L1CAM Gene: Structure, Function, and Clinical Significance

A comprehensive overview of the L1CAM gene, its protein product, associated diseases, expression patterns, and mutations.

Gene Information Card

Symbol L1CAM
Full Name L1 cell adhesion molecule
Gene Type protein coding
Chromosomal Location Xq28
NCBI Gene ID 3897 ncbi.nlm.nih.gov/gene/3897
Ensembl ID ENSG00000198910
UniProt ID P32004
OMIM ID 308840
HGNC ID 6471
Aliases CAML1, CD171, HSAS, HSAS1, MASA, MIC5, N-CAM-L1, S10, SPG1

Description

The L1CAM gene encodes the L1 cell adhesion molecule, a transmembrane glycoprotein of the immunoglobulin superfamily. It plays a critical role in nervous system development, including neuronal migration, axon outgrowth, fasciculation, and myelination. Mutations in L1CAM are associated with a spectrum of X-linked neurological disorders known as L1 syndrome, which includes hydrocephalus, agenesis of the corpus callosum, spastic paraplegia, and intellectual disability.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
L1 syndrome (CRASH syndrome) Loss-of-function mutations in L1CAM disrupt neuronal adhesion and signaling, leading to impaired brain development. ClinVar, OMIM
X-linked hydrocephalus (HSAS) Mutations impair L1CAM-mediated axon guidance and cerebrospinal fluid flow, causing ventricular dilation. OMIM, PubMed
MASA syndrome Reduced L1CAM function affects neuronal migration and axonal growth, resulting in intellectual disability and spasticity. OMIM
Spastic paraplegia type 1 (SPG1) Mutations in L1CAM lead to corticospinal tract dysfunction, causing progressive spasticity. OMIM
Corpus callosum agenesis L1CAM deficiency disrupts callosal axon guidance, leading to partial or complete absence of the corpus callosum. OMIM
Colorectal cancer (prognostic marker) Overexpression of L1CAM in tumor cells promotes invasion and metastasis via enhanced cell motility and signaling. COSMIC, PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Brain 12.5 High
Peripheral nervous system 8.2 Medium
Adrenal gland 3.1 Low
Kidney 2.0 Low
Liver 0.5 Not detected
Cell Line Expression
Cell Line nTPM Notes
SH-SY5Y (neuroblastoma) 15.3 High expression; used in neuronal differentiation studies
U87 (glioblastoma) 10.1 Moderate expression; associated with invasive phenotype
HCT116 (colorectal carcinoma) 7.8 Elevated expression linked to metastasis
MCF7 (breast cancer) 2.2 Low expression; not typically expressed in normal breast
HEK293 (embryonic kidney) 1.0 Low endogenous expression; often used for recombinant L1CAM studies
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1648C>T (p.Arg550Ter) Nonsense Rare (found in L1 syndrome families) Truncated protein lacking cytoplasmic domain; loss of function
c.2266G>A (p.Gly756Arg) Missense Rare (reported in HSAS) Disrupts fibronectin type III domain; impairs cell adhesion
c.2944C>T (p.Arg982Cys) Missense Rare (in MASA syndrome) Alters extracellular domain; reduces ligand binding
c.3572delA (p.Asn1191fs) Frameshift Rare (in SPG1) Premature stop; loss of function
c.1A>G (p.Met1Val) Start codon loss Rare (in L1 syndrome) No protein synthesis; complete loss of function
Mutation functional classification

Loss of Function (LOF)

Most L1CAM mutations are loss-of-function, leading to reduced or absent protein expression or impaired adhesion/signaling. These cause L1 syndrome phenotypes.

Gain of Function (GOF)

In certain cancers, L1CAM overexpression (not mutation) acts as a gain-of-function, promoting tumor progression and metastasis.

Dominant Negative (DN)

Some missense mutations may exert a dominant-negative effect by forming nonfunctional dimers with wild-type L1CAM, though this is less common.

Gene Ontology (GO)

• cell adhesion • axon guidance
• neuron projection development • homophilic cell adhesion via plasma membrane adhesion molecules
• signal transduction • nervous system development
• cell migration • extracellular matrix binding

Pathways

Axon guidance
Cell adhesion molecules (CAMs)
Signaling by Rho GTPases
MAPK signaling pathway
PI3K-Akt signaling pathway

Protein Summary

The L1CAM protein is a type I membrane glycoprotein consisting of six immunoglobulin-like domains and five fibronectin type III repeats in the extracellular region, a single transmembrane domain, and a highly conserved cytoplasmic tail. It mediates homophilic and heterophilic cell adhesion, interacting with integrins, neurocan, and other ligands. Intracellularly, it links to the actin cytoskeleton via ankyrin and ezrin, and activates signaling cascades such as MAPK and PI3K, crucial for neuronal migration and axon growth. Proteolytic cleavage of L1CAM releases a soluble ectodomain that can modulate cell behavior. In cancer, L1CAM expression correlates with poor prognosis and metastatic potential.

Related Products

Product name Cat.No. Species Gene ID
L1CAM Knockout HEK293 Cell Line EDJ-KQ5103 Human 3897 Details Get a Quote
L1CAM Knockout A-549 Cell Line EDJ-KQ28054 Human 3897 Details Get a Quote
L1CAM Knockout HCT 116 Cell Line EDJ-KQ28055 Human 3897 Details Get a Quote
L1CAM Knockout HeLa Cell Line EDJ-KQ28056 Human 3897 Details Get a Quote
L1CAM Knockout MDCK Cell Line EDJ-KZ321 Dog 492244 Details Get a Quote
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