MAPK8IP3-Related Neurodevelopmental Disorder
MAPK8IP3– Related Neurodevelopmental Disorder, also known as Neurodevelopmental Disorder with or without Variable Brain Anomalies (NEDBA), is a rare disease (OMIM, 2019). It has been a recognized disorder since 2019 when the first two scientific papers on MAPK8IP3 gene variants in the human population were published:
- De novo variants in MAPK8IP3 cause intellectual disability with variable brain anomalies
- Recurrent de novo MAPK8IP3 variants cause neurological phenotypes
MAPK8IP3 Gene
MAPK8IP3, or Mitogen-Activated Protein Kinase 8 Interacting Protein 3, is a gene on Chromosome 16 (16p13) that encodes a protein called JIP3 that is a connector protein to motors that transport lysosomes and endosomes along microtubules along the axon of neurons (nerve cells) of the brain (Chung, 2020; Iwasawa, 2019). With a MAPK8IP3 variant diagnosis, one copy of the MAPK8IP3 gene is normal and the second copy has a change (variant). Most cases are “de novo,” meaning they were not passed down from parent to child.
Diagnosis
A diagnosis of a MAPK8IP3 gene variant is based on genetic testing. Because the MAPK8IP3 variant was recognized so recently, the exact number of cases within the population is not known at this time (Chung, 2020). We currently have approximately 90+ families known to our foundation.
Symptoms
There is a range of symptoms and severity of symptoms, meaning some individuals are more affected in certain areas than others (Chung, 2020). The location of each individual’s specific MAPK8IP3 variant within the gene may also affect symptoms that are seen. Variants can be loss of function (shortened protein or no protein) or gain of function (abnormal protein made that could have a toxic effect). Researchers are currently conducting a natural history study to better understand symptoms. A MAPK8IP3 variant can affect many areas. Based on the ongoing natural history study and parent report in our family group, current symptoms that can be seen in individuals include:
- Speech delays
- Fine and gross motor delays
- Cognitive delays
- Muscle tone abnormalities–some individuals have hypotonia (low tone), others have hypertonia or dystonia
- Autism or autistic like behaviors
- Problems with attention and impulse control
- Problems with vision
- Short stature
- Early puberty
- Abnormal EEGs/seizures
- Abnormal brain imaging (MRIs)
- Difficulties around sleep
- Facial dysmorphism
- Feeding/Gastrointestinal issues
Recent research into MAPK8IP3
- De Novo Variant in MAPK8IP3 Gene in the Differential Diagnosis of Global Development Delay. Case Report (January, 2022)
- Compound heterozygous variants in MAPK8IP3 were detected in severe congenital hypotonia mimicking lethal spinal muscular atrophy (July 2023)
- A toxic gain-of-function variant in MAPK8IP3 provides insights into JIP3 cellular roles (Published March 2025)
- Comprehensive Clinical Characteristics, Longitudinal Adaptive Functioning, and Electroencephalogram Activity in MAPK8IP3-Related Neurodevelopmental Disorder (July, 2025)
- MAPK8IP3-related neurodevelopmental disorder: Case report and therapeutic rationale for a truncating variant (August, 2025)
- Anti-Parkinsonian Drugs Rescue Locomotor Deficits in JIP3 Knockout Zebrafish: Implications for Treating Patients with MAPK8IP3-related Neurodevelopmental Disorders (preprint)
- Small molecule modulator of neuronal lysosome positioning and function resolves Alzheimerโs Disease-linked pathologies in cultured human neurons (preprint)
Additional resources:
Additional information can also be found on the National Organization for Rare Disordersโ description of MAPK8IP3-related neurodevelopmental disorder here.
Additional Publications Relevant to JIP3 and MAPK8IP3
Gowrishankar, Swetha et al. โOverlapping roles of JIP3 and JIP4 in promoting axonal transport of lysosomes in human iPSC-derived neurons.โ Molecular biology of the cell vol. 32,11 (2021): 1094-1103. https://www.molbiolcell.org/doi/10.1091/mbc.E20-06-0382?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
Gowrishankar, S., Yumei, W., & Ferguson, S. Impaired JIP3-dependent axonal lysosome transport promotes amyloid plaque pathology. (2017). The Journal of Cell Biology, 216(10), 3291โ3305. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626538/
Miller, K. (2016). Keeping neuronal cargoes on the right track: new insights into regulators of axonal transport. (2017). The Neuroscientist 23(3), 232โ250. https://journals.sagepub.com/doi/full/10.1177/1073858416648307
Snead AM, Gowrishankar S. Loss of MAPK8IP3 Affects Endocytosis in Neurons. Front Cell Neurosci. 2022 May 27;16:828071. doi: 10.3389/fncel.2022.828071. PMID: 35711470; PMCID: PMC9196590.โhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196590/
Celestino, Ricardo et al. โJIP3 interacts with dynein and kinesin-1 to regulate bidirectional organelle transport.โ The Journal of cell biology vol. 221,8 (2022): e202110057. doi:10.1083/jcb.202110057. https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/35829703/
Rafiq, N M et al. โJIP3 links lysosome transport to regulation of multiple components of the axonal cytoskeleton.โย Communications biologyย vol. 5,1 5. 10 Jan. 2022, doi:10.1038/s42003-021-02945-x.
Drozd, Cody J et al. โUNC-16 interacts with LRK-1 and WDFY-3 to regulate the termination of axon growth.โย Genetics vol. 227,2 (2024): iyae053. doi:10.1093/genetics/iyae053. https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/35013510/
References:
Chung, W. K. (2020). MAPK8ip3 research presentation to families [PowerPoint slides]
Iwasawa, S., Yanagi, K., Kikuchi, A., Kobayashi, Y., Haginoya, K., Matsumoto, H., … Kure, S. (2019). Recurrent de novo MAPK8IP3 variants cause neurological phenotypes. Annals of Neurology, 85(6), 927-933. https://doi.org/10.1002/ana.25481
OMIM. (2019, May 22). #618443- Nuerodevelopmental disorder with or without brain anomalies. Retrieved from https://www.omim.org/entry/618443.
Disclaimer:
Any information on our site should not constitute or replace personal medical advice. Families should always consult with a qualified medical professional for all information and treatment regarding MAPK8IP3 and MAPK8IP3-Related Neurodevelopmental Disorder. While the foundation does its best to keep information on our website accurate, information may come out that changes our understanding of MAPK8IP3 and MAPK8IP3-Related Neurodevelopmental Disorder. Therefore, is important to check with a qualified medical professional to ensure the most accurate and up-to-date information regarding this disorder and treatment.

