LIG4 syndrome
Synonyms: DNA ligase IV syndrome · SCID with macrocephaly due to DNA ligase IV deficiency
- Type
- Disease
- Group
- Disorder
- Inheritance
- Autosomal recessive
- Age of onset
- Infancy, Neonatal
- Status
- active
LIG4 syndrome is a hereditary disorder associated with impaired DNA double-strand break repair mechanisms and characterized by microcephaly, unusual facial features, growth and developmental delay, skin anomalies, and pancytopenia, which is associated with combined immunodeficiency (CID).
Names in Orphadata languages
12 of 12 languages| Lang | Name | Synonyms |
|---|---|---|
| en | LIG4 syndrome | DNA ligase IV syndrome · SCID with macrocephaly due to DNA ligase IV deficiency |
| fr | Syndrome LIG4 | Immunodéficience combinée sévère par déficit en DNA ligase IV |
| de | LIG4-Syndrom | SCID mit Makrozephalie durch DNA-Ligase-IV-Mangel · DNA-Ligase IV-Mangel · Ligase 4-Syndrom |
| es | Síndrome LIG4 | IDCG con macrocefalia por deficiencia de ADN ligasa IV · SCID con macrocefalia por deficiencia de ADN ligasa IV · Síndrome de ADN ligasa IV |
| it | Sindrome LIG4 | SCID con microcefalia da deficit di DNA ligasi IV · Sindrome della ligasi 4 |
| nl | LIG4-syndroom | Ernstige gecombineerde immuundeficiëntie met macrocefalie door deficiëntie van DNA ligase IV · DNA ligase IV-syndroom · SCID met macrocefalie door deficiëntie van DNA ligase IV |
| pt | Síndrome LIG4 | |
| pl | Zespół LIG4 | Niedobór ligazy DNA IV · Zespół ligazy 4 |
| cs | LIG4 syndrom | Deficit DNA ligázy IV · Ligáza 4 syndrom |
| uk | Синдром LIG4 | Дефіцит ДНК-лігази IV · Синдром лігази 4 |
| zh | LIG4综合征 | DNA连接酶IV缺陷 |
| tr | LIG4 sendromu | Ligaz 4 sendromu · DNA ligaz IV eksikliği |
Definition in:
Cross-references
qualifier = Orphanet mapping relation| Source | Code | Qualifier | ICD relation | Validation |
|---|---|---|---|---|
| OMIM | 606593 | E | validated | |
| ICD-10 | D81.1 | NTBT | attributed | validated |
| ICD-11 | 4A01.1Y | NTBT | index | validated |
| MONDO | 0011686 | E | validated | |
| MeSH | C564694 | E | validated | |
| UMLS | C1847827 | E | validated |
E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.
Classification
Preferential parent (Orphanet linearisation):
Parents in the classifications (4):
- ORPHA:611327Genetic multiple congenital anomalies/dysmorphic syndrome-intellectual disability
rare genetic diseases - ORPHA:102283Multiple congenital anomalies/dysmorphic syndrome-intellectual disability
rare developmental anomalies during embryogenesis; rare neurological diseases - ORPHA:183422Polymalformative genetic syndrome with increased risk of developing cancer
rare genetic diseases; rare neoplastic diseases - ORPHA:720308T-B-NK+ severe combined immunodeficiency with microcephaly
rare genetic diseases; rare immunological diseases; rare transplant-related disorders
No children.
Genes
1 direct| Gene | Association | Status | HGNC | Ensembl | OMIM | Locus | Name | Source of validation |
|---|---|---|---|---|---|---|---|---|
| LIG4 | Disease-causing germline mutation(s) in | Assessed | HGNC:6601 | ENSG00000174405 | 601837 | 13q33.3 | DNA ligase 4 | 23372718[PMID] |
Prevalence and incidence
2 records| Type | Class | Value | Area | Qualification | Validation | Source |
|---|---|---|---|---|---|---|
| Cases/families | 28 cases | Worldwide | Case(s) | Validated | 27717373[PMID] | |
| Point prevalence | <1 / 1 000 000 | — | Worldwide | Class only | Validated | ORPHANET_27717373[PMID] |
Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.
HPO phenotypes
35 annotations · validated 2016-06-01| HPO | Term (as annotated by Orphanet) | Diagnostic |
|---|---|---|
| Very frequent (99-80%) | ||
| HP:0003220 | Abnormality of chromosome stability | |
| HP:0000320 | Bird-like facies | |
| HP:0001263 | Global developmental delay | |
| HP:0001510 | Growth delay | |
| HP:0002721 | Immunodeficiency | |
| HP:0000252 | Microcephaly | |
| Frequent (79-30%) | ||
| HP:0005561 | Abnormality of bone marrow cell morphology | |
| HP:0002488 | Acute leukemia | |
| HP:0004422 | Biparietal narrowing | |
| HP:0000248 | Brachycephaly | |
| HP:0000444 | Convex nasal ridge | |
| HP:0000992 | Cutaneous photosensitivity | |
| HP:0000286 | Epicanthus | |
| HP:0010783 | Erythema | |
| HP:0001249 | Intellectual disability | |
| HP:0000294 | Low anterior hairline | |
| HP:0002665 | Lymphoma | |
| HP:0000347 | Micrognathia | |
| HP:0001876 | Pancytopenia | |
| HP:0004430 | Severe combined immunodeficiency | |
| HP:0000506 | Telecanthus | |
| HP:0000233 | Thin vermilion border | |
| HP:0000582 | Upslanted palpebral fissure | |
| HP:0000431 | Wide nasal bridge | |
| Occasional (29-5%) | ||
| HP:0000924 | Abnormality of the skeletal system | |
| HP:0004209 | Clinodactyly of the 5th finger | |
| HP:0000028 | Cryptorchidism | |
| HP:0002240 | Hepatomegaly | |
| HP:0008736 | Hypoplasia of penis | |
| HP:0000821 | Hypothyroidism | |
| HP:0001974 | Increased total leukocyte count | |
| HP:0002716 | Lymphadenopathy | |
| HP:0002024 | Malabsorption | |
| HP:0100585 | Telangiectasia of the skin | |
| HP:0005978 | Type II diabetes mellitus | |
Run the differential on the 6 obligate / very frequent terms
Annotation source: 16088910[PMID]
Sources for this card
- Orphanet page: orpha.net/en/disease/detail/99812
- This record as JSON: /data/d/99812.json