Photoreceptor cilia carry a retina-specific splice variant of the BBS5 protein, linking the retinal dystrophy seen in this subtype to a precise molecular change.
Two mutated copies of the gene, one from each parent, cause BBS7; next-generation sequencing reads many genes at once to separate it from other ciliopathies.
Even people with the same mutation can differ widely in BBS8, which is why vision loss, kidney dysfunction and learning difficulties need a genetic diagnosis.
When the BBS9 gene is mutated, the cilia that cells rely on fail, and vision loss, obesity, kidney abnormalities and intellectual disability can follow.
Rare and congenital, BN2 involves absent or underdeveloped breast tissue and nipples, usually autosomal dominant; testing supports early diagnosis and family planning.
The IARS2 gene links cataracts, growth hormone deficiency, short stature, partial sensorineural deafness and peripheral neuropathy, with Leigh Syndrome in some cases.
Skeletal changes such as an unusually positioned index finger and facial dysmorphism mark Catel-Manzke Syndrome, most often traced to mutations in the TGDS gene.
Cerebellar, facial and dental anomalies define CFDS, and a novel BRF1 variant in two siblings added hearing impairment and inner ear malformation to its spectrum.