Zellweger Syndrome

---

Description

Zellweger Syndrome is a rare, inherited metabolic disorder that affects multiple organs, particularly the brain, liver, and kidneys. This disorder results from a lack of functional peroxisomes, essential organelles in cells responsible for breaking down and recycling fatty acids. This blog delves into Zellweger Syndrome, exploring its signs, causes, diagnosis, management, and strategies for families to thrive.

Genes Involved

Zellweger Syndrome is caused by mutations in genes responsible for peroxisome assembly. These genes include:

• PEX1: Involved in the import of proteins into peroxisomes.
• PEX2: Plays a role in peroxisome biogenesis and protein import.
• PEX3: Essential for the formation of peroxisomes.
• PEX5: A key player in transporting proteins into peroxisomes.
• PEX6: Facilitates the transport of proteins to peroxisomes.
• PEX7: Participates in the import of proteins into peroxisomes.
• PEX10: A component of the peroxisome import machinery.
• PEX12: Essential for the assembly of peroxisomes.
• PEX13: Required for peroxisome biogenesis and protein import.
• PEX14: Crucial for the formation and function of peroxisomes.

Recognizing the Signs and Symptoms

Zellweger Syndrome manifests with a wide range of symptoms, often appearing at birth or within the first few months of life. Some common signs include:

• Brain abnormalities: Severe brain malformations, resulting in microcephaly (small head circumference), seizures, developmental delays, and lack of muscle tone.
• Liver problems: Enlarged liver, jaundice (yellowing of the skin and eyes), and liver dysfunction.
• Eye abnormalities: Retinopathy (eye damage), cataracts, and optic nerve atrophy.
• Skeletal abnormalities: Short stature, bone malformations, and joint contractures.
• Feeding difficulties: Failure to thrive, feeding problems, and difficulty swallowing.
• Other symptoms: Respiratory problems, hearing loss, and a characteristic facial appearance.

Causes

Zellweger Syndrome occurs due to genetic mutations that disrupt the formation and function of peroxisomes. Peroxisomes are cellular compartments that play a vital role in breaking down and recycling long-chain fatty acids, forming myelin (the protective sheath around nerve fibers), and producing bile acids for fat digestion. Mutations in the genes responsible for peroxisome assembly lead to a lack of functional peroxisomes, resulting in the accumulation of toxic substances in cells, causing widespread organ damage.

Inheritance/recurrence risk

Zellweger Syndrome is an autosomal recessive disorder, meaning that both parents must carry a copy of the mutated gene to pass the condition onto their child. If both parents are carriers, there is a 25% chance of having a child with Zellweger Syndrome, a 50% chance of having a carrier child, and a 25% chance of having a child without the condition. If one parent has Zellweger Syndrome, there is a 100% chance of having a child with the condition.