Mosaic variegated aneuploidy syndrome Last updated October 20, 2025  Medical condition
Mosaic variegated aneuploidy syndrome Other names MVA, Warburton-Anyane-Yeboa syndrome   Photo of person and their karyotype, showing facial feeatures (High forehead, midface hypoplasia, long philtrum, hypertelorism, epicanthal folds, short and wide nose, depressed nasal bridge). Karyotype shows trisomy of chromsome 17 and chromosome 8.  Specialty    Medical genetics    Symptoms   Peritoneal fluid excess, cataracts , Dandy-Walker malformation , epicanthus , glaucoma , small jaw, increased nuchal  translucency, short stature , enlargement of ventricles  in the brain  Causes   genetic mutations Frequency 1 per 1,000,000 
Mosaic variegated aneuploidy syndrome  is a rare autosomal recessive  genetic disorder that causes inappropriate chromosomal segregation in mitosis process and because of it, some cells are aneuploid  (mosaic ). [ 1]   It is caused by mutation  BUB1   ,  BUB1B   ,  BUB3   ,  CEP57    or  TRIP13   . [ 2]   [ 3]   [ 4]   [ 5]  
Person with MVA can present with IUGR , microcephaly  and a wide range of congenital abnormalities . [ 6]  
Symptoms Signs of this disease are: [ 7]  
Very frequent:
Peritoneal fluid excess Cataracts Dandy-Walker malformation Epicanthus Glaucoma Small jaw increased nuchal translucency Short stature Enlargment of ventricles of the brain Frequent:
Eye and vision abnormalities Global developmental delay Microcephaly Mental handicap Triangular facies Occasional:
Anomalies of aortic morphology Anomalies of cardiovascular system morphology Lung lobation abnormality Abnormalities of skull Abnormality of immune system Anomalies of skin pigmentation Anomalies of the skeletal system Atypical genitalia Agenesis (or hypoplasia) of the cerebellum and the corpus callosum Sleep apnea Cleft palata 5th finger clinodactyly Tall forehead Hypothyroidism Wide nose Sloping forehead Some form of tumours, such as: Acute lymphoblastic leukemia, Nephroblastoma, Rhabdomyosarcoma, Wilms tumour etc. Downslanted palpebral fissures Depressed nasal ridge Down-slanting palpebral fissures IUGR (Intrauterine growth restriction) Cause This disorder is caused by defect of genes that are responsible for spindle checkpoint . [ 8]  
Types include:
Also those genes are associated with that disorder: BUB3  and BUB1 . [ 9]  
Pathophysiology  BUB1 , BUB1B  and BUB3  participates in spindle checkpoint  checkpoint process which is necessary for correct chromosome splitting process in mitosis, consequently mutation of those 3 genes causes incorrect splitting of chromosomes. [ 10]   [ 11]  
 CENATAC  gene is responsible for minor (U12‐dependent) spliceosome, which is important for cell cycle regulation proteins and in MVA, this process is deregulated. [ 12]  
 CEP57  plays role in spindle pole  integrity, which mutation can cause incorrect segregation during mitosis. [ 13]   [ 14]  
 SLF2  and SMC5  are necessary for proper chromosomal segregation through centromeric and sister chromatid cohesion, consequently this mechanism is disrupted in this disease. [ 15]  
 TRIP13  also participates in spindle checkpoint process by activating MAD2  and that activates spindle checkpoint and mutations in TRIP13 can cause MVA . [ 16]  
Diagnosis MVA can be suspected by phenotype  and confirmed by 1.karyotyping , and 2.genetic testing . [ 17]   [ 18]  
Karyotyping is a process, when person's chromosomes are getting isolated and ordered in numerical order, consequently it can be checked for any anomalies. [ 19]   Genetic testing is a process when person's blood or other tissue gets inspected to determine changes in their genes. [ 20]   Prognosis The prognosis of MVA syndrome depends on the types of malformation  presented in the individual. [ 21]  
History The first mention of MVA was made by Rudd and colleagues in 1983, although Warburton and colleagues coined the name of MVA in 1991. [ 22]   [ 23]  
Prevalence The prevalence of that disorder is 1/1 000 000. [ 17]  
References  ↑    "Orphanet: Diseases" . www.orpha.net . Retrieved 2025-03-21  .  ↑    "Entry - #257300 - MOSAIC VARIEGATED ANEUPLOIDY SYNDROME 1; MVA1 - OMIM" . omim.org . Retrieved 2025-03-21  .  ↑    "Entry - *607951 - CENTROSOMAL PROTEIN, 57-KD; CEP57 - OMIM" . omim.org . Retrieved 2025-03-21  .  ↑    "Entry - #617598 - MOSAIC VARIEGATED ANEUPLOIDY SYNDROME 3; MVA3 - OMIM" . omim.org . Retrieved 2025-03-21  .  ↑    "Mosaic variegated aneuploidy syndrome 1 (Concept Id: C1850343) - MedGen - NCBI" . www.ncbi.nlm.nih.gov . Retrieved 2025-03-21  .  ↑   García-Castillo, Herbert; Vásquez-Velásquez, Ana Isabel; Rivera, Horacio; Barros-Núñez, Patricio (2008).  "Clinical and genetic heterogeneity in patients with mosaic variegated aneuploidy: Delineation of clinical subtypes"   . American Journal of Medical Genetics Part A . 146A  (13): 1687– 1695. doi :10.1002/ajmg.a.32315 . ISSN     1552-4833 . PMID     18548531 .  ↑    "Orphanet: Clinical signs and symptoms" . www.orpha.net . Retrieved 2025-03-21  .  ↑   Matsuura, Shinya; Ito, Emi; Tauchi, Hiroshi; Komatsu, Kenshi; Ikeuchi, Tatsuro; Kajii, Tadashi (2000-08-01). "Chromosomal Instability Syndrome of Total Premature Chromatid Separation with Mosaic Variegated Aneuploidy Is Defective in Mitotic-Spindle Checkpoint" . The American Journal of Human Genetics . 67  (2): 483– 486. doi :10.1086/303022 . ISSN     0002-9297 . PMC     1287192   . PMID     10877982 .  ↑   Voer, Richarda M. de; Kessel, Ad Geurts van; Weren, Robbert D. A.; Ligtenberg, Marjolijn J. L.; Smeets, Dominique; Fu, Lei; Vreede, Lilian; Kamping, Eveline J.; Verwiel, Eugène T. P.; Hahn, Marc-Manuel; Ariaans, Maayke; Spruijt, Liesbeth; Essen, Ton van; Houge, Gunnar; Schackert, Hans K. (2013-09-01). "Germline Mutations in the Spindle Assembly Checkpoint Genes BUB1 and BUB3 Are Risk Factors for Colorectal Cancer" . Gastroenterology . 145  (3): 544– 547. doi :10.1053/j.gastro.2013.06.001 . ISSN     0016-5085 . PMID     23747338 .  ↑   Bolanos-Garcia, Victor M.; Blundell, Tom L. (2011-03-01). "BUB1 and BUBR1: multifaceted kinases of the cell cycle" . Trends in Biochemical Sciences . 36  (3): 141– 150. doi :10.1016/j.tibs.2010.08.004 . ISSN     0968-0004 . PMC     3061984   . PMID     20888775 .  ↑   Taylor, S. S.; Ha, E.; McKeon, F. (1998-07-13). "The human homologue of Bub3 is required for kinetochore localization of Bub1 and a Mad3/Bub1-related protein kinase" . The Journal of Cell Biology . 142  (1): 1– 11. doi :10.1083/jcb.142.1.1 . ISSN     0021-9525 . PMC     2133037   . PMID     9660858 .  ↑   de Wolf, Bas; Oghabian, Ali; Akinyi, Maureen V; Hanks, Sandra; Tromer, Eelco C; van Hooff, Jolien J E; van Voorthuijsen, Lisa; van Rooijen, Laura E; Verbeeren, Jens; Uijttewaal, Esther C H; Baltissen, Marijke P A; Yost, Shawn; Piloquet, Philippe; Vermeulen, Michiel; Snel, Berend (2021-07-15). "Chromosomal instability by mutations in the novel minor spliceosome component CENATAC" . The EMBO Journal . 40  (14) e106536. doi :10.15252/embj.2020106536 . ISSN     0261-4189 . PMC     8280824   . PMID     34009673 .  ↑   Snape, Katie; Hanks, Sandra; Ruark, Elise; Barros-Núñez, Patricio; Elliott, Anna; Murray, Anne; Lane, Andrew H.; Shannon, Nora; Callier, Patrick; Chitayat, David; Clayton-Smith, Jill; FitzPatrick, David R.; Gisselsson, David; Jacquemont, Sebastien; Asakura-Hay, Keiko (June 2011). "Mutations in CEP57 cause mosaic variegated aneuploidy syndrome" . Nature Genetics . 43  (6): 527– 529. doi :10.1038/ng.822 . ISSN     1546-1718 . PMC     3508359   . PMID     21552266 .  ↑   Wu, Qixi; He, Runsheng; Zhou, Haining; Yu, Albert CH; Zhang, Bo; Teng, Junlin; Chen, Jianguo (September 2012). "Cep57, a NEDD1-binding pericentriolar material component, is essential for spindle pole integrity" . Cell Research . 22  (9): 1390– 1401. doi :10.1038/cr.2012.61 . ISSN     1748-7838 . PMC     3434346   . PMID     22508265 .  ↑   Grange, Laura J.; Reynolds, John J.; Ullah, Farid; Isidor, Bertrand; Shearer, Robert F.; Latypova, Xenia; Baxley, Ryan M.; Oliver, Antony W.; Ganesh, Anil; Cooke, Sophie L.; Jhujh, Satpal S.; McNee, Gavin S.; Hollingworth, Robert; Higgs, Martin R.; Natsume, Toyoaki (2022-11-04). "Pathogenic variants in SLF2 and SMC5 cause segmented chromosomes and mosaic variegated hyperploidy" . Nature Communications . 13  (1): 6664. Bibcode :2022NatCo..13.6664G . doi :10.1038/s41467-022-34349-8 . ISSN     2041-1723 . PMC     9636423   . PMID     36333305 .  ↑   Kim, Dong Hyun; Han, Joo Seok; Ly, Peter; Ye, Qiaozhen; McMahon, Moira A.; Myung, Kyungjae; Corbett, Kevin D.; Cleveland, Don W. (2018-10-19). "TRIP13 and APC15 drive mitotic exit by turnover of interphase- and unattached kinetochore-produced MCC" . Nature Communications . 9  (1): 4354. Bibcode :2018NatCo...9.4354K . doi :10.1038/s41467-018-06774-1 . ISSN     2041-1723 . PMC     6195577   . PMID     30341343 .  1  2   Yamaguchi, Tomoko; Yamaguchi, Masatoshi; Akeno, Keiko; Fujisaki, Midori; Sumiyoshi, Kaeko; Ohashi, Masanao; Sameshima, Hiroshi; Ozaki, Mamoru; Kato, Maki; Kato, Takema; Hosoba, Eriko; Kurahashi, Hiroki (2018).  "Prenatal diagnosis of premature chromatid separation/mosaic variegated aneuploidy (PCS/MVA) syndrome"   . Journal of Obstetrics and Gynaecology Research . 44  (7): 1313– 1317. doi :10.1111/jog.13647 . ISSN     1447-0756 . PMID     29673003 .  ↑   Feng, Biyun; Chang, Guoying; Zhang, Qianwen; Li, Xin; Tang, Yijun; Gu, Shili; Wang, Yirou; Wang, Jian; Wang, Xiumin (2022). "A novel CEP57 variant associated with mosaic variegated aneuploidy syndrome in a Chinese female presenting with short stature, microcephaly, brachydactyly, and small teeth" . Molecular Genetics & Genomic Medicine . 10  (6) e1951. doi :10.1002/mgg3.1951 . ISSN     2324-9269 . PMC     9184657   . PMID     35434947 .  ↑    "Karyotype" . www.genome.gov . Retrieved 2025-03-29  .  ↑   Alliance, Genetic; Screening Services, The New York-Mid-Atlantic Consortium for Genetic and Newborn (2009-07-08), "GENETIC TESTING" , Understanding Genetics: A New York, Mid-Atlantic Guide for Patients and Health Professionals , Genetic Alliance, retrieved 2025-03-29    ↑    "Mosaic variegated aneuploidy syndrome" . atlasgeneticsoncology.org . Retrieved 2025-03-22  .  ↑   Rudd, Noreen L.; Teshima, Iluko E.; Martin, Renee H.; Sisken, Jesse E.; Weksberg, Rosanna (1983-12-01).  "A dominantly inherited cytogenetic anomaly: A possible cell division mutant"   . Human Genetics . 65  (2): 117– 121. doi :10.1007/BF00286646 . ISSN     1432-1203 . PMID     6654324 .  ↑   Warburton, D.; Anyane-Yeboa, K.; Taterka, P.; Yu, C. Y.; Olsen, D. (1991). "Mosaic variegated aneuploidy with microcephaly: a new human mitotic mutant?". Annales de Génétique . 34  (3– 4): 287– 292. ISSN     0003-3995 . PMID     1809239 . This page is based on this 
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