Scientists discover rare genetic disorder affecting families worldwide

PHILADELPHIA — It doesn’t have an “official” name yet, but researchers have identified a new genetic disorder that causes neurodevelopmental differences, along with abnormalities in the head, facial bones, and limbs. Researchers at the Children’s Hospital of Philadelphia (CHOP) believe a series of rare variants in the MAP4K4 gene is responsible for the condition.

The MAP4K4 gene is involved in many signaling pathways in the body, including the RAS pathway, which is responsible for normal cell growth. This gene is currently being investigated as a target for multiple disorders, including cancer.

“We were able to connect with patients from all over the world who had overlapping symptoms, and eventually we were able to pinpoint the overlapping genes that helped us identify the variants causing these issues,” says co-senior author Elizabeth Bhoj, MD, PhD, an attending physician in the Division of Human Genetics at CHOP, in a media release.

Fig. 2. Affected individuals display CFAs and limb abnormalities. (A to D) Affected individual at the age of 4 months (A), 14 months (B), and 28 years (C and D). Individual displays ptosis, high arched eyebrows, broad nasal root, thin lips, and posteriorly rotated ears. (E to H) Affected mother at 29 years of age (E and F) and her affected child (G and H) at 11 months of age. Individuals display down-slanting palpebral fissures, low-set ears, and thin upper lip. (I) Affected individual at 18 years of age. Individual displays high anterior hairline, ptosis, and down-slanting palpebral fissures. (J to L) Affected infant displays asymmetric crying facies, wide and flat nasal bridge, posteriorly rotated ears, as well as shoulder, hand, and elbow malformations. (M to P) Affected individuals display limb abnormalities including brachydactyly (M to O) and wrist contractures (P).
Fig. 2. Affected individuals display CFAs and limb abnormalities. (A to D) Affected individual at the age of 4 months (A), 14 months (B), and 28 years (C and D). Individual displays ptosis, high arched eyebrows, broad nasal root, thin lips, and posteriorly rotated ears. (E to H) Affected mother at 29 years of age (E and F) and her affected child (G and H) at 11 months of age. Individuals display down-slanting palpebral fissures, low-set ears, and thin upper lip. (I) Affected individual at 18 years of age. Individual displays high anterior hairline, ptosis, and down-slanting palpebral fissures. (J to L) Affected infant displays asymmetric crying facies, wide and flat nasal bridge, posteriorly rotated ears, as well as shoulder, hand, and elbow malformations. (M to P) Affected individuals display limb abnormalities including brachydactyly (M to O) and wrist contractures (P).

The researchers identified variants that had not been linked to a particular disorder in families where multiple patients exhibited the same symptoms. Once they identified variants of interest, researchers created a zebrafish model to confirm that these variants were responsible for the symptoms among these patients. The researchers showed that decreasing activity of MAP4K4 causes developmental defects in zebrafish, which scientists observed in these patients.

However, overactive RAS activity can lead to cancer, which is why any therapeutic interventions targeting MAP4K4 need to be finely tuned to strike a balance between treating one disorder and ensuring not to increase the risk of cancer.

The researchers believe that the causal gene may be a valuable therapeutic target for other disorders as well. Since this is a newly discovered genetic variant that causes disease in certain patients, researchers would like to know if it is implicated in more general diseases.

“With a new discovery like this, it’s possible we may have missed how these variants influence other diseases,” Bhoj concludes.

The study is published in the journal Science Advances.

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Comments

  1. The only unusual looking person in those photos is the one at the top left corner. The others look like people you see everywhere and everyday. A lot of people have arched eyebrows or larger nose bridges, no big deal.

    1. I don’t think that’s the point though. The similarities in their features illustrate they’re part of this syndrome, and that it has a genetic basis.

    2. This was discovered back in 95 and my daughter was tested for this in 2003. Why isn’t Google putting real news out there….like Hunters lame punishment 🤔

  2. Noting that this info is coming from the Children’s Hospital of Philadelphia, can we assume that this is yet another genetic disease that has much higher prevalence among Amish populations due to generations of inbreeding?

    1. Amish aren’t the only ones inbreeding. How about Hassidic and other ultra Orthodox Jews? They inbreed like crazy.

  3. What “prenatal” meds or tests was given to pregnant mother?
    What aka “vaccines” given to mother or child?
    Is the inflicted gene from mother, father or another source?

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