# Is “FOXP2 speech & language disorder” really “FOXP2 forebrain fine-motor crappiness”?

*(Not an expert—just quickly writing down where I’m at, after a few hours of research. Happy to chat more in the comments!)*

I recently learned (thanks [@aysja](https://www.lesswrong.com/users/aysja?mention=user)!) that there’s a thing called [“FOXP2-related speech and language disorder”](https://medlineplus.gov/genetics/condition/foxp2-related-speech-and-language-disorder/). Here’s the backstory in brief:

> …a group at Oxford University led by Simon Fisher identified a locus, or region, on chromosome 7 associated with a severe speech impediment called verbal dyspraxia through the study of one British family, in which the speech disorder was highly prevalent across at least three generations. The disorder is dominantly inherited and results in an inability to articulate basic sounds and syllables. *—*[*source*](https://www.embopress.org/doi/full/10.15252/embr.201847618)

The group published their discovery in a [2001 *Nature* paper](https://www.nature.com/articles/35097076). The disorder, as it turned out, was associated with a variation in a gene that codes for a protein called [FOXP2](https://en.wikipedia.org/wiki/FOXP2).

People (appropriately) are very interested in the fact that humans have language in a way that non-human animals don’t. So when people saw that this FOXP2 variant pretty specifically impacts human speech (or so it appears! see below), they immediately rushed off to try to leverage that discovery into a better understanding of how human language works, and how it evolved, producing a flurry of follow-up research. For example, does FOXP2 variation across the great apes correlate with how they communicate? ([maybe?](https://www.nature.com/articles/s41598-017-16844-x)) Was there selection for FOXP2 among early humans, Neanderthals, etc.? ([latest study says “apparently not”?](https://www.sciencedirect.com/science/article/pii/S0092867418308511)) Do mice squeak differently, and do birds chirp differently, when you edit their FOXP2? (yes!)

What’s the mechanism relating FOXP2 to speech?
----------------------------------------------

Now, it would be neat if I could tell you a story like: “The part of the brain responsible for speech is (blah blah), and the FOXP2 protein is a specific essential component of neurons that are exclusively used in that part of the brain.”

But alas, that story is not true.

For one thing, the FOXP2 protein is not directly a component of a machine; instead it functions as a [transcription factor](https://en.wikipedia.org/wiki/Transcription_factor), i.e. a protein that affects which *other* types of proteins are or aren’t manufactured in a cell.

For another thing, FOXP2 is expressed all around the brain and body. If you genetically-manipulate mice to have no FOXP2, you don’t get otherwise-healthy mice that fail to squeak. Instead, you get mice that die shortly after birth, with severe defects in their lungs and esophagus, among other things ([source](https://journals.biologists.com/dev/article/134/10/1991/52767/Foxp2-and-Foxp1-cooperatively-regulate-lung-and)).

So, if the above is not the right story, then what is?

After skimming some studies (especially of birds, whose songs are impacted by FOXP2, e.g. [here](https://www.nature.com/articles/s41467-021-22918-2)), my impression is that the balance of current evidence points towards the **striatum** as the main culprit. (The second-most-likely culprit—well, they’re not mutually exclusive—would be the cerebellum, but given [how I think about the cerebellum](https://www.lesswrong.com/posts/Y3bkJ59j4dciiLYyw/intro-to-brain-like-agi-safety-4-the-short-term-predictor#4_6__Short_term_predictor__example__1__The_cerebellum), it would hardly change the following paragraphs. So I’ll just assume striatum for simplicity.)

The striatum is the largest part of the basal ganglia. As background (this is oversimplified & somewhat controversial), I would say that the striatum implements a learning algorithm, that this algorithm involves dopamine as an error signal, and that the striatum (in this context) is trained to assess whether the cortex is issuing reward-maximizing motor-control outputs right now, and if it seems not to be, the striatum nudges the cortex to do something different.

So anyway, here are two hypotheses:

*   **HYPOTHESIS 1:** This FOXP2 variant specifically messes up a subregion of the striatum involved in speech.
*   **HYPOTHESIS 2:** This FOXP2 variant messes up the *whole* striatum, but as it turns out, the effects are only *noticeable* in the case of speech.

I’m pretty fond of Hypothesis 2 right now. Let me elaborate.

**ELABORATION OF HYPOTHESIS 2:** This FOXP2 variant messes up the whole striatum in a way that makes it generally (marginally) less able to learn to assess / critique extremely fast & complicated & intricate & precise motor control tasks. And as it turns out (according to this hypothesis), the motor control associated with speech is by far the most fast & complicated & intricate & precise motor control task that a human routinely does. So if striatal motor control is slightly messed up, speech ability will be *majorly* impacted while other aspects of motor control will be only *slightly* impacted, if at all.

As an analogy: if a car engine is in pretty bad shape, such that the car’s top speed is 80km/h (50mph), you won’t notice it on a neighborhood street, but it will be very obvious on the German Autobahn.

Possible evidence for & against Hypothesis 2:
---------------------------------------------

**Is non-speech-related fine motor control impacted at all in FOXP2-related speech & language disorder?** There seems to be at least some evidence for “yes”, e.g. “fine motor-skill deficits have been reported in some individuals with FOXP2 disruptions” ([source](https://www.nature.com/articles/s41380-018-0199-x)), or “Fine motor skills may be impaired (e.g., buttoning clothes, tying shoelaces), yet gross motor skills (walking, running) are normal” ([source](https://humandiseasegenes.nl/foxp2)).   

**Is it actually true that speech is by far the most fast & complicated & intricate & precise motor control task that a human routinely does?** I mean, I think so? But I’m not sure how to prove or quantify that.

**What about chewing?** Ah, good point. It does seem true to me that chewing entails some fancy tongue gymnastics etc., although I don’t know how it compares to speech. However, according to my Hypothesis 2, the FOXP2 thing is a forebrain issue, and I *believe* that human speech is totally reliant on forebrain motor control, whereas chewing is a mostly-brainstem activity that the forebrain helps with but doesn’t micromanage.

**What about** ***receptive*** **language deficits?** I note that “Expressive language is more severely affected than receptive language” according to [here](https://www.ncbi.nlm.nih.gov/books/NBK368474/). But there does seem to be a consensus that receptive language is impacted to some extent. My guess here is: (1) FOXP2 impacts expressive language, and then (2) expressive language problems have a knock-on effect on receptive language. I can think of a few possible mechanisms of (2), including:

*   If the kid is struggling with sounds and articulation, they’ll be paying more attention to that, and less to grammar etc.
*   Maybe the supposed receptive language deficits are somewhat illusory, and really reflecting things like motivation and testing. More specifically, I think that expressive language problems can easily flow into things like “The kid is less likely to comply with the receptive language test, and observers tend to mistake ‘unwillingness to answer a question’ for ‘inability to answer a question’”. I have some [bitter personal experience](https://www.lesswrong.com/posts/txuzuDmM4re32inRa/more-notes-from-raising-a-late-talking-kid) here.
*   People with expressive language problems will generally get fewer hours of practice per day on receptive language skills, because a major source of such practice is “engaging in conversation”, an activity that they would presumably find frustrating.

Conclusion
----------

So, Hypothesis 2 is my working hypothesis right now, but again, this is just where I’m at after a few hours of research. Happy to chat in the comments!

Addendum May 2023
-----------------

Hey, I just noticed a paragraph from a neuroscience book I like (Murray, Wise, Graham, *Evolution of Memory Systems*) that came to a similar conclusion as me:

> Regardless of its origins, the era of exaggerated claims about the FOXP2 gene seems to be nearly over, at long last. It is not a specific “language gene,” as celebrated in popular science. For example, in one famous family a mutation in the FoxP2 gene affected both speech and other aspects of orofacial coordination[\[62\]](https://doi.org/10.1016/b978-0-444-53884-0.00027-0). Brain imaging results in these individuals pointed to structural and activation abnormalities in the dorsal striatum, which expresses this gene. These striatal defects appear to affect coordinated movement sequences generally, not just those for speech. However, the speech impairments are particularly severe, which could reflect any of several factors: a greater requirement for coordination; the fact that the effectors used for speech have more degrees of freedom than other effectors; or the need to integrate auditory feedback into precisely timed articulatory gestures[\[62\]](https://doi.org/10.1016/b978-0-444-53884-0.00027-0). The latter possibility agrees with the idea that the fundamental function of the basal ganglia involves the use of feedback to adjust ongoing behavior (see Chapter 12, “If not habits, what?”).

(I had no memory of that paragraph when I came across it just now, but I *did* previously read the book years earlier than I wrote this blog post, so it’s possible that I was subconsciously plagiarizing, as opposed to independently coming to the same conclusion.)

Addendum June 2024
------------------

Here’s another: The textbook *Developmental Cognitive Neuroscience: An Introduction* (5th ed.) is generally consistent with what I wrote here, and has some helpful details and references \[formatting tweaked, emphasis added\]:

> As you will read in Chapter  9, research over the past decade has shown these initial claims \[i.e., that FOXP2 is “the gene (that codes) for grammar”\] to be unfounded for several reasons.
> 
> *   First, it quickly became evident that the deficits in the affected family members are much broader than grammar alone, and include coordinating complex mouth movements, timing of rhythmic motor movements, various aspects of language outside grammar, and low general intelligence [(Vargha-Khadem et al., 1995)](https://doi.org/10.1073/pnas.92.3.930).
> *   A second reason for questioning the specificity of FOXP2 is that it is also found in many other species that obviously do not possess human language skills, such a mice and birds. Nevertheless, knockout mice lacking FOXP2 function do have significantly reduced vocalizations, and expression of the gene is closely associated with vocal learning in songbirds. When this evidence is taken together with functional imaging studies of affected members of the KE family that show under-activation of language areas of the brain during verb generation and repetition tasks [(Liégeois et al., 2003)](https://doi.org/10.1038/nn1138), the overall findings suggest that **FOXP2 is one of the genes important for learning to control rapid movement sequences**.
> *   A final reason for questioning the specificity of the function of FOXP2 in relation to human language is that it is highly conserved in evolution. In addition to being found in mice and birds, the gene can also be found in reptiles. Like all genes, FOXP2 shows minute changes in the amino acids that compose it over evolutionary time. While some of these small changes could potentially affect the functioning of the gene, it seems more likely that any change in the function of the gene arises from it being active at different points in development or in different places in the developing brain [(Carroll, 2005)](https://doi.org/10.1371/journal.pbio.0030245).
> 
> Given that FOXP2 appears to be involved in the brain plasticity associated with vocal learning, what exactly is its role? While this is the subject of much current research, it is important to note that FOXP2 is one of a family of so-called “transcription factors.” In other words, its molecular function is to transcribe other parts of the DNA into the RNA that makes proteins. This makes the gene well placed to potentially orchestrate the action of a number of other genes. As we will discover in Chapter 9, it is very likely that human language involves many different genes, each of which has only a small effect on the overall outcome. Similarly, FOXP2 has multiple roles in different organs that may differ somewhat between species and also change with developmental time within the same species.