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Relevance to Autism

Kim et al., 2026 reported two individuals with ASD carrying compound heterozygous missense mutations in the MDGA1 gene [(p.Val116Met/p.Ala688Val) and (p.Tyr635Cys/p.Glu756Gln)]; murine in utero overexpression of MDGA1 p.Val116Met/p.Ala688Val altered cortical neuron migration, while MDGA1 p.Tyr635Cys/p.Glu756Gln disrupted the triangular extracellular structure of MDGA1 and rendered it unable to impact GABAergic synapses in hippocampal CA1 neurons. Furthermore, Kim et al., 2026 found that male Mdga1 knock-in mice harboring the p.Tyr653Cys/p.Glu756Gln mutation exhibited impaired ultrasonic vocalizations and sensorimotor gating, similar to male Mdga1 conditional knockout mice, while no behavioral deficits were seen in female counterparts. Additional de novo and inherited heterozygous variants in the MDGA1 gene were previously identified in ASD probands from the Simons Simplex Collection, the Autism Sequencing Consortium, the SPARK cohort, the MSSNG cohort, and the mAGRE cohort (Lim et al., 2017; Zhou et al., 2022; Fu et al., 2022; Trost et al., 2022; Cirnigliaro et al., 2023). Pettem et al., 2013 demonstrated that MDGA1 inhibited the synapse-promoting activity of neuroligin-2, without altering neuroligin-2 surface trafficking, by inhibiting interaction of neuroligin-2 with neurexin.

Molecular Function

This gene encodes a glycosylphosphatidylinositol (GPI)-anchored cell surface glycoprotein that is expressed predominantly in the developing nervous system. In addition to possessing several cell adhesion molecule-like domains, the mature protein has six Ig-like domains, a single fibronectin type III domain, a MAM domain and a C-terminal GPI-anchoring site. Studies in other mammals suggest this protein plays a role in cell adhesion, migration, and axon guidance and, in the developing brain, neuronal migration. In humans, this gene is associated with bipolar disorder and schizophrenia.

External Links

        

References

Type
Title
Type of Disorder
Associated Disorders
Author, Year
Primary
Bazedoxifene reverses sexually dimorphic autistic-like abnormalities in biallelic MDGA1-mutant mice.
ASD
DD, ID
Support
Rare coding variation provides insight into the genetic architecture and phenotypic context of autism
ASD
Support
Integrating de novo and inherited variants in 42
ASD
Support
Rates, distribution and implications of postzygotic mosaic mutations in autism spectrum disorder.
ASD
Support
Formation of the Cortical Subventricular Zone Requires MDGA1-Mediated Aggregation of Basal Progenitors.
Support
Interaction between autism-linked MDGAs and neuroligins suppresses inhibitory synapse development.
Support
Genomic architecture of autism from comprehensive whole-genome sequence annotation
ASD

Rare

Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN1542R001a 
 missense_variant 
 c.2266G>C 
 p.Glu756Gln 
 Familial 
 Paternal 
 Simplex 
 GEN1542R001b 
 missense_variant 
 c.1904A>G 
 p.Tyr635Cys 
 Familial 
 Maternal 
 Simplex 
 GEN1542R002a 
 missense_variant 
 c.346G>A 
 p.Val116Met 
 Familial 
 Paternal 
 Multiplex 
 GEN1542R002b 
 missense_variant 
 c.2063C>T 
 p.Ala688Val 
 Familial 
 Maternal 
 Multiplex 
 GEN1542R003 
 missense_variant 
 c.2254A>C 
 p.Thr752Pro 
 De novo 
  
 Simplex 
 GEN1542R004 
 missense_variant 
 c.1661G>C 
 p.Arg554Pro 
 De novo 
  
  
 GEN1542R005 
 splice_region_variant 
 c.2668-5C>T 
 p.? 
 De novo 
  
 Simplex 
 GEN1542R006 
 missense_variant 
 c.1586C>T 
 p.Ala529Val 
 De novo 
  
 Multiplex 
 GEN1542R007 
 splice_region_variant 
 c.2777-7G>T 
 p.? 
 De novo 
  
  
 GEN1542R008 
 missense_variant 
 c.2280C>G 
 p.Ile760Met 
 De novo 
  
 Simplex 
 GEN1542R009 
 missense_variant 
 c.1564T>C 
 p.Phe522Leu 
 De novo 
  
 Simplex 
 GEN1542R010 
 frameshift_variant 
 c.267_268insGTTC 
 p.Asn90ValfsTer23 
 Familial 
 Maternal 
 Multiplex 

Common

No Common Variants Available
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
6
Deletion-Duplication
 10
 

No Animal Model Data Available

No PIN Data Available
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