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Updated: Sep 28, 2026

A Strategy to Identify de Novo Mutations in Common Disorders such as Autism and Schizophrenia
Published on: June 15, 2011
Sequence diversity of KIAA0027/MLC1: are megalencephalic leukoencephalopathy and schizophrenia allelic disorders?
Claudia Rubie1, Peter Lichtner, Jutta Gärtner
1Department of Psychiatry and Psychotherapy, University of Würzburg, Würzburg, Germany.
Abstract:
The aim of the study is to validate the etiological role of KIAA0027/MLC1 in childhood-onset megalencephalic leukoencephalopathy with subcortical cysts (MLC) and in schizophrenia, particularly the catatonic subtype, which were reported to be allelic diseases. Among a series of five patients with MLC, four mutant alleles were detected: one case of compound heterozygosity for a splice site mutation and a six-base-pair in-frame deletion, one patient with a homozygous frameshifting insertion-deletion, and a further case heterozygous for a A157E substitution. A systematic mutation screening in 140 index cases with schizophrenia revealed 13 different single nucleotide polymorphisms (SNPs): one SNP in the 5'-UTR, seven SNPs in intronic regions, two synonymous codon variants (T52, Y199), and three coding variants. Two of them, C171F and N218K, were observed in controls at a significant frequency. The L309M variant that was previously supposed to be the causative factor for chromosome 22q(tel) linked-periodic catatonia was found nonsegregating in a further multiplex pedigree. Furthermore, a complicated 33-bp insertion/deletion polymorphism at the 5'-end of exon 11 of MLC1 was found at equal frequency among schizophrenic patients and controls. In summary, our study provides further evidence for allelic heterogeneity in megalencephalic leukoencephalopathy, excludes MLC1 as a susceptibility locus for schizophrenia, and thereby rules out that MLC and schizophrenia are allelic disorders.
Insights
This study investigated the KIAA0027/MLC1 gene
Area of Science:
- Neurogenetics
- Molecular Biology
- Psychiatric Genetics
Background:
- Megalencephalic leukoencephalopathy with subcortical cysts (MLC) and schizophrenia, particularly the catatonic subtype, were hypothesized as allelic diseases.
- The KIAA0027/MLC1 gene was proposed as a potential common etiological factor.
- Previous research suggested a link between MLC1 and these conditions, necessitating further validation.
Purpose of the Study:
- To validate the etiological role of KIAA0027/MLC1 in childhood-onset megalencephalic leukoencephalopathy with subcortical cysts (MLC).
- To investigate the involvement of KIAA0027/MLC1 in schizophrenia, specifically the catatonic subtype.
- To determine if MLC and schizophrenia are allelic disorders linked by KIAA0027/MLC1 mutations.
Main Methods:
- Genetic mutation screening in five patients diagnosed with MLC.
- Systematic mutation screening of the KIAA0027/MLC1 gene in 140 index cases of schizophrenia.
- Analysis of single nucleotide polymorphisms (SNPs) and insertion/deletion polymorphisms in patient cohorts and controls.
- Segregation analysis of specific variants in multiplex pedigrees.
Main Results:
- Four distinct mutant alleles of KIAA0027/MLC1 were identified in the five MLC patients.
- Thirteen different single nucleotide polymorphisms (SNPs) were found in schizophrenia patients, with two coding variants (C171F, N218K) present in controls.
- A previously implicated L309M variant and a 5'-end exon 11 polymorphism showed no significant association with schizophrenia.
- The KIAA0027/MLC1 gene was found at equal frequency in schizophrenic patients and controls.
Conclusions:
- The study confirms allelic heterogeneity in megalencephalic leukoencephalopathy (MLC).
- KIAA0027/MLC1 is excluded as a primary susceptibility locus for schizophrenia.
- The findings rule out MLC and schizophrenia as allelic disorders due to KIAA0027/MLC1 mutations.
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