North American Indian childhood cirrhosis (NAIC) is a disease in humans that can affect Ojibway-Cree children in northwestern Quebec, Canada. [1] The disease is due to an autosomal recessive abnormality of the UTP4 gene, which codes for cirhin, [2] a nucleolar protein. [3]
NAIC is a ribosomopathy. [4] [5] An R565W mutation of UTP4 [2] [6] leads to partial impairment of cirhin interaction with NOL11. [6]
Initial transient neonatal jaundice advances over time to biliary cirrhosis with severe liver fibrosis. [1] Eventually, liver failure occurs, and requires liver transplantation. [1]