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Microcephaly–capillary malformation (MIC-CAP) syndrome is characterized by multiple cutaneous capillary malformations, epilepsy, cortical atrophy, microcephaly, and growth retardation. The capillary malformations are visible at birth (size range, 2–20 mm) and are associated with visceral angiomas.
The genetic basis for this disorder has been discovered by McDonell and colleagues. Using whole-exome sequencing of five affected individuals, they identified recessive inactivating mutations in the STAMBP gene that result in removal of ubiquitin from proteins. Ubiquitin is a small protein tag that targets the proteins to which it is attached for endosomal sorting (important for signal transduction and autophagy) or regulated destruction. Cells lac…