
A cilium (plural cilia) is an organelle found in eukaryotic cells.Image via WikipediaIntroduction
Introduction
Researchers in Ireland have gained a new understanding of the role played by the cilial protein Arl13b in Joubert syndrome (JS). The findings will be published online March 15 in the Journal of Cell Biology.Joubert Syndrome is a rare brain malformation characterized by the absence or underdevelopment of the cerebellar vermis – an area of the brain that controls balance and coordination.[1]
Arl3b
The name ‘Arl13b’ stands for ‘ADP-ribosylation factor-like 13B’ and is also known as ‘ADP-ribosylation factor-like protein 2-like 1′ and ‘ARL2-like protein 1′ or ‘ARL2L1′.It is a member of the Arf/Arl (Arf-like) family of small GTPases.GTPases are a family of hydrolase enzymes that can bind and hydrolyze guanosine triphosphate (GTP).The GTP binding and hydrolysis takes place in the highly conserved G domain common to all GTPases. [2]
Study of Arl13b
Although Arl13b—which is required for cilium biogenesis (production of new cilia) and embryo development—is known to be mutated in patients with JS, the specific cilial and molecular basis of Arl13b function has been poorly understood. Oliver Blacque and colleagues (University College Dublin) used C. elegans ,a microscopic trasnsparent earthworm commonly used in biomedical reseacrh,and mammalian cell culture systems to investigate Arl13b function.

Description of Cilia
A cilium (plural cilia)is an organelle found in eukaryotic cells.They are thin, tail-like projections extending approximately 5–10 micrometers outwards from the much larger cell body and can be classified into two types,motile cilia and primary cilia.Primary cilia are found on nearly every cell in the body in humans and typically serve as sensory organelles.
Findings
Their findings show that JS-associated Arl13b works at ciliary membranes, where it regulates ciliary transmembrane protein localization and transport of proteins to the tip of the cilium.
About Joubert Syndrome (JS)
The most common features of Joubert syndrome in infants include decreased muscle tone (hypotonia),abnormally rapid breathing (hyperpnea), jerky eye movements (oculomotor apraxia), mental retardation, and the inability to coordinate voluntary muscle movements (ataxia). Physical deformities such as extra fingers and toes (polydactyly), cleft lip or palate, and tongue abnormalities may also be present. Kidney and liver abnormalities can develop, and seizures can also occur.
Most cases of Joubert syndrome are sporadic (not inherited). In some families, however, Joubert syndrome appears to be inherited in an autosomal recessive manner (meaning both parents have a copy of the mutation) via mutation in a number of genes, including NPHP1, AHI1, and CEP290.

- Prognosis with JS
The prognosis for children depends on whether the cerebellar vermis is entirely absent or just underdeveloped.Some children may only exhibit a mild form of the disorder with good mental ability and minimal motor problems while others may suffer severe motor disablility and moderate mental retardation.The syndrome was first identified by pioneering pediatric neurologist Marie Joubert in Montreal, Canada, while working at the Montreal Neurological Institute and McGill University[1,3]
Neuroradiological Hallmarks of JS
The neuroradiological hallmark in JS is a peculiar malformation of the midbrain-hindbrain junction known as the “molar tooth sign” (MTS), consisting of cerebellar vermis hypoplasia (cerebellar vermis underdevelopment ) or dysplasia (developmental abnormality), thick and horizontally oriented superior cerebellar peduncles, and an abnormally deep interpeduncular fossa (somewhat lozenge-shaped area of the base of the brain).[4]
Sources
References
3.Joubert M, Eisenring JJ, Robb JP, Andermann F (September 1969). “Familial agenesis of the cerebellar vermis. A syndrome of episodic hyperpnea, abnormal eye movements, ataxia, and retardation”.
Neurology 19 (9): 813–25.
PMID 5816874.
4.Vincent Cantagrel,
1,17 Jennifer L. Silhavy, et al (2008)”Mutations in the Cilia Gene
ARL13B Lead to the Classical Form of Joubert Syndrome” The American Journal of Human Genetics,Published online 2008 August 1.
doi: 10.1016/j.ajhg.2008.06.023.
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