“…Indeed, many forms of human congenital hydrocephalus result from genetic alterations of proteins involved in cell-cell junctional integrity including N-cadherin, connexin, and L1CAM (Guerra et al, 2015b), which are critical for the differentiation of the ventricular and subventricular zone neural stem cells into mature ependyma (Jin et al, 2020). In addition, a recent exome sequencing of 381 infants with congenital hydrocephalus identified a predominance of de novo mutations in genes associated with neural stem cell differentiation (Jin et al, 2020). Experimentally, a series of studies on hyh mice (Jimenez et al, 2009;Batiz et al, 2005Batiz et al, , 2006Perez-Figares et al, 1998;Wagner et al, 2003) that develop perinatal aqueductal stenosis also support the concept of a defect in cell junction complexes as an underlying cause of hydrocephalus.…”