FB2026_01 , released March 12, 2026
FB2026_01 , released March 12, 2026
Human Disease Model Report: Kohlschutter-Tonz syndrome
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General Information
Name
Kohlschutter-Tonz syndrome
FlyBase ID
FBhh0001404
Disease Ontology Term
Parent Disease
Overview

This report describes Kohlschutter-Tonz syndrome (KTZS); KTZS exhibits autosomal recessive inheritance. The human gene implicated in this disease is ROGDI, about which little is known. There is a single orthologous gene in Drosophila rogdi; Dmel\rogdi has been shown to regulate transmission of the neurotransmitter gamma-aminobutyric acid (GABA) in GABAergic neurons. Multiple genetic reagents have been generated for rogdi including RNAi-targeting and over-expression constructs and alleles caused by insertional mutagenesis.

The human ROGDI gene has not been introduced into flies.

Animals carrying homozygous or trans-heterozygous loss-of-function mutations of rogdi survive to adulthood; they exhibit bang-sensitivity, a phenotype similar to seizure sensitivity in humans (see FBhh0000268). Using RNAi targeted to different neurons, reduction of rogdi expression in vesicular glutamate transporter (VGlut)-expressing neurons, but not other neurotransmitter-specific neurons, results in the bang-sensitive phenotype. Using a phenotype not associated with KTZS (disruption of sleep patterns), it has been shown that rogdi sleep suppression phenotypes are rescued by sustaining GABAergic transmission primarily via metabotropic GABA receptors.

[updated Nov. 2021 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: Kohlschutter-Tonz syndrome
OMIM report

[KOHLSCHUTTER-TONZ SYNDROME; KTZS](https://omim.org/entry/226750)

Human gene(s) implicated

[ROGDI ATYPICAL LEUCINE ZIPPER; ROGDI](https://omim.org/entry/614574)

Symptoms and phenotype

Kohlschutter-Tonz syndrome (KTZS) is an autosomal recessive disorder characterized by severe global developmental delay, early-onset intractable seizures, spasticity, and amelogenesis imperfecta affecting both primary and secondary teeth and causing yellow or brown discoloration of the teeth. Although the phenotype is consistent, there is variability. Impaired intellectual development is related to the severity of seizures, and the disorder can thus be considered an epileptic encephalopathy. Some infants show normal development until seizure onset, whereas others are delayed from birth. The most severely affected individuals have profound mental retardation, never acquire speech, and become bedridden early in life (summary by Schossig et al., 2012, pubmed:22424600; Mory et al., 2012, pubmed:22482807). [from MIM:226750; 2021.11.10]

Genetics

Kohlschutter-Tonz syndrome (KTZS) is caused by homozygous or compound heterozygous mutation in the ROGDI gene. [from MIM:226750; 2021.11.10]

Cellular phenotype and pathology
Molecular information
External links
Disease synonyms
amelocerebrohypohidrotic syndrome
epilepsy, dementia, and amelogenesis imperfecta
KTZS
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to one: 1 human gene to 1 Drosophila gene.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      rogdi (rogdi) encodes a protein that plays a role in promoting sleep by controlling GABA transmission in GABA neurons. [Date last reviewed: 2018-10-25]
      Molecular function (GO)
        Cellular component (GO)
        Gene Groups / Pathways
          Comments on ortholog(s)

          High-scoring ortholog of human ROGDI (1 Drosophila to 1 human). Dmel\rogdi shares 39% identity and 53% similarity with the human gene.

          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 (1 groups)
            protein-protein
            Interacting group
            Assay
            References
            pull down, peptide massfingerprinting
            Alleles Reported to Model Human Disease (Disease Ontology) (0 alleles)
            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
            References (5)