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SPECC1L gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

SPECC1L gene

The SPECC1L gene provides instructions for creating the cytospin-A protein, which is essential for stabilizing the cell's structural framework and regulating cell migration during embryonic development.

Normal Function

The SPECC1L gene provides instructions for making a protein called cytospin-A. This protein stabilizes components of the cell's structural framework (cytoskeleton) called microtubules, which are rigid, hollow fibers that help maintain the cell's shape. Stabilization of microtubules is necessary for these fibers to regulate various cell processes, including the movement of cells to their proper location (cell migration). In order for cells to move, microtubules elongate in a specific direction, changing the shape of the cytoskeleton and allowing the cell to move in that direction. Migration of cells to their proper location during development ensures normal tissue formation.

During development of the embryo, cytospin-A plays a role in the migration of cells called neural crest cells, which originate in the developing spinal cord and migrate to specific regions in the embryo to form different structures. Cytospin-A is specifically involved in the migration of neural crest cells that come together to form the forehead, nasal bridge, and lower jaw.

Health Conditions Related to Genetic Changes

Opitz G/BBB syndrome

At least two mutations in the SPECC1L gene have been found to cause Opitz G/BBB syndrome. This condition causes several abnormalities along the midline of the body, including:

  • Widely spaced eyes (ocular hypertelorism)
  • Throat malformations that can cause difficulty breathing or swallowing
  • Brain malformations
  • Distinct facial features
  • Genital abnormalities in males

The SPECC1L gene mutations that cause Opitz G/BBB syndrome change single protein building blocks (amino acids) in the cytospin-A protein, reducing the protein's ability to interact with components of the cytoskeleton. As a result, microtubules are disorganized and cells have trouble migrating to their proper location. Because the SPECC1L gene plays a role in facial development, mutations in this gene likely account for an opening in the lip (cleft lip) with or without an opening in the roof of the mouth (cleft palate) seen in some individuals with Opitz G/BBB syndrome.

Other disorders

Mutations in the SPECC1L gene have also been found to cause openings in facial structures called oblique facial clefts, also known as Tessier clefts. These clefts are similar to cleft lip and palate but are more severe. The facial clefts can occur on one or both sides of the face; they typically involve the mouth and can include tissues up to the eyes. Health problems experienced by affected individuals depend on the severity of the cleft, but generally include problems eating and breathing.

The SPECC1L gene mutations that cause oblique facial clefts diminish the function of the cytospin-A protein. As a result, the protein cannot interact with the cytoskeleton, and microtubules are disorganized. These problems with the cytoskeleton impair cell migration, particularly of cells that come together to form the structures of the face.

Frequently Asked Questions

Due to the varied and complex nature of Opitz G/BBB syndrome, care is usually multidisciplinary. A team of specialists may include geneticists, neurologists, otolaryngologists (ear, nose, throat doctors), ophthalmologists, urologists (for males), and developmental pediatricians. Therapies such as speech therapy, occupational therapy, and physical therapy are often crucial to address developmental delays and functional challenges.
Opitz G/BBB syndrome caused by SPECC1L variants can be inherited in an autosomal dominant pattern, meaning only one copy of the altered gene is sufficient to cause the condition. However, many cases arise from new (de novo) variants. Genetic counseling is highly recommended for families to understand the specific inheritance pattern, assess recurrence risks, and discuss options for prenatal diagnosis or testing of other family members.
Opitz G/BBB syndrome is characterized by a range of midline abnormalities. Common features include widely spaced eyes (ocular hypertelorism), distinct facial features, and potential malformations of the throat (larynx/trachea) which can cause breathing or swallowing difficulties. Brain malformations and genital abnormalities in males are also frequently observed. These specific midline issues often prompt genetic investigation, including testing for SPECC1L variants.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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