“…Clinical features include progressive cognitive and motor decline, seizures, blindness, and an early death (Cárcel-Trullols et al, 2015; Haltia and Goebel, 2013), while pathological features include intracellular accumulation of lipid/proteolipid storage material. The genes/proteins involved in NCLs intersect with their involvement in the endolysosomal system and include catabolic lysosomal acid hydrolases (LAHs; CLN1, CLN2, CLN10, CLN13) along with several membrane-bound proteins involved in trafficking or other non-catabolic functions (CLN5, CLN6, CLN8)(Rechtzigel et al, 2022). Neuronal ceroid lipofuscinosis, type 6 (CLN6) is caused by bi-allelic pathogenic variants in the CLN6 gene, which encodes a ubiquitously-expressed resident endoplasmic reticulum (ER) protein (CLN6p, Uniprot # Q9NWW5), which is involved in trafficking lysosomal proteins from the ER to the Golgi and eventual delivery to lysosomes (Bajaj et al, 2020; Gao et al, 2002).…”