About moravcsik-marinesco-sjogren syndrome

What is moravcsik-marinesco-sjogren syndrome?

Marinesco-Sjogren syndrome (MSS) is a rare genetic disorder that affects multiple organ systems of the body. Common symptoms include difficulty coordinating voluntary movements due to degeneration (atrophy) of the cerebellum (cerebellar ataxia), clouding of the lenses of the eyes (cataracts), delays in the acquisition of skills requiring the coordination of muscular and mental activity (psychomotor development), diminished muscle tone (hypotonia), and progressive muscle weakness. Many affected individuals exhibit additional physical abnormalities. Although Marinesco-Sjogren syndrome can be associated with significant disability, lifespan is often unaffected. Marinesco-Sjogren syndrome is caused by mutations of the SIL1 gene and at least one other, presently unknown, gene.

What are the symptoms for moravcsik-marinesco-sjogren syndrome?

Some symptoms of Marinesco-Sjögren syndrome are often present at birth (congenital) including Diminished muscle tone (hypotonia), a condition sometimes referred to as “floppy baby”. Cataracts can also be present at birth, but more often develop rapidly during early childhood. Cataracts occur when the lenses of the eyes become clouded preventing light from being focused onto the retina and thereby affecting vision. In most cases, cataracts affect both eyes (bilateral).

Individuals Marinesco-Sjögren syndrome have difficulties coordinating voluntary movements due to a small cerebellum (cerebellar ataxia). The cerebellum is the part of the brain that plays a role in maintaining Balance and posture as well as coordinating voluntary movements. In most cases, ataxia is usually readily evident around the time a child can sit up.

Affected infants may also exhibit significant delays in reaching developmental milestones that require the coordination of physical (motor) and mental activity (psychomotor development) as well as speech. Muscle Weakness may grow progressively worse in adulthood.

As affected individuals age, additional symptoms may become apparent including ataxia that primarily affects the torso (truncal ataxia) and impaired ability to perform rapidly alternating movements (dysdiadochokinesia). The degree of severity of motor dysfunction will vary from one person to another. Many affected individuals eventually can walk with an assistive device such as a walker. Other individuals, however, may require the use of a wheelchair.

The intellectual abilities of individuals Marinesco-Sjögren syndrome can vary greatly. In some individuals intelligence is unaffected; others develop mild to moderate cognitive impairment. Neurological deterioration usually does not occur in Marinesco-Sjögren syndrome or may be extremely slow. In addition, some individuals may have difficulty speaking or slurred speech (dysarthria). Certain symptoms of Marinesco-Sjögren syndrome (e.g., vision problems, speech difficulties) make it easy to underestimate the intelligence of an affected child.

Individuals with Marinesco-Sjögren syndrome usually exhibit growth deficiencies that can ultimately lead to Short stature. Short stature refers to individuals who are significantly below average height for a person of the same age and sex. In some cases, affected individuals also have hypergonadotropic hypogonadism, a condition characterized by defective development or function of the ovaries or testes (gonads). Hypergonadotropic hypogonadism causes delays in the start of puberty and the development of secondary sexual characteristics and contributes to the development of Short stature.

Less frequently, additional symptoms have been associated with Marinesco-Sjögren syndrome. These symptoms include rapid, involuntary eye movements (nystagmus), misalignment of the eyes (strabismus), and Degeneration of the main nerve of the eyes that transmits nerve impulses from the retina to the brain (optic atrophy). A variety of skeletal malformations have been reported including side-to-side curvature of the spine (scoliosis), abnormally Short fingers and toes (brachydactyly), and an abnormal “cone-shape” to the end portions of the long bones (cone epiphyses).

Although the severity of Marinesco-Sjögren syndrome can vary from one person to another and some affected individuals may be significantly disabled, lifespan is usually unaffected.

What are the causes for moravcsik-marinesco-sjogren syndrome?

Marinesco-Sjögren syndrome is often caused by mutation of the SIL1 gene. It is inherited as an autosomal recessive trait. Genetic diseases are determined by the combination of genes for a particular trait that are on the chromosomes received from the father and the mother.

Recessive genetic disorders occur when an individual inherits the same abnormal gene for the same trait from each parent. If an individual receives one normal gene and one gene for the disease, the person will be a carrier for the disease, but usually will not show symptoms. The risk for two carrier parents to both pass the defective gene and, therefore, have an affected child is 25 percent with each pregnancy. The risk to have a child who is a carrier like the parents is 50 percent with each pregnancy. The chance for a child to receive normal genes from both parents and be genetically normal for that particular trait is 25 percent. The risk is the same for males and females.

Investigators have determined that the SIL1 gene is located on the long arm (q) of chromosome 5 (5q31). Chromosomes, which are present in the nucleus of human cells, carry the genetic information for each individual. Human body cells normally have 46 chromosomes. Pairs of human chromosomes are numbered from 1 through 22 and the sex chromosomes are designated X and Y. Males have one X and one Y chromosome and females have two X chromosomes. Each chromosome has a short arm designated “p” and a long arm designated “q”. Chromosomes are further sub-divided into many bands that are numbered. For example, “chromosome 5q31” refers to band 31 on the long arm of chromosome 5. The numbered bands specify the location of the thousands of genes that are present on each chromosome.

The SIL1 gene contains instructions for creating (encoding) a protein that has a specific role in the body. A mutation of the SIL1 gene results in the production of a defective protein that cannot carry out its proper function, which, ultimately, results in the signs and symptoms of Marinesco-Sjögren syndrome. Researchers believe that the protein product of the SIL1 gene is involved in protein folding. Protein folding is a normal process in which a protein folds into a three-dimensional structure. This process is required for a protein to carry out its normal function. Defective protein folding is believed to cause abnormal proteins to accumulate in the endoplasmic reticulum, the extensive membrane network located in all cells including muscle cells.

Some individuals with Marinesco-Sjögren syndrome do not have a mutation of the SIL1 gene, which suggests that another gene(s) may also cause the disorder (genetic heterogeneity). The other gene(s) that may play a role in the development of Marinesco-Sjögren syndrome have not been identified.

What are the treatments for moravcsik-marinesco-sjogren syndrome?

There is no specific treatment for individuals with Marinesco-Sjögren syndrome. Treatment is directed toward the specific symptoms that are apparent in each individual. Treatment may require the coordinated efforts of a team of specialists. Pediatricians, surgeons, specialists who asses and treat skeletal problems (orthopedists), eye specialists (ophthalmologists), and other healthcare professionals may need to systematically and comprehensively plan an affect child’s treatment.

Surgery may be necessary to remove cataracts and, in some cases, to implant artificial lenses. Orthotic devices such as walkers may be required. If hypergonadotropic hypogonadism is present, then hormone replacement therapy may be administered around the time puberty is expected.

Early intervention is important in ensuring that children with Marinesco-Sjögren syndrome reach their highest potential. Services that may be beneficial may include special education programs tailored to an individual’s specific needs, occupational therapy, physical therapy, and other medical, social, and/or vocational services.

Genetic counseling may be of benefit for affected individuals and their families. Other treatment is symptomatic and supportive.

What are the risk factors for moravcsik-marinesco-sjogren syndrome?

An autoimmune disorder called moravcsik-marinesco-sjogren syndrome makes your immune system malfunction and attack healthy cells instead of foreign bacteria or viruses. Your white blood cells target the glands in charge of producing moisture instead of protecting you from pathogens as they would normally do. When that occurs, they are unable to produce saliva or tears, which causes your mouth, eyes, and other body parts to dry out

Risk factors for the moravcsik-marinesco-sjogren syndrome

Moravcsik-marinesco-sjogren syndrome patients share the following characteristics in common:

1. Age: Moravcsik-marinesco-sjogren syndrome often affects persons who are 40 years of age or older, while it can sometimes affect younger people, including children.

2. Gender: Moravcsik-marinesco-sjogren syndrome can affect women up to ten times more frequently than it can men. This imbalance could be brought on by how sex hormones affect a woman's immune system.

3. Rheumatic disease: A person is more prone to acquire Sjögren's syndrome if they have a rheumatic disease like lupus or rheumatoid arthritis. Most people with Sjögren's syndrome also have another autoimmune condition, about half of them.

4. Males and females who have moravcsik-marinesco-sjogren syndrome are both affected equally. The medical literature has reports of more than 200 cases. All ethnic groups (panethnic) are susceptible to marinesco-Sjögren syndrome, but isolated populations in rural locations have seen the majority of cases.

Dry throat, lips, eyes, or skin,Dryness in your nose,A change in taste or smell,Swollen glands in your neck and face,Skin rashes and sensitivity to UV light,Dry cough or shortness of breath,Feeling tired,Trouble concentrating or remembering things,Headache
Irritable bowel syndrome (IBS),Nerve issue,Inflammation in Lungs, Liver, Kidney,Interstitial cystitis
Cevimeline (Evoxac),Supersaturated calcium phosphate rinse (NeutraSal)

Is there a cure/medications for moravcsik-marinesco-sjogren syndrome?

Cure or Medication for the moravcsik-marinesco-sjogren syndrome

The affected body parts will determine how moravcsik-marinesco-sjogren syndrome is treated. By using over-the-counter eye drops and drinking more water on a regular basis, many people manage the dry eye and dry mouth caused by moravcsik-marinesco-sjogren syndrome. However, some people require prescription drugs or even surgery.

In accordance with your symptoms, your doctor might advise drugs that:

-Reduce inflammation in the eyes
-Your eye doctor could advise prescription eye drops like cyclosporine (Restasis) or lifitegrast (Xiidra) if you have moderate to severe dry eyes.

1. Increasing saliva production: Saliva and occasionally tears might be produced more when using medications like pilocarpine (Salagen) and cevimeline (Evoxac). Sweating, stomach ache, flushing, and increased urination are examples of side effects.

2. Address particular problems: Nonsteroidal anti-inflammatory drugs (NSAIDs) or other arthritis medications may be helpful if you experience the symptoms of arthritis. Antifungal drugs should be used to treat oral yeast infections.

3. Treating all symptoms at once: A medication used to treat malaria called hydroxychloroquine (Plaquenil) is frequently effective in treating moravcsik-marinesco-sjogren syndrome. Additionally, immune system suppressing medications such methotrexate (Trexall) may be administered.

4. Surgery: Punctal occlusion, a quick operation that seals the tear ducts draining tears from your eyes, may help cure dry eyes. To assist keep your tears from drying out, collagen or silicone plugs are placed inside the tear ducts.

Dry throat, lips, eyes, or skin,Dryness in your nose,A change in taste or smell,Swollen glands in your neck and face,Skin rashes and sensitivity to UV light,Dry cough or shortness of breath,Feeling tired,Trouble concentrating or remembering things,Headache
Irritable bowel syndrome (IBS),Nerve issue,Inflammation in Lungs, Liver, Kidney,Interstitial cystitis
Cevimeline (Evoxac),Supersaturated calcium phosphate rinse (NeutraSal)

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