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IEMbase 0351: SLC35D1-related Schneckenbecken dysplasia

Scope

Field Value
IEMbase ID 351
Nosology 18.4.05.02
Gene SLC35D1
External IDs OMIM:269250; ORPHA:3144
Generated mapping MAPPED; Schneckenbecken_Dysplasia.yaml
Candidate DisMech targets Schneckenbecken_Dysplasia.yaml
Review date 2026-07-07

IEMbase phenotype signal

IEMbase represents SLC35D1-CDG/Schneckenbecken dysplasia, an autosomal recessive UDP-glucuronic acid and UDP-N-acetylgalactosamine transporter deficiency. Characteristic rows include abdominal distension, advanced ossification, clubfoot, dwarfism, hydrops, nasal hypoplasia, platyspondyly, shortening of long bones, normal sialotransferrins, small ilia with snail-like appearance, and thoracic hypoplasia. The additional clinical row is perinatal lethality. No treatment rows are present.

DisMech phenotype coverage

The generated mapping is correct. DisMech has a dedicated Schneckenbecken Dysplasia entry with SLC35D1 loss, endoplasmic-reticulum nucleotide-sugar transport failure, impaired chondroitin sulfate biosynthesis, and perinatally lethal skeletal dysplasia. It also notes a rare INPPL1 locus and a milder hypomorphic SLC35D1 spectrum.

Local phenotype coverage includes severe platyspondyly, hypoplastic ilia with snail-like appearance, severe micromelia, dumbbell-shaped long bones, short ribs, bell-shaped thorax, advanced tarsal ossification, brachydactyly, short neck, flat midface, increased nuchal thickness, polyhydramnios, hydrops fetalis, protuberant abdomen, pulmonary hypoplasia, perinatal death, mesomelia, and genu valgum.

Concordance and completeness

Judgement: correct mapped target with high concordance.

The resources agree on SLC35D1 identity, autosomal recessive inheritance, Schneckenbecken dysplasia identity, shortened long bones/micromelia, platyspondyly, thoracic hypoplasia/short ribs, hydrops, snail-like ilia, advanced ossification, clubfoot or distal skeletal involvement, abdominal distension/protuberant abdomen, and perinatal lethality.

Curation actions

  • Keep the mapping to Schneckenbecken_Dysplasia.yaml.
  • Use IEMbase as a future prompt for explicit CDG/nucleotide-sugar-transporter framing and the normal sialotransferrin row.
  • Retain local chondroitin-sulfate/proteoglycan mechanism and radiographic detail as the stronger DisMech coverage.