrome-17 (BBS17) is an autosomal recessive ciliopathy characterized by retinitis pigmentosa, cognitive impairment, obesity, renal dysfunction, and hypogenitalism. Polydactyly, most often postaxial, is also a primary feature of BBS; in BBS17, mesoaxial polydactyly, with fused or Y-shaped metacarpals, is a distinct manifestation (Deffert et al., 2007; Schaefer et al., 2014). For a general phenotypic description and a discussion of genetic heterogeneity of Bardet-Biedl syndrome, see BBS1 (209900). [from OMIM]

Clinical features

From HPO
Polyuria
MedGen UID:
19404
Concept ID:
C0032617
Sign or Symptom
An increased rate of urine production.
Stage 5 chronic kidney disease
MedGen UID:
384526
Concept ID:
C2316810
Disease or Syndrome
A degree of kidney failure severe enough to require dialysis or kidney transplantation for survival characterized by a severe reduction in glomerular filtration rate (less than 15 ml/min/1.73 m2) and other manifestations including increased serum creatinine.
Renal cyst
MedGen UID:
854361
Concept ID:
C3887499
Disease or Syndrome
A fluid filled sac in the kidney.
Micropenis
MedGen UID:
1633603
Concept ID:
C4551492
Congenital Abnormality
Abnormally small penis. At birth, the normal penis is about 3 cm (stretched length from pubic tubercle to tip of penis) with micropenis less than 2.0-2.5 cm.
Polydactyly
MedGen UID:
57774
Concept ID:
C0152427
Congenital Abnormality
A congenital anomaly characterized by the presence of supernumerary fingers or toes.
Brachydactyly
MedGen UID:
67454
Concept ID:
C0221357
Congenital Abnormality
Digits that appear disproportionately short compared to the hand/foot. The word brachydactyly is used here to describe a series distinct patterns of shortened digits (brachydactyly types A-E). This is the sense used here.
Central polydactyly of fingers
MedGen UID:
609220
Concept ID:
C0431903
Congenital Abnormality
The presence of a supernumerary finger or toe (not a thumb or hallux) involving the third or fourth metacarpal/tarsal with associated osseous syndactyly.
Postaxial hand polydactyly
MedGen UID:
609221
Concept ID:
C0431904
Congenital Abnormality
Supernumerary digits located at the ulnar side of the hand (that is, on the side with the fifth finger).
Short fourth metatarsal
MedGen UID:
336358
Concept ID:
C1848514
Finding
Short fourth metatarsal bone.
Postaxial foot polydactyly
MedGen UID:
384489
Concept ID:
C2112129
Finding
Polydactyly of the foot most commonly refers to the presence of six toes on one foot. Postaxial polydactyly affects the lateral ray and the duplication may range from a well-formed articulated digit to a rudimentary digit.
Mesoaxial hand polydactyly
MedGen UID:
893020
Concept ID:
C4021606
Anatomical Abnormality
The presence of a supernumerary finger (not a thumb) involving the third or fourth metacarpal with associated osseous syndactyly.
Dextrocardia
MedGen UID:
4255
Concept ID:
C0011813
Congenital Abnormality
The heart is located in the right hand sided hemithorax. That is, there is a left-right reversal (or "mirror reflection") of the anatomical location of the heart in which the heart is locate on the right side instead of the left.
Situs inversus
MedGen UID:
1642262
Concept ID:
C4551493
Congenital Abnormality
A left-right reversal (or mirror reflection) of the anatomical location of the major thoracic and abdominal organs.
Obesity
MedGen UID:
18127
Concept ID:
C0028754
Disease or Syndrome
Accumulation of substantial excess body fat.
Anosmia
MedGen UID:
1950
Concept ID:
C0003126
Finding
An inability to perceive odors. This is a general term describing inability to smell arising in any part of the process of smelling from absorption of odorants into the nasal mucous overlying the olfactory epithelium, diffusion to the cilia, binding to olfactory receptor sites, generation of action potentials in olfactory neurons, and perception of a smell.
Polydipsia
MedGen UID:
43214
Concept ID:
C0085602
Sign or Symptom
Excessive thirst manifested by excessive fluid intake.
Cognitive impairment
MedGen UID:
90932
Concept ID:
C0338656
Mental or Behavioral Dysfunction
Abnormal cognition is characterized by deficits in thinking, reasoning, or remembering.
Global developmental delay
MedGen UID:
107838
Concept ID:
C0557874
Finding
A delay in the achievement of motor or mental milestones in the domains of development of a child, including motor skills, speech and language, cognitive skills, and social and emotional skills. This term should only be used to describe children younger than five years of age.
Poor coordination
MedGen UID:
107874
Concept ID:
C0563243
Finding
Hyposmia
MedGen UID:
473584
Concept ID:
C2364082
Finding
A decreased sensitivity to odorants (that is, a decreased ability to perceive odors).
Intellectual disability
MedGen UID:
811461
Concept ID:
C3714756
Mental or Behavioral Dysfunction
Intellectual disability, previously referred to as mental retardation, is characterized by subnormal intellectual functioning that occurs during the developmental period. It is defined by an IQ score below 70.
Hypogonadism
MedGen UID:
5711
Concept ID:
C0020619
Disease or Syndrome
A decreased functionality of the gonad.
Retinal degeneration
MedGen UID:
48432
Concept ID:
C0035304
Finding
A nonspecific term denoting degeneration of the retinal pigment epithelium and/or retinal photoreceptor cells.
Macular atrophy
MedGen UID:
140841
Concept ID:
C0423421
Finding
Well-demarcated area(s) of partial or complete depigmentation in the macula, reflecting atrophy of the retinal pigment epithelium with associated retinal photoreceptor loss.
Bone spicule pigmentation of the retina
MedGen UID:
323029
Concept ID:
C1836926
Finding
Pigment migration into the retina in a bone-spicule configuration (resembling the nucleated cells within the lacuna of bone).
Visual impairment
MedGen UID:
777085
Concept ID:
C3665347
Finding
Visual impairment (or vision impairment) is vision loss (of a person) to such a degree as to qualify as an additional support need through a significant limitation of visual capability resulting from either disease, trauma, or congenital or degenerative conditions that cannot be corrected by conventional means, such as refractive correction, medication, or surgery.
Cone-rod dystrophy
MedGen UID:
896366
Concept ID:
C4085590
Disease or Syndrome
There are more than 30 types of cone-rod dystrophy, which are distinguished by their genetic cause and their pattern of inheritance: autosomal recessive, autosomal dominant, and X-linked. Additionally, cone-rod dystrophy can occur alone without any other signs and symptoms or it can occur as part of a syndrome that affects multiple parts of the body.\n\nThe first signs and symptoms of cone-rod dystrophy, which often occur in childhood, are usually decreased sharpness of vision (visual acuity) and increased sensitivity to light (photophobia). These features are typically followed by impaired color vision (dyschromatopsia), blind spots (scotomas) in the center of the visual field, and partial side (peripheral) vision loss. Over time, affected individuals develop night blindness and a worsening of their peripheral vision, which can limit independent mobility. Decreasing visual acuity makes reading increasingly difficult and most affected individuals are legally blind by mid-adulthood. As the condition progresses, individuals may develop involuntary eye movements (nystagmus).\n\nCone-rod dystrophy is a group of related eye disorders that causes vision loss, which becomes more severe over time. These disorders affect the retina, which is the layer of light-sensitive tissue at the back of the eye. In people with cone-rod dystrophy, vision loss occurs as the light-sensing cells of the retina gradually deteriorate.
Rod-cone dystrophy
MedGen UID:
1632921
Concept ID:
C4551714
Disease or Syndrome
An inherited retinal disease subtype in which the rod photoreceptors appear to be more severely affected than the cone photoreceptors. Typical presentation is with nyctalopia (due to rod dysfunction) followed by loss of mid-peripheral field of vision, which gradually extends and leaves many patients with a small central island of vision due to the preservation of macular cones.

Professional guidelines

PubMed

Pak TK, Carter CS, Zhang Q, Huang SC, Searby C, Hsu Y, Taugher RJ, Vogel T, Cychosz CC, Genova R, Moreira NN, Stevens H, Wemmie JA, Pieper AA, Wang K, Sheffield VC
PLoS Genet 2021 Apr;17(4):e1009484. Epub 2021 Apr 22 doi: 10.1371/journal.pgen.1009484. PMID: 33886537Free PMC Article
Niederlova V, Modrak M, Tsyklauri O, Huranova M, Stepanek O
Hum Mutat 2019 Nov;40(11):2068-2087. Epub 2019 Jul 29 doi: 10.1002/humu.23862. PMID: 31283077
Rao PV, Lu X, Pattee P, Turner M, Nandgaonkar S, Paturi BT, Roberts CT Jr, Nagalla SR
J Assoc Physicians India 2005 Jun;53:521-6. PMID: 16121806

Recent clinical studies

Etiology

Pan YW, Ou TY, Chou YY, Kuo PL, Hsiao HP, Chiu PC, Lin JL, Lo FS, Wang CH, Chen PC, Tsai MC
BMC Med Genomics 2024 Apr 26;17(1):106. doi: 10.1186/s12920-024-01880-0. PMID: 38671463Free PMC Article
Atmış B, Karabay-Bayazıt A, Melek E, Bişgin A, Anarat A
Turk J Pediatr 2019;61(2):186-192. doi: 10.24953/turkjped.2019.02.006. PMID: 31951329
Yeung JC, Katwa UA, Lee GS
Int J Pediatr Otorhinolaryngol 2017 Nov;102:127-132. Epub 2017 Sep 12 doi: 10.1016/j.ijporl.2017.09.004. PMID: 29106859
Cramer MT, Guay-Woodford LM
Adv Chronic Kidney Dis 2015 Jul;22(4):297-305. doi: 10.1053/j.ackd.2015.04.001. PMID: 26088074
Sherafat-Kazemzadeh R, Ivey L, Kahn SR, Sapp JC, Hicks MD, Kim RC, Krause AJ, Shomaker LB, Biesecker LG, Han JC, Yanovski JA
Pediatr Obes 2013 Oct;8(5):e64-7. Epub 2013 Jun 18 doi: 10.1111/j.2047-6310.2013.00182.x. PMID: 23776152Free PMC Article

Diagnosis

Kanitkar S, Ande SP, Shivnitwar SK, Edara M
BMJ Case Rep 2024 Nov 14;17(11) doi: 10.1136/bcr-2024-261843. PMID: 39542505
Pan YW, Ou TY, Chou YY, Kuo PL, Hsiao HP, Chiu PC, Lin JL, Lo FS, Wang CH, Chen PC, Tsai MC
BMC Med Genomics 2024 Apr 26;17(1):106. doi: 10.1186/s12920-024-01880-0. PMID: 38671463Free PMC Article
Gao S, Zhang Q, Ding Y, Wang L, Li Z, Hu F, Yao RE, Yu T, Chang G, Wang X
Orphanet J Rare Dis 2024 Apr 8;19(1):149. doi: 10.1186/s13023-024-03150-9. PMID: 38584252Free PMC Article
Forsythe E, Mallya UG, Yang M, Huber C, Cala ML, Greatsinger A, Hagopian E, Pomeroy J, Haqq AM
Orphanet J Rare Dis 2023 Jul 7;18(1):181. doi: 10.1186/s13023-023-02692-8. PMID: 37415214Free PMC Article
Bergmann C
Eur J Pediatr 2012 Sep;171(9):1285-300. Epub 2011 Sep 7 doi: 10.1007/s00431-011-1553-z. PMID: 21898032Free PMC Article

Therapy

Kousi M, Söylemez O, Ozanturk A, Mourtzi N, Akle S, Jungreis I, Muller J, Cassa CA, Brand H, Mokry JA, Wolf MY, Sadeghpour A, McFadden K, Lewis RA, Talkowski ME, Dollfus H, Kellis M, Davis EE, Sunyaev SR, Katsanis N
Nat Genet 2020 Nov;52(11):1145-1150. Epub 2020 Oct 12 doi: 10.1038/s41588-020-0707-1. PMID: 33046855Free PMC Article
Hayat A, Khan AA, Rauf A, Khan SU, Hussain S, Ullah A, Ahmad W, Shams S, Khan B
Clin Dysmorphol 2020 Jan;29(1):17-23. doi: 10.1097/MCD.0000000000000294. PMID: 31469663
Yeung JC, Katwa UA, Lee GS
Int J Pediatr Otorhinolaryngol 2017 Nov;102:127-132. Epub 2017 Sep 12 doi: 10.1016/j.ijporl.2017.09.004. PMID: 29106859
Vora KS, Modi MP, Butala BP, Shah VR
Saudi J Kidney Dis Transpl 2017 Mar-Apr;28(2):384-387. doi: 10.4103/1319-2442.202775. PMID: 28352024
Margolin L, Haliulin Y
J Eur Acad Dermatol Venereol 2003 Sep;17(5):554-5. doi: 10.1046/j.1468-3083.2003.00623.x. PMID: 12941092

Prognosis

Atmış B, Karabay-Bayazıt A, Melek E, Bişgin A, Anarat A
Turk J Pediatr 2019;61(2):186-192. doi: 10.24953/turkjped.2019.02.006. PMID: 31951329
Niederlova V, Modrak M, Tsyklauri O, Huranova M, Stepanek O
Hum Mutat 2019 Nov;40(11):2068-2087. Epub 2019 Jul 29 doi: 10.1002/humu.23862. PMID: 31283077
Yeung JC, Katwa UA, Lee GS
Int J Pediatr Otorhinolaryngol 2017 Nov;102:127-132. Epub 2017 Sep 12 doi: 10.1016/j.ijporl.2017.09.004. PMID: 29106859
Bergmann C
Expert Rev Mol Diagn 2017 Dec;17(12):1037-1054. Epub 2017 Nov 16 doi: 10.1080/14737159.2017.1386099. PMID: 28952822
Hjortshøj TD, Grønskov K, Rosenberg T, Brøndum-Nielsen K, Olsen JH
Am J Med Genet A 2007 Aug 1;143A(15):1699-702. doi: 10.1002/ajmg.a.31805. PMID: 17587209

Clinical prediction guides

Forsythe E, Mallya UG, Yang M, Huber C, Cala ML, Greatsinger A, Hagopian E, Pomeroy J, Haqq AM
Orphanet J Rare Dis 2023 Jul 7;18(1):181. doi: 10.1186/s13023-023-02692-8. PMID: 37415214Free PMC Article
Forsythe E, Mallya UG, Yang M, Huber C, Cala ML, Greatsinger A, Hagopian E, Pomeroy J, Haqq AM
Orphanet J Rare Dis 2023 Jul 7;18(1):182. doi: 10.1186/s13023-023-02723-4. PMID: 37415189Free PMC Article
Khan S, Focșa IO, Budișteanu M, Stoica C, Nedelea F, Bohîlțea L, Caba L, Butnariu L, Pânzaru M, Rusu C, Jurcă C, Chirita-Emandi A, Bănescu C, Abbas W, Sadeghpour A, Baig SM, Bălgrădean M, Davis EE
Am J Med Genet A 2023 Sep;191(9):2376-2391. Epub 2023 Jun 9 doi: 10.1002/ajmg.a.63322. PMID: 37293956Free PMC Article
Yeung JC, Katwa UA, Lee GS
Int J Pediatr Otorhinolaryngol 2017 Nov;102:127-132. Epub 2017 Sep 12 doi: 10.1016/j.ijporl.2017.09.004. PMID: 29106859
Cramer MT, Guay-Woodford LM
Adv Chronic Kidney Dis 2015 Jul;22(4):297-305. doi: 10.1053/j.ackd.2015.04.001. PMID: 26088074

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