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Tang, P. SHORT Syndrome. Encyclopedia. Available online: https://encyclopedia.pub/entry/6065 (accessed on 25 April 2024).
Tang P. SHORT Syndrome. Encyclopedia. Available at: https://encyclopedia.pub/entry/6065. Accessed April 25, 2024.
Tang, Peter. "SHORT Syndrome" Encyclopedia, https://encyclopedia.pub/entry/6065 (accessed April 25, 2024).
Tang, P. (2021, January 04). SHORT Syndrome. In Encyclopedia. https://encyclopedia.pub/entry/6065
Tang, Peter. "SHORT Syndrome." Encyclopedia. Web. 04 January, 2021.
SHORT Syndrome
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This entry is adapted from the peer-reviewed paper https://medlineplus.gov/genetics/condition/short-stature-hyperextensibility-hernia-ocular-depression-rieger-anomaly-and-teething-delay

Short stature, hyperextensibility, hernia, ocular depression, Rieger anomaly, and teething delay, commonly known by the acronym SHORT syndrome, is a rare disorder that affects many parts of the body.

genetic conditions

1. Introduction

Most people with SHORT syndrome are small at birth and gain weight slowly in childhood. Affected adults tend to have short stature compared with others in their family. Many have a lack of fatty tissue under the skin (lipoatrophy), primarily in the face, arms, and chest. This lack of fat, together with thin, wrinkled skin and veins visible beneath the skin, makes affected individuals look older than their biological age. This appearance of premature aging is sometimes described as progeroid.

Most people with SHORT syndrome have distinctive facial features. These include a triangular face shape with a prominent forehead and deep-set eyes (ocular depression), thin nostrils, a downturned mouth, and a small chin. Eye abnormalities are common in affected individuals, particularly Rieger anomaly, which affects structures at the front of the eye. Rieger anomaly can be associated with increased pressure in the eye (glaucoma) and vision loss. Some people with SHORT syndrome also have dental abnormalities such as delayed appearance (eruption) of teeth in early childhood, small teeth, fewer teeth than normal (hypodontia), and a lack of protective covering (enamel) on the surface of the teeth.

Other signs and symptoms that have been reported in people with SHORT syndrome include immune system abnormalities, a kidney disorder known as nephrocalcinosis, hearing loss, loose (hyperextensible) joints, and a soft out-pouching in the lower abdomen called an inguinal hernia. A few affected individuals have developed problems with blood sugar regulation including insulin resistance and diabetes. Most people with SHORT syndrome have normal intelligence, although a few have been reported with mild cognitive impairment or delayed development of speech in childhood.

2. Frequency

SHORT syndrome is a rare condition; its prevalence is unknown. Only a few affected individuals and families have been reported worldwide.

3. Causes

SHORT syndrome results from mutations in the PIK3R1 gene. This gene provides instructions for making one part (subunit) of an enzyme called PI3K, which plays a role in chemical signaling within cells. PI3K signaling is important for many cell activities, including cell growth and division, movement (migration) of cells, production of new proteins, transport of materials within cells, and cell survival. Studies suggest that PI3K signaling may be involved in the regulation of several hormones, including insulin, which helps control blood sugar levels. PI3K signaling may also play a role in the maturation of fat cells (adipocytes).

Mutations in the PIK3R1 gene alter the structure of the subunit, which reduces the ability of PI3K to participate in cell signaling. Researchers are working to determine how these changes lead to the specific features of SHORT syndrome. PI3K's role in insulin activity may be related to the development of insulin resistance and diabetes, and problems with adipocyte maturation might contribute to lipoatrophy in affected individuals. It is unclear how reduced PI3K signaling is associated with the other features of the condition.

3.1. The gene associated with Short stature, hyperextensibility, hernia, ocular depression, Rieger anomaly, and teething delay

  • PIK3R1

4. Inheritance

SHORT syndrome has an autosomal dominant pattern of inheritance, which means one copy of the altered PIK3R1 gene in each cell is sufficient to cause the disorder. In most cases, the condition results from a new mutation in the gene and occurs in people with no history of the disorder in their family. In other cases, an affected person inherits the mutation from one affected parent.

5. Other Names for This Condition

  • growth retardation-Rieger anomaly
  • lipodystrophy, partial, with Rieger anomaly and short stature
  • short stature-hyperextensibility-Rieger anomaly-teething delay
  • SHORT syndrome

References

  1. Chudasama KK, Winnay J, Johansson S, Claudi T, König R, Haldorsen I, JohanssonB, Woo JR, Aarskog D, Sagen JV, Kahn CR, Molven A, Njølstad PR. SHORT syndromewith partial lipodystrophy due to impaired phosphatidylinositol 3 kinasesignaling. Am J Hum Genet. 2013 Jul 11;93(1):150-7. doi:10.1016/j.ajhg.2013.05.023.
  2. Dyment DA, Smith AC, Alcantara D, Schwartzentruber JA, Basel-Vanagaite L,Curry CJ, Temple IK, Reardon W, Mansour S, Haq MR, Gilbert R, Lehmann OJ,Vanstone MR, Beaulieu CL; FORGE Canada Consortium, Majewski J, Bulman DE,O'Driscoll M, Boycott KM, Innes AM. Mutations in PIK3R1 cause SHORT syndrome. Am J Hum Genet. 2013 Jul 11;93(1):158-66. doi: 10.1016/j.ajhg.2013.06.005.
  3. Koenig R, Brendel L, Fuchs S. SHORT syndrome. Clin Dysmorphol. 2003Jan;12(1):45-9. Review.
  4. Schroeder C, Riess A, Bonin M, Bauer P, Riess O, Döbler-Neumann M, Wieser S,Moog U, Tzschach A. PIK3R1 mutations in SHORT syndrome. Clin Genet. 2014Sep;86(3):292-4. doi: 10.1111/cge.12263.
  5. Thauvin-Robinet C, Auclair M, Duplomb L, Caron-Debarle M, Avila M, St-Onge J, Le Merrer M, Le Luyer B, Héron D, Mathieu-Dramard M, Bitoun P, Petit JM, Odent S,Amiel J, Picot D, Carmignac V, Thevenon J, Callier P, Laville M, Reznik Y, FagourC, Nunes ML, Capeau J, Lascols O, Huet F, Faivre L, Vigouroux C, Rivière JB.PIK3R1 mutations cause syndromic insulin resistance with lipoatrophy. Am J HumGenet. 2013 Jul 11;93(1):141-9. doi: 10.1016/j.ajhg.2013.05.019.
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Subjects: Genetics & Heredity
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Peter Tang
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Update Date: 04 Jan 2021
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