RT Journal A1 Gulsuner, Suleyman A1 Tekinay, Ayse B A1 Doerschner, Katja A1 Boyaci, Huseyin A1 Bilguvar, Kaya A1 Unal, Hilal A1 Ors, Aslihan A1 Onat, Onur Emre A1 Atalar, Ergin A1 Basak, A Nazli A1 Topaloglu, Haluk A1 Kansu, Tulay A1 Tan, Meliha A1 Tan, Uner A1 Gunel, Murat A1 Ozcelik, Tayfun T1 Homozygosity mapping and targeted genomic sequencing reveal the gene responsible for cerebellar hypoplasia and quadrupedal locomotion in a consanguineous kindred JF Genome Research JO Genome Research YR 2011 FD September 01 DO 10.1101/gr.126110.111 SP gr.126110.111 UL http://genome.cshlp.org/content/early/2011/09/01/gr.126110.111.abstract AB The biological basis for development of the cerebro-cerebellar structures required for posture and gait in humans is poorly understood. We investigated a large consanguineous family from Turkey exhibiting an extremely rare phenotype associated with quadrupedal locomotion, mental retardation and cerebro-cerebellar hypoplasia, linked to a 7.1 Mb region of homozygosity on chromosome 17p13.1-13.3. Diffusion weighted imaging and fiber tractography of patient brains revealed morphological abnormalities in the cerebellum and corpus callosum, in particular atrophy of superior, middle, and inferior peduncles of the cerebellum. Structural magnetic resonance imaging showed additional morphometric abnormalities in several cortical areas, including corpus callosum, precentral gyrus and Brodmann areas BA6, BA44, and BA45. Targeted sequencing of the entire homozygous region in three affected individuals and two obligate carriers uncovered a private missense mutation, WDR81 p.P856L, which co-segregated with the condition in the extended family. The mutation lies in a highly conserved region of WDR81, flanked by an N-terminal neurobeachin domain and C-terminal WD40 beta-propeller domains. WDR81 is predicted to be a transmembrane protein. It is highly expressed in the cerebellum and corpus callosum, in particular in the Purkinje cell layer of the cerebellum. WDR81 represents the third gene, after VLDLR and CA8, implicated in quadrupedal locomotion in humans.