CMT-SCYL1

SCYL1 | 2015

What Is CMT-SCYL1?

CMT-SCYL1 is a type of CMT caused by autosomal recessive mutations in the SCYL1 gene. This gene provides instructions for making a protein involved in the transport of materials within nerve cells. Mutations in the SCYL1 gene disrupt this function, leading to impaired nerve signal transmission.

CMT-SCYL1 is autosomal recessive, meaning that both copies of the gene must have a mutation to cause this subtype.

Clinical Features

The age of symptom onset in CMT-SCYL1 is variable, ranging from childhood to adulthood. Symptoms typically begin in the lower extremities and progress over time to involve the upper limbs. Nerve conduction studies usually show somewhat slowed conduction velocities and reduced amplitudes, consistent with an axonal form of CMT.

CMT-SCYL1 symptoms may include:

  • Weakness in the feet and lower legs
  • Muscle atrophy
  • Foot drop
  • Reduced or absent reflexes
  • Reduced sensation
  • A steppage-style walking pattern
  • Foot deformities, including high arches, and hammertoes (clawed toes)
  • Progressive involvement of the hands and forearms
  • Difficulty with fine motor skills and manual dexterity
  • Additional symptoms not listed here

Disease Course

CMT-SCYL1 shows wide variability in severity and progression. Some individuals are mildly affected, while others develop a more severe disease. Disease progression is generally slow, and life expectancy is not reduced.

Clinical Basics

Subtype
CMT-SCYL1

Classification
Unclassified Subtypes

Neuropathy Type
Axonal

Inheritance Pattern
autosomal recessive

Genetic Context

HGNC-Approved Gene Symbol
SCYL1

Gene Full Name
SCY1 like pseudokinase 1

HGNC Gene Alias(es)
NTKL

Chromosome
11q13.1

Zygosity of Responsible Variant
Homozygous

Variant Mechanism

Loss of Function (LoF)

Details

Mechanistic basis:
Complete loss

Confidence:
High

Prediction:
Human null alleles and a long-studied mouse converge on biallelic loss of function for CMT-SCYL1: SCYL1 encodes a catalytically inactive pseudokinase that binds COPI coat components and supports retrograde Golgi-to-endoplasmic-reticulum traffic. Recessive nonsense, frameshift, and splice variants remove it, and the spontaneously arising Scyl1-deficient mdf mouse develops motor neuron degeneration from the same absence of protein. Affected individuals present with the CALFAN combination of cholestatic liver episodes, ataxia, and CMT.

Rationale:
Truncating alleles spread across the gene produce one phenotype, and the mdf mouse arrives at it by losing the protein entirely, so disease tracks absent SCYL1 rather than any property of a mutant version. Motor neurons are the vulnerable cell type because retrograde traffic sustains the longest secretory routes in the body.

ClinVar Pathogenic Variants

View SCYL1 ClinVar Variants

SCYL1 OMIM Entry

SCYL1 OMIM

More Info

CMT-SCYL1 Research Opportunity

CMT Natural History Study

Original Discovery Publication

Publication Title

Disruptive SCYL1 Mutations Underlie a Syndrome Characterized by Recurrent Episodes of Liver Failure, Peripheral Neuropathy, Cerebellar Atrophy, and Ataxia

Authors

Schmidt, W. M., Rutledge, S. L., Schüle, R., Mayerhofer, B., Züchner, S., Boltshauser, E., & Bittner, R. E.

Publication Date
December 3, 2015

Updated: July 18, 2026 | By: K. Raymond

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