FB2026_03 , released September 17, 2026
Human Disease Model Report: Pitt-Hopkins-like syndrome 1
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General Information
Name
Pitt-Hopkins-like syndrome 1
FlyBase ID
FBhh0000980
Disease Ontology Term
Parent Disease
Overview

This report describes Pitt-Hopkins-like syndrome 1 (PTHSL1), also called cortical dysplasia-focal epilepsy syndrome; PTHSL1 exhibits autosomal recessive inheritance. The human gene implicated in this disease is CNTNAP2 (contactin associated protein like 2), a neuronal transmembrane protein member of the neurexin superfamily involved in neural-glia interactions and clustering of potassium channels in myelinated axons. There is a single high-scoring ortholog in Drosophila, Nrx-IV, for which classical amorphic alleles, RNAi targeting constructs, and alleles caused by insertional mutagenesis have been generated.

CNTNAP2 is also implicated is susceptibility to autism (AUTS15, MIM:612100). Dmel\Nrx-IV is orthologous to multiple other related genes in human, including CNTNAP1. CNTNAP1 is implicated in several neurological diseases (see MIM:602346).

The human CNTNAP2 gene has not been introduced into flies.

Animals homozygous for loss-of-function mutations of Dmel\Nrx-IV typically die before the embryonic or larval stage. In larvae, neuroanatomy defects and defects of septate junctions are observed. Neuronal overexpression results in increased bouton number in larval neuromuscular junctions. Physical interactions for Dmel\Nrx-IV have been described; see below and in the Nrx-IV gene report.

[updated Apr. 2019 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: Pitt-Hopkins-like syndrome 1
OMIM report

[PITT-HOPKINS-LIKE SYNDROME 1; PTHSL1](https://omim.org/entry/610042)

Human gene(s) implicated

[CONTACTIN-ASSOCIATED PROTEIN-LIKE 2; CNTNAP2](https://omim.org/entry/604569)

Symptoms and phenotype

PTHSL1 is an autosomal recessive neurodevelopmental disorder characterized by delayed psychomotor development, intellectual disability, severe speech impairment or regression, and behavioral abnormalities. Most patients have onset of seizures within the first years of life. Some patients may have cortical dysplasia on brain imaging (summary by Smogavec et al., 2016; pubmed:27439707). [from MIM:610042; 2019.02.27]

Genetics

Pitt-Hopkins-like syndrome-1 (PTHSL1) is caused by homozygous or compound heterozygous mutation in the CNTNAP2 gene. [from MIM:610042; 2019.02.27]

Cellular phenotype and pathology
Molecular information

The CNTNAP2 gene encodes a neuronal transmembrane protein member of the neurexin superfamily involved in neural-glia interactions and clustering of potassium channels in myelinated axons. [from MIM:604569; 2019.02.27]

External links
Disease synonyms
cortical dysplasia-focal epilepsy syndrome
PTHSL1
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many to one: 6 human to 1 Drosophila. The other human genes are CNTNAP1, CNTNAP3, CNTNAP3B, CNTNAP4, and CNTNAP5.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Neurexin IV (Nrx-IV) encodes a transmembrane protein that is critical for septate junction formation in epithelia and between ensheathing glial cells and neurons. [Date last reviewed: 2019-03-14]
      Molecular function (GO)
        Gene Groups / Pathways
          Comments on ortholog(s)

          High-scoring ortholog of human CNTNAP1, CNTNAP2, CNTNAP3, CNTNAP3B, CNTNAP4, and CNTNAP5 (1 Drosophila to 6 human). Dmel\Nrx-IV shares 30-33% identity and 47-51% similarity with the human genes.

          Orthologs and Alignments from DRSC
          DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
          Other Genes Used: Viral, Bacterial, Synthetic (0)
            Summary of Physical Interactions (12 groups)
            protein-protein
            Interacting group
            Assay
            References
            anti bait coimmunoprecipitation, western blot, anti tag western blot
            anti bait coimmunoprecipitation, western blot
            anti tag coimmunoprecipitation, western blot
            anti bait coimmunoprecipitation, western blot
            anti bait coimmunoprecipitation, western blot
            anti bait coimmunoprecipitation, western blot
            pull down, western blot, two hybrid
            anti bait coimmunoprecipitation, western blot
            anti tag coimmunoprecipitation, western blot, pull down
            anti tag coimmunoprecipitation, western blot, bead aggregation assay, fluorescence microscopy, inferred by author
            RNA-protein
            Interacting group
            Assay
            References
            anti bait coimmunoprecipitation, primer specific pcr, anti tag coimmunoprecipitation, molecular weight estimation by staining, pull down, anti tag western blot
            RNA-RNA
            Interacting group
            Assay
            References
            Alleles Reported to Model Human Disease (Disease Ontology) (2 alleles)
            Models Based on Experimental Evidence ( 2 )
            Modifiers Based on Experimental Evidence ( 2 )
            Alleles Representing Disease-Implicated Variants
            Genetic Tools, Stocks and Reagents
            Sources of Stocks
            Contact lab of origin for a reagent not available from a public stock center.
            Bloomington Stock Center Disease Page
            Related mammalian, viral, bacterial, or synthetic transgenes
            Allele
            Transgene
            Publicly Available Stocks
            Selected Drosophila transgenes
            Allele
            Transgene
            Publicly Available Stocks
            RNAi constructs available
            Allele
            Transgene
            Publicly Available Stocks
            Selected Drosophila classical alleles
            Allele
            Allele class
            Mutagen
            Publicly Available Stocks
            amorphic allele - genetic evidence
            ethyl methanesulfonate
            amorphic allele - genetic evidence
            ethyl methanesulfonate
            amorphic allele - genetic evidence
            ethyl methanesulfonate
            amorphic allele - genetic evidence
            ethyl methanesulfonate
            amorphic allele - genetic evidence
            ethyl methanesulfonate
            amorphic allele - molecular evidence
            ethyl methanesulfonate
            References (9)