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BLOC1S1 variants cause lysosomal and autophagic defects resulting in a hypomyelinating leukodystrophy with epileptic encephalopathy - PubMed

3 hours ago
  • #autophagy
  • #leukodystrophy
  • #BLOC1S1
  • BLOC1S1 variants cause lysosomal and autophagic defects leading to hypomyelinating leukodystrophy with epileptic encephalopathy.
  • Seven distinct BLOC1S1 variants identified in 11 individuals from seven families result in symptoms including early psychomotor delay, hypotonia, spasticity, epileptic encephalopathy, optic atrophy, and leuko-axonopathy with hypomyelination.
  • Some individuals exhibit mild features of hypopigmentation and ocular albinism, similar to BLOC-1-related Hermansky-Pudlak syndrome.
  • Functional analyses show BLOC1S1 knockout impairs lysosome anterograde transport and autophagy in non-neuronal cells and iPSC-derived neurons.
  • Most BLOC1S1 variants reduce expression, decrease assembly with BORC/BLOC-1 subunits, and impair restoration of lysosome transport and autophagy.
  • BLOC1S1 knockout reduces pigmentation in melanocytic cells, with five variants partially or fully restoring it.
  • Loss of function in BLOC1S1 leads to more pronounced deficits in BORC than BLOC-1 function.
  • The study establishes BORCopathies as a distinct disease entity, similar to conditions caused by BORCS8 variants.