Hirschsprung disease, susceptibility to, 1 - CISMeF
Hirschsprung disease, susceptibility to, 1OMIM Phenotype
Preferred Label : Hirschsprung disease, susceptibility to, 1;
Symbol : HSCR1;
CISMeF acronym : HSCR; HSCR1; MGC;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Hirschsprung disease; Aganglionic megacolon; Megacolon, aganglionic; HSCR; MGC;
Included titles and symbols : Hirschsprung disease, protection against;
Description : The disorder described by Hirschsprung (1888) and known as Hirschsprung disease or
aganglionic megacolon is characterized by congenital absence of intrinsic ganglion
cells in the myenteric (Auerbach) and submucosal (Meissner) plexuses of the gastrointestinal
tract. Patients are diagnosed with the short-segment form (S-HSCR, approximately 80%
of cases) when the aganglionic segment does not extend beyond the upper sigmoid, and
with the long-segment form (L-HSCR) when aganglionosis extends proximal to the sigmoid
(Amiel et al., 2008). Total colonic aganglionosis and total intestinal HSCR also occur.
- Genetic Heterogeneity of Hirschsprung Disease Several additional loci for isolated
Hirschsprung disease have been mapped. HSCR2 (600155) is associated with variation
in the EDNRB gene (131244) on 13q22; HSCR3 (613711) is associated with variation in
the;
Inheritance : Autosomal dominant;
Molecular basis : Caused by mutation in the RET protooncogene (RET, 164761.0014);
Laboratory abnormalities : Absent enteric ganglia beginning at the rectum and extends proximally by varying degrees; Acetylcholinesterase staining reveals nerve trunk hypertrophy;