NCLs Classification

Summary of the New Classification of the NCLs

Adapted by the BDFA from Dr Sara Mole and Dr Ruth Williams, NCL2012 Abstract Book (2012) and referencing the NCL Mutation database, https://ucl.ac.uk/ncl-disease (2024)

Gene Protein Diseases
CLN1 Palmitoyl Protein Thioesterase 1 (PPT1)
Enzyme
CLN1 disease, infantile
CLN1 disease, late infantile
CLN1 disease, juvenile
CLN1 disease, adult
CLN2 Tripeptidyl Peptidase 1 (TPP1)
Enzyme
CLN2 disease, late infantile
CLN2 disease, juvenile
CLN2 disease, adult
Hereditary spastic paraplegia or early onset cerebellar ataxia
CLN3 CLN3
Transmembrane protein
CLN3 disease, juvenile
CLN3 disease, protracted juvenile
CLN3 disease, adult
Retinitis pigmentosa, cone-rod dystrophy
CLN4 DNAJC5
Soluble cysteine string protein α, cytoplasm
CLN4 disease, adult autosomal dominant
CLN5 Bis(monoacylglycero)phosphate synthase (BMP synthase)
Enzyme
CLN5 disease, late infantile
CLN5 disease, juvenile
CLN5 disease, adult
CLN6 CLN6
Transmembrane protein; ER
CLN6 disease, late infantile
CLN6 disease, adult Kufs type A
Cerebellar ataxia without blindness
CLN7 Major facilitator superfamily domain - containing protein 8 Transmembrane protein (MFSD8)
Endolysosomal transporter
CLN7 disease, late infantile
CLN7, adult
Macular dystrophy, cone dystrophy, retinitis pigmentosa
CLN8 CLN8
Transmembrane protein; ER-Golgi intermediate complex
CLN8 disease, late infantile
CLN8 disease, juvenile
CLN8 disease, adult
CLN8 disease, EPMR
CLN10 Cathepsin D
Enzyme
CLN10 disease, congenital
CLN10 disease, late infantile
CLN10 disease, juvenile
CLN10 disease, adult
Adult-onset ataxia and retinitis pigmentosa
CLN11 Progranulin
Secreted regulatory protein
CLN11 disease, adult
Heterozygous mutations cause frontotemporal lobar degeneration in older adults
CLN12 P-type ATPase
Transmembrane protein
CLN12 disease, juvenile /adult
Mutations more usually cause Kufor-Rakeb syndrome
CLN13 Cathepsin F
Enzyme
CLN13 disease, adult
Kufs type B
KCTD7 (no longer considered an NCL gene) Potassium Channel Tetramerization Domain-containing protein 7 (KCTD7) Progressive Myoclonus Epilepsy 3 (PME3)