FB2026_03 , released September 17, 2026
Human Disease Model Report: arthrogryposis, renal dysfunction, and cholestasis 2
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General Information
Name
arthrogryposis, renal dysfunction, and cholestasis 2
FlyBase ID
FBhh0000130
Overview

This report describes arthrogryposis, renal dysfunction, and cholestasis 2 (ARCS2), which is a subtype of ARC syndrome; ARCS2 exhibits autosomal recessive inheritance. The human gene implicated in this disease is VIPAS39, which encodes VPS33B-interacting protein, apical-basolateral polarity regulator, spe-39 homolog, a protein involved in trafficking and sorting of lysosomal proteins. There is one high-scoring fly ortholog, Vps16B, for which RNAi targeting constructs, alleles caused by insertional mutagenesis, and classical amorphic alleles have been generated.

VIPAS39 has not been transgenically expressed in flies.

Animals homozygous for an amorphic mutation of Dmel\Vps16B are viable and fertile, but they exhibit a defect in phagosome maturation, and as a consequence are sensitive to infections with normally non-pathogenic microbes. Hemocytes (fly macrophages) in homozygous animals engulf bacteria but fail to digest them. (The original designation of this gene was "fob", full-of-bacteria.) The Dmel\Vps16B protein is reported to physically interact with Dmel\Vps33B; see below and in the gene report for Vps16B.

[updated Jun. 2017 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: ARC syndrome
Symptoms and phenotype

ARC syndrome is a life-threatening autosomal recessive multisystem disorder. The classical presentation of ARC includes congenital joint contractures, renal tubular dysfunction, and cholestasis. Additional features include ichthyosis, central nervous system malformation, platelet anomalies, and severe failure to thrive (Zhou and Zhang, 2014; pubmed:25239142).

See review by Zhou and Zhang, 2014 (pubmed:25239142).

Specific Disease Summary: arthrogryposis, renal dysfunction, and cholestasis 2
OMIM report

[ARTHROGRYPOSIS, RENAL DYSFUNCTION, AND CHOLESTASIS 2; ARCS2](https://omim.org/entry/613404)

Human gene(s) implicated

[VPS33B-INTERACTING PROTEIN, APICAL-BASOLATERAL POLARITY REGULATOR, SPE39 HOMOLOG; VIPAS39](https://omim.org/entry/613401)

Symptoms and phenotype

Arthrogryposis, renal dysfunction and cholestasis syndrome 2 (ARCS2) is a multisystem disorder, characterized by neurogenic arthrogryposis multiplex congenita, renal tubular dysfunction and neonatal cholestasis with bile duct hypoplasia and low gamma glutamyl transpeptidase activity. Platelet dysfunction is common. The disease is caused by mutations affecting the gene represented in this entry. In liver, CEACAM5 and ABCB11 are mislocalized and E-cadherin expression is decreased. [From UniProt, uniprot:Q9H9C1 2016.01.13]

Genetics

Arthrogryposis, renal dysfunction, and cholestasis-2 (ARCS2) is caused by homozygous or compound heterozygous mutation in the VIPAS39 gene. [From MIM:613404, 2016.01.13]

Cellular phenotype and pathology

Knockdown of vipas39 in zebrafish resulted in biliary excretion and E-cadherin (CDH1; MIM:192090) defects similar to those in individuals with ARC syndrome (see ARCS1, MIM:208085) caused by mutation in VPS33B (MIM:608552) or VIPAS39. Vipas39- and Vps33b-deficient mouse inner medullary collecting duct (mIMCD-3) cells expressed membrane proteins abnormally and had structural and functional tight junction defects. Abnormal Ceacam5 (ortholog of human CEACAM5, MIM:114890) expression was due to missorting toward lysosomal degradation, but reduced E-cadherin levels were associated with transcriptional downregulation. Cullinane et al. (2010, pubmed:20190753) concluded that the VPS33B-VIPAS39 complex has diverse functions in the pathways regulating apical-basolateral polarity in the liver and kidney. [From MIM:613401, 2016.01.14]

Molecular information

VIPAS39 is involved in intracellular sorting and trafficking of lysosomal proteins (Zhu et al., 2009, pubmed:19109425). Homotypic fusion and vacuole protein sorting (HOPS) complexes regulate intracellular vesicle docking through interaction with SNAREs (see MIM:604026). In HeLa and HEK293 cells, VIPAS39 has been shown to interact with a number of endogenous or cotransfected HOPS components, including VPS33A (MIM:610034) and VPS33B (MIM:608552), the gene associated with ARCS1 (MIM:208085). RNAi-knockdown of VIPAS39 in HEK293 cells affects the morphology and sorting of RAB11 (see MIM:605570)- and syntaxin-13 (STX13, or STX12, MIM:606892)-positive recycling endosomes and RAB7 (MIM:602298)-, syntaxin-7 (STX7; MIM:603217), and syntaxin-8 (STX8; MIM:604203)-positive late endosomes. It did not alter Golgi-to-sorting endosome traffic. VIPAS39 knockdown in HeLa cells perturbs M6PR (MIM:154540) trafficking and M6PR-mediated delivery of the lysosomal enzyme cathepsin D (CTSD; MIM:116840), and delays degradation of internalized EGFR (MIM:131550). These results indicate that VIPAS39 regulates the sorting and trafficking of lysosome resident proteins along the sorting and recycling pathways (Zhu et al., 2009, pubmed:19109425). [From MIM:613401, 2016.01.14]

External links
Disease synonyms
ARCS2
arthrogryposis, renal dysfunction, and cholestasis 2; ARCS2
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.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Vacuolar protein sorting 16B (Vps16B) encodes a protein that, together with its binding partner encoded by Vps33B, forms a distinct complex necessary for fusions between phagosomes and lysosomes. [Date last reviewed: 2019-03-21]
      Molecular function (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      Ortholog of human VIPAS39 (1 Drosophila to 1 human).

      Dmel\Vps16B shares 26% identity and 42% similarity with human VIPAS39.

      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 (2 groups)
        protein-protein
        Interacting group
        Assay
        References
        anti bait coimmunoprecipitation, anti tag western blot
        anti tag coimmunoprecipitation, anti tag western blot, western blot
        Alleles Reported to Model Human Disease (Disease Ontology) (1 alleles)
        Models Based on Experimental Evidence ( 1 )
        Allele
        Disease
        Evidence
        References
        Modifiers Based on Experimental Evidence ( 0 )
        Allele
        Disease
        Interaction
        References
        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
        ends-out gene targeting
        References (4)