Cited by 448Genetic and Kidney Cyst DiseasesCystic Fibrosis Research AdvancesHereditary Neurological Disorders

Motile and non-motile cilia in human pathology: From function to phenotypes

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Mitchison, Hannah M, Valente, Enza Maria·2017·The Journal of Pathology

Abstract

Ciliopathies are inherited human disorders caused by both motile and non‐motile cilia dysfunction that form an important and rapidly expanding disease category. Ciliopathies are complex conditions to diagnose, being multisystem disorders characterized by extensive genetic heterogeneity and clinical variability with high levels of lethality. There is marked phenotypic overlap among distinct ciliopathy syndromes that presents a major challenge for their recognition, diagnosis, and clinical management, in addition to posing an on‐going task to develop the most appropriate family counselling. The impact of next‐generation sequencing and high‐throughput technologies in the last decade has significantly improved our understanding of the biological basis of ciliopathy disorders, enhancing our ability to determine the possible reasons for the extensive overlap in their symptoms and genetic aetiologies. Here, we review the diverse functions of cilia in human health and disease and discuss a growing shift away from the classical clinical definitions of ciliopathy syndromes to a more functional categorization. This approach arises from our improved understanding of this unique organelle, revealed through new genetic and cell biological insights into the discrete functioning of subcompartments of the cilium (basal body, transition zone, intraflagellar transport, motility). Mutations affecting these distinct ciliary protein modules can confer different genetic diseases and new clinical classifications are possible to define, according to the nature and extent of organ involvement. Copyright © 2016 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.

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  • Our work challenges the prevailing view that functional defects in either motile or non-motile cilia stem from mutations in distinct groups of proteins and cause clinically separable disorders.

    “In conclusion, our work challenges the prevailing view that functional defects in either motile or non-motile cilia stem from mutations in distinct groups of proteins and cause clinically separable disorders12,13.”

    From The inner junction protein CFAP20 functions in motile and non-motile cilia and is critical for vision (2022) · cites this paper as [13]

    The Abstract describes distinct ciliary protein modules associated with different diseases, which supports part of the view the citing authors describe. But the section ‘Links between motile and non-motile cilia functions’ explicitly reports overlapping clinical features and a gene associated with both types of ciliopathy; the paper does not support treating the disorders as clinically separable. The citing authors’ statement that their own work challenges that view is their conclusion, not a finding attributed to this source. (LLM, conf=0.84)

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Research works printed but not linked: 7

  1. [5]5. Pedersen LB, Rosenbaum JL. Intraflagellar transport (IFT) role in ciliary assembly, resorption and signalling. Curr Top Dev Biol 2008; 85: 23-61.
  2. [8]8. Bifari IN, Elkhamary SM, Bolz HJ, et al. The ophthalmic phe- notype of IFT140-related ciliopathy ranges from isolated to syn- dromic congenital retinal dystrophy. Br J Ophthalmol 2016; 100: 829-833.
  3. [11]11. Quinlan RJ, Tobin JL, Beales PL. Modeling ciliopathies: primary cilia in development and disease. Curr Top Dev Biol 2008; 84: 249-310.
  4. [12]12. Arts HH, Knoers NV. Current insights into renal ciliopathies: what can genetics teach us? Pediatr Nephrol 2013; 28: 863-874.
  5. [131]131. Majewski E, Ozturk B, Gillessen-Kaesbach G. Jeune syndrome with tongue lobulation and preaxial polydactyly, and Jeune syn- drome with situs inversus and asplenia: compound heterozygos- ity Jeune-Mohr and Jeune-Ivemark? Am J Med Genet 1996; 63: 74-79.
  6. [138]138. Pazour GJ, Dickert BL, Vucica Y, et al. Chlamydomonas IFT88 and its mouse homologue, polycystic kidney disease gene Tg737, are required for assembly of cilia and flagella. J Cell Biol 2000; 151: 709-718.
  7. [140]140. Wolf MT, Hildebrandt F. Nephronophthisis. Pediatr Nephrol 2011; 26: 181-194.

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Authors
Mitchison, H. M., & Valente, E. M.
Affiliations
  • University College London (GB)
  • University of Salerno (IT)
Corresponding author
  • Mitchison, Hannah M
  • Valente, Enza Maria
Venue
The Journal of Pathology
Publisher
Wiley
Published
2016-12-19
Volume
241
Issue
2
Pages
294-309
ISSN
  • 0022-3417 (ISSN-L)
  • 1096-9896
OpenAlex
W2549998959
Cited by
448
References
192
Citations by year
2026: 21 · 2025: 48 · 2024: 41 · 2023: 44 · 2022: 53 · 2021: 60 · 2020: 61 · 2019: 53 · 2018: 34 · 2017: 31 · 2016: 1 · 2014: 1
FWCI
5.31
Type
journal article
Language
en
Open access
Locations
  • The Journal of Pathology (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • University College London
  • Action Medical Research (GN2101)
  • H2020 European Research Council (260888 – CBCD)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Kidney Cyst Diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Hereditary Neurological Disorders
Keywords
ciliopathies, motile cilia, ciliary dysfunction, basal bodies, transition zone, intraflagellar transport, ciliary motility, genetic heterogeneity, phenotypic overlap, multisystem disease, family counseling
MeSH terms
Ciliopathies, Animals, Cilia, Eye Abnormalities, Humans, Mutation, Neurons, Genetic Heterogeneity

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