Smooth, rough and upside-down neocortical development

Abstract Lissencephaly, which means ‘smooth cortex’, is caused by defective neuronal migration during development of the cerebral cortex and has devastating clinical consequences. ‘Classical’ lissencephaly seems to reflect mutations in regulators of the microtubule cytoskeleton, whereas ‘cobblestone’ lissencephaly is caused by mutations in genes needed for the integrity of the basal lamina of the central nervous system. Reelin, which is mutated in a third type of lissencephaly, may represent a unifying link because it encodes an extracellular protein that regulates neuronal migration and may also regulate the microtubule cytoskeleton.