This report describes infantile cerebellar-retinal degeneration (ICRD); ICRD is inherited as an autosomal recessive. The human gene implicated in this disease is aconitase 2 (ACO2), an enzyme of the citric acid (TCA) cycle. There are two orthologous Drosophila genes: mAcon1, a high-scoring ortholog that is widely expressed; and mAcon2, a moderate-scoring ortholog that exhibits testis-specific expression. Amorphic mutations have been generated for mAcon1; RNAi-targeting constructs and alleles caused by insertional mutagenesis have been generated for both Drosophila genes.
The human ACO2 gene has not been introduced into flies.
Animals homozygous for amorphic mutations of Dmel\mAcon1 die during embryogenesis. Partial loss of function effected by RNAi results in decreased viability; surviving adults exhibit reduced locomotor activity, a much shorter lifespan, increased cell death in the developing brain, and appear to have a decreased metabolic rate compared to controls. Reduced triacylglyceride levels and increased acetyl-CoA are observed, suggesting that lipids are used as an energy source via fatty acid oxidation, to compensate for the impaired glycolysis and TCA cycle. Physical and genetic interactions for Dmel\mAcon1 have been reported; see below and in the gene report for mAcon1.
[updated Oct. 2019 by FlyBase; FBrf0222196]
[INFANTILE CEREBELLAR-RETINAL DEGENERATION; ICRD](https://omim.org/entry/614559)
[ACONITASE 2; ACO2](https://omim.org/entry/100850)
Infantile cerebellar-retinal degeneration (ICRD) is a severe neurodegenerative disorder characterized by onset between ages 2 and 6 months of truncal hypotonia (low muscle tone), athetosis (involuntary writhing movements), seizures, and ophthalmologic abnormalities, particularly optic atrophy and retinal degeneration. Affected individuals show profound psychomotor retardation (Spiegel et al., 2012; pubmed:22405087). [from MIM:614559; 2017.03.03]
Infantile cerebellar-retinal degeneration (ICRD) is caused by homozygous or compound heterozygous mutation in the aconitase-2 gene (ACO2); autosomal recessive. [from MIM:614559; 2017.03.03]
Brain MRI shows progressive cerebral and cerebellar degeneration (Spiegel et al., 2012; pubmed:22405087). [from MIM:614559; 2017.03.03]
Aconitase 2 (ACO2) belongs to the aconitase/IPM isomerase family; it is encoded in the nucleus and functions in the mitochondrion. It catalyzes the interconversion of citrate to isocitrate via cis-aconitate in the second step of the citric acid (Krebs, TCA) cycle. [Gene Cards, ACO2; 2017.03.03]
One to many (1 human to 2 Drosophila).
High-scoring ortholog of human ACO2 (2 Drosophila to 1 human). Dmel\Acon shares 72% identity and 83% similarity with ACO2.