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An autosomal recessive disease characterized by increased radiosensitivity, immunodeficiency, mild motor control and learning difficulties, facial dysmorphism, and short stature that has material basis in homozygous or compound heterozygous mutation in the RNF168 gene on chromosome 3q29.
Features include sometimes findings: Microcephaly and Lung scarring (pulmonary fibrosis). 10 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 2 | Microcephaly, Abnormal facial shape |
Brain and nerves |
RNF168 function has not been fully characterized.
RIDDLE syndrome is caused by mutations in the RNF168 gene on chromosome 3.
Genetic testing for RNF168 is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for RIDDLE syndrome.
6 publications have been identified in PubMed for RIDDLE syndrome. Research spans Basic Science / Preclinical (83%) and Review / Meta-Analysis (17%).
Chauhan AS (2025). [PMID: 40229270](https://pubmed.ncbi.nlm.nih.gov/40229270/). *Nat Commun*. [Basic Science / Preclinical]
Shu Q (2025). [PMID: 39996778](https://pubmed.ncbi.nlm.nih.gov/39996778/). *Cells*. [Review / Meta-Analysis]
Yang Y (2024). [PMID: 39445802](https://pubmed.ncbi.nlm.nih.gov/39445802/). *Nucleic Acids Res*. [Basic Science / Preclinical]
Franz P (2024). [PMID: 39377639](https://pubmed.ncbi.nlm.nih.gov/39377639/). *Angew Chem Int Ed Engl*. [Basic Science / Preclinical]
Feng LL (2024). [PMID: 38968116](https://pubmed.ncbi.nlm.nih.gov/38968116/). *Proc Natl Acad Sci U S A*. [Basic Science / Preclinical]
Yalçin Z (2024). [PMID: 38866770](https://pubmed.ncbi.nlm.nih.gov/38866770/). *Nat Commun*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 1:58 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about RIDDLE syndrome
2
Mild global developmental delay, Ataxia |
Growth and development | 1 | Short stature |
Skin | 1 | Dry skin |
Lungs and breathing | 1 | Lung scarring (pulmonary fibrosis) |
Blood and immune system | 1 | Immunodeficiency |