297: Bi-allelic FSD1L variants disrupt mitotic spindle and ciliogenesis in an L1-like neurodevelopmental disorder

Serpieri V et al., The American Journal of Human Genetics, Corrected proof. doi:10.1016/j.ajhg.2026.01.014 - Bi-allelic FSD1L variants disrupt a microtubule-associated protein, causing hydrocephalus, corpus callosum defects and an L1 syndrome-like neurodevelopmental disorder in humans and models. Key terms: FSD1L, microtubules, ciliogenesis, hydrocephalus, iPSC neuronal differentiation.

Study Highlights:
Exome sequencing in eleven affected individuals (including five fetuses) identified bi-allelic FSD1L variants associated with hydrocephalus and corpus callosum defects. Using iPSC-derived neural progenitor differentiation, neurosphere assays, patient fibroblasts, immunohistochemistry, and in utero CRISPR-Cas9 mouse knockdown, the authors show that FSD1L localizes to mitotic spindle microtubules and to the transition zone/axoneme of the primary cilium. Patient NPCs fail to differentiate into premature neurons, undergo increased cell death, and form smaller disorganized neurospheres, while patient fibroblasts show abnormal spindles, reduced ciliogenesis and shorter cilia. Fsd1l repression in mouse embryos produced lateral ventricular dilation, functionally linking FSD1L to mitotic spindle assembly, ciliogenesis, neuronal differentiation and axon guidance.

Conclusion:
Bi-allelic pathogenic variants in FSD1L cause a neurodevelopmental syndrome overlapping L1 syndrome by disrupting a microtubule-associated protein required for mitotic spindle assembly, ciliogenesis, and neuronal differentiation.

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Article title:
Bi-allelic variants in FSD1L cause a neurodevelopmental disorder overlapping with L1 syndrome

First author:
Serpieri V

Journal:
The American Journal of Human Genetics, Corrected proof. doi:10.1016/j.ajhg.2026.01.014

DOI:
10.1016/j.ajhg.2026.01.014

Reference:
Serpieri V., Vezain-Mouchard M., Orsi A., et al. Bi-allelic variants in FSD1L cause a neurodevelopmental disorder overlapping with L1 syndrome. The American Journal of Human Genetics. 113, 1–16 (March 5, 2026). https://doi.org/10.1016/j.ajhg.2026.01.014

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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QC:
This episode was checked against the original article PDF and publication metadata for the episode release published on 2026-02-24.

QC Scope:
- article metadata and core scientific claims from the narration
- excludes analogies, intro/outro, and music
- transcript coverage: Audited the transcript’s presentation of the AJHG 2026 FSD1L study’s main claims, cellular mechanisms, experimental models, and clinical implications as described in the article.
- transcript topics: Clinical features resembling L1 syndrome; Gene discovery via exome sequencing and GeneMatcher; Autosomal recessive inheritance; FSD1L as a microtubule-associated protein localizing to mitotic spindle and primary cilium; iPSC-derived neural progenitor differentiation defects; Fibroblast spindle abnormalities and ciliogenesis defects

QC Summary:
- factual score: 10/10
- metadata score: 10/10
- supported core claims: 8
- claims flagged for review: 0
- metadata checks passed: 4
- metadata issues found: 0

Metadata Audited:
- article_doi
- article_title
- article_journal
- license

Factual Items Audited:
- Bi-allelic FSD1L variants identified in 11 affected individuals from six unrelated families
- FSD1L localizes to mitotic spindle microtubules and to the primary cilium transition zone/axoneme
- iPSC-derived neural progenitor cells from affected individuals failed to differentiate into premature neurons and showed increased cell death
- Patient fibroblasts exhibited abnormal mitotic spindles and reduced ciliogenesis with shorter cilia
- Fsd1l repression in mouse embryos produced ventriculomegaly (lateral ventricular dilation)
- Phenotype closely resembles L1 syndrome; overlapping expression patterns with L1CAM in developing brain

QC result: Pass.