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Lisencefalia por mutação no gene LIS1
ORPHA:95232CID-10 · Q04.3CID-11 · LD20.1OMIM 607432DOENÇA RARA

A lisencefalia por mutação LIS1 é uma malformação cerebral com epilepsia caracterizada predominantemente por lisencefalia posterior isolada com atraso no desenvolvimento, deficiência intelectual e epilepsia que geralmente evolui da síndrome de West para a síndrome de Lennox-Gastaut. Características adicionais incluem hipotonia muscular, microcefalia adquirida, retardo de crescimento e mau controle das vias aéreas, levando à pneumonia por aspiração.

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Introdução

O que você precisa saber de cara

📋

A lisencefalia por mutação LIS1 é uma malformação cerebral com epilepsia caracterizada predominantemente por lisencefalia posterior isolada com atraso no desenvolvimento, deficiência intelectual e epilepsia que geralmente evolui da síndrome de West para a síndrome de Lennox-Gastaut. Características adicionais incluem hipotonia muscular, microcefalia adquirida, retardo de crescimento e mau controle das vias aéreas, levando à pneumonia por aspiração.

🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q04.3
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
26 sintomas
❤️
Coração
2 sintomas
🦴
Ossos e articulações
2 sintomas
📏
Crescimento
1 sintomas
🫁
Pulmão
1 sintomas

+ 25 sintomas em outras categorias

Características mais comuns

90%prev.
Córtex cerebral espesso
Muito frequente (99-80%)
90%prev.
Espasmos infantis
Muito frequente (99-80%)
90%prev.
Convulsão
Muito frequente (99-80%)
55%prev.
Cavum septum pellucidum
Frequente (79-30%)
55%prev.
Microcefalia progressiva
Frequente (79-30%)
55%prev.
Paquigiria
Frequente (79-30%)
57sintomas
Muito frequente (3)
Frequente (21)
Ocasional (17)
Muito raro (3)
Sem dados (13)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 57 características clínicas mais associadas, ordenadas por frequência.

Córtex cerebral espessoThick cerebral cortex
Muito frequente (99-80%)90%
Espasmos infantisInfantile spasms
Muito frequente (99-80%)90%
ConvulsãoSeizure
Muito frequente (99-80%)90%
Cavum septum pellucidum
Frequente (79-30%)55%
Microcefalia progressivaProgressive microcephaly
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Últimos 10 anos50publicações
Pico20179 papers
Linha do tempo
2026Hoje · 2026📈 2017Ano de pico
Publicações por ano (últimos 10 anos)

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Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição.

Autosomal dominant
PAFAH1B1Platelet-activating factor acetylhydrolase IB subunit betaDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Regulatory subunit (beta subunit) of the cytosolic type I platelet-activating factor (PAF) acetylhydrolase (PAF-AH (I)), an enzyme that catalyzes the hydrolyze of the acetyl group at the sn-2 position of PAF and its analogs and participates in PAF inactivation. Regulates the PAF-AH (I) activity in a catalytic dimer composition-dependent manner (By similarity). Required for proper activation of Rho GTPases and actin polymerization at the leading edge of locomoting cerebellar neurons and postmigra

LOCALIZAÇÃO

Cytoplasm, cytoskeletonCytoplasm, cytoskeleton, microtubule organizing center, centrosomeCytoplasm, cytoskeleton, spindleNucleus membrane

VIAS BIOLÓGICAS (10)
Amplification of signal from unattached kinetochores via a MAD2 inhibitory signalRHO GTPases Activate ForminsMitotic PrometaphaseEML4 and NUDC in mitotic spindle formationResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Lissencephaly 1

A classical lissencephaly. It is characterized by agyria or pachygyria and disorganization of the clear neuronal lamination of normal six-layered cortex. The cortex is abnormally thick and poorly organized with 4 primitive layers. Associated with enlarged and dysmorphic ventricles and often hypoplasia of the corpus callosum.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
168.8 TPM
Cerebelo
131.0 TPM
Testículo
125.6 TPM
Brain Frontal Cortex BA9
94.1 TPM
Artéria tibial
93.4 TPM
OUTRAS DOENÇAS (4)
lissencephaly due to LIS1 mutationMiller-Dieker lissencephaly syndromesubcortical band heterotopiachromosome 17p13.3 duplication syndrome
HGNC:8574UniProt:P43034

Variantes genéticas (ClinVar)

301 variantes patogênicas registradas no ClinVar.

🧬 PAFAH1B1: NM_000430.4(PAFAH1B1):c.13C>T (p.Gln5Ter) ()
🧬 PAFAH1B1: NM_000430.4(PAFAH1B1):c.400-2A>G ()
🧬 PAFAH1B1: NM_000430.4(PAFAH1B1):c.404G>A (p.Trp135Ter) ()
🧬 PAFAH1B1: GRCh37/hg19 17p13.3(chr17:2316531-2972634)x1 ()
🧬 PAFAH1B1: NM_000430.4(PAFAH1B1):c.1159+6T>C ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 142 variantes classificadas pelo ClinVar.

82
60
Patogênica (57.7%)
VUS (42.3%)
VARIANTES MAIS SIGNIFICATIVAS
PAFAH1B1: NM_000430.4(PAFAH1B1):c.412G>T (p.Glu138Ter) [Likely pathogenic]
PAFAH1B1: NM_000430.4(PAFAH1B1):c.58C>T (p.Arg20Cys) [Likely pathogenic]
CLUH: GRCh37/hg19 17p13.3(chr17:2568666-2598574)x1 [Pathogenic]
PAFAH1B1: NM_000430.4(PAFAH1B1):c.399+1G>T [Pathogenic]
PAFAH1B1: NM_000430.4(PAFAH1B1):c.932T>C (p.Leu311Ser) [Likely pathogenic]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

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🇧🇷 Atendimento SUS — Lisencefalia por mutação no gene LIS1

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Selective Lis1 inactivation disrupts migration and positioning of cortical somatostatin interneurons.

Scientific reports2026 Feb 04

One subtype of interneurons, classified by their neurochemical properties, are somatostatin-positive (SST+) interneurons, which express somatostatin along with GABA and form synapses with both pyramidal neurons and other interneurons. SST+ interneurons originate in the medial ganglionic eminence and migrate tangentially to the cortex, making them potentially vulnerable to gene mutations linked to neuronal migration disorders. The Lis1 gene (Pafah1b1) regulates dynein-mediated motility, mitosis, and microtubule organization. Mutations in Lis1 are associated with lissencephaly and cortical disorganization. To investigate its role, we developed a mouse model with Lis1 deletion specifically in SST+ interneurons. We studied the anatomical and developmental effects of this deletion, focusing on tangential migration during embryonic and early postnatal stages. We analyzed SST+ interneuron numbers in the cingulate cortex (anterior and retrosplenial regions) of young mutant mice (P30). Our findings show a reduction in SST+ interneurons in mutants compared to controls, indicating impaired migration and/or maturation. Further research is needed to uncover the mechanisms behind this reduction and to determine its functional implications.

#2

Capturing disease severity in LIS1-lissencephaly reveals proteostasis dysregulation in patient-derived forebrain organoids.

Nature communications2025 Oct 13

LIS1-lissencephaly is a neurodevelopmental disorder marked by reduced cortical folding and severe neurological impairment. Although all cases result from heterozygous mutations in the LIS1 gene, patients present a broad spectrum of severity. Here, we use patient-derived forebrain organoids representing mild, moderate, and severe LIS1-lissencephaly to uncover mechanisms underlying this variability. We show that LIS1 protein levels vary across patient lines and partly correlate with clinical severity, indicating mutation-specific effects on protein function. Integrated morphological, transcriptomic, and proteomic analyses reveal progressive changes in neural progenitor homeostasis and neurogenesis that scale with severity. Mechanistically, microtubule destabilization disrupts cell-cell junctions and impairs WNT signaling, and defects in protein homeostasis, causing stress from misfolded proteins, emerge as key severity-linked pathways. Pharmacological inhibition of mTORC1 partially rescues these defects. Our findings demonstrate that patient-derived organoids can model disease severity, enabling mechanistic dissection and guiding targeted strategies in neurodevelopmental disorders.

#3

Multiple steps of dynein activation by Lis1 visualized by cryo-EM.

Nature structural & molecular biology2025 Aug

Cytoplasmic dynein-1 (dynein) is an essential molecular motor controlled in part by autoinhibition. Lis1, a key dynein regulator mutated in the neurodevelopmental disease lissencephaly, plays a role in dynein activation. We recently identified a structure of partially autoinhibited dynein bound to Lis1, which suggests an intermediate state in dynein's activation pathway. However, other structural information is needed to fully understand how Lis1 activates dynein. Here, we used cryo-EM and yeast dynein and Lis1 incubated with ATP at different time points to reveal conformations that we propose represent additional intermediate states in dynein's activation pathway. We solved 16 high-resolution structures, including 7 distinct dynein and dynein-Lis1 structures from the same sample. Our data support a model in which Lis1 relieves dynein autoinhibition by increasing its basal ATP hydrolysis rate and promoting conformations compatible with complex assembly and motility. Together, this analysis advances our understanding of dynein activation and the contribution of Lis1 to this process.

#4

Altered extracellular matrix structure and elevated stiffness in a brain organoid model for disease.

Nature communications2025 May 01

The viscoelastic properties of tissues influence their morphology and cellular behavior, yet little is known about changes in these properties during brain malformations. Lissencephaly, a severe cortical malformation caused by LIS1 mutations, results in a smooth cortex. Here, we show that human-derived brain organoids with LIS1 mutation exhibit increased stiffness compared to controls at multiple developmental stages. This stiffening correlates with abnormal extracellular matrix (ECM) expression and organization, as well as elevated water content, measured by diffusion-weighted MRI. Short-term MMP9 treatment reduces both stiffness and water diffusion levels to control values. Additionally, a computational microstructure mechanical model predicts mechanical changes based on ECM organization. These findings suggest that LIS1 plays a critical role in ECM regulation during brain development and that its mutation leads to significant viscoelastic alterations.

#5

Heterozygous inversion on chromosome 17 involving PAFAH1B1 detected by whole genome sequencing in a patient suffering from pachygyria.

European journal of medical genetics2025 Feb

Lissencephaly (LIS) is a subtype of malformations of cortical development (MCD), characterized by smooth brain surfaces and underdeveloped gyri and sulci. This study investigates the genetic cause of pachygyria in a Chinese male infant diagnosed with the condition, who previously showed no causative variant through trio whole exome sequencing (Trio-WES) and copy number variation sequencing (CNVseq). Whole-genome sequencing (WGS) was conducted, revealing a novel heterozygous inversion spanning 1.02M bps on chromosome 17 [seq[GRCh37]inv(17)(p13.3p13.2)|NC_000017.10:g.2562761_3581978inv] involving the PAFAH1B1 gene. This de novo variant, confirmed by PCR and Sanger sequencing, was present in the proband but absent in the parents. The inversion disrupts PAFAH1B1, classified as haploinsufficient in the ClinGen database, and is associated with lissencephaly-1 (LIS1) and subcortical band heterotopia (SBH) (OMIM #607432). The findings align with the known characteristics of this disorder, extending the understanding of the molecular mechanisms underlying pachygyria. This identification offers new insights for individuals with developmental delays and brain malformations to uncover the genetic cause of their conditions.

Publicações recentes

Ver todas no PubMed

📚 EuropePMCmostrando 50

2026

Selective Lis1 inactivation disrupts migration and positioning of cortical somatostatin interneurons.

Scientific reports
2025

Capturing disease severity in LIS1-lissencephaly reveals proteostasis dysregulation in patient-derived forebrain organoids.

Nature communications
2025

Multiple steps of dynein activation by Lis1 visualized by cryo-EM.

Nature structural & molecular biology
2025

Altered extracellular matrix structure and elevated stiffness in a brain organoid model for disease.

Nature communications
2025

Heterozygous inversion on chromosome 17 involving PAFAH1B1 detected by whole genome sequencing in a patient suffering from pachygyria.

European journal of medical genetics
2024

Cryo-EM visualizes multiple steps of dynein's activation pathway.

bioRxiv : the preprint server for biology
2024

Gamma-Tubulin 1 (TUBG1) Mutation-Associated Lissencephaly and Microcephaly in an Indian Child: A Rare Case.

Cureus
2023

Lis1 relieves cytoplasmic dynein-1 autoinhibition by acting as a molecular wedge.

Nature structural & molecular biology
2023

Structures of human dynein in complex with the lissencephaly 1 protein, LIS1.

eLife
2023

Lissencephaly-1 mutations enhance traumatic brain injury outcomes in Drosophila.

Genetics
2023

Lis1-dynein drives corona compaction and limits erroneous microtubule attachment at kinetochores.

Journal of cell science
2022

Novel frameshift mutation in LIS1 gene is a probable cause of lissencephaly: a case report.

BMC pediatrics
2022

LIS1 and NDEL1 Regulate Axonal Trafficking of Mitochondria in Mature Neurons.

Frontiers in molecular neuroscience
2022

Structural Consequence of Non-Synonymous Single-Nucleotide Variants in the N-Terminal Domain of LIS1.

International journal of molecular sciences
2022

Abnormalities in Cortical GABAergic Interneurons of the Primary Motor Cortex Caused by Lis1 (Pafah1b1) Mutation Produce a Non-drastic Functional Phenotype.

Frontiers in cell and developmental biology
2021

Responsible Genes for Neuronal Migration in the Chromosome 17p13.3: Beyond Pafah1b1(Lis1), Crk and Ywhae(14-3-3ε).

Brain sciences
2022

Structural basis for cytoplasmic dynein-1 regulation by Lis1.

eLife
2022

Lis1 mutation prevents basal radial glia-like cell production in the mouse.

Human molecular genetics
2021

Dynein activation in vivo is regulated by the nucleotide states of its AAA3 domain.

Current biology : CB
2021

Human cytomegalovirus infection is associated with increased expression of the lissencephaly gene PAFAH1B1 encoding LIS1 in neural stem cells and congenitally infected brains.

The Journal of pathology
2021

Lissencephaly in an epilepsy cohort: Molecular, radiological and clinical aspects.

European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
2020

Targeted re-sequencing in malformations of cortical development: genotype-phenotype correlations.

Seizure
2020

Pathogenic Variants in CEP85L Cause Sporadic and Familial Posterior Predominant Lissencephaly.

Neuron
2020

Posterior Neocortex-Specific Regulation of Neuronal Migration by CEP85L Identifies Maternal Centriole-Dependent Activation of CDK5.

Neuron
2019

Bi-allelic Loss of Human APC2, Encoding Adenomatous Polyposis Coli Protein 2, Leads to Lissencephaly, Subcortical Heterotopia, and Global Developmental Delay.

American journal of human genetics
2019

LIS1 regulates cargo-adapter-mediated activation of dynein by overcoming its autoinhibition in vivo.

The Journal of cell biology
2019

Structural and Diffusion MRI Analyses With Histological Observations in Patients With Lissencephaly.

Frontiers in cell and developmental biology
2019

Extraciliary roles of the ciliopathy protein JBTS17 in mitosis and neurogenesis.

Annals of neurology
2018

Comprehensive genotype-phenotype correlation in lissencephaly.

Quantitative imaging in medicine and surgery
2018

Familial dominant epilepsy and mild pachygyria associated with a constitutional LIS1 mutation.

American journal of medical genetics. Part A
2018

Mechanisms underlying the role of DISC1 in synaptic plasticity.

The Journal of physiology
2018

Tubulinopathies continued: refining the phenotypic spectrum associated with variants in TUBG1.

European journal of human genetics : EJHG
2018

Analysis of 17 genes detects mutations in 81% of 811 patients with lissencephaly.

Genetics in medicine : official journal of the American College of Medical Genetics
2018

Lis1 dysfunction leads to traction force reduction and cytoskeletal disorganization during cell migration.

Biochemical and biophysical research communications
2018

An Essential Postdevelopmental Role for Lis1 in Mice.

eNeuro
2017

Sensitive quantitative detection of somatic mosaic mutation in "double cortex" syndrome.

Epileptic disorders : international epilepsy journal with videotape
2017

Lis1 Has Two Opposing Modes of Regulating Cytoplasmic Dynein.

Cell
2017

Lissencephaly-1 dependent axonal retrograde transport of L1-type CAM Neuroglian in the adult drosophila central nervous system.

PloS one
2017

Differential effects of the dynein-regulatory factor Lissencephaly-1 on processive dynein-dynactin motility.

The Journal of biological chemistry
2017

Lissencephaly: Expanded imaging and clinical classification.

American journal of medical genetics. Part A
2017

An Organoid-Based Model of Cortical Development Identifies Non-Cell-Autonomous Defects in Wnt Signaling Contributing to Miller-Dieker Syndrome.

Cell reports
2017

A novel recurrent LIS1 splice site mutation in classic lissencephaly.

American journal of medical genetics. Part A
2016

Genetic Basis of Brain Malformations.

Molecular syndromology
2017

Recurrent KIF2A mutations are responsible for classic lissencephaly.

Neurogenetics
2017

Miller-Dieker Syndrome with unbalanced translocation 45, X, psu dic(17;Y)(p13;p11.32) detected by fluorescence in situ hybridization and G-banding analysis using high resolution banding technique.

Congenital anomalies
2016

17p13.3 microduplication including CRK leads to overgrowth and elevated growth factors: A case report.

European journal of medical genetics
2016

Reducing Lissencephaly-1 levels augments mitochondrial transport and has a protective effect in adult Drosophila neurons.

Journal of cell science
2015

CHCHD2 is down-regulated in neuronal cells differentiated from iPS cells derived from patients with lissencephaly.

Genomics
2015

Developmental alterations of the septohippocampal cholinergic projection in a lissencephalic mouse model.

Experimental neurology
2015

Genotype-phenotype correlation in neuronal migration disorders and cortical dysplasias.

Frontiers in neuroscience

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Selective Lis1 inactivation disrupts migration and positioning of cortical somatostatin interneurons.
    Scientific reports· 2026· PMID 41639296mais citado
  2. Capturing disease severity in LIS1-lissencephaly reveals proteostasis dysregulation in patient-derived forebrain organoids.
    Nature communications· 2025· PMID 41083500mais citado
  3. Multiple steps of dynein activation by Lis1 visualized by cryo-EM.
    Nature structural & molecular biology· 2025· PMID 40410592mais citado
  4. Altered extracellular matrix structure and elevated stiffness in a brain organoid model for disease.
    Nature communications· 2025· PMID 40312467mais citado
  5. Heterozygous inversion on chromosome 17 involving PAFAH1B1 detected by whole genome sequencing in a patient suffering from pachygyria.
    European journal of medical genetics· 2025· PMID 39709006mais citado
  6. Lissencephaly-1 mutations enhance traumatic brain injury outcomes in Drosophila.
    Genetics· 2023· PMID 36683334recente
  7. Novel frameshift mutation in LIS1 gene is a probable cause of lissencephaly: a case report.
    BMC Pediatr· 2022· PMID 36100855recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:95232(Orphanet)
  2. OMIM OMIM:607432(OMIM)
  3. MONDO:0011830(MONDO)
  4. GARD:16838(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q55999740(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Lisencefalia por mutação no gene LIS1
Compêndio · Raras BR

Lisencefalia por mutação no gene LIS1

ORPHA:95232 · MONDO:0011830
CID-10
Q04.3 · Outras deformidades por redução do encéfalo
CID-11
Início
Antenatal, Infancy, Neonatal
MedGen
UMLS
CL939321
Wikidata
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