System | Ciliopathy syndrome | BBS | ALMS | JATD | OFD-1 | Nephronophthisis | JBTS | MKS | LCA/EOSRD |
Reference(s) | 40 | 30 | 41 | 13 39 | 42 | 43 | 44 | 45 | |
Chosen ciliopathy gene(s) associated with syndrome | BBS1, BBS10, TMEM67, CEP290 | ALMS1 | DYNC2H1, WDR34 | OFD1 | NPHP1 (isolated+syndromic), TMEM67+CEP290 (syndromic) | TMEM67, CEP290, NPHP1, OFD1 | TMEM67, CEP290 | CEP290 | |
Ophthalmic | Retinal dystrophy | M | M | M | m*†‡ | m*†‡ | M | ||
Abnormality of eye movement | m*†‡ | M | M | ||||||
Lens opacities | M | ||||||||
Keratoconus | M | ||||||||
Gastrointestinal | Abnormality of the liver | m | M | m | m*†‡ | m*†‡ | M | ||
Abnormality of the gut | m | m | |||||||
Renal | Abnormal renal morphology/dysfunction | M | M | M | M | M | m*† | M | |
Genitourinary | Abnormality of the genitourinary system | M | m | m | |||||
Cardiovascular | Cardiomyopathy | M | |||||||
Laterality defect | m | m*† | m*† | m | |||||
Congenital heart disease | m | m | m | ||||||
Hypertension | m | ||||||||
Sensory | SNHL | m | M | ||||||
Glue ear | m | ||||||||
Chronic otitis media | m | m | |||||||
Abnormality of the sense of smell | M | ||||||||
Endocrine/Metabolic | Hypogonadotrophic hypogonadism | M | M | ||||||
Glucose intolerance | M | ||||||||
Obesity | M | M | |||||||
Hypertriglyceridemia | M | ||||||||
Thyroid abnormality | m | m | m | ||||||
Polycystic ovarian syndrome | m | m | |||||||
Neurological | Intellectual disability | M | m | M | m*† | M | |||
Neurodevelopmental delay | M | m | M | ||||||
Hypotonia | m | M | |||||||
Ataxia | m | M | |||||||
Abnormality of brain morphology | m | M | m*† | M | M | ||||
Seizures | m | ||||||||
Unusual sleep patterns | m | ||||||||
Skeletal | Polydactyly | M | m | M | m | M | |||
Short stature | M | ||||||||
Narrow chest | M | ||||||||
Brachydactyly | M | M | |||||||
Micromelia | M | M | m | ||||||
Leg cramps | M | ||||||||
Facial/Oral | Dental abnormalities | M | |||||||
Abnormal oral morphology | M | M | m | m | |||||
Dysmorphic facial features | M | ||||||||
Respiratory | Abnormal pattern of respiration | M | |||||||
Chronic airway infection | m | ||||||||
Asthma | m | ||||||||
Pulmonary hypoplasia | m | ||||||||
Cystic lung | m |
Key features are grouped into 11 body systems. Clinical features marked ‘M’ are major features (present in >50% and/or listed as major diagnostic or characteristic feature in the literature cited). Features marked with ‘m’ are minor features (present in <50% and/or listed as a minor diagnostic feature in the literature cited).
*Feature of NPHP1-associated JBTS-plus syndrome (Senior-Loken syndrome).
†Feature of CEP290-associated JBTS-plus syndrome (Senior-Loken syndrome, Joubert syndrome with retinal disease, Joubert syndrome with renal disease, COACH syndrome).
‡Feature of TMEM67-associated JBTS-plus syndrome (COACH syndrome).
ALMS, Alström syndrome; BBS, Bardet-Biedl syndrome; COACH syndrome, Cerebellar vermis hypoplasia, Oligophrenia, Ataxia, Coloboma and Hepatic fibrosis; EOSRD, early-onset severe retinal dystrophy; JATD, Jeune asphyxiating thoracic dystrophy; JBTS, Joubert syndrome; LCA, Leber congenital amaurosis; m, minor clinical feature; M, major clinical feature; MKS, Meckel-Gruber syndrome; OFD-1, orofaciodigital syndrome 1; SNHL, sensorineural hearing loss.