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Table 3 Genes associated with PCD and corresponding ultrastructure

From: Diagnosis and management of primary ciliary dyskinesia

Gene

Reference

Axonemal/cellular structure or function

Routine TEM

Routine IF

Informative a

Finding

Informative a

Abnormal staining with antibodies against

DNAH5, DNAI1, DNAI2, DNAL1, NME8 (TXNDC3)

[42-46]

ODA subunit

✓

ODA-defect

✓

ODA component

CCDC114, ARMC4, CCDC151

[47-49]

ODA targeting/docking factor

✓

ODA-defect

✓

ODA component

DNAAF1 (LRRC50), DNAAF2 (KTU), DNAAF3, HEATR2, LRRC6, ZMYND10, DYX1C1 (DNAAF4), SPAG1, CCDC103, C21ORF59

[38,50-58]

Cytoplasmic dynein arm assembly or transport factor

✓

IDA + ODA defect

✓

ODA component + IDA component

RSPH1, RSPH4A, RSPH9

[40,59]

RSPH subunit

(✘)

Missing CP or TTD; often normal

✓

RSPH components

CCDC39, CCDC40

[39,60]

NL/DRC factor

✓

microtubular disorganisation + IDA-defect

✓

DRC components + IDA components

CCDC164, CCDC65

[26,58]

NL subunit

✘

NL defect only rarely discernible

✓

NL components

DNAH11

[36]

ODA subunit

✘

Normal

✘

 

HYDIN

[27]

CP subunit

✘

Normal (C2b absence only visible in TEM tomography)

✘

 

CCNO, MCIDAS

[3,4]

CCNO: cytoplasmic centriole assembly and docking factor; MCIDAS: nuclear regulator of CCNO and FOXJ1

(✘)

Usually misinterpreted as secondary ciliary aplasia; reduced numbers of MMC; basal bodies and rootlets are mislocalized

(✘)

Usually misinterpreted as secondary ciliary aplasia; MCIDAS: lack of any axonemal components CCNO: Rootletin mislocalization, CCNO deficiency

OFD1, RPGR

[61,62]

Functions related to non-motile cilia; role in motile cilia unknown

✘

Normal/unspecific

✘

 
  1. aInformative denotes: detectable in routine diagnostics.
  2. CP, central pair tubuli; DRC, dynein regulatory complex; IDA, dynein arm; IF, immunofluorescence microscopy; MMC, multiple motile cilia; NL, nexin link; ODA, outer dynein arm; RSPH, radial spoke head; TEM, transmission electron microscopy; TTD, tubular transposition defect (8 + 1 structure).