Genetic Causes of Microcephaly and Neuronal Development

Genetic Causes of Microcephaly and Neuronal Development

Last Updated on June 26, 2025 by Joseph Gut – thasso

25 June 2025 – Human developmental microcephaly is a medical condition involving a smaller-than-normal head. Microcephaly may be present at birth or it may develop in the first few years of life. Brain development is often affected; people with this disorder often have an intellectual disability, poor motor function, poor speech, abnormal facial features, seizures and dwarfism.
The study of human developmental microcephaly is providing important insights into brain development. It has become clear that developmental microcephalies are associated with abnormalities in cellular production, and that the pathophysiology of microcephaly provides remarkable insights into how the brain generates the proper number of neurons that determine brain size. Most of the genetic causes of ‘primary’ developmental microcephaly (i.e., not associated with other syndromic features) are associated with centrosomal abnormalities. In addition to other functions, centrosomal proteins control the mitotic spindle, which is essential for normal cell proliferation during mitosis.
However, the brain is often uniquely affected when microcephaly genes are mutated implying special centrosomal related functions in neuronal production. Although models explaining how this could occur have some compelling data, they are not without controversy. Interestingly, some of the microcephaly genes show evidence that they were targets of evolutionary selection in primates and human ancestors, suggesting potential evolutionary roles in controlling neuronal number and brain volume across species. Mutations in DNA repair pathway genes also lead to microcephaly. Double stranded DNA breaks appear to be a prominent type of damage that needs to be repaired during brain development, yet why defects in DNA repair affect the brain preferentially and if DNA repair relates to centrosome function, are not clearly understood.

Genetics behind microcephaly

According to an extended review in the National Library of Medicine (NIH), there were originally seven genetic loci for microcephaly vera, all of which have now been connected to single genes: MCPH1, ASPM, CDK5RAP2, CENPJ, STIL, WDR62, and CEP152. A few additional loci recently have been identified including CEP63 and a new locus potentially identified but no gene mutation found. Remarkably, all of these microcephaly genes encode proteins associated with the centrosome or centrosomal-related activities. Centrosomes play multiple critical roles in cellular function including during mitosis where they are associated with microtubules and involved in formation of the mitotic spindle. However, they also are involved in coordinating microtubules in other cellular processes such as migration and primary cilia formation.

Abnormal brain development resulting in intellectual disability is frequently associated with microcephaly (small head). In most cases, microcephaly is equivalent to microencephaly (small brain) and we will be using the terms interchangeably. In a study of children at 7 years old, of those with a head circumference 2 to 3 standard deviations below the mean, 10% had an intelligence quotient (I.Q.) <70 (two standard deviations below the mean) while only 14% had an I.Q. >100, (where I.Q. of 100 is mean). With head circumferences <3 standard deviations below the mean, 51% had an I.Q. <70 while none were above average.

 

Microcephaly can be developmental resulting from abnormalities of proper development or degenerative with normal development and subsequent loss of cells. Microcephaly vera (true microcephaly), sometimes called primary microcephaly, is a group of autosomal recessive diseases of brain development that results in intellectual disability but not other neurological abnormalities. These patients were thought to have no significant brain malformations other than a small brain, but now it is clear that the phenotypes are not completely uniform, and that there is a continuum between patients that have microcephaly with normal gyral pattern, and microcephaly associated with other malformation Other forms of microcephalies that are very consistently associated with abnormal brain structure, for instance microlissencephaly (small, smooth brain), are interpreted as reflecting a gene’s requirement for both producing the proper number of neurons and subsequent stages of neuronal development. To understand the causes of microcephaly, one must understand the basic processes of brain growth and neuronal proliferation, where many advances have been made in the field over the past two decades.

Thasso had in the past already an article on the role of Zika-Virus in the development of microcephaly.

See here a sequence on the many aspects and causes of microcephaly:

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Ph.D.; Professor in Pharmacology and Toxicology. Senior expert in theragenomic and personalized medicine and individualized drug safety. Senior expert in pharmaco- and toxicogenetics. Senior expert in human safety of drugs, chemicals, environmental pollutants, and dietary ingredients.

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