Definition of Progeria

Progeria is an uncommon genetic condition that leads to rapid aging in children. The most well-known form is Hutchinson-Gilford progeria syndrome (HGPS), often dubbed "Benjamin Button" disease. This syndrome is marked by features such as short stature, a pinched nose, a small face and jaw compared to head size, delayed dental development, skin that appears aged, reduced subcutaneous fat, joint stiffness, and early onset of age-related conditions. Typically, children with progeria look normal at birth, but their growth slows within the first year, and they begin to exhibit signs of advanced aging. These children often experience symptoms more typical of older adults, with severe conditions being common. The average lifespan is around 13 years, with death usually resulting from heart-related issues or strokes.The root cause of progeria is a mutation in a gene on chromosome 1 responsible for coding lamin A, a crucial protein in the cell's nuclear membrane. Most children with classic progeria have the same genetic mutation, where a single DNA base, cytosine (C), is replaced by thymine (T) out of the gene's 25,000 bases. In some cases, other single base changes, like a switch from guanine (G) to adenine (A), occur slightly upstream. The fact that parents of affected children are healthy suggests that the mutation arises spontaneously in the child. This minor alteration in the LMNA gene affects how the protein-making process splices the sequence, resulting in a flawed lamin A protein lacking a segment of 50 amino acids near one end.Other mutations in various parts of the LMNA gene lead to several other rare genetic disorders, including Emery-Dreifuss muscular dystrophy type 2, limb girdle muscular dystrophy type 1B, Charcot-Marie-Tooth disorder type 2B1, Dunnigan-type familial partial lipodystrophy, mandibuloacral dysplasia, and a hereditary form of cardiomyopathy.Currently, there are no specific diagnostic tests or treatments for progeria, which remains a relentlessly progressive and fatal condition. Although first described by Hutchinson in 1886 and Guilford in 1904, an earlier record from March 19, 1754, notes the death of Hopkins Hopkins, a 17-year-old from Glamorganshire, described as succumbing to "mere old age and gradual decay of nature." Despite his age, he reportedly weighed no more than 17 pounds and, in recent years of his life, just 12. The name "progeria" originates from the Greek word "geras," meaning old age.

Medical Definition & Meaning