Developmental and speech delay due to SOX5 deficiency

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ORPHA:313892OMIM:616803Q87.8
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Overview

Developmental and speech delay due to SOX5 deficiency, also known as Lamb-Shaffer syndrome, is a rare genetic condition caused by changes (mutations) or deletions in the SOX5 gene. This gene plays an important role in brain development, particularly in how nerve cells mature and connect with each other. When the SOX5 gene does not work properly, it can lead to delays in reaching developmental milestones such as sitting, walking, and especially talking. Many children with this condition have intellectual disability that ranges from mild to moderate, and speech and language difficulties are often the most prominent feature. Beyond developmental delays, individuals may have distinctive facial features, behavioral challenges such as anxiety or features of autism spectrum disorder, and sometimes skeletal or joint differences. Some children may also experience seizures or vision problems. The severity of symptoms can vary widely from person to person, even among family members who carry the same genetic change. There is currently no cure for SOX5 deficiency. Treatment focuses on supportive therapies tailored to each person's needs, including speech therapy, occupational therapy, physical therapy, and special education services. Early intervention is key to helping children reach their full potential. Behavioral support and, when needed, medications for seizures or behavioral issues are also part of the management plan. With appropriate support, many individuals can make meaningful progress in their development.

Key symptoms:

Delayed speech and language developmentDelayed motor milestones like sitting and walkingIntellectual disability (mild to moderate)Difficulty with learningBehavioral challenges such as anxiety or attention problemsFeatures of autism spectrum disorderDistinctive facial featuresLow muscle tone (feeling floppy)Joint hypermobility (overly flexible joints)Seizures or epilepsyVision problems such as strabismus (crossed eyes)Feeding difficulties in infancyShort stature or growth delaysSkeletal differences

Clinical phenotype terms (31)— hover any for plain English
Hyperplasia of the maxillaHP:0430028Exaggerated median tongue furrowHP:0002711Vertebral fusionHP:00029482-3 toe syndactylyHP:0004691Thoracic kyphoscoliosisHP:0005659
Inheritance

Autosomal dominant

Passed on from just one parent; each child has about a 50% chance of inheriting it

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Developmental and speech delay due to SOX5 deficiency.

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No specialists are currently listed for Developmental and speech delay due to SOX5 deficiency.

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Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Developmental and speech delay due to SOX5 deficiency.

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Community

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Caregiver Resources

NORD Caregiver Resources

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Mental Health Support

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Family & Caregiver Grants

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Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.What specific genetic change was found in my child's SOX5 gene, and what does it mean for their development?,What therapies should we start right away, and how often should they occur?,Should we be concerned about seizures, and what signs should we watch for?,Are there any other medical evaluations my child needs, such as vision or hearing tests?,What educational supports and accommodations should we request at school?,Is there a risk that future children could also have this condition?,Are there any research studies or clinical trials we should know about?

Common questions about Developmental and speech delay due to SOX5 deficiency

What is Developmental and speech delay due to SOX5 deficiency?

Developmental and speech delay due to SOX5 deficiency, also known as Lamb-Shaffer syndrome, is a rare genetic condition caused by changes (mutations) or deletions in the SOX5 gene. This gene plays an important role in brain development, particularly in how nerve cells mature and connect with each other. When the SOX5 gene does not work properly, it can lead to delays in reaching developmental milestones such as sitting, walking, and especially talking. Many children with this condition have intellectual disability that ranges from mild to moderate, and speech and language difficulties are ofte

How is Developmental and speech delay due to SOX5 deficiency inherited?

Developmental and speech delay due to SOX5 deficiency follows a autosomal dominant inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Developmental and speech delay due to SOX5 deficiency typically begin?

Typical onset of Developmental and speech delay due to SOX5 deficiency is infantile. Age of onset can vary across affected individuals.