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Published on: May 1, 2021
Bardet-Biedl syndrome: beyond the cilium
Jonathan L Tobin1, Philip L Beales
1Molecular Medicine Unit, UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.
Insights
Bardet-Biedl syndrome (BBS) is a rare genetic disorder causing kidney failure in children. Research reveals primary cilia dysfunction is key to BBS, offering insights into development and potential treatments.
Area of Science:
- Genetics
- Developmental Biology
- Nephrology
Background:
- Bardet-Biedl syndrome (BBS) is a rare, autosomal recessive disorder.
- It is a significant genetic cause of chronic and end-stage renal failure in children.
- Recent research highlights primary cilia dysfunction as a core aspect of BBS pathogenesis.
Purpose of the Study:
- To review recent developments in Bardet-Biedl syndrome research.
- To emphasize the renal manifestations and pathogenesis of BBS.
- To explore potential future research directions for BBS.
Main Methods:
- Literature review of recent studies on Bardet-Biedl syndrome.
- Focus on genetic and molecular mechanisms, particularly primary cilia.
- Analysis of BBS protein involvement in developmental pathways.
Main Results:
- BBS is linked to primary cilia dysfunction, impacting multiple organ systems.
- BBS proteins interact with key developmental pathways like Wnt and Sonic Hedgehog.
- Understanding BBS offers insights into mammalian development and organogenesis.
Conclusions:
- Primary cilia dysfunction is central to Bardet-Biedl syndrome.
- Further research into BBS pathogenesis can illuminate fundamental biological processes.
- Investigating the renal component of BBS is crucial for therapeutic development.
Abstract:
The Bardet-Biedl syndrome (BBS) is a significant genetic cause of chronic and end-stage renal failure in children. Despite being a relatively rare recessive condition, BBS has come to prominence during the past few years owing to revelations of primary cilia dysfunction underlying pathogenesis. The study of this multi-system disorder, which includes obesity, cognitive impairment, genito-urinary tract malformations and limb deformities, is beginning to reveal insights into several aspects of mammalian development and organogenesis. Involvement of BBS proteins in disparate pathways such as the non-canonical Wnt and Sonic Hedgehog pathways is highlighting their interplay in disease pathogenesis. Here we review the recent developments in this emerging field, with the emphasis on the renal component of the syndrome and potential future directions.
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