“…Interestingly, while PLA2G6 mutations have been reported to cause infantile neuroaxonal dystrophy, atypical parkinsonism, and neurodegeneration with brain iron accumulation, PNPLA6 mutations have been typically related to hereditary spastic paraplegia, and, more recently, ataxia [6, 8, 15, 16]. Although these phenotypic heterogeneities are often seen in genes involved in diseases of the central nervous system [17], it is likely that this broad clinical spectrum relates to the complex role of the patatin-like domain within the brain, which is involved in brain lipid metabolism, neuronal development, intracellular membrane trafficking, and axon maintenance, among others [18, 19]. Given that lipid metabolism is a highly preserved function among species and tissue types, the multisystem effects of PNPLA6 mutations are not surprising.…”