Skeletal Phenotype in MulibreyNanism, A Monogenic Skeletal Dysplasia With Fibrous Dysplasia. Mulibreynanism (MUL) is a monogenic growth disorder caused by mutations in TRIM37, with pre-and postnatal growth failure, typical craniofacial features, perimyocardial heart disease, infertility and predisposition to tumors. Clinically, patients are gracile with relative macrocephaly, thin extremities
MulibreyNanism We value your privacyWe and our partners store and/or access information on a device, such as cookies and process personal data, such as unique identifiers and standard information sent by a device for personalised ads and content, ad and content measurement, and audience insights, as well as to develop and improve products. With your permission we and our partners may use precise ; Mulibreynanism, an autosomal recessive syndrome with pericardial constriction. Lancet. 1973 Aug 182(7825):351-5.MulibreyNanism, Online Mendelian Inheritance in Man (OMIM)Karlberg N, Jalanko H, Perheentupa J, et al; Mulibreynanism: clinical features and diagnostic criteria. J Med Genet. 2004 Feb41(2):92-8.Perheentupa J, Autio S, Leisti S, et al; Mulibreynanism: review of 23 cases of a new autosomal
MulibreyNanism Syndrome: A case for heart transplantation. Mulibreynanism syndrome is a rare genetic disorder affecting multiple organ systems. The cardiovascular system is one of the most significantly affected, with simultaneous myocardial and pericardial disease. These patients are usually managed by pericardiectomy to resolve the milieu of hemodynamic problems ensuing due to concurrent constrictive and restrictive pathologies. We highlight the use of cardiac transplantation as a definitive management for a hemodynamically decompensated patient with Mulibreynanism syndrome.
Premature ovarian insufficiency and early depletion of the ovarian reserve in the monogenic Mulibreynanism disorder. What is the timing of onset and clinical course of premature ovarian insufficiency (POI) in patients with Mulibreynanism (MUL), a monogenic disorder caused by mutations of the peroxisomal TRIM37 gene? The number of ovarian follicles is highly reduced already in infant and young
Renal findings in patients with Mulibreynanism. Mulibreynanism (MUL) is a rare inherited disease caused by genetic defects affecting peroxisomal TRIM37 protein. MUL affects multiple organs, leading to growth retardation and early onset type 2 diabetes. We aimed to characterize the structure and function of kidneys and the urinary tract in a large cohort of Finnish MUL patients. Ultrasound
Constrictive Pericarditis and Primary Amenorrhea with Syndactyly in an Iranian Female: MulibreyNanism Syndrome Mulibreynanism is a rare autosomal recessive syndrome caused by a mutation in the TRIM37 gene with severe growth retardation and multiple organ involvement. Early diagnosis is important because 50% of the patients develop congestive heart failure owing to constrictive pericarditis pericardium forced the surgeon to do partial pericardiotomy. Our report underlines the importance of attention to probable Mulibreynanism when confronting patients with primary amenorrhea, growth retardation, and dysmorphic features. Early cardiac examination is of great significance in the course of the disorder, and patients must be pericardiectomized to relieve the symptoms and increase survival.
Trim37-deficient mice recapitulate several features of the multi-organ disorder MulibreynanismMulibreynanism (MUL) is a rare autosomal recessive multi-organ disorder characterized by severe prenatal-onset growth failure, infertility, cardiopathy, risk for tumors, fatty liver, and type 2 diabetes. MUL is caused by loss-of-function mutations in TRIM37, which encodes an E3 ubiquitin ligase
Report of two Syrian siblings with Mulibreynanism Mulibrey (MUscle-LIver-BRain-EYe) nanism is a rare autosomal recessive disease characterized by growth failure, dysmorphic features and a wide range of abnormalities affecting multiple organ systems. This report is the first to present two cases of Mulibreynanism affecting two siblings from Syria. Mulibreynanism can be suspected clinically due to the distinctive features of the patients. The aim of this report is to document the presence of Mulibreynanism in Syria and to familiarize physicians in and out of Syria with this rare disease and encourage them to develop high clinical suspicion if faced with patients with similar presentations.
TRIM37 prevents formation of centriolar protein assemblies by regulating Centrobin. TRIM37 is an E3 ubiquitin ligase mutated in Mulibreynanism, a disease with impaired organ growth and increased tumor formation. TRIM37 depletion from tissue culture cells results in supernumerary foci bearing the centriolar protein Centrin. Here, we characterize these centriolar protein assemblies (Cenpas
TRIM37 is highly expressed during mitosis in CHON-002 chondrocytes cell line and is regulated by miR-223. Multiple molecular disorders can affect mechanisms regulating proliferation and differentiation of growth plate chondrocytes. Mutations in the TRIM37 gene cause the Mulibreynanism, a heritable growth disorder. Since chondrocytes are instrumental in long bone growth that is deficient
. In 4 out of these 15 patients, disease-causing variants were found in genes associated with other diagnoses. These patients carried mutations associated with Bloom syndrome, Mulibreynanism, KBG syndrome, or IGF1R-associated short stature. We could not detect any pathogenic mutation in patients with a negative clinical score. Some of the differential diagnoses detected in the cohort presented here
TRIM37, a novel E3 ligase for PEX5-mediated peroxisomal matrix protein import Most proteins destined for the peroxisomal matrix depend on the peroxisomal targeting signals (PTSs), which require the PTS receptor PEX5, whose deficiency causes fatal human peroxisomal biogenesis disorders (PBDs). gene mutations cause muscle-liver-brain-eye (mulibrey) nanism. We found that TRIM37 localizes apoptosis and enhances sensitivity to oxidative stress, underscoring the cellular requirement for functional peroxisomes. Therefore, TRIM37-mediated ubiquitylation stabilizes PEX5 and promotes peroxisomal matrix protein import, suggesting that mulibreynanism is a new PBD.
Wilms' tumor and novel TRIM37 mutations in an Australian patient with mulibreynanism. Mulibreynanism is a rare autosomal recessive growth disorder with prenatal onset, including occasional progressive cardiopathy, characteristic facial features, failure of sexual maturation, insulin resistance with type 2 diabetes, and an increased risk for Wilms' tumor. Mulibreynanism is prevalent in the Finnish population and appears extremely rare elsewhere. However, cases outside of Finland may be underdiagnosed or misdiagnosed as having the 3-M or Silver-Russell syndrome, two important differential diagnostic disorders. Here, we report the first Australian patient with mulibreynanism, in whom the occurrence of Wilms' tumor suggested the correct diagnosis. This was confirmed by the identification
Mulibreynanism: clinical features and diagnostic criteria. Mulibreynanism (MUL) is an autosomal recessive disease caused by mutations in the TRIM37 gene encoding the peroxisomal TRIM37 protein of unknown function. In this work, we analysed the clinical characteristics of 85 Finnish patients with MUL, most of whom were homozygous for the Finn major mutation of TRIM37. The patients' hospital
Cardiac dysfunction in children with mulibreynanism. Mulibreynanism is an autosomal recessive disease with severe growth failure and multiple organ involvement. Heart manifestations include constrictive pericarditis and restrictive cardiomyopathy. The purpose of this study was to evaluate left ventricular (LV) diastolic and systolic function in children with mulibreynanism utilizing two - and three- dimensional (2-D and 3-D) echocardiography and measurement of serum levels of natriuretic peptides. Of the 30 children diagnosed with mulibreynanism in Finland, 26 participated. The control group comprised 26 children. In 2-D echocardiography, the interventricular septum and LV posterior wall were thicker in patients. The left atrium/aorta ratio measured a median 1.8 (range, 1.4-2.5
Growth and growth hormone therapy in subjects with mulibreynanism. Mulibreynanism is a monogenic disorder with prenatal-onset growth restriction, mild dysmorphic features, and a strong tendency for insulin resistance but no major neurologic handicap. Growth hormone therapy has been shown to promote short-term growth in children born small for gestational age, but the experience with long-term therapy is insufficient. Growth in patients with mulibreynanism has not been analyzed previously in detail. We evaluated the natural growth pattern and long-term impact of growth hormone treatment in the largest cohort of subjects with mulibreynanism to date. The study included 72 living subjects followed up to 30 years. Thirty (18 female) were treated with recombinant human growth hormone
Mulibrey heart disease: clinical manifestations, long-term course, and results of pericardiectomy in a series of 49 patients born before 1985. Mulibreynanism is a rare inherited disease characterized by growth failure and multiorgan manifestations, including constrictive pericarditis. Its long-term course, the results of pericardiectomy, and the details of myocardial involvement have not been
Testicular Failure and Male Infertility in the Monogenic MulibreyNanism Disorder. Few monogenic mutations causing human male infertility have been identified to date. We studied pubertal development and fecundity in males with Mulibreynanism (MUL) caused by mutations in the TRIM37 gene. Twenty-eight male MUL patients of the Finnish national cohort aged 8.7 to 50.0 yr (median age, 28.8
The TRIM37 Gene Encodes a Peroxisomal RING-B-Box-Coiled-Coil Protein: Classification of MulibreyNanism as a New Peroxisomal Disorder Mulibreynanism is a rare growth disorder of prenatal onset caused by mutations in the TRIM37 gene, which encodes a RING-B-box-coiled-coil protein. The pathogenetic mechanisms of mulibreynanism are unknown. We have used transiently transfected cells and antibodies in peroxin 7 (PEX7(-/-)) deficient fibroblasts, giving further evidence for a peroxisomal localization of TRIM37. Fibroblasts derived from patients with mulibreynanism lack C-terminal TRIM37 immunoreactivity but stain normally for both peroxisomal matrix and membrane markers, suggesting apparently normal peroxisome biogenesis in patient fibroblasts. Taken together, this molecular evidence unequivocally
High-Resolution Physical and Genetic Mapping of the Critical Region for Meckel Syndrome and MulibreyNanism on Chromosome 17q22–q23 Previously, we assigned the genes for two autosomal recessive disorders, Meckel syndrome (MKS; MIM 249000) and MulibreyNanism [MUL (muscle-liver-brain-eye Nanism); MIM 253250] that are enriched in the Finnish population, to overlapping genomic regions