Survival among children with "Lethal" congenital contracture syndrome 11 caused by novel mutations in the gliomedin gene (GLDN)

Hum Mutat. 2017 Nov;38(11):1477-1484. doi: 10.1002/humu.23297. Epub 2017 Aug 17.


Biallelic GLDN mutations have recently been identified among infants with lethal congenital contracture syndrome 11 (LCCS11). GLDN encodes gliomedin, a protein required for the formation of the nodes of Ranvier and development of the human peripheral nervous system. We report six infants and children from four unrelated families with biallelic GLDN mutations, four of whom survived beyond the neonatal period into infancy, childhood, and late adolescence with intensive care and chronic respiratory and nutritional support. Our findings expand the genotypic and phenotypic spectrum of LCCS11 and demonstrate that the condition may not necessarily be lethal in the neonatal period.

Keywords: AMC; GLDN; arthrogryposis multiplex congenital; gliomedin.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arthrogryposis / diagnosis*
  • Arthrogryposis / genetics*
  • Arthrogryposis / mortality
  • Biopsy
  • DNA Mutational Analysis
  • Exome Sequencing
  • Fatal Outcome
  • Genes, Lethal*
  • Genetic Association Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Membrane Proteins / genetics*
  • Mutation*
  • Nerve Tissue Proteins / genetics*
  • Pedigree
  • Phenotype*
  • Spinal Nerve Roots / ultrastructure


  • GLDN protein, human
  • Membrane Proteins
  • Nerve Tissue Proteins