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Bardet-biedl Syndrome 11

Disease Details

Family Health Simplified

Description
Bardet-Biedl Syndrome 11 is a genetic disorder characterized by symptoms such as obesity, retinal degeneration, polydactyly, and kidney abnormalities.
Type
Bardet-Biedl syndrome 11 (BBS11) is a type of Bardet-Biedl syndrome, which is an inherited genetic disorder. The genetic transmission of BBS11 is autosomal recessive. This means that an individual must inherit two copies of the defective gene, one from each parent, to exhibit the symptoms of the disorder.
Signs And Symptoms
Bardet-Biedl Syndrome (BBS) is a rare genetic disorder with several subtypes, including Bardet-Biedl Syndrome 11 (BBS11).

**Signs and Symptoms:**
- **Obesity:** Often central, starting in childhood.
- **Retinal Dystrophy:** Leading to progressive vision loss, typically starting in childhood.
- **Polydactyly:** Extra fingers or toes, present at birth.
- **Kidney Abnormalities:** Can include structural anomalies or impaired kidney function.
- **Intellectual Disability:** Ranges from mild to moderate.
- **Hypogonadism:** Underdevelopment of the genitalia and low levels of sex hormones in males; pubertal abnormalities can occur in females.
- **Speech and Language Delays:** Common in childhood.
- **Behavioral Issues:** Such as difficulties in social interactions.

Note that the severity and combination of symptoms can vary among individuals with BBS11.
Prognosis
Bardet-Biedl Syndrome 11 (BBS11) is a genetic disorder that is part of a group of Bardet-Biedl syndromes. It is characterized by symptoms like retinal degeneration, obesity, polydactyly, renal abnormalities, and intellectual disability. The prognosis for individuals with BBS11 can vary depending on the severity and combination of symptoms. Vision loss due to retinal degeneration is progressive and significantly impacts quality of life. Managing the syndrome involves symptomatic treatment and regular monitoring to address complications, but there is currently no cure. Life expectancy may be reduced depending on the severity of renal and cardiovascular involvement.
Onset
Bardet-Biedl syndrome 11 (BBS11) typically has an onset in childhood.
Prevalence
Bardet-Biedl Syndrome 11 (BBS11) is an extremely rare genetic disorder. The exact prevalence of BBS11 is not well-documented, but Bardet-Biedl Syndrome as a whole affects approximately 1 in 140,000 to 1 in 160,000 births globally. BBS11 is one of the various subtypes of Bardet-Biedl Syndrome, each caused by mutations in different genes. Due to its rarity, specific prevalence data for BBS11 alone is not readily available.
Epidemiology
Bardet-Biedl Syndrome 11 (BBS11) is a rare genetic disorder. While specific epidemiological data for BBS11 alone may be limited, Bardet-Biedl Syndrome as a whole has an estimated prevalence of about 1 in 140,000 to 160,000 in North America and Europe. It is more common in certain populations, such as the Bedouin community in the Middle East, where rates can be as high as 1 in 13,500. BBS is characterized by pleiotropic symptoms, including retinal degeneration, obesity, polydactyly, kidney abnormalities, and learning difficulties. BBS11 specifically is linked to mutations in the gene TRIM32.
Intractability
Bardet-Biedl syndrome 11 (BBS11) is a rare genetic disorder. While some symptoms and complications can be managed to a certain extent, the disease itself is considered intractable as there is currently no cure for it. Management typically focuses on treating specific symptoms and preventing complications through a multidisciplinary approach involving specialists.
Disease Severity
Bardet-Biedl Syndrome 11 (BBS11) can vary in severity, but typically includes a combination of symptoms such as rod-cone dystrophy, obesity, postaxial polydactyly, renal abnormalities, and learning difficulties. The severity of these symptoms can differ significantly among individuals.
Healthcare Professionals
Disease Ontology ID - DOID:0110133
Pathophysiology
Bardet-Biedl Syndrome 11 (BBS11) is a genetic disorder part of the broader Bardet-Biedl Syndrome (BBS) family. The pathophysiology of BBS11, like other BBS types, involves defects in genes related to the function and structure of cilia, which are hair-like structures on cells that play a key role in signaling pathways and cellular movement. Mutations in the gene TRIM32 are specifically implicated in BBS11. These mutations lead to dysfunctional cilia, which in turn cause a wide range of symptoms affecting multiple organ systems, including retinal degeneration, obesity, polydactyly, renal abnormalities, and cognitive impairment.

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Carrier Status
For Bardet-Biedl Syndrome 11 (BBS11), carrier status refers to individuals who have one mutated copy of the gene associated with the condition but do not exhibit symptoms themselves. Bardet-Biedl Syndrome is inherited in an autosomal recessive manner. This means a person must inherit two mutated copies of the gene (one from each parent) to be affected by the disease. Carriers, who possess only one mutated gene copy, do not typically show signs of the syndrome but can pass the mutated gene to their offspring.
Mechanism
Bardet-Biedl Syndrome 11 (BBS11) is a form of Bardet-Biedl Syndrome, a ciliopathy linked to mutations in specific genes that affect ciliary function.

### Mechanism:
The underlying mechanism of BBS11 involves defective protein products resulting from mutations in the TRIM32 gene. This gene encodes a protein important for normal ciliary function.

### Molecular Mechanisms:
1. **TRIM32 Mutation**: Mutations in TRIM32 disrupt the encoded protein's function, affecting ubiquitin ligase activity. This impairment can interfere with protein degradation and regulation, leading to ciliary dysfunction.
2. **Ciliary Defects**: The loss of functional TRIM32 protein disrupts normal cilia formation and maintenance. Cilia are essential for various cellular signaling pathways and sensory functions.
3. **Signal Transduction Pathways**: The disruption of ciliary function can lead to broader defects in cellular signaling pathways, including those involving the Hedgehog, Wnt, and PDGF signaling, which are crucial for development and cellular homeostasis.

These molecular disruptions result in the multisystemic manifestations observed in Bardet-Biedl Syndrome, including retinal degeneration, obesity, polydactyly, renal anomalies, and cognitive impairment.
Treatment
For Bardet-Biedl Syndrome 11 (BBS11), there is currently no cure. Treatment primarily focuses on managing symptoms and improving quality of life. This typically involves a multidisciplinary approach:

1. **Ophthalmologic care:** Regular eye exams and treatments for vision problems.
2. **Obesity management:** Nutrition counseling and physical activity plans.
3. **Kidney function monitoring:** Regular nephrology evaluations.
4. **Hormonal and reproductive care:** Endocrinological assessments and interventions, as needed.
5. **Developmental support:** Physical, occupational, and speech therapy for developmental delays and learning difficulties.
6. **Cardiologist:** Monitoring and treating any heart-related issues.

Patients generally require continuous follow-up with various specialists to address emerging issues promptly.
Compassionate Use Treatment
Bardet-Biedl syndrome 11 (BBS11) is a rare genetic disorder, part of a group of Bardet-Biedl syndromes, involving multiple body systems. There is no specific cure, but treatment typically focuses on managing symptoms and improving quality of life.

For compassionate use or experimental treatments, the following approaches may be considered:

1. **Gene Therapy**: Research is ongoing into gene therapy techniques aimed at correcting the underlying genetic defect in BBS. This remains experimental and is not yet widely available.

2. **Pharmacological Interventions**: Certain drugs may be considered to manage specific symptoms associated with BBS. For example, metformin has been studied for weight management in BBS patients due to its potential to improve insulin sensitivity.

3. **Retinoid Therapy**: Experimental studies are investigating the use of retinoid agonists to treat retinal dystrophy (a common feature of BBS) by targeting visual cycle proteins.

4. **Kidney Transplant**: For those with severe renal impairment, a kidney transplant might be an option under compassionate use.

5. **Clinical Trials**: Participation in clinical trials offers access to potentially beneficial treatments that are still under investigation. Patients should consult with their healthcare providers for available clinical trials.

It's essential for patients and caregivers to consult with specialists and genetic counselors to explore these options and determine their suitability on a case-by-case basis.
Lifestyle Recommendations
Bardet-Biedl syndrome 11 (BBS11) is a rare genetic disorder that can affect multiple body systems. Lifestyle recommendations for managing BBS11 typically focus on addressing the symptoms and improving quality of life:

1. **Regular Medical Check-ups**: Regular visits with healthcare providers, including specialists such as ophthalmologists, nephrologists, endocrinologists, and cardiologists, to monitor and manage various aspects of the condition.

2. **Healthy Diet and Weight Management**: Adopting a balanced diet with an appropriate calorie intake can help manage obesity, which is common in BBS. Consulting a nutritionist may be beneficial.

3. **Physical Activity**: Engaging in regular physical activity, tailored to individual capacity and limitations, can help maintain a healthy weight and improve cardiovascular health.

4. **Vision Care**: Regular eye examinations to monitor and address vision problems. Using visual aids and adaptive devices may be necessary as vision loss progresses.

5. **Renal Health**: Monitoring kidney function regularly and staying hydrated to support kidney health. In some cases, dietary adjustments may be required to manage renal issues.

6. **Mental Health Support**: Counseling or psychological support can help cope with the emotional and mental challenges of living with a chronic condition.

7. **Community and Support Groups**: Connecting with patient support groups and communities can provide emotional support and practical advice for managing the syndrome.

These lifestyle recommendations should be personalized based on the specific symptoms and needs of the individual with Bardet-Biedl syndrome 11.
Medication
Bardet-Biedl syndrome 11 (BBS11) is a rare genetic disorder and there is no specific medication to cure the syndrome itself. Management typically focuses on treating and managing the symptoms and associated conditions, which may include obesity, retinal dystrophy, polydactyly, renal abnormalities, and more. Treatments could involve lifestyle changes, specific medical or surgical interventions, and supportive therapies such as vision aids or renal management. Consultation with a specialist team is essential for individualized care.
Repurposable Drugs
Currently, there are no widely recognized repurposable drugs specifically identified for Bardet-Biedl Syndrome 11 (BBS11). BBS11 is a subtype of Bardet-Biedl Syndrome, a rare genetic disorder that can cause a variety of symptoms, including vision loss, obesity, polydactyly, and kidney abnormalities. Treatment generally focuses on managing the individual symptoms rather than targeting the underlying genetic cause. However, ongoing research may identify potential repurposable drugs in the future. For precise and personalized medical advice, consulting a healthcare professional or specialist is recommended.
Metabolites
Bardet-Biedl Syndrome 11 (BBS11) is a subtype of Bardet-Biedl Syndrome, which is a genetically heterogeneous disorder. In general, Bardet-Biedl Syndrome can be associated with disturbances in various metabolic pathways. However, specific metabolites directly linked to BBS11 are not well-documented.

Common metabolic abnormalities in Bardet-Biedl Syndrome include:
- Elevated levels of triglycerides and cholesterol (dyslipidemia)
- Insulin resistance or diabetes mellitus
- Increased risk of obesity

These metabolic issues are part of the broader clinical phenotype but may not be exclusively restricted to BBS11. More detailed metabolic profiling would be necessary to identify any specific metabolites uniquely altered in BBS11.
Nutraceuticals
For Bardet-Biedl Syndrome 11 (BBS11), there is no specific information available on the use of nutraceuticals that have been proven effective in treating or managing this condition. Nutraceuticals are products derived from food sources that offer health benefits, but their role in BBS11 is not established in clinical research. If you are considering nutraceuticals, it is important to consult with a healthcare provider for personalized advice.
Peptides
For Bardet-Biedl syndrome 11 (BBS11), specific peptides and their roles in diagnosis or treatment are not well-established. BBS11 is a subtype of Bardet-Biedl Syndrome, a genetic disorder characterized by symptoms such as retinal degeneration, obesity, polydactyly, and renal abnormalities. The syndrome is caused by mutations in various genes, including the BBS1 gene for BBS1 protein, but BBS11 specifically involves mutations in the TRIM32 gene. Research in the treatment of BBS often focuses on gene therapy and molecular interventions rather than specific peptides.