FB2026_01 , released March 12, 2026
FB2026_01 , released March 12, 2026
Human Disease Model Report: short stature, hearing loss, retinitis pigmentosa, and distinctive facies
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General Information
Name
short stature, hearing loss, retinitis pigmentosa, and distinctive facies
FlyBase ID
FBhh0001213
Overview

This report describes a syndrome defined as short stature, hearing loss, retinitis pigmentosa, and distinctive facies (SHRF), which shows autosomal recessive inheritance. The human gene implicated in this disease is EXOSC2, also known as RRP4. There is a single, high-ranking ortholog of EXOSC2 in Drosophila, Rrp4. Some alleles have been generated of Rrp4, including alleles carrying RNAi targeting constructs, and alleles generated by insertional transgenesis.

The human gene Hsap\EXOSC2 has been introduced into flies, as wild-type and as a disease-associated variant (EXOSC2 p.Gly30Val).

Ubiquitous knockdown of Rrp4 causes larval lethality, but eye-specific knockdown results in small rough eyes. This phenotype can be partially rescued by wild-type but not mutant (disease associated variant) Hsap\EXOSC2, demonstrating heterologous rescue (functional complementation). Examination of the eyes of Rrp4 hypomorphs shows a normal retina, but disorganized lamina lacking photoreceptor structure. The muscles of Rrp4 hypomorphs have a disrupted Z line, increased mitochondrial mass, large glycogen deposits, and sarcomeric shortening. Activating Rrp4 knockout in late third instar larvae by heat-shock downregulates multiple autophagy genes. Promoting autophagy by rapamycin and by overexpression of autophagy genes can rescue eye phenotypes caused by Rrp4 knockdown.

[updated Apr. 2020 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: short stature, hearing loss, retinitis pigmentosa, and distinctive facies
OMIM report

[SHORT STATURE, HEARING LOSS, RETINITIS PIGMENTOSA, AND DISTINCTIVE FACIES; SHRF](https://omim.org/entry/617763)

Human gene(s) implicated

[EXOSOME COMPONENT 2; EXOSC2](https://omim.org/entry/602238)

Symptoms and phenotype

SHRF is an autosomal recessive disorder characterized by short stature, brachydactyly, dysmorphic facial features, hearing loss, and visual impairment. Onset of the hearing and visual abnormalities, including retinitis pigmentosa, varies from birth to the second decade. Patients have mild intellectual disability and mild cerebellar atrophy with myelination defects on brain imaging (summary by Di Donato et al. 2016, pubmed:26843489). [from MIM:617763, 2020.04.29]

SHRF patients exhibit childhood myopia, early onset retinitis pigmentosa, progressive sensorineural hearing loss, short stature, brachydactyly, a recognizable facial gestalt, premature skin aging, mild cerebellar atrophy, and mild intellectual disability. (From Yang et al. 2020, FBrf0245116.)

Genetics

In 3 patients from 2 unrelated German families with short stature, hearing loss, retinitis pigmentosa, and distinctive facies (SHRF; 617763), Di Donato et al. 2016 (pubmed:26843489) identified homozygous or compound heterozygous mutations in the EXOSC2 gene (G30V and G198D). The mutations, which were found by whole-exome sequencing, segregated with the disorder in both families. The G30V variant was found in all 3 patients and at a low frequency in German controls, suggesting a common founder allele in this population. [from MIM:602238, 2020.04.29]

To date, sequencing of SHRF patients from two unrelated families has identified missense mutations in the EXOSC2 gene. Two of the patients have Gly30Val (G30V) homozygous mutations in the N-terminal domain, and one patient carries the above Gly30Val mutation in trans to Gly198Asp (G30V/G198D), with the G198D mutation located in the K Homology (KH) RNA-binding domain, named after the heterogeneous nuclear ribonucleoprotein K. (From Yang et al. 2020 and references therein, FBrf0245116.)

Cellular phenotype and pathology
Molecular information

The EXOCS2 gene encodes ribosomal RNA-processing protein-4 (RRP4), a core component of the RNA exosome. The RNA exosome is a multiprotein complex that plays key roles in RNA processing and degradation (summary by Di Donato et al. 2016, pubmed:26843489). [from MIM:602238, 2020.04.29]

External links
Disease synonyms
SHRF
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
    Rrp4 (Rrp4) encodes a protein involved in gene expression regulation. [Date last reviewed: 2019-07-11]
    Molecular function (GO)
    Gene Groups / Pathways
    Comments on ortholog(s)

    Single, very high-scoring ortholog of Hsap\EXOSC2,

    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 (11 groups)
      protein-protein
      Interacting group
      Assay
      References
      anti bait coimmunoprecipitation, western blot
      experimental knowledge based
      anti tag coimmunoprecipitation, western blot, experimental knowledge based
      experimental knowledge based
      anti tag coimmunoprecipitation, western blot
      experimental knowledge based
      experimental knowledge based
      experimental knowledge based
      experimental knowledge based
      anti tag coimmunoprecipitation, western blot, anti bait coimmunoprecipitation, Identification by mass spectrometry
      experimental knowledge based
      Alleles Reported to Model Human Disease (Disease Ontology) (8 alleles)
      Models Based on Experimental Evidence ( 2 )
      Modifiers Based on Experimental Evidence ( 1 )
      Models Based on Experimental Evidence ( 6 )
      Modifiers Based on Experimental Evidence ( 1 )
      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
      CRISPR/Cas9
      CRISPR/Cas9
      CRISPR/Cas9
      piggyBac activity
      piggyBac activity
      References (5)