Nonsyndromic X-linked mental retardation (MRX) syndromes are clinicall
y homogeneous but genetically heterogeneous disorders, whose genetic b
ases are largely unknown. Affected individuals in a multiplex pedigree
with MRX (MRX30), previously mapped to Xq22, show a point mutation in
the PAK3 (p21-activated kinase) gene, which encodes a serine-threonin
e kinase. PAK proteins are crucial effecters linking Rho GTPases to cy
toskeletal reorganization and to nuclear signalling. The mutation prod
uces premature termination, disrupting kinase function. MRI analysis s
howed no gross defects in brain development. Immunofluorescence analys
is showed that PAK3 protein is highly expressed in postmitotic neurons
of the developing and postnatal cerebral cortex and hippocampus. Sign
al transduction through Rho GTPases and PAK3 may be critical for human
cognitive function.