FB2026_03 , released September 17, 2026
Human Disease Model Report: Halperin-Birk syndrome
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General Information
Name
Halperin-Birk syndrome
FlyBase ID
FBhh0001027
Disease Ontology Term
Parent Disease
Overview

In an investigation of a family with two affected siblings, a frameshift mutation in SEC31A was identified as a candidate causal mutation, causing a novel neurodevelopmental disorder with spastic quadriplegia, optic atrophy, seizures, and structural brain anomalies. Both siblings died by the age of four. SEC31A is one of the five human COP-II (coat protein complex II) proteins, which enable extrusion and secretion of vesicles from the endoplasmic reticululm.

The human gene SEC31A has not been introduced to Drosophila.

There is a single orthologous gene in Drosophila, Sec31, for which RNAi targeting constructs and P-element alleles have been made. Sec31 is a member of the COPII complex (gene group: FBgg0000116) , where it acts in a heterotetramer with Sec31 to form the outer cage of ER vesicles undergoing anterograde transport to the Golgi.

Sec31 null mutation and ubiquitous RNAi knockdown are homozygous lethal. Neuron-specific knockdown causes larvae to develop normally until the third instar stage, where the majority cease to develop and eventually die. The brains of these larvae are very fragile and easily disintegrate during dissection.

[updated November 2019 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: Halperin-Birk syndrome
OMIM report

[HALPERIN-BIRK SYNDROME; HLBKS](https://omim.org/entry/618651)

Human gene(s) implicated

[SEC31 HOMOLOG A, COPII COAT COMPLEX COMPONENT; SEC31A](https://omim.org/entry/610257)

Symptoms and phenotype

A neurological disorder characterised by brain structural defects, spastic quadriplegia with multiple contractures, profound developmental delay and convulsions as well as dysmorphism, cataract and optic nerve atrophy, which is lethal by the age of 4. (Halperin et al. 2019, FBrf0241565)

Microcephaly, agenesis of the corpus callosum, and mildly impaired intrauterine growth retardation were apparent in utero by ultrasound. After birth, the patients had failure to thrive and subsequently had almost no developmental progress. They had no visual or verbal communication, were unable to walk, had only minimal nonpurposeful movements, and had spastic quadriplegia with hypertonia, hyperreflexia, and contractures. Other features included pseudobulbar palsy associated with gastroesophageal reflux and recurrent aspiration, congenital cataracts, optic atrophy, and hearing impairment. Both developed focal and generalized seizures soon after birth, and EEG showed disorganized background activity with sharp spike-wave discharges. Dysmorphic features included abnormal skull shape, pointed triangular face, micrognathia, high-arched palate, thick lips, long eyelashes, and dislocation of the hips. One patient had clubfoot, congenital diaphragmatic hernia, umbilical and inguinal hernia, and perimembranotic ventricular septal defect (VSD). Brain imaging in both showed severe structural abnormalities, including semilobar holoprosencephaly, agenesis of the corpus callosum, enlarged ventricles, and colpocephaly. [from MIM:618651, 2019.11.06]

Genetics

Exhibits autosomal recessive inheritance. In the parents of affected children, a frameshift mutation in SEC31A leads to early truncation of the protein; the transcript is degraded via nonsense-mediated decay. Carrier parents expressed SEC31A mRNA at roughly half the level of non-carrier family members. (Halperin et al. 2019, FBrf0241565)

In 2 siblings with NEDSOB, born of consanguineous parents, Halperin et al. 2019 (FBrf0241565) identified a homozygous frameshift mutation in the SEC31A gene. The mutation, which was found by a combination of homozygosity mapping and whole-exome sequencing, segregated with the disorder in the family. [from MIM:618651, 2019.11.06]

Cellular phenotype and pathology
Molecular information

The highly conserved COP-II proteins are recruited in a ordered pattern to induce curvature of a membrane, expand and shape it, capture target molecules, and break away to form a contained vesicle. The Sec13/Sec31 tetramer drives membrane bending from the outside of the vesicle. (Lord et al. 2013, pubmed:23378591)

External links
Disease synonyms
HLBKS
NEDSOSB
neurodevelopmental disorder with spastic quadriplegia, optic atrophy, seizures, and structural brain anomalies
neurological syndrome with microcephaly, semilobar holoprosencephaly and agenesis of corpus callosum
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many human genes to one Drosophila gene; Hsap\SEC31B is also an ortholog for Sec31.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Secretory 31 (Sec31) encodes a protein involved in the innate immune response. [Date last reviewed: 2019-07-11]
      Molecular function (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      High-ranking ortholog of both Hsap\SEC31A and SEC31B.

      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 (4 groups)
        protein-protein
        Interacting group
        Assay
        References
        anti tag coimmunoprecipitation, anti tag western blot, peptide massfingerprinting
        anti tag coimmunoprecipitation, anti tag western blot
        pull down, Identification by mass spectrometry, western blot
        anti tag coimmunoprecipitation, peptide massfingerprinting, anti tag 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 ( 1 )
        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
        References (4)