The genetics of congenital central hypoventilation syndrome: clinical implications
- PMID: 30532577
- PMCID: PMC6241683
- DOI: 10.2147/TACG.S140629
The genetics of congenital central hypoventilation syndrome: clinical implications
Abstract
Congenital central hypoventilation syndrome (CCHS) is a rare genetic disorder of the autonomic nervous system (ANS) and respiratory control. This disorder, formerly referred to as Ondine's curse, is due to a mutation in the PHOX2B gene that affects the development of the neural crest cells. CCHS has an autosomal dominant pattern of inheritance. Majority of the patients have a polyalanine repeat mutation (PARM) of the PHOX2B, while a small group has non-PARM (NPARM). Knowledge of the patient's PHOX2B gene mutation helps predict a patient's clinical presentation and outcome and aids in anticipatory management of the respiratory and ANS dysfunction.
Keywords: CCHS; PHOX2B; congenital central hypoventilation syndrome; diaphragm pacing; genetic counseling; genetic testing; noninvasive positive pressure ventilation.
Conflict of interest statement
Disclosure The authors report no conflicts of interest in this work.
References
-
- Weese-Mayer DE, Berry-Kravis EM, Ceccherini I, Keens TG, Loghmanee DA, Trang H. An official ATS clinical policy statement: Congenital central hypoventilation syndrome: genetic basis, diagnosis, and management. Am J Respir Crit Care Med. 2010;181(6):626–644. - PubMed
-
- Fleming PJ, Cade D, Bryan MH, Bryan AC. Congenital central hypoventilation and sleep state. Pediatrics. 1980;66(3):425–428. - PubMed
-
- Chen ML, Keens TG. Congenital central hypoventilation syndrome: not just another rare disorder. Paediatr Respir Rev. 2004;5(3):182–189. - PubMed
-
- Weese-Mayer DE, Shannon DC, Keens TG, Silvestri JM. Idiopathic congenital central hypoventilation syndrome: diagnosis and management. American Thoracic Society. Am J Respir Crit Care Med. 1999;160(1):368–373. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
