Acrocallosal syndrome (also known as ACLS) is a rare autosomal recessive syndrome characterized by corpus callosum agenesis, polydactyly, multiple dysmorphic features, motor and mental retardation, and other symptoms. The syndrome was first described by Albert Schinzel in 1979.
Signs and Symptoms
Acrocallosal syndrome (ACLS, ACS, Schinzel-Type, Hallux-duplication) is a rare, heterogeneous  autosomal recessive disorder first discovered by Albert Schinzel (1979) in a 3-year-old boy . To inherit ACLS, one gene copy from each parent must contain a mutation somewhere in the KIF7 gene and be passed on to the child . Characteristics of this syndrome include absence or poor development of the area connecting the left and right parts of the brain, an abnormally large head, increased distance between facial features (eyes), poor motor skills, mental retardation , extra fingers and toes, many facial deformities , and cleft palate . This is considered a rare disorder and is placed on the NIH Office of Rare Diseases (fewer than 200,000 cases) rare disease list . Lifespan may range from stillbirth to normal expectancy depending on pregnancy complications and severity of the disorder [2,3,5]. In mild cases, the subjects have been shown to live relatively normal lives, but with developmental delays .
Acrocallosal syndrome (ACLS, ACS, Schinzel-Type) is a rare, heterogeneous, autosomal recessive disorder . The heterogeneity of this condition refers to the multiple genes that may function to contribute to varying degrees of this syndrome  and is often linked to consanguinity [2,5]. Characteristics of this syndrome include agenesis of the corpus, macrocephaly, hypertelorism, polydactyly, mental and motor retardation , craniofacial dysmorphism, hallux dudplication , and sometimes palatal clefting . It has also been reported that there are many similar signs and symptoms between ACLS, Greig cephalopolysyndactyly, and Hydrolethalus Syndrome (HLS), although there is little evidence to support common genetic causation at this point .
Recent studies by Putoux et al., (2011), have indicated that the mutations responsible for ACLS are located in the KIF7 protein. KIF7 is a 1343 amino acid protein with a kinesin motor, coiled coil, and Gli-binding domains [3,5]. Its functions are largely associated with ciliary motor function  and is a key factor in the Sonic Hedgehog (Shh) transduction pathways [4,5] that are crucial during embryogenesis . Therefore, mutations in Hedgehog signaling components (KIF7) may lead to cilia based pathologies and ultimately defects in the brain and other areas associated with ACLS and related disorders . More specifically, mutations observed by Elson et al., (2002), in the GLI3 gene have yielded similar characteristics to ACLS, but further evidence is needed since the corpus callosum is usually present in these cases. Other studies have also indicated that KIF7 interacts with Gli transcription factors, so mutations in the KIF7 gene may be upstream effectors of GLI3 . Further understanding about the functionality of ACLS and its underlying mechanisms opens new doors to pharmacological manipulation and other forms of molecular therapy.
- Online Mendelian Inheritance in Man (OMIM) Acrocallosal syndrome; ACLS -200990
- Schinzel, Albert (May 1979). “Postaxial polydactyly, hallux duplication, absence of the corpus callosum, macroencephaly and severe mental retardation: a new syndrome?”. Helvetica Paediatrica Acta. 34 (2): 141–6. PMID 457430.
- Elson E, Perveen R, Donnai D, Wall S, Black GC (November 2002). “De novo GLI3 mutation in acrocallosal syndrome: broadening the phenotypic spectrum of GLI3 defects and overlap with murine models”. J. Med. Genet. 39 (11): 804–6. doi:10.1136/jmg.39.11.804. PMC . PMID 12414818.
- Koenig R.; Bach A.; Ulrike W.; Grzeschik K-H; Fuchs S. (2002). “Spectrum of the acrocallosal syndrome”. American Journal of Medical Genetics. 108 (1): 7–11. doi:10.1002/ajmg.10236.
- Walsh D.; Shalev S.; Simpson M.; Morgan N.; Gelman-Kohan Z.; Chemke J.; Trembath R.; Maher E. (2013). “Acrocallosal syndrome: Identification of a novel KIF7 mutation and evidence for oligogenic inheritance”. European Journal of Medical Genetics. 56 (1): 39–42. doi:10.1016/j.ejmg.2012.10.004.
- Putoux A.; Nampoothiri S.; Laurent N.; Cormier-Daire V.; Beales P.; et al. (2012). “Novel KIF7 mutations extend the phenotypic spectrum of acrocallosal sndrome”. Journal of Medical Genetics. 49 (11): 713–720. doi:10.1136/jmedgenet-2012-101016. PMID 23125460.
- Putoux A.; Thomas S.; Coene K. L. M.; Davis E. E.; Alanay Y.; Ogur G.; et al. (2011). “KIF7 mutations cause fetal hydrolethalus and acrocallosal syndromes”. Nature Genetics. 43 (6): 601–606. doi:10.1038/ng.826. PMC . PMID 21552264.
- Elson E., Perveen R., Donnai D., Wall S., Black GCM (2002). “De novo GLI3 mutation in acrocallosal syndrome:broadening the phenotypic spectrum of GLI3 defects and overlap with murine models”. Journal of Medical Genetics. 39: 804–806. doi:10.1136/jmg.39.11.804. PMC . PMID 12414818.
- Klejnot M., Kozielski F. (2011). “Structural insights into human Kif7, a kinesin involved in Hedgehog signaling”. Acta Crystallographica Section D. 68 (2): 154–159. doi:10.1107/S0907444911053042.
- NIH Office of Rare Diseases Research. (n.d.). Acrocallosal syndrome, Schinzel type. Bethesda, MD. Retrieved on 2/4/14 from: http://rarediseases.info.nih.gov/gard/5721/acrocallosal-syndrome-schinzel-type/resources/1