This report describes intellectual disability, autosomal recessive 46; an alternative designation of this disease is 'mental retardation, autosomal recessive 46' (MRT46). The human gene implicated in this disease is NDST1, which catalyzes both the N-deacetylation and the N-sulfation of heparan sulfate glycosaminoglycans; it is a transmembrane protein that resides in the Golgi apparatus. There is a single fly ortholog, sfl, for which loss-of-function alleles, RNAi-targeting constructs and an allele caused by insertional mutagenesis have been generated. Dmel\sfl is also orthologous to human genes NDST2, NDST3, AND NDST4. The NDST1 gene has also been implicated in a recent GWAS study with non-obstructive azoospermia (FBhh0000239).
The NDST1 gene has not been introduced into flies.
In Drosophila, systemic knockdown of sfl typically results in lethality during the pupal stage. Assessments of larval phenotypes reveal locomotor defects and abnormalities in synaptic physiology and morphology. Genetic interactions of Dmel\sfl have been characterized; see the gene report for sfl.
[updated Apr. 2016 by FlyBase; FBrf0222196]
Intellectual disability is characterized by impairments in intellectual functioning and adaptive behavior; symptoms must be present before a child becomes 18 years old (http://medical-dictionary.thefreedictionary.com/mental+retardation; 2016.01.19).
Intellectual disability can be subdivided into syndromic forms, characterized by cognitive impairment accompanied by dysmorphic features, malformations or neurological abnormalities, and nonsyndromic forms, characterized by cognitive impairment without additional features (Basel-Vanagaite, 2008; DOI: 10.1002/9780470015902.a0021454).
[INTELLECTUAL DEVELOPMENTAL DISORDER, AUTOSOMAL RECESSIVE 46; MRT46](https://omim.org/entry/616116)
[N-DEACETYLASE/N-SULFOTRANSFERASE 1; NDST1](https://omim.org/entry/600853)
Patients from a small number of families have been characterized. All had delayed psychomotor development apparent from infancy or early childhood with delayed or absent expressive speech; most patients had hypotonia; some had therapy-responsive seizures. [from MIM:616116]
Autosomal recessive mental retardation 46 (MRT46) is caused by homozygous mutation in the NDST1 gene, exhibiting an autosomal-recessive mode of inheritance. [from MIM:616116]
NDST1 is a member of the heparan sulfate/heparin GlcNAc N-deacetylase/N-sulfotransferase family, involved in the biosynthesis of heparan sulfate proteoglycans. The NDST1 enzyme is a type II transmembrane protein that resides in the Golgi apparatus. [from Gene Cards, NDST1; 2016.04.07]
Many to one: 4 human to 1 Drosophila; additional high-scoring human orthologous genes are NDST2, NDST3, and NDST4; one low-scoring ortholog also exists.
Ortholog of human genes NDST1, NDST2, NDST3, AND NDST4 (1 Drosophila to 4 human). Dmel\sfl shares 53-55% identity and 70-71% similarity with the human genes.