A recurrent de novo mutation in TMEM106B causes hypomyelinating leukodystrophy

Hypomyelinating leukodystrophies are a heterogeneous group of disorders. Simons et al. identify four patients with brain hypomyelination and a remarkably benign clinical presentation, all with the same dominant missense mutation in TMEM106B encoding a protein involved in lysosomal trafficking. The findings emphasize the essential role that lysosomes play in myelination.See Zhou and Rademakers (doi:10.1093/brain/awx318) for a scientific commentary on this article