Human Molecular Genetics, Vol 7, 2029-2037, Copyright © 1998 by Oxford University Press
DT Pilz, N Matsumoto, S Minnerath, P Mills, JG Gleeson, KM Allen, CA Walsh, AJ Barkovich, WB Dobyns, DH Ledbetter and ME Ross
Classical lissencephaly (LIS) is a neuronal migration disorder resulting in
brain malformation, epilepsy and mental retardation. Deletions or mutations
of LIS1 on 17p13.3 and mutations in XLIS ( DCX ) on Xq22.3-q23 produce LIS.
Direct DNA sequencing of LIS1 and XLIS was performed in 25 children with
sporadic LIS and no deletion of LIS1 by fluorescence in situ hybridization.
Mutations of LIS1 were found by sequencing ( n = 8) and Southern blot ( n =
2) in a total of 10 patients (40%) of both sexes and mutations of XLIS in
five males (20%). Combined with previous data, deletions or mutations of
these two genes account for approximately 76% of isolated LIS. These data
demonstrate that LIS1 and XLIS mutations cause the majority of, though not
all, human LIS. The mutations in LIS1 were predicted to result in protein
truncation in six of eight patients and splice site mutations in two, all
of which disrupt one or more of the seven WD40 repeats contained in the
LIS1 protein. Point mutations in XLIS identified the C-terminal
serine/proline-rich region as potentially important for protein function.
The patients with mutations were included in a genotype- phenotype analysis
of 32 subjects with deletions or other mutations of these two genes.
Whereas the brain malformation due to LIS1 mutations was more severe over
the parietal and occipital regions, XLIS mutations produced the reverse
gradient, which was more severe over the frontal cortex. The distinct LIS
patterns suggest that LIS1 and XLIS may be part of overlapping, but
distinct, signaling pathways that promote neuronal migration.
ARTICLES
LIS1 and XLIS (DCX) mutations cause most classical lissencephaly, but different patterns of malformation
Department of Human Genetics, University of Chicago, 924 East 57th Street, R113, Chicago, IL 60637, USA.
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