Abstract
Joubert syndrome is a congenital brain malformation of the cerebellar vermis and brainstem with abnormalities of axonal decussation (crossing in the brain) affecting the corticospinal tract and superior cerebellar peduncles1,2,3,4,5,6,7,8,9. Individuals with Joubert syndrome have motor and behavioral abnormalities, including an inability to walk due to severe clumsiness and 'mirror' movements, and cognitive and behavioral disturbances5,6,7,8,10,11,12. Here we identified a locus associated with Joubert syndrome, JBTS3, on chromosome 6q23.2–q23.3 and found three deleterious mutations in AHI1, the first gene to be associated with Joubert syndrome. AHI1 is most highly expressed in brain, particularly in neurons that give rise to the crossing axons of the corticospinal tract and superior cerebellar peduncles. Comparative genetic analysis of AHI1 indicates that it has undergone positive evolutionary selection along the human lineage. Therefore, changes in AHI1 may have been important in the evolution of human-specific motor behaviors.
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References
Yachnis, A.T. & Rorke, L.B. Neuropathology of Joubert syndrome. J. Child Neurol. 14, 655–659; discussion 669–672 (1999).
Quisling, R.G., Barkovich, A.J. & Maria, B.L. Magnetic resonance imaging features and classification of central nervous system malformations in Joubert syndrome. J. Child Neurol. 14, 628–635; discussion 669–672 (1999).
Friede, R.L. & Boltshauser, E. Uncommon syndromes of cerebellar vermis aplasia. I: Joubert syndrome. Dev. Med. Child Neurol. 20, 758–763 (1978).
Niesen, C.E. Malformations of the posterior fossa: current perspectives. Semin. Pediatr. Neurol. 9, 320–334 (2002).
van Dorp, D.B., Palan, A., Kwee, M.L., Barth, P.G. & van der Harten, J.J. Joubert syndrome: a clinical and pathological description of an affected male and a female fetus from the same sibship. Am. J. Med. Genet. 40, 100–104 (1991).
Kendall, B., Kingsley, D., Lambert, S.R., Taylor, D. & Finn, P. Joubert syndrome: a clinico-radiological study. Neuroradiology 31, 502–506 (1990).
Joubert, M., Eisenring, J.J. & Andermann, F. Familial dysgenesis of the vermis: a syndrome of hyperventilation, abnormal eye movements and retardation. Neurology 18, 302–303 (1968).
Joubert, M., Eisenring, J.J., Robb, J.P. & Andermann, F. Familial agenesis of the cerebellar vermis. A syndrome of episodic hyperpnea, abnormal eye movements, ataxia, and retardation. Neurology 19, 813–825 (1969).
Maria, B.L. et al. Molar tooth sign in Joubert syndrome: clinical, radiologic, and pathologic significance. J. Child Neurol. 14, 368–376 (1999).
Chance, P.F. et al. Clinical nosologic and genetic aspects of Joubert and related syndromes. J. Child Neurol. 14, 660–666; discussion 669–672 (1999).
Saraiva, J.M. & Baraitser, M. Joubert syndrome: a review. Am. J. Med. Genet. 43, 726–731 (1992).
Cantani, A., Lucenti, P., Ronzani, G.A. & Santoro, C. Joubert syndrome. Review of the fifty-three cases so far published. Ann. Genet. 33, 96–98 (1990).
Ozonoff, S., Williams, B.J., Gale, S. & Miller, J.N. Autism and autistic behavior in Joubert syndrome. J. Child Neurol. 14, 636–641 (1999).
Blair, I.P., Gibson, R.R., Bennett, C.L. & Chance, P.F. Search for genes involved in Joubert syndrome: evidence that one or more major loci are yet to be identified and exclusion of candidate genes EN1, EN2, FGF8, and BARHL1. Am. J. Med. Genet. 107, 190–196 (2002).
Saar, K. et al. Homozygosity mapping in families with Joubert syndrome identifies a locus on chromosome 9q34.3 and evidence for genetic heterogeneity. Am. J. Hum. Genet. 65, 1666–1671 (1999).
Keeler, L.C. et al. Linkage analysis in families with Joubert syndrome plus oculo-renal involvement identifies the CORS2 locus on chromosome 11p12-q13.3. Am. J. Hum. Genet. 73, 656–662 (2003).
Valente, E.M. et al. Description, nomenclature, and mapping of a novel cerebello-renal syndrome with the molar tooth malformation. Am. J. Hum. Genet. 73, 663–670 (2003).
Lagier-Tourenne, C. et al. Homozygosity mapping of a third Joubert syndrome locus to 6q23. J. Med. Genet. 41, 273–277 (2004).
Jiang, X., Hanna, Z., Kaouass, M., Girard, L. & Jolicoeur, P. Ahi-1, a novel gene encoding a modular protein with WD40-repeat and SH3 domains, is targeted by the Ahi-1 and Mis-2 provirus integrations. J. Virol. 76, 9046–9059 (2002).
Yang, Z. PAML: a program package for phylogenetic analysis by maximum likelihood. Comput. Appl. Biosci. 13, 555–556 (1997).
Yang, Z. Likelihood ratio tests for detecting positive selection and application to primate lysozyme evolution. Mol. Biol. Evol. 15, 568–573 (1998).
Watanabe, H. et al. DNA sequence and comparative analysis of chimpanzee chromosome 22. Nature 429, 382–388 (2004).
Kullander, K. & Klein, R. Mechanisms and functions of Eph and ephrin signalling. Nat. Rev. Mol. Cell Biol. 3, 475–486 (2002).
Couch, J. & Condron, B. Axon guidance: Comm hither, Robo. Curr. Biol. 12, R741–R742 (2002).
Altman, J. & Bayer, S.A. Development of the Human Spinal Cord: An Interpretation Based on Experimental Studies in Animals (Oxford University Press, New York, 2001).
Maria, B.L., Boltshauser, E., Palmer, S.C. & Tran, T.X. Clinical features and revised diagnostic criteria in Joubert syndrome. J. Child Neurol. 14, 583–590; discussion 590–581 (1999).
Merritt, L. Recognition of the clinical signs and symptoms of Joubert syndrome. Adv. Neonatal Care 3, 178–188 (2003).
Sobel, E. & Lange, K. Descent graphs in pedigree analysis: applications to haplotyping, location scores, and marker-sharing statistics. Am. J. Hum. Genet. 58, 1323–1337 (1996).
Sobel, E., Sengul, H. & Weeks, D.E. Multipoint estimation of identity-by-descent probabilities at arbitrary positions among marker loci on general pedigrees. Hum. Hered. 52, 121–131 (2001).
Cottingham, R.W. Jr., Idury, R.M. & Schaffer, A.A. Faster sequential genetic linkage computations. Am. J. Hum. Genet. 53, 252–263 (1993).
Acknowledgements
We thank D. Reich, D. Pilbeam and members of the laboratory of C.A.W. for discussions; U. Berger and C. Patoine for help with the in situ hybridization studies; the Yerkes Regional Primate Research Center for primate tissues; and the families who participated in these studies. This work was supported by grants (to C.A.W.) from the National Institute of Neurological Disorders and Stroke, the March of Dimes, and the McKnight Foundation. C.A.W. is an Investigator of the Howard Hughes Medical Institute. R.J.F. is supported by a Young Investigator Award from Cure Autism Now. This work was also supported by a Mind/Brain/Behavior Interfaculty Initiative grant to M.R. and C.A.W. R.V.C. was supported by a Jacob K. Javits Graduate Fellowship.
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Supplementary information
Supplementary Fig. 1
Genotypes of the three remaining pedigrees with Joubert Syndrome. (PDF 2 kb)
Supplementary Fig. 2
Mutations in AHI1 in patients with Joubert Syndrome. (PDF 149 kb)
Supplementary Fig. 3
Temporal expression of murine Ahi1 during brain development and post-natal development. (PDF 254 kb)
Supplementary Fig. 4
Schematic diagrams of the structure of mouse and human AHI1. (PDF 101 kb)
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Ferland, R., Eyaid, W., Collura, R. et al. Abnormal cerebellar development and axonal decussation due to mutations in AHI1 in Joubert syndrome. Nat Genet 36, 1008–1013 (2004). https://doi.org/10.1038/ng1419
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DOI: https://doi.org/10.1038/ng1419
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