Subscribe to RSS
DOI: 10.1055/s-0042-1759534
Bardet–Biedl Syndrome: A Brief Overview on Clinics and Genetics

Abstract
Bardet–Biedl syndrome is a genetically pleiotropic disorder characterized by high clinical heterogeneity with severe multiorgan impairment. Clinically, it encompasses primary and secondary manifestations, mainly including retinal dystrophy, mental retardation, obesity, polydactyly, hypogonadism in male, and renal abnormalities. At least 21 different genes have been identified, all involved into primary cilium structure or function. To date, genotype–phenotype correlation is still poor.
Author Contributions
Conceptualization: G. A., G.S.
Investigation: A. S., A. P., D. D.
Resources: A. N.
Data curation: G. F., I. C.
Writing - original draft preparation: V. S., E. G.
Writing - review and editing: G. C., G. I.
Supervision: G. D. R., E. P., R.C.
All authors have read and agreed to the published version of the manuscript.
Data Availability Statement
The data presented in this study are available on request from the corresponding author.
Publication History
Received: 23 August 2022
Accepted: 27 October 2022
Article published online:
05 December 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1
Rooryck C,
Lacombe D.
Bardet-Biedl syndrome. Ann Endocrinol (Paris) 2008; 69 (06) 463-471
MissingFormLabel
- 2
Suspitsin EN,
Imyanitov EN.
Bardet-Biedl syndrome. Mol Syndromol 2016; 7 (02) 62-71
MissingFormLabel
- 3
Guo D-F,
Rahmouni K.
Molecular basis of the obesity associated with Bardet-Biedl syndrome. Trends Endocrinol
Metab 2011; 22 (07) 286-293
MissingFormLabel
- 4
Beales PL,
Elcioglu N,
Woolf AS,
Parker D,
Flinter FA.
New criteria for improved diagnosis of Bardet-Biedl syndrome: results of a population
survey. J Med Genet 1999; 36 (06) 437-446
MissingFormLabel
- 5
Hufnagel RB,
Arno G,
Hein ND.
et al.
Neuropathy target esterase impairments cause Oliver-McFarlane and Laurence-Moon syndromes.
J Med Genet 2015; 52 (02) 85-94
MissingFormLabel
- 6
Forsyth R,
Gunay-Aygun M.
Bardet-Biedl syndrome overview. In:
Adam MP,
Everman DB,
Mirzaa GM.
et al., eds.
GeneReviews®. Seattle, WA: University of Washington, Seattle; 2003
MissingFormLabel
- 7
Niederlova V,
Modrak M,
Tsyklauri O,
Huranova M,
Stepanek O.
Meta-analysis of genotype-phenotype associations in Bardet-Biedl syndrome uncovers
differences among causative genes. Hum Mutat 2019; 40 (11) 2068-2087
MissingFormLabel
- 8
Khan SA,
Muhammad N,
Khan MA,
Kamal A,
Rehman ZU,
Khan S.
Genetics of human Bardet-Biedl syndrome, an updates. Clin Genet 2016; 90 (01) 3-15
MissingFormLabel
- 9
Novas R,
Cardenas-Rodriguez M,
Irigoín F,
Badano JL.
Bardet-Biedl syndrome: is it only cilia dysfunction?. FEBS Lett 2015; 589 (22) 3479-3491
MissingFormLabel
- 10
Lindstrand A,
Davis EE,
Carvalho CM.
et al.
Recurrent CNVs and SNVs at the NPHP1 locus contribute pathogenic alleles to Bardet-Biedl
syndrome. Am J Hum Genet 2014; 94 (05) 745-754
MissingFormLabel
- 11
Heon E,
Kim G,
Qin S.
et al.
Mutations in C8ORF37 cause Bardet Biedl syndrome (BBS21). Hum Mol Genet 2016; 25 (11)
2283-2294
MissingFormLabel
- 12
Khan AO,
Decker E,
Bachmann N,
Bolz HJ,
Bergmann C.
C8orf37 is mutated in Bardet-Biedl syndrome and constitutes a locus allelic to non-syndromic
retinal dystrophies. Ophthalmic Genet 2016; 37 (03) 290-293
MissingFormLabel
- 13
Kleinendorst L,
Alsters SIM,
Abawi O.
et al.
Second case of Bardet-Biedl syndrome caused by biallelic variants in IFT74. Eur J
Hum Genet 2020; 28 (07) 943-946
MissingFormLabel
- 14
Shamseldin HE,
Shaheen R,
Ewida N.
et al.
The morbid genome of ciliopathies: an update. [published correction appears in Genet
Med. 2022;24(4):966] Genet Med 2020; 22 (06) 1051-1060
MissingFormLabel
- 15
Graser S,
Stierhof YD,
Lavoie SB.
et al.
Cep164, a novel centriole appendage protein required for primary cilium formation.
J Cell Biol 2007; 179 (02) 321-330
MissingFormLabel
- 16
Wormser O,
Gradstein L,
Yogev Y.
et al.
SCAPER localizes to primary cilia and its mutation affects cilia length, causing Bardet-Biedl
syndrome. Eur J Hum Genet 2019; 27 (06) 928-940
MissingFormLabel
- 17
Morisada N,
Hamada R,
Miura K.
et al.
Bardet-Biedl syndrome in two unrelated patients with identical compound heterozygous
SCLT1 mutations. CEN Case Rep 2020; 9 (03) 260-265
MissingFormLabel
- 18
Katsanis N,
Ansley SJ,
Badano JL.
et al.
Triallelic inheritance in Bardet-Biedl syndrome, a Mendelian recessive disorder. Science
2001; 293 (5538): 2256-2259
MissingFormLabel
- 19
Tsang SH,
Aycinena ARP,
Sharma T.
Ciliopathy: Bardet-Biedl syndrome. Adv Exp Med Biol 2018; 1085: 171-174
MissingFormLabel
- 20
Priya S,
Nampoothiri S,
Sen P,
Sripriya S.
Bardet-Biedl syndrome: genetics, molecular pathophysiology, and disease management.
Indian J Ophthalmol 2016; 64 (09) 620-627
MissingFormLabel
- 21
Green JS,
Parfrey PS,
Harnett JD.
et al.
The cardinal manifestations of Bardet-Biedl syndrome, a form of Laurence-Moon-Biedl
syndrome. N Engl J Med 1989; 321 (15) 1002-1009
MissingFormLabel
- 22
Harnett JD,
Green JS,
Cramer BC.
et al.
The spectrum of renal disease in Laurence-Moon-Biedl syndrome. N Engl J Med 1988;
319 (10) 615-618
MissingFormLabel
- 23
Kerr EN,
Bhan A,
Héon E.
Exploration of the cognitive, adaptive and behavioral functioning of patients affected
with Bardet-Biedl syndrome. Clin Genet 2016; 89 (04) 426-433
MissingFormLabel
- 24
Brinckman DD,
Keppler-Noreuil KM,
Blumhorst C.
et al.
Cognitive, sensory, and psychosocial characteristics in patients with Bardet-Biedl
syndrome. Am J Med Genet A 2013; 161A (12) 2964-2971
MissingFormLabel
- 25
Moore SJ,
Green JS,
Fan Y.
et al.
Clinical and genetic epidemiology of Bardet-Biedl syndrome in Newfoundland: a 22-year
prospective, population-based, cohort study. Am J Med Genet A 2005; 132A (04) 352-360
MissingFormLabel
- 26
Gottlob I,
Helbling A.
Nystagmus mimicking spasmus nutans as the presenting sign of Bardet-Biedl syndrome.
Am J Ophthalmol 1999; 128 (06) 770-772
MissingFormLabel
- 27
Magaudda A,
Laganà A,
Calamuneri A.
et al.
Validation of a novel classification model of psychogenic nonepileptic seizures by
video-EEG analysis and a machine learning approach. Epilepsy Behav 2016; 60: 197-201
MissingFormLabel
- 28
Barnett S,
Reilly S,
Carr L,
Ojo I,
Beales PL,
Charman T.
Behavioural phenotype of Bardet-Biedl syndrome. J Med Genet 2002; 39 (12) e76
MissingFormLabel
- 29
Baker K,
Northam GB,
Chong WK,
Banks T,
Beales P,
Baldeweg T.
Neocortical and hippocampal volume loss in a human ciliopathy: a quantitative MRI
study in Bardet-Biedl syndrome. Am J Med Genet A 2011; 155A (01) 1-8
MissingFormLabel
- 30
Bennouna-Greene V,
Kremer S,
Stoetzel C.
et al.
Hippocampal dysgenesis and variable neuropsychiatric phenotypes in patients with Bardet-Biedl
syndrome underline complex CNS impact of primary cilia. Clin Genet 2011; 80 (06) 523-531
MissingFormLabel
- 31
Keppler-Noreuil KM,
Blumhorst C,
Sapp JC.
et al.
Brain tissue- and region-specific abnormalities on volumetric MRI scans in 21 patients
with Bardet-Biedl syndrome (BBS). BMC Med Genet 2011; 12: 101
MissingFormLabel
- 32
Panny A,
Glurich I,
Haws RM,
Acharya A.
Oral and craniofacial anomalies of Bardet-Biedl syndrome: dental management in the
context of a rare disease. J Dent Res 2017; 96 (12) 1361-1369
MissingFormLabel
- 33
Olson AJ,
Krentz AD,
Finta KM,
Okorie UC,
Haws RM.
Thoraco-abdominal abnormalities in Bardet-Biedl syndrome: situs inversus and heterotaxy.
J Pediatr 2019; 204: 31-37
MissingFormLabel
- 34
Haws RM,
McIntee TJ,
Green CB.
Cutaneous findings in Bardet-Biedl syndrome. Int J Dermatol 2019; 58 (10) 1160-1164
MissingFormLabel
- 35
Putoux A,
Mougou-Zerelli S,
Thomas S.
et al.
BBS10 mutations are common in 'Meckel'-type cystic kidneys. J Med Genet 2010; 47 (12)
848-852
MissingFormLabel
- 36
Jaffal L,
Joumaa WH,
Assi A.
et al.
Next generation sequencing identifies five novel mutations in Lebanese patients with
Bardet-Biedl and Usher syndromes. Genes (Basel) 2019; 10 (12) 1047
MissingFormLabel
- 37
Di Rosa G,
Deodato F,
Loupatty FJ.
et al.
Hypertrophic cardiomyopathy, cataract, developmental delay, lactic acidosis: a novel
subtype of 3-methylglutaconic aciduria. J Inherit Metab Dis 2006; 29 (04) 546-550
MissingFormLabel
- 38
Guilmatre A,
Legallic S,
Steel G.
et al.
Type I hyperprolinemia: genotype/phenotype correlations. Hum Mutat 2010; 31 (08) 961-965
MissingFormLabel
- 39
Fiorillo C,
Moro F,
Brisca G.
et al.
Beyond spinal muscular atrophy with lower extremity dominance: cerebellar hypoplasia
associated with a novel mutation in BICD2. Eur J Neurol 2016; 23 (04) e19-e21
MissingFormLabel
- 40
Friedman J,
Smith DE,
Issa MY.
et al.
Biallelic mutations in valyl-tRNA synthetase gene VARS are associated with a progressive
neurodevelopmental epileptic encephalopathy. Nat Commun 2019; 10 (01) 707
MissingFormLabel
- 41
Accogli A,
Iacomino M,
Pinto F.
et al.
Novel AMPD2 mutation in pontocerebellar hypoplasia, dysmorphisms, and teeth abnormalities. Neurol
Genet 2017; 3 (05) e179
MissingFormLabel
- 42
Pinchefsky EF,
Accogli A,
Shevell MI,
Saint-Martin C,
Srour M.
Developmental outcomes in children with congenital cerebellar malformations. Dev Med
Child Neurol 2019; 61 (03) 350-358
MissingFormLabel
- 43
Pavlidou E,
Salpietro V,
Phadke R.
et al.
Pontocerebellar hypoplasia type 2D and optic nerve atrophy further expand the spectrum
associated with selenoprotein biosynthesis deficiency. Eur J Paediatr Neurol 2016;
20 (03) 483-488
MissingFormLabel
- 44
Manara R,
D'Agata L,
Rocco MC.
et al;
Menkes Working Group in the Italian Neuroimaging Network for Rare Diseases.
Neuroimaging changes in Menkes disease, part 1. AJNR Am J Neuroradiol 2017; 38 (10)
1850-1857
MissingFormLabel
- 45
Suppiej A,
Gentilomo C,
Saracco P.
et al;
Stroke working group of the Italian Registry of Pediatric Thrombosis.
Paediatric arterial ischaemic stroke and cerebral sinovenous thrombosis. First report
from the Italian Registry of Pediatric Thrombosis (R. I. T. I., Registro Italiano
Trombosi Infantili). Thromb Haemost 2015; 113 (06) 1270-1277
MissingFormLabel
- 46
Miraglia Del Giudice M,
Maiello N,
Decimo F.
et al.
Airways allergic inflammation and L. reuterii treatment in asthmatic children. J Biol
Regul Homeost Agents 2012; 26 (1, Suppl): S35-S40
MissingFormLabel
- 47
Ruggieri M,
Polizzi A,
Strano S.
et al.
Mixed vascular nevus syndrome: a report of four new cases and a literature review.
Quant Imaging Med Surg 2016; 6 (05) 515-524
MissingFormLabel
- 48
Salpietro V,
Ruggieri M.
Pseudotumor cerebri pathophysiology: the likely role of aldosterone. Headache 2014;
54 (07) 1229
MissingFormLabel
- 49
Zollo M,
Ahmed M,
Ferrucci V.
et al.
PRUNE is crucial for normal brain development and mutated in microcephaly with neurodevelopmental
impairment. Brain 2017; 140 (04) 940-952
MissingFormLabel
- 50
Niccolini F,
Mencacci NE,
Yousaf T.
et al.
PDE10A and ADCY5 mutations linked to molecular and microstructural basal ganglia pathology.
Mov Disord 2018; 33 (12) 1961-1965
MissingFormLabel
- 51
Chelban V,
Wilson MP,
Warman Chardon J.
et al;
Care4Rare Canada Consortium and the SYNaPS Study Group.
PDXK mutations cause polyneuropathy responsive to pyridoxal 5′-phosphate supplementation.
Ann Neurol 2019; 86 (02) 225-240
MissingFormLabel
- 52
Pavone P,
Briuglia S,
Falsaperla R.
et al.
Wide spectrum of congenital anomalies including choanal atresia, malformed extremities,
and brain and spinal malformations in a girl with a de novo 5.6-Mb deletion of 13q12.11-13q12.13.
Am J Med Genet A 2014; 164A (07) 1734-1743
MissingFormLabel
- 53
Efthymiou S,
Salpietro V,
Malintan N.
et al;
SYNAPS Study Group.
Biallelic mutations in neurofascin cause neurodevelopmental impairment and peripheral
demyelination. Brain 2019; 142 (10) 2948-2964
MissingFormLabel
- 54
Salpietro V,
Chimenz R,
Arrigo T,
Ruggieri M.
Pediatric idiopathic intracranial hypertension and extreme childhood obesity: a role
for weight gain. J Pediatr 2013; 162 (05) 1084
MissingFormLabel
- 55
Salpietro V,
Perez-Dueñas B,
Nakashima K.
et al.
A homozygous loss-of-function mutation in PDE2A associated to early-onset hereditary
chorea. Mov Disord 2018; 33 (03) 482-488
MissingFormLabel
- 56
Ghosh SG,
Becker K,
Huang H.
et al.
Biallelic mutations in ADPRHL2, encoding ADP-ribosylhydrolase 3, lead to a degenerative
pediatric stress-induced epileptic ataxia syndrome. [published correction appears
in Am J Hum Genet. 2018;103(5):826] [published correction appears in Am J Hum Genet.
2021;108(12):2385] Am J Hum Genet 2018; 103 (03) 431-439
MissingFormLabel
- 57
Lionetti E,
Francavilla R,
Castellazzi AM.
et al.
Probiotics and Helicobacter pylori infection in children. J Biol Regul Homeost Agents
2012; 26 (1, Suppl): S69-S76
MissingFormLabel
- 58
Giacobbe A,
Granese R,
Grasso R.
et al.
Association between maternal serum high mobility group box 1 levels and pregnancy
complicated by gestational diabetes mellitus. Nutr Metab Cardiovasc Dis 2016; 26 (05)
414-418
MissingFormLabel
- 59
Ruggieri M,
Polizzi A,
Schepis C.
et al.
Cutis tricolor: a literature review and report of five new cases. Quant Imaging Med Surg 2016; 6
(05) 525-534
MissingFormLabel
- 60
Salpietro V,
Efthymiou S,
Manole A.
et al.
A loss-of-function homozygous mutation in DDX59 implicates a conserved DEAD-box RNA
helicase in nervous system development and function. Hum Mutat 2018; 39 (02) 187-192
MissingFormLabel
- 61
Papandreou A,
Schneider RB,
Augustine EF.
et al.
Delineation of the movement disorders associated with FOXG1 mutations. Neurology 2016;
86 (19) 1794-1800
MissingFormLabel
- 62
Chirico V,
Rigoli L,
Lacquaniti A.
et al.
Endocrinopathies, metabolic disorders, and iron overload in major and intermedia thalassemia:
serum ferritin as diagnostic and predictive marker associated with liver and cardiac
T2* MRI assessment. Eur J Haematol 2015; 94 (05) 404-412
MissingFormLabel
- 63
Salpietro V,
Zollo M,
Vandrovcova J.
et al;
SYNAPS Study Group.
The phenotypic and molecular spectrum of PEHO syndrome and PEHO-like disorders. Brain
2017; 140 (08) e49
MissingFormLabel
- 64
Granata F,
Morabito R,
Mormina E.
et al.
3T double inversion recovery magnetic resonance imaging: diagnostic advantages in
the evaluation of cortical development anomalies. Eur J Radiol 2016; 85 (05) 906-914
MissingFormLabel
- 65
Tassano E,
Accogli A,
Pavanello M.
et al.
Interstitial 9p24.3 deletion involving only DOCK8 and KANK1 genes in two patients
with non-overlapping phenotypic traits. Eur J Med Genet 2016; 59 (01) 20-25
MissingFormLabel
- 66
Tortora D,
Severino M,
Accogli A.
et al.
Moyamoya vasculopathy in PHACE syndrome: six new cases and review of the literature.
World Neurosurg 2017; 108: 291-302
MissingFormLabel
- 67
Salpietro V,
Phadke R,
Saggar A.
et al.
Zellweger syndrome and secondary mitochondrial myopathy. Eur J Pediatr 2015; 174 (04)
557-563
MissingFormLabel
- 68
Sartori S,
Polli R,
Bettella E.
et al.
Pathogenic role of the X-linked cyclin-dependent kinase-like 5 and aristaless-related
homeobox genes in epileptic encephalopathy of unknown etiology with onset in the first
year of life. J Child Neurol 2011; 26 (06) 683-691
MissingFormLabel