RT Journal Article SR Electronic T1 Five novel mutations in the L1CAM gene in families with X linked hydrocephalus. JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 103 OP 106 DO 10.1136/jmg.33.2.103 VO 33 IS 2 A1 S M Gu A1 U Orth A1 A Veske A1 H Enders A1 K Klunder A1 M Schlosser A1 W Engel A1 E Schwinger A1 A Gal YR 1996 UL http://jmg.bmj.com/content/33/2/103.abstract AB Five novel mutations have been identified in the gene encoding L1CAM, a neural cell adhesion protein, in families with X linked hydrocephalus (XHC). Interestingly, all five mutations are in the evolutionarily highly conserved Ig-like domains of the protein. The two frameshift mutations (52insC and 955delG) and the nonsense mutation (Trp276Ter) most probably result in functional null alleles and complete absence of L1CAM at the cell surface. The two missense mutations (Tyr194Cys and Pro240Leu) may considerably alter the structure of the L1CAM protein. These data provide convincing evidence that XHC is genetically extremely heterogeneous.