Lambton J et al., The American Journal of Human Genetics - Bi-allelic ATG12 variants disrupt ATG12‑ATG5 conjugation and LC3 lipidation, impairing autophagy in patient cells and model systems and causing cerebellar vermis hypoplasia.
Study Highlights:
The study characterized six affected individuals with bi-allelic ATG12 variants using patient fibroblasts, HeLa ATG12 knockout complementation, yeast complementation, and CRISPR zebrafish models. Methods included WES/WGS and Sanger sequencing, immunoblotting, LC3/p62 flux assays, HaloTag-LC3 processing, LDH sequestration, AlphaFold-Multimer structural modeling, yeast GFP-Atg8 assays, and zebrafish behavioral and imaging assays. Structural modeling and biochemical data indicate variants map to ATG12 interfaces with ATG5 and ATG3, destabilize ATG12 or its conjugate with ATG5, reduce LC3/Atg8 lipidation and autophagic flux in a variant-dependent manner. Functionally, ATG12 disruption associates with neurodevelopmental phenotypes including cerebellar vermis hypoplasia, ataxia and seizures in humans, and causes growth, brain-structure and locomotor defects with reduced survival in zebrafish.
Conclusion:
Bi-allelic ATG12 variants impair ATG12 function and autophagy, producing a recessive neurodevelopmental disorder marked by cerebellar vermis hypoplasia and neurological deficits.
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Reference:
Lambton J, Asano S, Huang Y, Suomi F, Eguchi T, Petree C, Huang K, Prigent M, Imam A, McCorvie TJ, Warren D, Hobson E, McCullagh H, Misceo D, Bjerre A, Smeland MF, Klingenberg C, Frengen E, Naik S, Ryan G, Sudarsanam A, Foster K, Vasudevan P, Samanta R, Rahman F, Maqbool S, Udani V, Efthymiou S, Houlden H, McFarland R, Collier JJ, Maroofian R, Yue WW, Varshney GK, Klionsky DJ, Legouis R, McWilliams TG, Mizushima N, Oláhová M, Alston CL, Taylor RW. Bi-allelic ATG12 variants impair autophagy and cause a neurodevelopmental disorder. The American Journal of Human Genetics. 2026 May 7;113:1–18. https://doi.org/10.1016/j.ajhg.2026.03.002
License:
This episode is based on an open-access article published under the Creative Commons Attribution 4.0 International License (CC BY 4.0) - https://creativecommons.org/licenses/by/4.0/
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