Autosomal dominant neuronal ceroid lipofuscinosis: Clinical features and molecular basis

Nima Naseri, Manu Sharma, Milen Velinov

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations


The neuronal ceroid lipofuscinoses (NCLs) are at least 13 distinct progressive neurodegenerative disorders unified by the accumulation of lysosomal auto-fluorescent material called lipofuscin. The only form that occurs via autosomal-dominant inheritance exhibits adult onset and is sometimes referred to as Parry type NCL. The manifestations may include behavioral symptoms followed by seizures, ataxia, dementia, and early death. Mutations in the gene DNAJC5 that codes for the presynaptic co-chaperone cysteine string protein-α (CSPα) were recently reported in sporadic adult-onset cases and in families with dominant inheritance. The mutant CSPα protein may lead to disease progression by both loss and gain of function mechanisms. Iron chelation therapy may be considered as a possible pharmaceutical intervention based on our recent mechanism-based proposal of CSPα oligomerization via ectopic Fe-S cluster-binding, summarized in this review.

Original languageEnglish
Pages (from-to)111-118
Number of pages8
JournalClinical Genetics
Issue number1
StatePublished - Jan 2021
Externally publishedYes


  • CSPα
  • DNAJC5
  • Kufs disease
  • Parry type NCL
  • autosomal dominant neuronal ceroid lipofuscinosis
  • deferiprone


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