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.
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.
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 25 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 57 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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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.
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
Cytoplasm, cytoskeletonCytoplasm, cytoskeleton, microtubule organizing center, centrosomeCytoplasm, cytoskeleton, spindleNucleus membrane
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.
Variantes genéticas (ClinVar)
301 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 142 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
14 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Lisencefalia por mutação no gene LIS1
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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
Selective Lis1 inactivation disrupts migration and positioning of cortical somatostatin interneurons.
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.
Capturing disease severity in LIS1-lissencephaly reveals proteostasis dysregulation in patient-derived forebrain organoids.
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.
Multiple steps of dynein activation by Lis1 visualized by cryo-EM.
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.
Altered extracellular matrix structure and elevated stiffness in a brain organoid model for disease.
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.
Heterozygous inversion on chromosome 17 involving PAFAH1B1 detected by whole genome sequencing in a patient suffering from pachygyria.
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
Capturing disease severity in LIS1-lissencephaly reveals proteostasis dysregulation in patient-derived forebrain organoids.
Altered extracellular matrix structure and elevated stiffness in a brain organoid model for disease.
Heterozygous inversion on chromosome 17 involving PAFAH1B1 detected by whole genome sequencing in a patient suffering from pachygyria.
Lissencephaly-1 mutations enhance traumatic brain injury outcomes in Drosophila.
Novel frameshift mutation in LIS1 gene is a probable cause of lissencephaly: a case report.
📚 EuropePMCmostrando 50
Selective Lis1 inactivation disrupts migration and positioning of cortical somatostatin interneurons.
Scientific reportsCapturing disease severity in LIS1-lissencephaly reveals proteostasis dysregulation in patient-derived forebrain organoids.
Nature communicationsMultiple steps of dynein activation by Lis1 visualized by cryo-EM.
Nature structural & molecular biologyAltered extracellular matrix structure and elevated stiffness in a brain organoid model for disease.
Nature communicationsHeterozygous inversion on chromosome 17 involving PAFAH1B1 detected by whole genome sequencing in a patient suffering from pachygyria.
European journal of medical geneticsCryo-EM visualizes multiple steps of dynein's activation pathway.
bioRxiv : the preprint server for biologyGamma-Tubulin 1 (TUBG1) Mutation-Associated Lissencephaly and Microcephaly in an Indian Child: A Rare Case.
CureusLis1 relieves cytoplasmic dynein-1 autoinhibition by acting as a molecular wedge.
Nature structural & molecular biologyStructures of human dynein in complex with the lissencephaly 1 protein, LIS1.
eLifeLissencephaly-1 mutations enhance traumatic brain injury outcomes in Drosophila.
GeneticsLis1-dynein drives corona compaction and limits erroneous microtubule attachment at kinetochores.
Journal of cell scienceNovel frameshift mutation in LIS1 gene is a probable cause of lissencephaly: a case report.
BMC pediatricsLIS1 and NDEL1 Regulate Axonal Trafficking of Mitochondria in Mature Neurons.
Frontiers in molecular neuroscienceStructural Consequence of Non-Synonymous Single-Nucleotide Variants in the N-Terminal Domain of LIS1.
International journal of molecular sciencesAbnormalities 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 biologyResponsible Genes for Neuronal Migration in the Chromosome 17p13.3: Beyond Pafah1b1(Lis1), Crk and Ywhae(14-3-3ε).
Brain sciencesStructural basis for cytoplasmic dynein-1 regulation by Lis1.
eLifeLis1 mutation prevents basal radial glia-like cell production in the mouse.
Human molecular geneticsDynein activation in vivo is regulated by the nucleotide states of its AAA3 domain.
Current biology : CBHuman 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 pathologyLissencephaly in an epilepsy cohort: Molecular, radiological and clinical aspects.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyTargeted re-sequencing in malformations of cortical development: genotype-phenotype correlations.
SeizurePathogenic Variants in CEP85L Cause Sporadic and Familial Posterior Predominant Lissencephaly.
NeuronPosterior Neocortex-Specific Regulation of Neuronal Migration by CEP85L Identifies Maternal Centriole-Dependent Activation of CDK5.
NeuronBi-allelic Loss of Human APC2, Encoding Adenomatous Polyposis Coli Protein 2, Leads to Lissencephaly, Subcortical Heterotopia, and Global Developmental Delay.
American journal of human geneticsLIS1 regulates cargo-adapter-mediated activation of dynein by overcoming its autoinhibition in vivo.
The Journal of cell biologyStructural and Diffusion MRI Analyses With Histological Observations in Patients With Lissencephaly.
Frontiers in cell and developmental biologyExtraciliary roles of the ciliopathy protein JBTS17 in mitosis and neurogenesis.
Annals of neurologyComprehensive genotype-phenotype correlation in lissencephaly.
Quantitative imaging in medicine and surgeryFamilial dominant epilepsy and mild pachygyria associated with a constitutional LIS1 mutation.
American journal of medical genetics. Part AMechanisms underlying the role of DISC1 in synaptic plasticity.
The Journal of physiologyTubulinopathies continued: refining the phenotypic spectrum associated with variants in TUBG1.
European journal of human genetics : EJHGAnalysis of 17 genes detects mutations in 81% of 811 patients with lissencephaly.
Genetics in medicine : official journal of the American College of Medical GeneticsLis1 dysfunction leads to traction force reduction and cytoskeletal disorganization during cell migration.
Biochemical and biophysical research communicationsAn Essential Postdevelopmental Role for Lis1 in Mice.
eNeuroSensitive quantitative detection of somatic mosaic mutation in "double cortex" syndrome.
Epileptic disorders : international epilepsy journal with videotapeLis1 Has Two Opposing Modes of Regulating Cytoplasmic Dynein.
CellLissencephaly-1 dependent axonal retrograde transport of L1-type CAM Neuroglian in the adult drosophila central nervous system.
PloS oneDifferential effects of the dynein-regulatory factor Lissencephaly-1 on processive dynein-dynactin motility.
The Journal of biological chemistryLissencephaly: Expanded imaging and clinical classification.
American journal of medical genetics. Part AAn Organoid-Based Model of Cortical Development Identifies Non-Cell-Autonomous Defects in Wnt Signaling Contributing to Miller-Dieker Syndrome.
Cell reportsA novel recurrent LIS1 splice site mutation in classic lissencephaly.
American journal of medical genetics. Part AGenetic Basis of Brain Malformations.
Molecular syndromologyRecurrent KIF2A mutations are responsible for classic lissencephaly.
NeurogeneticsMiller-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 anomalies17p13.3 microduplication including CRK leads to overgrowth and elevated growth factors: A case report.
European journal of medical geneticsReducing Lissencephaly-1 levels augments mitochondrial transport and has a protective effect in adult Drosophila neurons.
Journal of cell scienceCHCHD2 is down-regulated in neuronal cells differentiated from iPS cells derived from patients with lissencephaly.
GenomicsDevelopmental alterations of the septohippocampal cholinergic projection in a lissencephalic mouse model.
Experimental neurologyGenotype-phenotype correlation in neuronal migration disorders and cortical dysplasias.
Frontiers in neuroscienceAssociações
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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.
- Selective Lis1 inactivation disrupts migration and positioning of cortical somatostatin interneurons.
- Capturing disease severity in LIS1-lissencephaly reveals proteostasis dysregulation in patient-derived forebrain organoids.
- Multiple steps of dynein activation by Lis1 visualized by cryo-EM.
- Altered extracellular matrix structure and elevated stiffness in a brain organoid model for disease.
- Heterozygous inversion on chromosome 17 involving PAFAH1B1 detected by whole genome sequencing in a patient suffering from pachygyria.
- Lissencephaly-1 mutations enhance traumatic brain injury outcomes in Drosophila.
- Novel frameshift mutation in LIS1 gene is a probable cause of lissencephaly: a case report.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:95232(Orphanet)
- OMIM OMIM:607432(OMIM)
- MONDO:0011830(MONDO)
- GARD:16838(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- 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
