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Hypertelorism

Rare and Inherited Diseases · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

Abnormal increase in the interorbital distance due to overdevelopment of the lesser wings of the sphenoid.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (935 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Abnormal increase in the interorbital distance due to overdevelopment of the lesser wings of the sphenoid.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Hypertelorisms.

Where it fits in the MeSH classification

Broader topics
Craniofacial Dysostosis

Research landscape

PubMed indexes 1,350 records tagged with the MeSH heading “Hypertelorism” (counts retrieved 2026-10-29). 100 of them (7.4%) were published from 2020 onward, and the busiest period so far is through 1999 with 799 records.

Reviews account for 114 records (8.4%) and meta-analyses for 0. Randomized controlled trials number 0 (0.0%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 799 records; 2000-2009: 204 records; 2010-2019: 247 records; 2020 onward: 100 records799through 19992042000-20092472010-20191002020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999799
2000-2009204
2010-2019247
2020 onward100
Share of records by publication typeReviews: 8.4 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 0.0 percentReviews8.4% (114)Meta-analyses0.0% (0)Randomized controlled trials0.0% (0)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 1,350 PubMed records
TypeRecordsShare
Reviews1148.4%
Meta-analyses00.0%
Randomized controlled trials00.0%

Method: PubMed query "Hypertelorism"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in rare and inherited diseases

Rare conditions are difficult to study: few patients means small studies, case reports and registries are common, and randomized trials are the exception. Small samples limit precision and can exaggerate effects, and cases reported in the literature may be the most severe or unusual. Evidence from many small studies is best read together. Check how patients were identified, how many were included and how long they were followed.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Cohesin proteins promote ribosomal RNA production and protein translation in yeast and human cells
Bose T, Lee KK, Lu S, Xu B, Harris B, Slaughter B, et al.
2012Research article
Design not recorded in structured metadata
84cc by
PMID 22719263 · DOI · PMC3375231
Generation of an ICF syndrome model by efficient genome editing of human induced pluripotent stem cells using the CRISPR system
Horii T, Tamura D, Morita S, Kimura M, Hatada I
2013Research article
Design not recorded in structured metadata
75cc by
PMID 24084724 · DOI · PMC3821585
Stimulation of mTORC1 with L-leucine rescues defects associated with Roberts syndrome
Xu B, Lee KK, Zhang L, Gerton JL
2013Research article
Design not recorded in structured metadata
64cc by
PMID 24098154 · DOI · PMC3789817
Skeletal abnormalities caused by a Connexin43R239Q mutation in a mouse model for autosomal recessive craniometaphyseal dysplasia
Fujii Y, Okabe I, Hatori A, Sah SK, Kanaujiya J, Fisher M, et al.
2025Research article
Design not recorded in structured metadata
2cc by
PMID 39848944 · DOI · PMC11757998

Cohesin proteins promote ribosomal RNA production and protein translation in yeast and human cells [1]

Research article Bose T, Lee KK, Lu S, Xu B, Harris B, Slaughter B, et al. · · 2012 · cited 84 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Cohesin is a protein complex known for its essential role in chromosome segregation.
Closing excerpt
Reduced translational capacity could contribute to the human cohesinopathies.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (278 words)

Cohesin is a protein complex known for its essential role in chromosome segregation. However, cohesin and associated factors have additional functions in transcription, DNA damage repair, and chromosome condensation. The human cohesinopathy diseases are thought to stem not from defects in chromosome segregation but from gene expression. The role of cohesin in gene expression is not well understood. We used budding yeast strains bearing mutations analogous to the human cohesinopathy disease alleles under control of their native promoter to study gene expression. These mutations do not significantly affect chromosome segregation. Transcriptional profiling reveals that many targets of the transcriptional activator Gcn4 are induced in the eco1-W216G mutant background. The upregulation of Gcn4 was observed in many cohesin mutants, and this observation suggested protein translation was reduced. We demonstrate that the cohesinopathy mutations eco1-W216G and smc1-Q843Δ are associated with defects in ribosome biogenesis and a reduction in the actively translating fraction of ribosomes, eiF2α-phosphorylation, and (35)S-methionine incorporation, all of which indicate a deficit in protein translation. Metabolic labeling shows that the eco1-W216G and smc1-Q843Δ mutants produce less ribosomal RNA, which is expected to constrain ribosome biogenesis. Further analysis shows that the production of rRNA from an individual repeat is reduced while copy number remains unchanged. Similar defects in rRNA production and protein translation are observed in a human Roberts syndrome cell line. In addition, cohesion is defective specifically at the rDNA locus in the eco1-W216G mutant, as has been previously reported for Roberts syndrome. Collectively, our data suggest that cohesin proteins normally facilitate production of ribosomal RNA and protein translation, and this is one way they can influence gene expression. Reduced translational capacity could contribute to the human cohesinopathies.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 22719263 · DOI · PMC3375231

Generation of an ICF syndrome model by efficient genome editing of human induced pluripotent stem cells using the CRISPR system [2]

Research article Horii T, Tamura D, Morita S, Kimura M, Hatada I · · 2013 · cited 75 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Genome manipulation of human induced pluripotent stem (iPS) cells is essential to achieve their full potential as tools for regenerative medicine.
Closing excerpt
Our data suggest that the CRISPR system is highly efficient and useful for genome engineering of human iPS cells.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (124 words)

Genome manipulation of human induced pluripotent stem (iPS) cells is essential to achieve their full potential as tools for regenerative medicine. To date, however, gene targeting in human pluripotent stem cells (hPSCs) has proven to be extremely difficult. Recently, an efficient genome manipulation technology using the RNA-guided DNase Cas9, the clustered regularly interspaced short palindromic repeats (CRISPR) system, has been developed. Here we report the efficient generation of an iPS cell model for immunodeficiency, centromeric region instability, facial anomalies syndrome (ICF) syndrome using the CRISPR system. We obtained iPS cells with mutations in both alleles of DNA methyltransferase 3B (DNMT3B) in 63% of transfected clones. Our data suggest that the CRISPR system is highly efficient and useful for genome engineering of human iPS cells.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 24084724 · DOI · PMC3821585

Stimulation of mTORC1 with L-leucine rescues defects associated with Roberts syndrome [3]

Research article Xu B, Lee KK, Zhang L, Gerton JL · · 2013 · cited 64 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Roberts syndrome (RBS) is a human disease characterized by defects in limb and craniofacial development and growth and mental retardation.
Closing excerpt
Our data support the idea that RBS can be attributed in part to defects in ribosome biogenesis, and stimulation of the TOR pathway has therapeutic potential.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (299 words)

Roberts syndrome (RBS) is a human disease characterized by defects in limb and craniofacial development and growth and mental retardation. RBS is caused by mutations in ESCO2, a gene which encodes an acetyltransferase for the cohesin complex. While the essential role of the cohesin complex in chromosome segregation has been well characterized, it plays additional roles in DNA damage repair, chromosome condensation, and gene expression. The developmental phenotypes of Roberts syndrome and other cohesinopathies suggest that gene expression is impaired during embryogenesis. It was previously reported that ribosomal RNA production and protein translation were impaired in immortalized RBS cells. It was speculated that cohesin binding at the rDNA was important for nucleolar form and function. We have explored the hypothesis that reduced ribosome function contributes to RBS in zebrafish models and human cells. Two key pathways that sense cellular stress are the p53 and mTOR pathways. We report that mTOR signaling is inhibited in human RBS cells based on the reduced phosphorylation of the downstream effectors S6K1, S6 and 4EBP1, and this correlates with p53 activation. Nucleoli, the sites of ribosome production, are highly fragmented in RBS cells. We tested the effect of inhibiting p53 or stimulating mTOR in RBS cells. The rescue provided by mTOR activation was more significant, with activation rescuing both cell division and cell death. To study this cohesinopathy in a whole animal model we used ESCO2-mutant and morphant zebrafish embryos, which have developmental defects mimicking RBS. Consistent with RBS patient cells, the ESCO2 mutant embryos show p53 activation and inhibition of the TOR pathway. Stimulation of the TOR pathway with L-leucine rescued many developmental defects of ESCO2-mutant embryos. Our data support the idea that RBS can be attributed in part to defects in ribosome biogenesis, and stimulation of the TOR pathway has therapeutic potential.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 24098154 · DOI · PMC3789817

Skeletal abnormalities caused by a Connexin43R239Q mutation in a mouse model for autosomal recessive craniometaphyseal dysplasia [4]

Research article Fujii Y, Okabe I, Hatori A, Sah SK, Kanaujiya J, Fisher M, et al. · · 2025 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Craniometaphyseal dysplasia (CMD), a rare craniotubular disorder, occurs in an autosomal dominant (AD) or autosomal recessive (AR) form.
Closing excerpt
Additional studies are required to investigate new roles of CMD-mutant Cx43.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (234 words)

Craniometaphyseal dysplasia (CMD), a rare craniotubular disorder, occurs in an autosomal dominant (AD) or autosomal recessive (AR) form. CMD is characterized by hyperostosis of craniofacial bones and metaphyseal flaring of long bones. Many patients with CMD suffer from neurological symptoms. The pathogenesis of CMD is not fully understood. Treatment is limited to craniofacial surgery. Here, we report a knock in (KI) mouse model for AR CMD carrying a Cx43R239Q mutation. Cx43KI/KI mice replicate typical features of AR CMD, including thickening of craniofacial bones, club-shaped femurs, and widened diaphyseal cortical bones. Female Cx43KI/KI mice display remarkably more bone overgrowth than male Cx43KI/KI mice as they age. In contrast to Cx43+/+ littermates, Cx43KI/KI mice exhibit periosteal bone deposition and increased osteoclast (OC) numbers in the endosteum of long bones. Although formation of resting OCs in Cx43+/+ and Cx43KI/KI mice is comparable, the actively resorbing Cx43KI/KI OCs have reduced resorption on bone chips. Cx43KI/KI mice display reduced osteocyte dendrites. RNA from Cx43KI/KI femoral cortical bones show reduced expression levels of Sost, Tnf-α, IL-1β, Esr1, Esr2, and a lower Rankl/Opg ratio. Moreover, the Cx43R239Q mutation results in altered spatial expression of Cx43 protein and mild reduction of gap junction and hemichannel activity. The distinct phenotype seen in Cx43KI/KI mice but not in Cx43 ablation models suggests that Cx43 loss-of-function is unlikely the main cause of AR CMD. Additional studies are required to investigate new roles of CMD-mutant Cx43.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 39848944 · DOI · PMC11757998

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article G syndrome (hypertelorism with esophageal abnormality and hypospadias, or hypospadias-dysphagia, or "Opitz-Frias" or "Opitz-G" syndrome)--perspective in 1987 and bibliography [5]
    Opitz JM · Am J Med Genet · 1987 · cited 65 times (Europe PMC)
  • Research article The Greig cephalopolysyndactyly syndrome [6]
    Biesecker LG · Orphanet J Rare Dis · 2008 · cited 58 times (Europe PMC)
  • Research article Ocular manifestations of Apert and Crouzon syndromes: qualitative and quantitative findings [7]
    Kreiborg S, Cohen MM · J Craniofac Surg · 2010 · cited 53 times (Europe PMC)
  • Research article Hypertelorism: interorbital growth, measurements, and pathogenetic considerations [8]
    Cohen MM, Richieri-Costa A, Guion-Almeida ML, Saavedra D · Int J Oral Maxillofac Surg · 1995 · cited 46 times (Europe PMC)
  • Research article Cohesinopathies of a feather flock together [9]
    Skibbens RV, Colquhoun JM, Green MJ, Molnar CA, Sin DN, Sullivan BJ, et al. · PLoS Genet · 2013 · cited 40 times (Europe PMC)
  • Research article Etiology and pathogenesis of the cohesinopathies [10]
    Zakari M, Yuen K, Gerton JL · Wiley Interdiscip Rev Dev Biol · 2015 · cited 36 times (Europe PMC)

References

  1. Bose T, Lee KK, Lu S, Xu B, Harris B, Slaughter B, et al.. Cohesin proteins promote ribosomal RNA production and protein translation in yeast and human cells. . 2012. PMID 22719263 · DOI · PMC3375231
  2. Horii T, Tamura D, Morita S, Kimura M, Hatada I. Generation of an ICF syndrome model by efficient genome editing of human induced pluripotent stem cells using the CRISPR system. . 2013. PMID 24084724 · DOI · PMC3821585
  3. Xu B, Lee KK, Zhang L, Gerton JL. Stimulation of mTORC1 with L-leucine rescues defects associated with Roberts syndrome. . 2013. PMID 24098154 · DOI · PMC3789817
  4. Fujii Y, Okabe I, Hatori A, Sah SK, Kanaujiya J, Fisher M, et al.. Skeletal abnormalities caused by a Connexin43R239Q mutation in a mouse model for autosomal recessive craniometaphyseal dysplasia. . 2025. PMID 39848944 · DOI · PMC11757998
  5. Opitz JM. G syndrome (hypertelorism with esophageal abnormality and hypospadias, or hypospadias-dysphagia, or "Opitz-Frias" or "Opitz-G" syndrome)--perspective in 1987 and bibliography. Am J Med Genet. 1987. PMID 3322001 · DOI
  6. Biesecker LG. The Greig cephalopolysyndactyly syndrome. Orphanet J Rare Dis. 2008. PMID 18435847 · DOI · PMC2397380
  7. Kreiborg S, Cohen MM. Ocular manifestations of Apert and Crouzon syndromes: qualitative and quantitative findings. J Craniofac Surg. 2010. PMID 20856021 · DOI
  8. Cohen MM, Richieri-Costa A, Guion-Almeida ML, Saavedra D. Hypertelorism: interorbital growth, measurements, and pathogenetic considerations. Int J Oral Maxillofac Surg. 1995. PMID 8636632 · DOI
  9. Skibbens RV, Colquhoun JM, Green MJ, Molnar CA, Sin DN, Sullivan BJ, et al.. Cohesinopathies of a feather flock together. PLoS Genet. 2013. PMID 24367282 · DOI · PMC3868590
  10. Zakari M, Yuen K, Gerton JL. Etiology and pathogenesis of the cohesinopathies. Wiley Interdiscip Rev Dev Biol. 2015. PMID 25847322 · DOI · PMC6680315

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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At a glance

1,350
PubMed records on this heading
7%
published since 2020
114
review articles
0
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

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