FB2025_05 , released December 11, 2025
Human Disease Model Report: Perlman syndrome
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General Information
Name
Perlman syndrome
FlyBase ID
FBhh0001338
Disease Ontology Term
Parent Disease
Overview

This report describes Perlman syndrome (PRLMNS); PRLMNS exhibits autosomal recessive inheritance. The human gene implicated in this disease is DIS3L2, that encodes a ribonuclease component of an exosome-independent RNA degradation pathway that mediates degradation of both mRNAs and miRNAs. There is a single orthologous gene in Drosophila, Dis3l2, for which amorphic and loss-of-function mutations, RNAi-targeting constructs and alleles caused by insertional mutagenesis have been generated.

The human DIS3L2 gene has not been introduced into flies.

Animals homozygous for an amorphic mutation of Dmel\Dis3l2 exhibit significantly larger wings; the increase in size has been shown to be due to an increase in cell number. The overgrowth phenotype appears to be restricted to imaginal discs, including halter discs and leg discs. Overexpression of Dis3l2 results in smaller wing size. Dis3l2 has been found to target a small subset of mRNAs in flies, including an mRNA encoding the growth factor Idgf2; downstream pathways related to Idgf2 have been investigated in the fly model. A small number of physical and genetic interactions have been described for Dmel\Dis3l2; see below and in the Dis3l2 gene report.

[updated Apr. 2021 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: Perlman syndrome
OMIM report

[PERLMAN SYNDROME; PRLMNS](https://omim.org/entry/267000)

Human gene(s) implicated

[DIS3-LIKE 3-PRIME-5-PRIME EXORIBONUCLEASE 2; DIS3L2](https://omim.org/entry/614184)

Symptoms and phenotype

Perlman syndrome is an autosomal recessive congenital overgrowth syndrome with similarities to Beckwith-Wiedemann syndrome (MIM:130650). Affected children are large at birth, are hypotonic, and show organomegaly, characteristic facial dysmorphisms (inverted V-shaped upper lip, prominent forehead, deep-set eyes, broad and flat nasal bridge, and low-set ears), renal anomalies (nephromegaly and hydronephrosis), frequent neurodevelopmental delay, and high neonatal mortality. Perlman syndrome is associated with a high risk of Wilms tumor, with a 64% incidence in infants surviving beyond the neonatal period. The tumor is diagnosed at an earlier age in these individuals compared with sporadic cases (less than 2 years and 3-4 years of age, respectively), and there is a high frequency of bilateral tumors (55%). Histologic examination of the kidneys in children with Perlman syndrome shows frequent nephroblastomatosis, which is a precursor lesion for Wilms tumor (summary by Astuti et al., 2012; pubmed:22306653). [from MIM:267000; 2021.04.17]

Genetics

Perlman syndrome is caused by homozygous or compound heterozygous mutation in the DIS3L2 gene. [from MIM:267000; 2021.04.17]

Cellular phenotype and pathology
Molecular information

DIS3L2 encodes a 3'-5'-exoribonuclease that specifically recognizes RNAs polyuridylated at their 3' ends and mediates their degradation; a component of an exosome-independent RNA degradation pathway that mediates degradation of both mRNAs and miRNAs. [Gene Cards, DIS3L2; 2021.04.17]

External links
Disease synonyms
Perlman syndrome of overgrowth and Wilms tumor susceptibility
PRLMNS
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to one: 1 human gene to 1 Drosophila gene.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Dis3 like 3'-5' exoribonuclease 2 (Dis3l2) encodes a 3'-5'-exoribonuclease involved in catabolism of miRNA and tRNA. [Date last reviewed: 2019-09-12]
      Cellular component (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      High-scoring ortholog of human DIS3L2 (1 Drosophila to 1 human). Dmel\Dis3l2 shares 34% identity and 51% similarity with the human gene.

      Orthologs and Alignments from DRSC
      DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
      Other Genes Used: Viral, Bacterial, Synthetic (0)
        Summary of Physical Interactions (3 groups)
        protein-protein
        Interacting group
        Assay
        References
        experimental knowledge based
        anti tag coimmunoprecipitation, Identification by mass spectrometry
        pull down, molecular weight estimation by staining, enzymatic study, autoradiography, anti tag coimmunoprecipitation, Identification by mass spectrometry, anti tag western blot, experimental knowledge based
        Alleles Reported to Model Human Disease (Disease Ontology) (4 alleles)
        Models Based on Experimental Evidence ( 3 )
        Modifiers Based on Experimental Evidence ( 2 )
        Alleles Representing Disease-Implicated Variants
        Genetic Tools, Stocks and Reagents
        Sources of Stocks
        Contact lab of origin for a reagent not available from a public stock center.
        Bloomington Stock Center Disease Page
        Related mammalian, viral, bacterial, or synthetic transgenes
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila transgenes
        Allele
        Transgene
        Publicly Available Stocks
        RNAi constructs available
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila classical alleles
        Allele
        Allele class
        Mutagen
        Publicly Available Stocks
        amorphic allele - molecular evidence
        CRISPR/Cas9
        loss of function allele
        CRISPR/Cas9
        loss of function allele
        CRISPR/Cas9
        amorphic allele - genetic evidence
        CRISPR/Cas9
        References (5)