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. 2021 Jan 29;11(2):191. doi: 10.3390/biom11020191

Table 1.

Brain disorders in which axon guidance alterations have been described or inferred.

Disorder Human Gene Axon Guidance-Related Defect Symptoms Reference
Congenital mirror movements (CMM) and partial or complete agenesis of the corpus callosum NETRIN1 (NTN1) Corticospinal tract (CST) abnormality Involuntary movements of one hand that mirror intentional movements of the opposite hand [77,78]
Congenital mirror movements (CMM) and/or isolated agenesis of the corpus callosum Deleted in colorectal cancer (DCC) Decreased crossing of descending corticospinal tract projections Variable range of intellectual disabilities, cognitive impairment, language delay, and visual and spatial deficits [79,80]
Developmental split-brain syndrome (gaze palsy, familial horizontal, with progressive scoliosis 2, with impaired intellectual development) Deleted in colorectal cancer (DCC) Agenesis of the corpus callosum and absence of the anterior and hippocampal commissures Neurological abnormalities, horizontal gaze palsy, intellectual disability, and progressive scoliosis [81]
Horizontal gaze palsy with progressive scoliosis (HGPPS) Roundabout guidance receptor 3 (ROBO3) Abnormal flattening of the basis pontis and hypoplasia in the pontine tegmentum; anomalous innervations of the lateral rectus muscle of the eye by the abducens supranuclear nerve Horizontal gaze palsy, intellectual disability and progressive scoliosis [82,83,84,85]
CRASH syndrome (Corpus callosum agenesis, Retardation, Adducted thumbs, Shuffling gait, and Hydrocephalus) L1CAM Agenesis of the corpus
callosum and corticospinal tract
Microcephaly, mental retardation, spastic paraparesis [86,87]
Kallman
syndrome (X-linked)
ANOS1
(KAL1)
Defective olfactory axon guidance and migration Congenital
anosmia, hypogonadotropic hypogonadism, mirror movements, and aberrant corticospinal tract
[89,90]
Joubert syndrome and related disorders (JSRD) Multiple genes (AHI1, NPHP1, CEP290, TMEM67,
RPGRIP1, ARL13B, CC2D2A)
Hypotonia, ataxia, mental retardation, altered respiratory patterns, social disabilities, and synkinetic mirror movements Cerebellar vermian hypoplasia, reduction in pontine neurons, and reduced decussation of the superior cerebellar peduncles. [92,93]
Duane retraction syndrome (DRS) α2-CHIMERIN Absence of abducens motor neurons and nerves; aberrant innervation of the lateral rectus muscle by the oculomotor nerve Restricted horizontal gaze and ocular synkinesis [95,96]
Cortical dysplasia, complex, with other brain malformations 1 (CDCBM1) Beta tubulin protein family member TUBB3 Thin corpus callosum, hypoplastic brainstem, and dysplastic cerebellar vermis Severe mental retardation, strabismus, axial hypotonia, and spasticity [99]
Congenital fibrosis of the extraocular muscles 3 (CFEOM3) Beta tubulin protein family member TUBB3 Dysgenesis of the corpus callosum and anterior commissure (AC), and internal capsule; generalized loss of white matter; basal ganglia dysmorphisms Aberrant eye movements, facial weakness, axonal peripheral neuropathy, contractures of the wrist and fingers, delayed development, and learning disabilities [100]
Craniofrontonasal syndrome (CFNS) Ephrin B1(EFNB1) Dysgenesis or agenesis of the corpus callosum Variable difficulties in speech and language, limited or no intellectual disabilities, facial asymmetry, skeletal and dermatological abnormalities [101]
Mucopolysaccharidosis type II (Hunter syndrome) Iduronate sulfatase
(IDS)
Indirect experimental
observation
Mental retardation, language delay, cognitive impairment [103]
Mucopolysaccharidosis type IIIb
(Sanfilippo Syndrome)
α-N-acetylglucosaminidase (NAGLU) Indirect experimental
observation
Mental retardation, cognitive decline, dysphagia, sleep problems, seizures [102]
Mucopolysaccharidosis type VII (Sly syndrome) β-glucuronidase
(GUSB)
Indirect experimental
observation
developmental
Delay, speech delay, intellectual disability of variable degree
[104]