Mutations in MAST1 Cause Mega-Corpus-Callosum Syndrome with Cerebellar Hypoplasia and Cortical Malformations

MAST1基因突变导致巨胼胝体综合征伴小脑发育不全和皮质畸形

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作者:Ratna Tripathy ,Ines Leca ,Tessa van Dijk ,Janneke Weiss ,Bregje W van Bon ,Maria Christina Sergaki ,Thomas Gstrein ,Martin Breuss ,Guoling Tian ,Nadia Bahi-Buisson ,Alexander R Paciorkowski ,Alistair T Pagnamenta ,Andrea Wenninger-Weinzierl ,Maria Fernanda Martinez-Reza ,Lukas Landler ,Stefano Lise ,Jenny C Taylor ,Gaetano Terrone ,Giuseppina Vitiello ,Ennio Del Giudice ,Nicola Brunetti-Pierri ,Alessandra D'Amico ,Alexandre Reymond ,Norine Voisin ,Jonathan A Bernstein ,Ellyn Farrelly ,Usha Kini ,Thomas A Leonard ,Stéphanie Valence ,Lydie Burglen ,Linlea Armstrong ,Susan M Hiatt ,Gregory M Cooper ,Kimberly A Aldinger ,William B Dobyns ,Ghayda Mirzaa ,Tyler Mark Pierson ,Frank Baas ,Jamel Chelly ,Nicholas J Cowan ,David Anthony Keays

Abstract

Corpus callosum malformations are associated with a broad range of neurodevelopmental diseases. We report that de novo mutations in MAST1 cause mega-corpus-callosum syndrome with cerebellar hypoplasia and cortical malformations (MCC-CH-CM) in the absence of megalencephaly. We show that MAST1 is a microtubule-associated protein that is predominantly expressed in post-mitotic neurons and is present in both dendritic and axonal compartments. We further show that Mast1 null animals are phenotypically normal, whereas the deletion of a single amino acid (L278del) recapitulates the distinct neurological phenotype observed in patients. In animals harboring Mast1 microdeletions, we find that the PI3K/AKT3/mTOR pathway is unperturbed, whereas Mast2 and Mast3 levels are diminished, indicative of a dominant-negative mode of action. Finally, we report that de novo MAST1 substitutions are present in patients with autism and microcephaly, raising the prospect that mutations in this gene give rise to a spectrum of neurodevelopmental diseases. Keywords: MAST1; cerebellar hypoplasia; corpus callosum; microdeletion; microtubules.

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