FB2026_02 , released June 18, 2026
Human Disease Model Report: PIGA-related seizure disorders
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General Information
Name
PIGA-related seizure disorders
FlyBase ID
FBhh0001595
Overview

In human, there are several PIGA-related disorders (see MIM:311770), two of which include seizure phenotypes; all exhibit sex-linked recessive inheritance. The gene implicated in these disorders, PIGA, is one of several proteins required for the first step of GPI anchor biosynthesis. There is a single orthologous gene in Drosophila, Dmel\PIG-A, for which a number of genetic reagents have been generated, including RNAi-targeting constructs, and CRISPR-mediated knockout and overexpression genotypes.

The human Hsap\PIGA gene has been introduced into flies, but has not been characterized.

Animals homozygous for an amorphic PIG-A mutation typically die during the larval stage. Heterozygous null adults appear wild type, but when challenged using a bang-sensitive assay they exhibit a seizure phenotype analogous to that observed in human for the PIGA-related disorders multiple congenital anomalies-hypotonia-seizures syndrome 2 (MIM:300868) and neurodevelopmental disorder with epilepsy and hemochromatosis (MIM:301072). Cell-type-specific phenotypes are observed: neuron-specific knockdown of PIG-A, mediated by RNAi, results in reduced lifespan and a number of neurological phenotypes but no seizure phenotype; glia-specific knockdown reduces lifespan and results in a very strong seizure phenotype.

A mutation analogous to a human variant implicated in PIGA-related disease has been introduced into the fly gene; see the 'Disease-Implicated Variants' table below.

[updated May 2025 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: PIGA-related seizure disorders
OMIM report

[MULTIPLE CONGENITAL ANOMALIES-HYPOTONIA-SEIZURES SYNDROME 2; MCAHS2](https://omim.org/entry/300868)

Human gene(s) implicated

[PHOSPHATIDYLINOSITOL GLYCAN ANCHOR BIOSYNTHESIS CLASS A PROTEIN; PIGA](https://omim.org/entry/311770)

Symptoms and phenotype

OMIM groups 4 diseases that affect GPI anchor biosynthesis in the phenotypic series 'Multiple congenital anomalies-hypotonia-seizures syndrome' (MCAHS; MIM:PS614080).

Multiple congenital anomalies-hypotonia-seizures syndrome 2 (MCAHS2) is described as a neurodevelopmental disorder characterized by dysmorphic features, neonatal hypotonia, early-onset myoclonic seizures, and variable congenital anomalies involving the central nervous, cardiac, and urinary systems. Some affected individuals die in infancy (summary by Johnston et al., 2012; pubmed:22305531). The phenotype shows clinical variability with regard to severity and extraneurologic features. [from MIM:300868; 2024.07.30]

Genetics

The PIGA gene is an X-linked in human; associated disorders exhibit recessive inheritance. [from MIM:311770; 2024.07.30]

Cellular phenotype and pathology
Molecular information

Glycosylphosphatidylinositol (GPI) is a glycolipid that attaches dozens of different proteins to the cell surface. PIGA is 1 of several proteins required for the first step of GPI anchor biosynthesis (review by Brodsky, 2008; pubmed:18063459). [from MIM:311770; 2024.07.30]

External links
Disease synonyms
congenital disorder of glycosylation, PIGA-related
glycosylphosphatidylinositol deficiency
MCAHS2
multiple congenital anomalies-hypotonia-seizures syndrome 2
phosphatidylinositol glycan biosynthesis class A congenital disorder of glycosylation
PIGA-CDG
PIGA-congenital disorder of glycosylation
PIGA-related disorders
Search term: GPI anchor disorder
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
    Phosphatidylinositol glycan anchor biosynthesis class A (PIG-A) encodes the catalytic subunit of the GPI-N-acetylglucosaminyltransferase (GPI-GnT) complex, which transfers an N-acetylglucosamine (GlcNAc) residue to the 6-position of the inositol head group of phosphatidylinositol (PI) to generate GlcNAc-PI on the cytosolic side of the endoplasmic reticulum. The complex catalyzes the first step in the biosynthesis of the glycosylphosphatidylinositol (GPI)-anchor. [Date last reviewed: 2025-08-07]
    Gene Groups / Pathways
    Comments on ortholog(s)

    High-scoring ortholog of human PIGA (1 Drosophila gene to 1 human).

    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 (0 groups)
      Alleles Reported to Model Human Disease (Disease Ontology) (3 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 (6)