Rubinstein Taybi Syndrome Essay

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Rubinstein-Taybi Syndrome (RTS) is a rare condition characterized by, “distinctive facial features, broad and often angulated thumbs and great toes, short stature, and moderate to severe intellectual disability” (Stevens 2002). The syndrome was first described by Jack Herbert Rubinstein and Hooshang Taybi in the American Journal of Diseases of Children. In their initial article describing their findings, Rubinstein and Taybi described seven children, ages three to eight years old, who presented with “a constellation of congenital anomalies,” which they believed to represent a previously undescribed syndrome (Rubinstein and Taybi 1963). Other features associated with RTS, which tend to vary among affected individuals, include eye abnormalities, defects of the heart and kidneys, dental problems, and obesity (“Genetics Home Reference” 2007). While individuals with RTS often develop normally in-utero, they sometimes fail to thrive in the first few months of life as their height, weight, and head circumference percentiles begin rapidly declining (Stevens 2002). Another serious complication for infants with RBS is …show more content…

It is believed that the loss of CREB binding protein’s acetyltransferase activity is what ultimately leads to RTS (Park et al. 2014). The primary models currently used to explain how mutations in the CREBBP and EP300 genes manifest in the phenotypic features associated with RTS are haploinsufficiency and dominant negative inhibition. In other words, researchers found that two functional copies of the CREBBP gene are necessary to produce normally-functioning CREB binding protein (Park et al. 2014). Additionally, the abnormal protein produced as a result of a mutated CREBBP gene inhibits the normally-functioning CREB binding protein in a process known as dominant negative inhibition (Park et al.

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