Related Experiment Video
Updated: Jan 15, 2026

Navigating MARRVEL, a Web-Based Tool that Integrates Human Genomics and Model Organism Genetics Information
Published on: August 15, 2019
Biallelic Variants in TMEM17 Cause Meckel-Gruber Syndrome Within the Ciliopathy Spectrum
Luba M Pardo1, Javier Martini1, Emir Zonic1
1CENTOGENE GmbH, Rostock, Germany.
Abstract:
TMEM17 encodes a transition zone protein essential for ciliary function. Three cases with homozygous variants in TMEM17 in primary ciliopathies (Joubert and Oral-Facial-Digital syndrome) have been reported. We investigated whether biallelic TMEM17 variants contribute to primary ciliopathies. We queried our Biodatabank and evaluated the gene-disease relationship (GDR) according to the ClinGen recommendations. Four unrelated patients (four families) were identified with a clinical diagnosis of Meckel-Gruber syndrome (MGS) and novel homozygous variants: NM_198276.3:c.4del p.(Glu2Serfs*58); NM_198276.3:c.366dup p.(Pro123Thrfs*9); and NM_198276.3:c.368C>G p.(Pro123Arg). A fifth family lost three foetuses with MGS phenotype, both parents are heterozygote carriers (NM_198276.3:c.4del p.(Glu2Serfs*58)) but biological material from the foetuses was not available. The cases in this study had a severe prenatal phenotype, including encephalocele, polycystic kidney dysplasia, and polydactyly, leading to early lethality. This study strengthens the gene-disease association of TMEM17, upgrading it from "limited" to "moderate." We expand the phenotypic spectrum, ranging from MGS-with prenatal onset and early lethality-to Oral-Facial-Digital and Joubert syndromes. Our findings indicate that loss-of-function variants may underlie the most severe TMEM17 ciliopathy manifestations, suggesting a potential genotype-phenotype correlation.
Insights
Biallelic variants in TMEM17 cause severe Meckel-Gruber syndrome (MGS) and other primary ciliopathies. This study upgrades the TMEM17 gene-disease association, expanding the known phenotype spectrum and suggesting genotype-phenotype correlations.
Area of Science:
- Genetics
- Molecular Biology
- Developmental Biology
Background:
- TMEM17 is crucial for ciliary function, with prior reports linking homozygous variants to Joubert and Oral-Facial-Digital syndromes.
- The role of TMEM17 variants in other primary ciliopathies, particularly severe forms, requires further investigation.
Purpose of the Study:
- To determine if biallelic TMEM17 variants contribute to primary ciliopathies.
- To evaluate the gene-disease relationship (GDR) for TMEM17 based on ClinGen recommendations.
Main Methods:
- Queried a Biodatabank to identify patients with potential TMEM17-related ciliopathies.
- Evaluated identified cases for novel homozygous TMEM17 variants and associated phenotypes.
- Assessed the gene-disease relationship using established clinical guidelines.
Main Results:
- Identified four unrelated families with Meckel-Gruber syndrome (MGS) and novel homozygous TMEM17 variants (c.4del, c.366dup, c.368C>G).
- A fifth family presented with MGS phenotype in three fetuses, with parents as heterozygote carriers of c.4del.
- Phenotypes included severe prenatal manifestations like encephalocele, polycystic kidney dysplasia, and polydactyly, leading to early lethality.
Conclusions:
- Strengthened the TMEM17 gene-disease association from 'limited' to 'moderate'.
- Expanded the phenotypic spectrum of TMEM17 ciliopathies to include MGS with prenatal onset and early lethality.
- Loss-of-function TMEM17 variants are implicated in severe ciliopathies, suggesting a genotype-phenotype correlation.
Related Concept Videos
Microtubules in Signaling
Pleiotropy
Incomplete Dominance
Cadherins in Tissue Organization
Cell Sorting During Development
Cell sorting plays an...
Notch Signaling Pathway
The Notch gene came into the limelight in 1914 after the discovery that its mutation in Drosophila melanogaster leads to a serrated (or "notched") wing margin phenotype. It was not...
Translation
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of...

