Entry - #300387 - INTELLECTUAL DEVELOPMENTAL DISORDER, X-LINKED 63; XLID63 - OMIM - (MIRROR)
# 300387

INTELLECTUAL DEVELOPMENTAL DISORDER, X-LINKED 63; XLID63


Alternative titles; symbols

MENTAL RETARDATION, X-LINKED 63; MRX63
MENTAL RETARDATION, X-LINKED 68; MRX68


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
Xq23 Intellectual developmental disorder, X-linked 63 300387 XLD 3 ACSL4 300157
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- X-linked dominant
HEAD & NECK
Head
- Microcephaly (in some patients)
NEUROLOGIC
Central Nervous System
- Mental retardation, moderate to severe
- Language impairment (in some patients)
- Hypotonia in childhood (in some patients)
- Increased reflexes
Behavioral Psychiatric Manifestations
- Anxiety
- Autistic features
- Executive function disorder
LABORATORY ABNORMALITIES
- Female carriers show skewed X inactivation in leukocytes
MOLECULAR BASIS
- Caused by mutation in the acyl-CoA synthetase long-chain family member 4 gene (ACSL4, 300157.0001)
Intellectual developmental disorder, nonsyndromic, X-linked - PS309530 - 55 Entries
Location Phenotype Inheritance Phenotype
mapping key
Phenotype
MIM number
Gene/Locus Gene/Locus
MIM number
Xp22.3 Intellectual developmental disorder, X-linked 2 XL 2 300428 XLID2 300428
Xp22.2 Intellectual developmental disorder, X-linked 73 XLR 2 300355 XLID73 300355
Xp22.2 Intellectual developmental disorder, X-linked 104 XL 3 300983 FRMPD4 300838
Xp22.12 Intellectual developmental disorder, X-linked 19 XLD 3 300844 RPS6KA3 300075
Xp22.11 Intellectual developmental disorder, X-linked 103 XLR 3 300982 KLHL15 300980
Xp21.3 Intellectual developmental disorder, X-linked 29 XLR 3 300419 ARX 300382
Xp21.3-p21.2 Intellectual developmental disorder, X-linked 21 XLR 3 300143 IL1RAPL1 300206
Xp11-q21 Intellectual developmental disorder, X-linked 20 XL 2 300047 XLID20 300047
Xp11.4 Intellectual developmental disorder, X-linked 58 XLR 3 300210 TSPAN7 300096
Xp11.4 Intellectual developmental disorder, X-linked 99, syndromic, female-restricted XLD 3 300968 USP9X 300072
Xp11.4 Intellectual developmental disorder, X-linked 99 XLR 3 300919 USP9X 300072
Xp11.3-q13.3 Intellectual developmental disorder, X-linked 14 XL 2 300062 XLID14 300062
Xp11.3-p11.21 Intellectual developmental disorder, X-linked 45 XL 2 300498 XLID45 300498
Xp11.3-q22.3 Intellectual developmental disorder, X-linked 84 XLR 2 300505 XLID84 300505
Xp11.3 Intellectual developmental disorder, X-linked 89 XLD 2 300848 XLID89 300848
Xp11.3 Intellectual developmental disorder, X-linked 92 XLR 2 300851 XLID92 300851
Xp11.3 Intellectual developmental disorder, X-linked 108 XLR 3 301024 SLC9A7 300368
Xp11.3-p11.23 Intellectual developmental disorder, X-linked 50 XL 3 300115 SYN1 313440
Xp11.2-q12 Intellectual developmental disorder, X-linked 81 XLR 2 300433 XLID81 300433
Xp11.23 Intellectual developmental disorder, X-linked 9 XLR 3 309549 FTSJ1 300499
Xp11.23 Intellectual developmental disorder, X-linked 96 XLR 3 300802 SYP 313475
Xp11.23 Intellectual developmental disorder, X-linked 105 XLR 3 300984 USP27X 300975
Xp11.22 Xp11.22 microduplication syndrome 4 300705 DUPXp11.22 300705
Xp11.22 Intellectual developmental disorder, X-linked 1 XLD 3 309530 IQSEC2 300522
Xq12-q21.3 Intellectual developmental disorder, X-linked 77 XLR 2 300454 XLID77 300454
Xq13.1 Intellectual developmental disorder, X-linked 100 XLR 3 300923 KIF4A 300521
Xq13.1 Intellectual developmental disorder, X-linked 90 XLR 3 300850 DLG3 300189
Xq13.1 Intellectual developmental disorder, X-linked 112 XLR 3 301111 ZMYM3 300061
Xq13.1 Intellectual developmental disorder, X-linked 106 XLR 3 300997 OGT 300255
Xq13.2 Tonne-Kalscheuer syndrome XL 3 300978 RLIM 300379
Xq13.3 Intellectual developmental disorder, X-linked 91 XLD 4 300577 XLID91 300577
Xq13.3 Intellectual developmental disorder, X-linked 98 XLD 3 300912 NEXMIF 300524
Xq21.1 Intellectual developmental disorder, X-linked 93 XLR 3 300659 BRWD3 300553
Xq21.1 Intellectual developmental disorder, X-linked 97 XL 3 300803 ZNF711 314990
Xq22.1 ?Intellectual developmental disorder, X-linked 113 XLR 3 301116 CSTF2 300907
Xq22.2-q26 Intellectual developmental disorder, X-linked 53 XLR 2 300324 XLID53 300324
Xq22.3 ?Intellectual developmental disorder, X-linked 101 XLR 3 300928 MID2 300204
Xq23-q24 Intellectual developmental disorder, X-linked 23 XL 2 300046 XLID23 300046
Xq23 Intellectual developmental disorder, X-linked 63 XLD 3 300387 ACSL4 300157
Xq23 Intellectual developmental disorder, X-linked 30 XLR 3 300558 PAK3 300142
Xq24-q25 Intellectual developmental disorder, X-linked 82 XLR 2 300518 XLID82 300518
Xq24 Intellectual developmental disorder, X-linked 88 XL 2 300852 XLID88 300852
Xq24 ?Intellectual developmental disorder, X-linked 107 XL 3 301013 STEEP1 301012
Xq25-q26 Intellectual developmental disorder, X-linked 46 XLR 2 300436 XLID46 300436
Xq25 Intellectual developmental disorder, X-linked syndromic, Wu type XLR 3 300699 GRIA3 305915
Xq25 Intellectual developmental disorder, X-linked syndromic, Kumar type XL 3 300957 THOC2 300395
Xq26 Intellectual developmental disorder, X-linked 42 2 300372 XLID42 300372
Xq26.3-q27.1 Intellectual developmental disorder, X-linked 110 XLR 3 301095 FGF13 300070
Xq27.3 Intellectual developmental disorder, X-linked 111 XL 3 301107 SLITRK2 300561
Xq28 Intellectual developmental disorder, X-linked 109 XLR 3 309548 AFF2 300806
Xq28 Intellectual developmental disorder, X-linked 114 XL 3 301134 SRPK3 301002
Xq28 Methylmalonic aciduria and homocysteinemia, cblX type XLR 3 309541 HCFC1 300019
Xq28 Intellectual developmental disorder, X-linked 41 XLD 3 300849 GDI1 300104
Xq28 Intellectual developmental disorder, X-linked 72 XLR 3 300271 RAB39B 300774
Chr.X Intellectual developmental disorder, X-linked 95 XLD 2 300716 XLID95 300716

TEXT

A number sign (#) is used with this entry because of evidence that X-linked intellectual developmental disorder-63 (XLID63) is caused by mutation in the ACSL4 (300157) gene.


Clinical Features

Raynaud et al. (2000) reported a 4-generation family with nonspecific nonsyndromic X-linked mental retardation. Affected males showed nonprogressive mental retardation ranging from severe to moderate, without seizures, whereas carrier females showed highly variable cognitive capacities, ranging from moderate mental retardation to normal intelligence.


Mapping

Raynaud et al. (2000) reported a 4-generation family with nonspecific nonsyndromic X-linked mental retardation mapped between DXS990 and DXS1227 (Xq21.33-q27.1) with a maximum lod at theta = 0.0 of 2.14 at DXS1001.


Molecular Genetics

In the proband of the family reported by Raynaud et al. (2000) as MRX63, Meloni et al. (2002) identified a mutation in the ACSL4 gene (300157.0001). The proband of a second affected family carried a mutation in the 3-prime splice site of intron 10 of the ACSL4 gene (300157.0002). Mental retardation was severe. Six of 6 informative carrier females in family MRX63 showed completely skewed X inactivation in leukocytes. Similarly, 3 of 3 carrier females from 2 different families with ATS-MR (300194) showed completely skewed X inactivation in leukocytes, as did the carrier mother of the proband of the second family.

In a family with nonsyndromic X-linked mental retardation (MRX68), Longo et al. (2003) identified a mutation in the ACSL4 gene (300157.0003). Neurocognitive levels ranged from mild to moderate in affected males and were borderline in female carriers. X-inactivation studies in the female carriers showed 100% skewed inactivation in all of them.


Animal Model

Zhang et al. (2009) demonstrated that the Drosophila ACSL-like protein, Acsl, and ACSL4 are highly conserved, allowing ACSL4 to substitute for Acsl in organismal viability, lipid storage, and the neural wiring in the visual center. In neurodevelopment, production of decapentaplegic (Dpp), a BMP-like protein in Drosophila, diminished specifically in the larval brain of Drosophila Acsl mutants. Consistent with the Dpp reduction, the number of glial cells and neurons dramatically decreased and the retinal axons mistargeted in the visual cortex. All of these defects in Drosophila brain were rescued by the wildtype ACSL4 but not by the mutant products found in nonsyndromic X-linked mental retardation patients. Expression of an MRX63-associated ACSL4 mutant form in a wildtype background led to lesions in the visual center, suggesting a dominant-negative effect. Zhang et al. (2009) proposed a connection between ACSL4 and the BMP pathway in neurodevelopment.


REFERENCES

  1. Longo, I., Frints, S. G. M., Fryns, J.-P., Meloni, I., Pescucci, C., Ariani, F., Borghgraef, M., Raynaud, M., Marynen, P., Schwartz, C., Renieri, A., Froyen, G. A third MRX family (MRX68) is the result of mutation in the long chain fatty acid-CoA ligase 4 (FACL4) gene: proposal of a rapid enzymatic assay for screening mentally retarded patients. J. Med. Genet. 40: 11-17, 2003. [PubMed: 12525535, related citations] [Full Text]

  2. Meloni, I., Muscettola, M., Raynaud, M., Longo, I., Bruttini, M., Moizard, M.-P., Gomot, M., Chelly, J., des Portes, V., Fryns, J.-P., Ropers, H.-H., Magi, B., Bellan, C., Volpi, N., Yntema, H. G., Lewis, S. E., Schaffer, J. E., Renieri, A. FACL4, encoding fatty acid-CoA ligase 4, is mutated in nonspecific X-linked mental retardation. Nature Genet. 30: 436-440, 2002. [PubMed: 11889465, related citations] [Full Text]

  3. Raynaud, M., Moizard, M.-P., Dessay, B., Briault, S., Toutain, A., Gendrot, C., Ronce, N., Moraine, C. Systematic analysis of X-inactivation in 19 XLMR families: extremely skewed profiles in carriers in three families. Europ. J. Hum. Genet. 8: 253-258, 2000. [PubMed: 10854107, related citations] [Full Text]

  4. Zhang, Y., Chen, D., Wang, Z. Analyses of mental dysfunction-related ACSl4 (sic) in Drosophila reveal its requirement for Dpp/BMP production and visual wiring in the brain. Hum. Molec. Genet. 18: 3894-3905, 2009. [PubMed: 19617635, related citations] [Full Text]


George E. Tiller - updated : 8/6/2010
Cassandra L. Kniffin - updated : 12/12/2003
Creation Date:
Ada Hamosh : 4/2/2002
carol : 08/20/2021
carol : 03/29/2012
wwang : 8/10/2010
terry : 8/6/2010
carol : 12/12/2003
ckniffin : 12/8/2003
terry : 4/28/2003
alopez : 4/2/2002

# 300387

INTELLECTUAL DEVELOPMENTAL DISORDER, X-LINKED 63; XLID63


Alternative titles; symbols

MENTAL RETARDATION, X-LINKED 63; MRX63
MENTAL RETARDATION, X-LINKED 68; MRX68


ORPHA: 777;   DO: 0112050;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
Xq23 Intellectual developmental disorder, X-linked 63 300387 X-linked dominant 3 ACSL4 300157

TEXT

A number sign (#) is used with this entry because of evidence that X-linked intellectual developmental disorder-63 (XLID63) is caused by mutation in the ACSL4 (300157) gene.


Clinical Features

Raynaud et al. (2000) reported a 4-generation family with nonspecific nonsyndromic X-linked mental retardation. Affected males showed nonprogressive mental retardation ranging from severe to moderate, without seizures, whereas carrier females showed highly variable cognitive capacities, ranging from moderate mental retardation to normal intelligence.


Mapping

Raynaud et al. (2000) reported a 4-generation family with nonspecific nonsyndromic X-linked mental retardation mapped between DXS990 and DXS1227 (Xq21.33-q27.1) with a maximum lod at theta = 0.0 of 2.14 at DXS1001.


Molecular Genetics

In the proband of the family reported by Raynaud et al. (2000) as MRX63, Meloni et al. (2002) identified a mutation in the ACSL4 gene (300157.0001). The proband of a second affected family carried a mutation in the 3-prime splice site of intron 10 of the ACSL4 gene (300157.0002). Mental retardation was severe. Six of 6 informative carrier females in family MRX63 showed completely skewed X inactivation in leukocytes. Similarly, 3 of 3 carrier females from 2 different families with ATS-MR (300194) showed completely skewed X inactivation in leukocytes, as did the carrier mother of the proband of the second family.

In a family with nonsyndromic X-linked mental retardation (MRX68), Longo et al. (2003) identified a mutation in the ACSL4 gene (300157.0003). Neurocognitive levels ranged from mild to moderate in affected males and were borderline in female carriers. X-inactivation studies in the female carriers showed 100% skewed inactivation in all of them.


Animal Model

Zhang et al. (2009) demonstrated that the Drosophila ACSL-like protein, Acsl, and ACSL4 are highly conserved, allowing ACSL4 to substitute for Acsl in organismal viability, lipid storage, and the neural wiring in the visual center. In neurodevelopment, production of decapentaplegic (Dpp), a BMP-like protein in Drosophila, diminished specifically in the larval brain of Drosophila Acsl mutants. Consistent with the Dpp reduction, the number of glial cells and neurons dramatically decreased and the retinal axons mistargeted in the visual cortex. All of these defects in Drosophila brain were rescued by the wildtype ACSL4 but not by the mutant products found in nonsyndromic X-linked mental retardation patients. Expression of an MRX63-associated ACSL4 mutant form in a wildtype background led to lesions in the visual center, suggesting a dominant-negative effect. Zhang et al. (2009) proposed a connection between ACSL4 and the BMP pathway in neurodevelopment.


REFERENCES

  1. Longo, I., Frints, S. G. M., Fryns, J.-P., Meloni, I., Pescucci, C., Ariani, F., Borghgraef, M., Raynaud, M., Marynen, P., Schwartz, C., Renieri, A., Froyen, G. A third MRX family (MRX68) is the result of mutation in the long chain fatty acid-CoA ligase 4 (FACL4) gene: proposal of a rapid enzymatic assay for screening mentally retarded patients. J. Med. Genet. 40: 11-17, 2003. [PubMed: 12525535] [Full Text: https://doi.org/10.1136/jmg.40.1.11]

  2. Meloni, I., Muscettola, M., Raynaud, M., Longo, I., Bruttini, M., Moizard, M.-P., Gomot, M., Chelly, J., des Portes, V., Fryns, J.-P., Ropers, H.-H., Magi, B., Bellan, C., Volpi, N., Yntema, H. G., Lewis, S. E., Schaffer, J. E., Renieri, A. FACL4, encoding fatty acid-CoA ligase 4, is mutated in nonspecific X-linked mental retardation. Nature Genet. 30: 436-440, 2002. [PubMed: 11889465] [Full Text: https://doi.org/10.1038/ng857]

  3. Raynaud, M., Moizard, M.-P., Dessay, B., Briault, S., Toutain, A., Gendrot, C., Ronce, N., Moraine, C. Systematic analysis of X-inactivation in 19 XLMR families: extremely skewed profiles in carriers in three families. Europ. J. Hum. Genet. 8: 253-258, 2000. [PubMed: 10854107] [Full Text: https://doi.org/10.1038/sj.ejhg.5200437]

  4. Zhang, Y., Chen, D., Wang, Z. Analyses of mental dysfunction-related ACSl4 (sic) in Drosophila reveal its requirement for Dpp/BMP production and visual wiring in the brain. Hum. Molec. Genet. 18: 3894-3905, 2009. [PubMed: 19617635] [Full Text: https://doi.org/10.1093/hmg/ddp332]


Contributors:
George E. Tiller - updated : 8/6/2010
Cassandra L. Kniffin - updated : 12/12/2003

Creation Date:
Ada Hamosh : 4/2/2002

Edit History:
carol : 08/20/2021
carol : 03/29/2012
wwang : 8/10/2010
terry : 8/6/2010
carol : 12/12/2003
ckniffin : 12/8/2003
terry : 4/28/2003
alopez : 4/2/2002