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Bi-allelic variants in FSD1L cause a neurodevelopmental disorder overlapping with L1 syndrome - PubMed

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  • #L1 syndrome
  • #neurodevelopmental disorder
  • #FSD1L
  • Bi-allelic variants in FSD1L cause a neurodevelopmental disorder overlapping with L1 syndrome.
  • Eleven individuals, including five fetuses from six unrelated families, were identified with pathogenic variants in FSD1L.
  • The disorder ranges from severe hydrocephalus and corpus callosum agenesis to severe intellectual disability, spastic tetraparesis, and epilepsy.
  • The phenotype resembles L1 syndrome, caused by variants in L1CAM.
  • Mouse embryo knockdown of Fsd1l recapitulated ventricular dilation seen in affected fetuses.
  • FSD1L localizes to neurons with commissural fate and projection neurons during human development.
  • iPSC-derived neural progenitor cells from affected individuals failed to differentiate properly and showed increased cell death.
  • FSD1L interacts with microtubules during mitosis and the primary cilium during interphase.
  • Fibroblasts from affected individuals showed altered mitotic spindle and reduced ciliogenesis.
  • FSD1L is implicated in neuronal differentiation, axon guidance, and fasciculation.