Preferred Label : Peroxisome biogenesis disorder 1a (zellweger);
Symbol : PBD1A;
CISMeF acronym : CGE; CG1; CHR; ZWS; PBD1A;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Zs; Cerebrohepatorenal syndrome; ZWS; CHR;
Included titles and symbols : Peroxisome biogenesis disorder, complementation group 1; Peroxisome biogenesis disorder, complementation group e; CG1; CGE;
Description : Zellweger syndrome is an autosomal recessive systemic disorder characterized clinically
by severe neurologic dysfunction, craniofacial abnormalities, and liver dysfunction,
and biochemically by the absence of peroxisomes. Most severely affected individuals
with classic Zellweger syndrome phenotype die within the first year of life (summary
by Wanders, 2004). 'Zellweger syndrome' is the prototype of a large group of peroxisomal
disorders, which can be classified into 2 main groups: (1) disorders of peroxisome
biogenesis and (2) single peroxisomal enzyme deficiencies (see 264470). The peroxisome
biogenesis disorders (PBDs) fall into 4 main phenotypic classes. Three of them, Zellweger
syndrome, neonatal adrenoleukodystrophy (NALD), and infantile Refsum disease (IRD),
have multiple complementation groups and form a spectrum of overlapping features,
with the most severe being the Zellweger syndrome and the least severe infantile Refsum
disease. The fourth group, rhizomelic chondrodysplasia punctata (RCDP1; 215100), is
a distinct PBD phenotype (summary by Moser et al., 1995, Wanders, 2004). - Genetic
Heterogeneity of Zellweger Syndrome Zellweger syndrome (denoted by the suffix 'A'
in the symbol) is a genetically heterogeneous disorder and can be caused by mutation
in any one of several genes, known as pexins, involved in peroxisome biogenesis. The
pexin (PEX) genes encode proteins essential for the assembly of functional peroxisomes
(summary by Distel et al., 1996). Forms of Zellweger syndrome include PBD1A, caused
by mutation in the PEX1 gene on chromosome 7q21; PBD2A (214110), caused by mutation
in the PEX5 (600414) gene on chromosome 12p13; PBD3A (614859), caused by mutation
in the PEX12 (601758) gene on chromosome 17; PBD4A (614862), caused by mutation in
the PEX6 (601498) gene on chromosome 6p21; PBD5A (614866), caused by mutation in the
PEX2 (170993) gene on chromosome 8q21; PBD6A (614870), caused by mutation in the PEX10
(602859) gene on chromosome 1p36; PBD7A (614872), caused by mutation in the PEX26
(608666) gene on chromosome 22q11; PBD8A (614876), caused by mutation in the PEX16
(603360) gene on chromosome 11p12; PBD10A (614882), caused by mutation in the PEX3
(603164) gene on chromosome 6q23-q24; PBD11A (614883), caused by mutation in the PEX13
(601789) gene on chromosome 2p15; PBD12A (614886), caused by mutation in the PEX19
(600279) gene on chromosome 1q22; and PBD13A (614887), caused by mutation in the PEX14
gene (601791) on chromosome 1p36.2. Mutation in the pexin genes also causes the less
severe phenotypes of neonatal adrenoleukodystrophy (NALD) and infantile Refsum disease
(IRD); see PBD1B (601539) for a phenotypic description and discussion of genetic heterogeneity
of these PBDs. The rhizomelic chondrodysplasia subtype of PBD (RCDP1, PBD9; 215100),
and a PBD without rhizomelia (PBD9B; 614879), are caused by mutation in the PEX7 gene
(601757) on chromosome 6q22-q24. In addition to the defects in peroxisome assembly,
Distel et al. (1996) noted that peroxisomal disorders include a number of single peroxisomal
enzyme deficiencies: X-linked adrenoleukodystrophy (ALD; 300100), acyl-coenzyme A
oxidase deficiency (264470), DHAPAT deficiency (222765), alkyl-DHAP synthase deficiency
(600121), glutaric aciduria type III (231690), classic Refsum disease (266500), hyperoxaluria
type I (259900), and acatalasia (115500). A peroxisomal and mitochondrial fission
defect results in a lethal encephalopathy (EMPF; 614388).;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the peroxisome biogenesis factor-1 gene (PEX1, 602136.0001);
Laboratory abnormalities : Decreased dihydroxyacetone phosphate acyltransferase (DHAP-AT) activity; Elevated long chain fatty acids; Elevated serum iron and iron binding capacity; Decreased plasmalogen; Increased phytanic acid; Pipecolic acidemia; Aminoaciduria; Albuminuria;
Prefixed ID : #214100;
Origin ID : 214100;
UMLS CUI : C4721541;
Automatic exact mappings (from CISMeF team)
Broader ORDO disease(s)
CISMeF manual mappings
Currated CISMeF NLP mapping
DO Cross reference
False automatic mappings
Genes related to phenotype
HPO term(s)
ORDO concept(s)
See also inter- (CISMeF)
Semantic type(s)
UMLS correspondences (same concept)