This report describes Pan-Chung-Bellen syndrome, a newly identified neurodevelopmental disorder in which de novo variants of the human gene FRYL have been implicated. Results to date are consistent with a dominant disorder with developmental and neurological symptoms due to haploinsufficiency. Little is known about the molecular function of FRYL or related genes. The orthologous gene in Drosophila is fry, for which multiple genetic reagents have been generated, including loss-of-function mutations, RNAi-targeting constructs, alleles caused by insertional mutagenesis, and overexpression constructs. Dmel/fry is also orthologous to the human gene FRY.
The human FRYL gene has not been introduced into flies; a human FRYL cDNA is not available primarily because the encoded protein is very large (3,013 amino acids).
In Drosophila, fry is predominantly expressed in neurons but not in glia in the fly central nervous system. Animals homozygous for severe loss-of-function mutations of fry die during embryonic or early larval stages. Dmel\fry knock-in alleles analogous to human FRYL disease-implicated missense variants have been created and characterized. See the 'Disease-Implicated Variants' table, below. Of four variants studied, one behaves as a severe loss-of-function variant and two behave as partial loss-of-function variants; one variant does not cause any observable defect in flies and may be reclassified as a variant of unknown significance.
[updated Mar. 2025 by FlyBase; FBrf0222196]
[PAN-CHUNG-BELLEN SYNDROME; PCBS](https://omim.org/entry/621049)
[FRY-LIKE TRANSCRIPTION COACTIVATOR; FRYL](https://omim.org/entry/620798)
Individuals with heterozygous variants in FRYL present with developmental delay, intellectual disability, dysmorphic features, and other congenital anomalies in multiple systems (Pan et a., pubmed:38479391; FBrf0259224).
Pan-Chung-Bellen syndrome (PCBS) is characterized by developmental delay, impaired intellectual development, dysmorphic features, and congenital anomalies in cardiovascular, skeletal, gastrointestinal, renal, and urogenital systems (Pan et al., 2024; pubmed:38479391). [from MIM:621049; 2025.03.08]
Heterozygous de novo variants in FRYL are associated with this neurodevelopmental disorder (Pan et a., pubmed:38479391; FBrf0259224).
Pan-Chung-Bellen syndrome (PCBS) is caused by heterozygous mutation in the FRY-like transcription coactivator gene (FRYL).
[from MIM:621049; 2025.03.08]
In model organisms, Furry family proteins have diverse functions, including cell polarity maintenance, cell morphogenesis, arborization and tiling of dendrites, and transcriptional regulation (Pan et a., pubmed:38479391; FBrf0259224).
Many to one: 2 human genes to 1 Drosophila gene.
High-scoring ortholog of human FRYL and FRY (1 Drosophila to 2 human).