Subscribe to RSS
DOI: 10.1055/s-2001-11265
Georg Thieme Verlag Stuttgart · New York
Bardet-Biedl-Syndrom: nephrourologische und humangenetische Aspekte
Bardet-Biedl syndrome - aspects of nephro-urology and human genetics.Publication History
Publication Date:
31 December 2001 (online)
Zusammenfassung.
Beim Bardet-Biedl-Syndrom handelt es sich um einen genetisch heterogenen Merkmalskomplex mit autosomal-rezessivem Erbgang, bei dem bisher fünf Gen-Loci beschrieben sind. Die Diagnose dieses Syndroms beruht auf den Hauptmanifestationen Hypogenitalismus, altersabhängige, zunehmende Adipositas und renale Funktionsminderung, altersabhängige, fortschreitende Retinadegeneration mit möglicher Erblindung sowie postaxiale Polydaktylie und geistige Behinderung. Die Lebenserwartung ist eingeschränkt. Es werden Probleme der Frühdiagnostik, des sekundären Hyperparathyreoidismus sowie Fragen der operativen genitalen Rekonstruktion und der Nierenersatztherapie besprochen.
Bardet-Biedl syndrome is a genetically heterogeneous autosomal recessive complex of features in which five gene loci have been described up to now. The diagnosis of this rare syndrome is based on the main manifestations hypogonadism, age-dependent increasing obesity and reduction of renal function, age-dependent progressive retinal degeneration with blindness as well as postaxial polydactyly and mental retardation. The life expectancy is short. Problems of early diagnostics, secondary hyperparathyroidism as well as surgical reconstruction of the genitals and kidney replacement therapy are discussed.
Schlüsselwörter:
Bardet-Biedl-Syndrom - Nephrologie - Bildgebende Nierendiagnostik - Endokrinologie - Urologie - Humangenetik
Key words:
Bardet-Biedl syndrome - nephrology - imaging renal masses - endocrinology - urology - human genetics
Literatur
- 01 Anadoliiska A, Roussinov D. Clinical aspects of renal involvement in Bardet-Biedl syndrome. Intern Urol Nephrol. 1993;; 25 509-514
- 02 Bardet G. Sur un syndrome d'obésité congénitale avec polydactylie et retinite pigmentaire: contribution a l'étude des formes cliniques de l'obésité hypophysaire. Thèse de Médecine, Paris. 1920;; 170 107
- 03 Beales P L, Elcioglu N, Woolf A S, Parker D, Flinter F A. New criteria for improved diagnosis of Bardet-Biedl syndrome: results of a population survey. J Med Genet. 1999;; 36 437-446
- 04 Benedetti E, Asolati M, Dunn T, Walczak D A, Papp P, Bartholomew A M, Smith Y, Washington A W, Pollak R. Kidney transplantation in recipients with mental retardation: clinical results in a single-center experience. Am J Kidney Dis. 1998;; 31 509-512
- 05 Biedl A. Geschwisterpaar mit adiposo-genitaler Dystrophie. Vortrag Verein dtsch Ärzte, Prag, 16.VI.1922; in: Wiener O. Kongr. Ber Dtsch med Wschr. 1922;; 48 1630
- 06 Borgström M K, Riise R, Tornqvist K, Granath L. Anomalies in the permanent dentition and other oral findings in 29 individuals with Laurence-Moon-Bardet-Biedl syndrome. J Oral Pathol Med. 1996;; 25 86-89
- 07 Brühl P, v Vietinghoff K, Müller S C. Aktuelle Diagnostik und Therapie des Maldescensus testis. Monatsschr Kinderheilk. 1999;; 147 670-675
- 08 Bruford E A, Riise R, Teague P W. Linkage mapping in 29 Bardet-Biedl syndrome families confirms loci in chromosomal regions 11q13, 15q22.3-q23, and 16q21. Genomics. 1997;; 41 93-99
- 09 Carmi R, Elbedour K, Stone M, Sheffield V C. Phenotypic differences among patients with Bardet-Biedl Syndrome linked to three different chromosome loci. Am J Med Genet. 1995;; 59 199-203
- 10 Castle J, Roesen H M, Schram A. Laurence-Moon-Bardet-Biedl Syndrome and polydactyly. J Foot and Ankle Surg. 1993;; 32 276-279
- 11 Chalvon-Demersay A, Tardieu M, Crosnier H, Bénichou J J, Pienkowski C, Rochiccioli P, Labrune B. Syndrome de Laurence-Moon (Bardet-Biedl) avec déficit en hormone de croissance. Arch Fr Pediatr. 1993;; 50 859-862
- 12 Churchill D N, McManamon P, Hurley R M. Renal disease - a sixth cardinal feature of the Laurence-Moon-Biedl Syndrome. Clin Nephr. 1981;; 16 151-154
- 13 Collins C M, Mendoza S A, Griswold W R, Tanney D, Lieberman E, Reznik V M. Pediatric renal transplantation in Laurence-Moon-Biedl syndrome. Ped Nephrol. 1994;; 8 221-222
- 14 De Marchi S, Cecchin E, Bartoli E. Bardet-Biedl Syndrome and cystinuria. Renal Failure. 1992;; 14 587-590
- 15 Devarajan P. Obesity and genitourinary anomalies in Bardet-Biedl syndrom after renal transplantation. Pediatr Nephrol. 1995;; 9 397-402
- 16 Elbedour K, Zucker N, Zalzstein E, Barki Y, Carmi R. Cardiac abnormalities in the Bardet-Biedl Syndrome: echocardiographic studies of 22 patients. Am J Med Genet. 1994;; 52 164-169
- 17 Farag T I, Teebi A S. High incidence of Bardet-Biedl syndrome among the Beduin. Clin Genet. 1989;; 36 463-465
- 18 Fryczkowski M, Paradysz A, Krauze-Balwinska Z. Late results of operative treatment of intersexuality in children with advanced hypospadias and simultaneous cryptorchidism. Intern Urol Nephrol. 1996;; 28 241-245
- 19 Garber S J, de Bruyn R. Laurence-Moon-Biedl syndrome: renal ultrasound appearances in the neonate. Brit J Radiol. 1991;; 64 631-633
- 20 Green J S, Parfrey P S, Harnett J D, Farid N R, Cramer B C, Johnson G, Heath O, McManamon P J, O'Leary E, Pryse-Phillips R W. The cardinal manifestations of Bardet-Biedl syndrome, a form of Laurence-Moon-Biedl syndrome. N Engl J Med. 1989;; 321 1002-1009
- 21 Harnett J D, Green J S, Cramer B C, Johnson G, Chafe L, McManamon P J, Farid R, Pryse-Phillips R W, Parfrey P S. The spectrum of renal disease in Laurence-Moon-Biedl Syndrom. New Engl J Med. 1988;; 319 615-618
- 22 Hergesell O. End-stage renal disease due to Bardet-Biedl syndrome. Nephrol Dial Transplant. 1997;; 12 1773-1774
- 23 Hermanns M, Brühl P, Mallmann R. Refluxnephropathie: Renale Funktionseinschränkung und Osteodystrophie. Urologe (A). 1992;; 31 235-237
- 24 Kiratli P Ö, Erbas P, Bekdik F. Laurence-Moon-Biedl syndrome: Scintigraphic appearance of kindneys. Ann Nucl Med. 1997;; 11 159-161
- 25 Kränke B, Januschowski R, Balzer K. Laurence-Moon-Bardet-Biedl-Syndrom. Med Klin. 1993;; 88 78-81
- 26 Kwitek-Black A E, Carmi R, Duyk G M, Buetow K H, Elbedour K, Parvari R, Yandava C N, Stone E M, Sheffield C V. Linkage of Bardet-Biedl syndrome to chromosome 16q and evidence for non-allelic genetic heterogeneity. Nat Genet. 1997;; 5 392-396
- 27 Laurence J Z, Moon R C. Four cases of retinitis pigmentosa. Opthalmic Rev. 1866;; 2 32-38
- 28 Linné T, Wikstad I, Zetterström R. Renal involvement in the Laurence-Moon-Biedl syndrome: functional and radiological studies. Acta Paediatr Scand. 1986;; 75 240-244
- 29 Mallmann R, Zerres K P, Hoyer P F, Offner G. Nierentransplantation bei Bardet-Biedl-Syndrom. Monatschr Kinderheilk. 1994;; 142 Suppl 1 118
- 30 McKusick V A. Mendelian Inheritance in Man: A catalogue of human genes and genetic disorders. 12th ed. Johns Hopkins University Press, Baltimore, London; 1998:
- 31 Nadjmi B, Flanagan M J, Christian J R. Laurence-Moon-Biedl syndrome associated with multiple genitourinary tract anomalies. Am J Dis Child. 1969;; 117 352-356
- 32 O'Dea D, Parfrey P S, Harnett D, Hefferton D, Cramer B C, Green J. The importance of renal impairment in the natural history of Bardet-Biedl syndrome. Am J Kidney Dis. 1996;; 27 776-783
- 33 Osusky R, Alsaadi A H, Farpour A. Falldemonstration vom Laurence-Moon-Bardet-Biedl-Syndrom. Klin Mbl Augenheilk. 1991;; 198 445-446
- 34 Pérez Pérez A J, Courel Barrio M A. Kidney disease in Bardet-Biedl syndrome. Nephrol Dial Transplant. 1998;; 13 510-511
- 35 Piepsz A, Gordon I, Halm K. Pediatric nuclear medicine. Eur J Nuc Med. 1991;; 18 41-66
- 36 Schachat A P, Maumenee I H. The Bardet-Biedl syndrome and related disorders. Arch Opthalmol. 1982;; 100 285-288
- 37 Sheffield V C, Carmi R, Kwitek-Black A. Identification of a Bardet-Biedl syndrome locus on chromosome 3 and evaluation of an efficient approach to homozygosity mapping. Hum Mol Genet. 1994;; 3 1331-1335
- 38 Spindler K D, Weidemann W, Schweikert H-U. Androgenresistenz; Klinische, biochemische und molekularbiologische Aspekte. Urologe (B). 1999;; 39 402-406
- 39 Stoler J M, Herrin J T, Holmes L B. Genital abnormalities in females with Bardet-Biedl syndrome. Am J Med Genet. 1995;; 55 276-278
- 40 Tommerup N. High-resolution chromosome analysis in autosomal recessive disorders: Laurence-Moon-Bardet-Biedl syndrome. Clin Genet. 1993;; 43 111-112
- 41 Uçar B, Yakut A, Kural N, Büyükasik F, Vardareli E. Renal involvement in the Laurence-Moon-Bardet-Biedl syndrome: report of five cases. Pediatr Nephrol. 1997;; 11 31-35
- 42 Young T L, Penney L, Woods M O, Parfrey P S, Green J S, Hefferton D, Davidson W S. Canadian Bardet-Biedl syndrome family reduces the critical region of BBS3 (3q) and presents with a variable phenotype. Am J Med Genet. 1998;; 78 461-467
- 43 Young T L, Penney L, Woods M O, Parfrey P S, Green J S, Hefferton D, Davidson W S. A fifth locus for Bardet-Biedl syndrome maps to chromosome 2q31. Am J Hum Genet. 1999;; 64 901-904
Prof. Dr. Peter Brühl
Klinik und Poliklinik für Urologie der Universität Bonn
Sigmund-Freud-Str. 25
53105 Bonn