J Pediatr Genet 2022; 11(02): 147-150
DOI: 10.1055/s-0040-1716331
Case Report

Johanson–Blizzard's Syndrome with a Novel UBR1 Mutation

Damla Demir
1   Department of Dermatology, Ümraniye Training and Research Hospital, University of Health Science, Istanbul, Turkey
,
Yasemin Kendir Demirkol
2   Department of Pediatrics Genetics, Ümraniye Training and Research Hospital, University of Health Science, Istanbul, Turkey
,
Nelgin Gerenli
3   Department of Pediatrics Gastroenterology, Ümraniye Training and Research Hospital, University of Health Science, Istanbul, Turkey
,
4   Department of Dermatology, Faculty of Medicine, Bahçeşehir University, Istanbul, Turkey
› Author Affiliations
Funding None.

Abstract

Johanson–Blizzard syndrome (JBS) is a rare autosomal recessive genetic disorder, characterized by exocrine pancreatic insufficiency, a distinct abnormal facial appearance and varying degrees of growth retardation. Ubiquitin protein ligase E3 component n-recognin 1 (UBR1) gene mutations are responsible for the syndrome. Here, we describe a 2-month-old female infant, who presented with oily diarrhea, facial dysmorphia, scalp defect, hearing defects, and growth impairment. Molecular genetic testing revealed a novel frameshift mutation in UBR1, c.4027_4028 del (p.Leu1343Valfs*7), which was not previously described in JBS in the literature.

Note

Each of the authors has approved the final version of the case report and agreed with this submission.




Publication History

Received: 30 May 2020

Accepted: 22 July 2020

Article published online:
04 September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Johanson A, Blizzard R. A syndrome of congenital aplasia of the alae nasi, deafness, hypothyroidism, dwarfism, absent permanent teeth, and malabsorption. J Pediatr 1971; 79 (06) 982-987
  • 2 Liu S, Wang Z, Jiang J. et al. Severe forms of Johanson-Blizzard syndrome caused by two novel compound heterozygous variants in UBR1: clinical manifestations, imaging findings and molecular genetics. Pancreatology 2020; 20 (03) 562-568
  • 3 Zenker M, Mayerle J, Lerch MM. et al. Deficiency of UBR1, a ubiquitin ligase of the N-end rule pathway, causes pancreatic dysfunction, malformations and mental retardation (Johanson-Blizzard syndrome). Nat Genet 2006; 38 (02) 265
  • 4 Zenker M, Mayerle J, Reis A, Lerch MM. Genetic basis and pancreatic biology of Johanson-Blizzard syndrome. Endocrinol Metab Clin North Am 2006; 35 (02) 243-253 , vii–viii
  • 5 Tasaki T, Sriram SM, Park KS, Kwon YT. The N-end rule pathway. Annu Rev Biochem 2012; 81: 261-289
  • 6 Varshavsky A. The N-end rule pathway and regulation by proteolysis. Protein Sci 2011; 20 (08) 1298-1345
  • 7 Alkhouri N, Kaplan B, Kay M. et al. Johanson-Blizzard syndrome with mild phenotypic features confirmed by UBR1 gene testing. World J Gastroenterol 2008; 14 (44) 6863-6866
  • 8 Sukalo M, Fiedler A, Guzmán C. et al. Mutations in the human UBR1 gene and the associated phenotypic spectrum. Hum Mutat 2014; 35 (05) 521-531
  • 9 Atik T, Karakoyun M, Sukalo M, Zenker M, Ozkinay F, Aydoğdu S. Two novel UBR1 gene mutations ın a patient with Johanson Blizzard syndrome: a mild phenotype without mental retardation. Gene 2015; 570 (01) 153-155
  • 10 Sukalo M, Schäflein E, Schanze I. et al. Expanding the mutational spectrum in Johanson-Blizzard syndrome: identification of whole exon deletions and duplications in the UBR1 gene by multiplex ligation-dependent probe amplification analysis. Mol Genet Genomic Med 2017; 5 (06) 774-780
  • 11 Hwang CS, Sukalo M, Batygin O. et al. Ubiquitin ligases of the N-end rule pathway: assessment of mutations in UBR1 that cause the Johanson-Blizzard syndrome. PLoS One 2011; 6 (09) e24925
  • 12 Fallahi GH, Sabbaghian M, Khalili M, Parvaneh N, Zenker M, Rezaei N. Novel UBR1 gene mutation in a patient with typical phenotype of Johanson-Blizzard syndrome. Eur J Pediatr 2011; 170 (02) 233-235