Mutations of MLC1 (KIAA0027), encoding a putative membrane protein, cause megalencephalic leukoencephalopathy with
P A Leegwater1, B Q Yuan, J van der Steen
1Department of Clinical Chemistry, Free University Medical Center, 1007 MB Amsterdam, The Netherlands. leegwater@azvu.nl
Abstract:
Megalencephalic leukoencephalopathy with subcortical cysts (MLC) is an autosomal recessive disorder characterized by macrocephaly, deterioration of motor functions with ataxia, and spasticity, eventuating in mental decline. The brain appears swollen on magnetic resonance imaging, with diffuse white-matter abnormalities and the invariable presence of subcortical cysts. MLC was recently localized on chromosome 22q(tel). We have narrowed down the critical region by linkage analysis of 11 informative families with MLC to a region of approximately 250 kb, containing four known genes. One family with two patients who were siblings did not display linkage between the MLC phenotype and any of the analyzed microsatellite markers on chromosome 22q(tel), suggesting genetic heterogeneity and the existence of at least a second MLC locus. The maximum two-point LOD score for the 11 families was 6.6 at recombination fraction .02. Twelve different mutations in seven informative and six uninformative families were found in one of the candidate genes, KIAA0027, which we renamed "MLC1." The gene encodes a putative membrane protein with eight predicted transmembrane domains. The patients of one family were compound heterozygotes for mutations that both introduced stop codons. The mutations further included frameshifts, splice-acceptor mutations, a putative splice-donor mutation, and amino acid substitutions of residues in predicted transmembrane domains. These data provide strong evidence that mutations of MLC1 cause the disease.
Insights
Megalencephalic leukoencephalopathy with subcortical cysts (MLC) is caused by mutations in the MLC1 gene. This genetic discovery offers new insights into the molecular basis of this rare neurological disorder.
Area of Science:
- Genetics
- Neurology
- Molecular Biology
Background:
- Megalencephalic leukoencephalopathy with subcortical cysts (MLC) is a rare autosomal recessive neurological disorder.
- Characterized by macrocephaly, motor function decline, ataxia, spasticity, and mental deterioration.
- Brain MRI shows swelling, diffuse white-matter abnormalities, and subcortical cysts.
Purpose of the Study:
- To identify the genetic cause of Megalencephalic leukoencephalopathy with subcortical cysts (MLC).
- To narrow down the critical genetic region for MLC on chromosome 22q(tel).
- To investigate potential genetic heterogeneity in MLC.
Main Methods:
- Linkage analysis of 11 informative families with MLC.
- Microsatellite marker analysis on chromosome 22q(tel).
- Mutation screening of candidate genes, including KIAA0027 (renamed MLC1).
Main Results:
- A critical region of approximately 250 kb was identified on chromosome 22q(tel).
- Mutations in the MLC1 gene were found in seven informative and six uninformative families.
- Twelve different mutations, including stop codons, frameshifts, and splice mutations, were identified in MLC1.
- One family showed no linkage to chromosome 22q(tel), suggesting genetic heterogeneity.
Conclusions:
- Mutations in the MLC1 gene are a primary cause of Megalencephalic leukoencephalopathy with subcortical cysts (MLC).
- The MLC1 gene encodes a putative membrane protein.
- Genetic heterogeneity likely contributes to MLC in some families.
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