FB2026_02 , released June 18, 2026
Human Disease Model Report: hypoparathyroidism-retardation-dysmorphism syndrome
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General Information
Name
hypoparathyroidism-retardation-dysmorphism syndrome
FlyBase ID
FBhh0000016
Disease Ontology Term
Parent Disease
Overview

This report describes hypoparathyroidism-retardation-dysmorphism syndrome. The human gene implicated in this disease is TBCE, which encodes a chaperone protein required for the proper folding of alpha-tubulin subunits and the formation of alpha-beta-tubulin heterodimers. This gene are also associated with the disease Kenny-Caffey syndrome, type 1 (MIM:244460). There is one high-scoring fly ortholog: Tbce, for which RNAi targeting constructs, alleles caused by insertional mutagenesis, and classical amorphic alleles have been generated. The human TBCE gene has not been introduced into flies.

For loss-of-function mutations in the Dmel\Tbce gene, observed phenotypes include aspects similar to the human disease, including changes in microtubule distribution; and aspects similar to the mouse disease model including axon growth defects. Phenotypic assays using the fly genes have allowed characterization of genetic interactions.

[updated October 2015 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: hypoparathyroidism-retardation-dysmorphism syndrome
OMIM report

[HYPOPARATHYROIDISM-RETARDATION-DYSMORPHISM SYNDROME; HRDS](https://omim.org/entry/241410)

Human gene(s) implicated

[TUBULIN FOLDING COFACTOR E; TBCE](https://omim.org/entry/604934)

Symptoms and phenotype

HRD, also known as the Sanjad-Sakati syndrome, is an autosomal recessive syndrome of congenital hypoparathyroidism, mental retardation, facial dysmorphism and extreme growth failure reported almost exclusively in Middle Eastern populations. A similar syndrome with the additional features of osteosclerosis and recurrent bacterial infections is the autosomal recessive Kenny-Caffey syndrome. (Diaz, et al., 1999, pubmed:10377012) [from MIM:604934, 2015.02.11]

Genetics

HRD can be caused by mutations in the gene encoding tubulin-specific chaperone E (TBCE). [from MIM:241410, 2015.02.11]

Cellular phenotype and pathology

Analysis of diseased fibroblasts and lymphoblastoid cells showed lower microtubule density at the microtubule-organizing center (MTOC) and perturbed microtubule polarity in diseased cells. Immunofluorescence and ultrastructural studies showed disturbances in subcellular organelles that require microtubules for membrane trafficking, such as the Golgi and late endosomal compartments. (Parvari, et al., 2002, pubmed:12389028) [from MIM:604934, 2015.02.11]

Molecular information

The TBCE gene encodes one of several chaperone proteins required for the proper folding of alpha-tubulin subunits and the formation of alpha-beta-tubulin heterodimers. (Parvari, et al., 2002, pubmed:12389028) [from MIM:604934, 2015.02.11]

External links
Disease synonyms
HRD
hypoparathyroidism, congenital, associated with dysmorphism, growth retardation, and developmental delay
Hypoparathyroidism-retardation-dysmorphism syndrome; HRD
hypoparathyroidism with short stature, mental retardation, and seizures
Sanjad-Sakati syndrome
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 to 1 Drosophila (See DIOPT, link below).

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Tubulin-binding cofactor E (Tbce) encodes one of the five tubulin chaperones. It facilitates the folding of α-tubulin, a subunit of α-β tubulin heterodimers. [Date last reviewed: 2019-03-14]
      Molecular function (GO)
      Cellular component (GO)
      Gene Groups / Pathways
        Comments on ortholog(s)

        Ortholog of human TBCE (1 Drosophila to 1 human).

        Dmel\Tbce shares 32% identity and 51% similarity with human TBCE.

        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
          anti tag coimmunoprecipitation, anti tag western blot
          anti tag coimmunoprecipitation, western blot, Identification by mass spectrometry
          anti tag coimmunoprecipitation, western blot, Identification by mass spectrometry
          Alleles Reported to Model Human Disease (Disease Ontology) (8 alleles)
          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
          References (7)