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Table 1 Comparison of clinical findings in patient II:4, in the spontaneous rat mutant[7] and in knockout mice[2022]

From: The supposed tumor suppressor gene WWOX is mutated in an early lethal microcephaly syndrome with epilepsy, growth retardation and retinal degeneration

 

WWOX

MCPH

Retinopathy

Stature

Seizures

Brain abnormalities

Dev. delay

Blood count, metabolism

Death

II:4

p.Arg54* homozygous

+

RP, optic atrophy

Short, growth retardation

+

• Supratentorial atrophy

+

• No metabolic disorder

16 mo.

• Centr./cortical atrophy

 

• Normal blood count

• Hypoplasia of CC

 

• No tumors

• Hippocamp. dysplasia

• Temporal lobe hypotrophy

• Hippocampal malformation

• Gyral pattern anomaly

Rat

p.Leu371Thrfs*41 homozygous (functional null, no protein produced)

n.d.

n.d.

Dwarfism

+

Extracellular vacuoles (hippocampus, amygdala)

+

• Hypogonadism1

3–12 weeks

• No metabolic disorder

• Bone metabolic disease (mild)

• No tumors

Mouse

Homozygous knockout

n.d.

n.d.

Dwarfism

no

n.d.

+

• Hypogonadism2

2–3 weeks

• Metabolic disorder3

• Bone metabolic disease (severe)

        

• Osteosarcoma4

 
  1. 1Leydig cell dysfunction, apoptosis of spermatocytes, low FSH and LH (prepubertal), low testosterone; 2Failure of Leydig cell development; 3Hypoproteinemia, hypoglycemia, hypocalcemia, hypotriglyceridemia, hypocholesterolemia, hyponatremia, hyperkalemia, hypochloremia; 4Increased susceptibility to develop malignancies was not supported by other studies on Wwox-deficient mice (see Discussion).