FB2026_02 , released June 18, 2026
FB2026_02 , released June 18, 2026
Human Disease Model Report: intellectual developmental disorder, X-linked, syndromic, Billuart type
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General Information
Name
intellectual developmental disorder, X-linked, syndromic, Billuart type
FlyBase ID
FBhh0001346
Overview

This report describe 'intellectual developmental disorder, X-linked, syndromic, Billuart type', a form of syndromic intellectual disability; the disease exhibits X-linked recessive inheritance. The human gene implicated in this disease is OPHN1, a Rho-GTPase-activating protein that plays a number of roles in synaptic function. There is a single orthologous gene in Drosophila, Graf, for which multiple genetic reagents have been generated, including an amorphic allele, UAS constructs, RNAi-targeting constructs, and alleles caused by insertional mutagenesis. Dmel\Graf is orthologous to 3 other genes in human, ARHGAP26, ARHGAP42, ARHGAP10.

A UAS construct of the human Hsap\OPHN1 gene has been introduced into flies. Partial heterologous rescue (functional complementation) has been demonstrated for the defects in development the mushroom body observed for Dmel\Graf loss-of-function mutations.

Animals hemizygous for Dmel\Graf exhibit impairment in long-term olfactory memory; short-term memory and intermediate-term memory appear to form normally. Loss of Graf impacts development of the mushroom body, a key brain structure for learning and memory, causing abnormal crossing and apparent fusion of the mushroom body β lobe over the brain midline. Physical and genetic interactions have been report for Dmel\Graf; see below and in the Graf gene report.

[updated April 2025 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: intellectual disability, X-linked, syndromic
Symptoms and phenotype

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).

Specific Disease Summary: intellectual developmental disorder, X-linked, syndromic, Billuart type
OMIM report

[INTELLECTUAL DEVELOPMENTAL DISORDER, X-LINKED, SYNDROMIC, BILLUART TYPE; MRXSBL](https://omim.org/entry/300486)

Human gene(s) implicated

[OLIGOPHRENIN 1; OPHN1](https://omim.org/entry/300127)

Symptoms and phenotype

Billuart-type X-linked syndromic intellectual developmental disorder (MRXSBL) is characterized by moderately to severely impaired intellectual development, cerebellar hypoplasia, and seizures. Dysmorphic facial features include deep-set eyes, short philtrum, and large ears (summary by Chabrol et al., 2005, pubmed:16158428; Al-Owain et al., 2011, pubmed: 20528889), [from MIM:300486; 2025.04.08]

Genetics

Billuart-type X-linked syndromic intellectual developmental disorder (MRXSBL) is caused by mutation in the oligophrenin-1 gene (OPHN1) on chromosome Xq12. [from MIM:300486; 2025.04.08]

Cellular phenotype and pathology
Molecular information

The OPHN1 (Oligophrenin 1) gene encodes a Rho-GTPase-activating protein that promotes GTP hydrolysis of Rho subfamily members. The OPHN1 protein plays a number of roles in synaptic function. [Gene Cards, OPHN1; 2021.05.11]

External links
Disease synonyms
intellectual disability, X-linked, with cerebellar hypoplasia and distinctive facial appearance
mental retardation, X-linked 60
mental retardation, X-linked, with cerebellar hypoplasia and distinctive facial appearance
MRX60
MRXSBL
OPHN1 syndrome
X-linked intellectual deficit-cerebellar hypoplasia
Ortholog Information
Human gene(s) in FlyBase
Human gene (HGNC)
D. melanogaster ortholog (based on DIOPT)
Comments on ortholog(s)

Many to one: 4 human genes to 1 Drosophila gene.

Other mammalian ortholog(s) used
    D. melanogaster Gene Information (1)
    Gene Groups / Pathways
    Comments on ortholog(s)

    Moderate- to high-scoring ortholog of 4 human genes: ARHGAP26, ARHGAP42, ARHGAP10, and OPHN1 (1 Drosophila to 4 human). Dmel\Graf shares 33-36% identity and 48-50% 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 (4 groups)
      protein-protein
      Interacting group
      Assay
      References
      pull down, western blot
      pull down, anti tag western blot, anti tag coimmunoprecipitation, western blot
      pull down, western blot
      pull down, western blot
      Alleles Reported to Model Human Disease (Disease Ontology) (2 alleles)
      Models Based on Experimental Evidence ( 1 )
      Modifiers Based on Experimental Evidence ( 1 )
      Allele
      Disease
      Interaction
      References
      Models Based on Experimental Evidence ( 0 )
      Allele
      Disease
      Evidence
      References
      Modifiers Based on Experimental Evidence ( 1 )
      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 - molecular evidence
      P-element activity
      loss of function allele
      CRISPR/Cas9
      References (5)