MLC1

protein-coding

modulator of VRAC current 1

Gene summary

The function of this gene product is unknown; however, homology to other proteins suggests that it may be an integral membrane transporter. Mutations in this gene have been associated with megalencephalic leukoencephalopathy with subcortical cysts, an autosomal recessive neurological disorder. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

MANE transcript

NM_015166.4

Inheritance

AR, AD

ClinVar variants

P:153U:149B:191

Top phenotype

Megalencephalic leukoencephalopathy with subcortical cysts 1

gnomAD constraint

pLI —, LoF o/e 0.74

Max pathogenic AF

—

Genomic locus

chr22:50,059,391-50,085,426

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~26.0 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

megalencephalic leukoencephalopathy with subcortical cysts 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0024555

Submitter: Myriad Women's Health

megalencephalic leukoencephalopathy with subcortical cysts 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0024555

Submitter: Labcorp Genetics (formerly Invitae)

megalencephalic leukoencephalopathy with subcortical cysts 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0024555

Submitter: ClinGen

*MLC1* was first reported in relation to autosomal recessive megalencephalic leukoencephalopathy with subcortical cysts 1 in 2001(Leegwater et al., PMID: 11254442). Prior to this in 2000, (Topçu et al., PMID: 10677334) the location of the gene was mapped to Chromosome 22qtel. Prior to the identification of the gene, the condition was first clinically described in 1995 (Van der Knaap et al., PMID: 7695231). A group of 8 children were described with infantile onset megaloencepahly and cerebral leukodystrophy with slowly progressive ataxia and spasticity. Brain MRI were significant for diffuse abnormality in signal intensity and swelling of the cerebral hemispheral white matter with cyst-like spaces in the frontoparietal and anterior-temporal subcortical areas. Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in molecular mechanisms or inheritance pattern. Therefore, there is one disease entity, Megalencephalic leukoencephalopathy with subcortical cysts 1 (OMIM:604004). 11 variants (missense, nonsense, frameshift,) that have been reported in 9 probands in 5 publications (PMIDs: 25497041, 32056211, 12189496, 21145992, 27389245) are included in this curation. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism of pathogenicity appears to be loss of function. This gene-disease relationship is also supported by experimental evidence (functional alteration, expression studies) (PMIDs: 18757878). Lower expression in rat astrocytes and altered pH distribution. In summary, there is definitive evidence supporting the relationship between *MLC1 *and autosomal recessive megalencephalic leukoencephalopathy with subcortical cysts 1. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time. This classification was approved by the ClinGen Leukodystrophy and Leukoencephalopathy GCEP at the meeting November 25, 2024 (SOP Version 11).

megalencephalic leukoencephalopathy with subcortical cysts 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0024555

Submitter: Ambry Genetics

megalencephalic leukoencephalopathy with subcortical cystsSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0011391

Submitter: Orphanet

megalencephalic leukoencephalopathy with subcortical cysts 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0024555

Submitter: G2P

megalencephalic leukoencephalopathy with subcortical cysts 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0024555

Submitter: PanelApp Australia

megalencephalic leukoencephalopathy with subcortical cysts 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0024555

Submitter: Natera

Clinical Genomic Database (CGD)

Megalencephalic leukoencephalopathy with subcortical cysts 1AR

Manifestation: Neurologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 11254442; 12939431; 18757878; 20301707; 20560255; 21145992; 21160490; 21487377; 22416245; 22552818; 24824219Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MLC1 variants in ClinVar

11 Conditions Cataloged
not providedTotal: 484
Megalencephalic leukoencephalopathy with subcortical cysts 1Total: 182
Megalencephalic leukoencephalopathy with subcortical cystsTotal: 115
not specifiedTotal: 55
Inborn genetic diseasesTotal: 47
MLC1-related disorderTotal: 24
Fetal anomalies with a likely genetic causeTotal: 3
Cerebellar ataxiaTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_015166.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
9
clinvar
178
clinvar
187
missense
6
clinvar
31
clinvar
135
clinvar
12
clinvar
1
clinvar
185
nonsense
4
clinvar
17
clinvar
1
clinvar
22
start loss
1
clinvar
1
frameshift
33
clinvar
23
clinvar
2
clinvar
58
splice donor/acceptor (+/-2bp)
7
clinvar
31
clinvar
2
clinvar
40
Total501031491901493

Highest pathogenic variant AF is 0.000054864486

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 48 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_015166.4RefSeqNP_055981.111MANE Select
ENST00000311597.10EnsemblENSP00000310375.611MANE Select
NM_001376472.1RefSeqNP_001363401.111Standard
NM_001376473.1RefSeqNP_001363402.111Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
mlc1Danio rerio

Structure: midbrain

Quality: physical object quality

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • erk and pi-3 kinase are necessary for collagen binding in corneal epithelia
  • integrin signaling pathway
  • mcalpain and friends in cell motility

Biological Process

  • ion transport
  • protein transport
  • vesicle-mediated transport
  • positive regulation of intracellular transport
  • regulation of response to osmotic stress

Molecular Function

  • protein binding
  • protein transporter activity
  • protein-containing complex binding

Cellular Component

  • cytoplasm
  • lysosome
  • endosome
  • early endosome
  • endoplasmic reticulum

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000311597
Coding exons
11
Length
26512
Individuals with no LoFs
125705
Homozygous LoFs
1
Heterozygous LoFs
42
Defined
125748
p
0.000171
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.2032102180.9610.00001502409
Missense (PolyPhen)114110.191.03461273
Synonymous0.415961010.9480.00000820785
Loss of Function1.031418.80.7440.00000104214

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000260.00025rare
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish00.0absent
East Asian0.000220.00022rare
Finnish0.0000930.000092rare
European (Non-Finnish)0.000190.00018rare
South Asian0.000330.00033rare
Other0.000330.00033rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Regulates the response of astrocytes to hypo-osmosis by promoting calcium influx. {ECO:0000269|PubMed:22328087}.;

Recessive Scores

pRec
0.206

Intolerance Scores

LoFtool
0.0931
RVIS EVS
0
RVIS percentile EVS
53.85

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.793

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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