Baratela-Scott syndrome (XYLT1)


Dred_IDRD00029
OMIM ID615777
Disease nameBaratela-Scott syndrome
Alternative namesBSS
CategoryGenetic diseases, Neuronal diseases
PhenotypeIn 2012 Baratela-Scott syndrome was identified in humans. A GGC repeat expansion, and methylation of exon 1 of XYLT1 is a common pathogenic variant in Baratela-Scott syndrome. Patients with Bartarlla-Scott syndrome exhibit abnormal development of the skeleton, characteristic facial features, and cognitive developmental delay. Skeletal problems include knee cap in the wrong position, short long bones with mild changes to the narrow portion, short palm bones with stub thumbs, short thigh necks, shallow hip sockets, and malformations of the spine. Characteristic facial features include a flattened midface with a broad nasal bridge, cleft palate, and unibrow. The syndrome also cause pre-school onset of a cognitive developmental delay, with a shortened attention span. Some of the cognitive delay is masked by a warm and engaging personality.
MiscellaneouseN/A
PrevalenceN/A [source: MalaCards]
Inheritance autosomal recessive
AnticipationYes
EvidenceStrong
Gene symbolXYLT1
Alias symbolsXT1; XTI; XT-I; DBQD2; XYLTI; PXYLT1; xylT-I
Gene namexylosyltransferase 1
Gene map locus16p12.3; chr16:17,101,769-17,470,960(-)
Ensembl Gene IDENSG00000103489
Gene expression and Gene OntologyBioGPS
Protein expressionHuman Protein Atlas
Gene sequenceSequence
VariationClinVar,  dbSNP
Gene conservationGene Conservation from UCSC Genome Browser
Gene DescriptionThis locus encodes a xylosyltransferase enzyme. The encoded protein catalyzes transfer of UDP-xylose to serine residues of an acceptor protein substrate. This transfer reaction is necessary for biosynthesis of glycosaminoglycan chains. Mutations in this gene have been associated with increased severity of pseudoxanthoma elasticum.
Repeat unitGGC
Normal repeat copies9-20
Pathogenic repeat copies≥120
GeneXYLT1
Repeat locationpromoter
Chromosome locuschr16:17470910-17470937 (-)
Repeat conservationRepeat Conservation from UCSC Genome Browser
Toxic causeRNA
Possible toxicityBaratela-Scott syndrome (BSS) is a rare, autosomal-recessive disorder characterized by short stature, facial dysmorphisms, developmental delay, and skeletal dysplasia caused by pathogenic variants in XYLT1. A pathogenic GGC repeat expansion in the annotated XYLT1 promoter region associated with hypermethylation of exon 1 in eight of ten families with BSS with single or no known XYLT1 variants. The hypermethylated and expanded alleles show reduced expression and account for half of the disease alleles.
Pathway annotationReactome, KEGG
PMID30554721
AuthorsAmy J LaCroix, Deborah Stabley, Rebecca Sahraoui, Margaret P Adam, Michele Mehaffey, et al.
TitleGGC Repeat Expansion and Exon 1 Methylation of XYLT1 Is a Common Pathogenic Variant in Baratela-Scott Syndrome
JournalAmerican Journal of Human Genetics
Year2019


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