Researchers at the National Institutes of Health have  discovered a new neurological condition characterized by issues with motor  coordination and speech. They report their findings in npj Genomic  Medicine.
Scientists from NIH’s National Human Genome Research  Institute (NHGRI) and Undiagnosed Diseases Program (UDP) identified three  children with the condition, two siblings and an unrelated child. The three  children all had issues with motor coordination and speech, and one child had  abnormalities in the cerebellum, the part of the brain involved in complex  movement among other functions. Additionally, the children all had mutations in  both copies of the ATG4D gene.
Computational analyses predicted that the three  children’s ATG4D mutations would produce dysfunctional  proteins. However, three other genes in the human genome serve very similar  roles to ATG4D, and in some cells, these other genes may  compensate for a loss of ATG4D.
While all cells in the body share the same genome, some  genes are more important for certain cells. When the researchers studied the  children’s ATG4D mutations in skin cells, the variants did not  affect the cells’ recycling process, but this may not be true in the brain.
To simulate cells that rely more heavily on ATG4D,  the researchers deleted the similar genes in cells grown in the laboratory and  then inserted the children’s ATG4D mutations. The researchers  determined the cells with the children’s ATG4D mutations could  not carry out the necessary steps for autophagy, indicating that the children’s  symptoms are likely caused by insufficient cellular recycling.
NIH release