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KEGG   DISEASE: Congenital insensitivity to pain
Entry
H00774                      Disease                                
Name
Congenital insensitivity to pain
  Subgroup
Marsili syndrome
Description
Congenital insensitivity to pain (CIP) is condition affecting pain sensation and olfaction. A loss-of-function of the SCN9A, the gene encoding Nav1.7, can produce CIP. Patients with Nav1.7-related CIP present with a history of not ever experiencing any pain even after burns, bone fractures, lip- and tongue-biting, and they do not experience visceral pain. Additionally, patients with Nav1.7-related CIP do not show apparent sympathetic dysfunction and have a normal axon reflex response to histamine. Homozygous and compound null mutations in SCN9A are predicted to truncate the channel protein, resulting in loss-of-function mutations in Nav1.7 and the complete loss of Nav1.7 current in all of the neurons in which this channel is expressed. Marsili syndrome(MARSIS) is an autosomal dominant congenital insensitivity to pain, caused by mutations in ZFHX2 gene.
Category
Nervous system disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 08 Diseases of the nervous system
  Disorders of nerve root, plexus or peripheral nerves
   Hereditary neuropathy
    8C21  Hereditary sensory or autonomic neuropathy
     H00774  Congenital insensitivity to pain
Gene
(CIP) SCN9A [HSA:6335] [KO:K04841]
(MARSIS) ZFHX2 [HSA:85446] [KO:K09379]
Other DBs
ICD-11: 8C21.3
ICD-10: G60.8
MeSH: D000699
OMIM: 243000 147430
Reference
  Authors
Catterall WA, Dib-Hajj S, Meisler MH, Pietrobon D
  Title
Inherited neuronal ion channelopathies: new windows on complex neurological diseases.
  Journal
J Neurosci 28:11768-77 (2008)
DOI:10.1523/JNEUROSCI.3901-08.2008
Reference
  Authors
Dib-Hajj SD, Yang Y, Waxman SG
  Title
Genetics and molecular pathophysiology of Na(v)1.7-related pain syndromes.
  Journal
Adv Genet 63:85-110 (2008)
DOI:10.1016/S0065-2660(08)01004-3
Reference
  Authors
Fischer TZ, Waxman SG
  Title
Familial pain syndromes from mutations of the NaV1.7 sodium channel.
  Journal
Ann N Y Acad Sci 1184:196-207 (2010)
DOI:10.1111/j.1749-6632.2009.05110.x
Reference
PMID:29253101 (MARSIS)
  Authors
Habib AM, Matsuyama A, Okorokov AL, Santana-Varela S, Bras JT, Aloisi AM, Emery EC, Bogdanov YD, Follenfant M, Gossage SJ, Gras M, Humphrey J, Kolesnikov A, Le Cann K, Li S, Minett MS, Pereira V, Ponsolles C, Sikandar S, Torres JM, Yamaoka K, Zhao J, Komine Y, Yamamori T, Maniatis N, Panov KI, Houlden H, Ramirez JD, Bennett DLH, Marsili L, Bachiocco V, Wood JN, Cox JJ
  Title
A novel human pain insensitivity disorder caused by a point mutation in ZFHX2.
  Journal
Brain 141:365-376 (2018)
DOI:10.1093/brain/awx326

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