The ALMS1 gene encodes the large, multi-domain ALMS1 protein, which localizes primarily to the centrosomes and basal bodies of primary cilia within cells. There, it plays a critical role in microtubule organization, ciliogenesis, endosome recycling (notably of the GLUT4 transporter), and cell cycle regulation ^[1]. Because primary cilia are sensory organelles found on nearly all cell types, the gene is expressed across a wide range of tissues, including the retina, cochlea, pancreatic islets, adipose tissue, renal tubules, and cardiomyocytes. Mutations in ALMS1 lead to Alström syndrome in humans, a rare autosomal recessive ciliopathy marked by progressive multisystem failure, including cone-rod dystrophy (blindness), sensorineural hearing loss, childhood obesity, extreme insulin resistance, type 2 diabetes, and dilated cardiomyopathy ^[2]. Research on mice with Alms1 deficiency has successfully recapitulated the clinical features mentioned above, confirming that the loss of this gene leads to stunted renal cilia, impaired intracellular trafficking in photoreceptors, and metabolic dysfunction that mirrors human disease progression ^[3]. Furthermore, a high-fat diet (HFD) can accelerate the metabolic pathological process in Alms1 KO mice, making them more susceptible to metabolic diseases such as hyperglycemia, hyperinsulinemia, and insulin resistance, while also inducing hepatic inflammation and fibrosis ^[4].

Alms1-del(c.3802-3812) mice are a research model constructed using gene-editing technology to introduce a c.3802_3812 del CAAAAACAGTT mutation into exon 8 of the mouse Alms1 gene. Both homozygous female and male Alms1-del(c.3802-3812) mice were infertile. This model can be utilized for research into the pathological mechanisms and the development of therapeutic interventions for Alström syndrome, as well as metabolic diseases such as obesity, diabetes, and Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD).