Merello Elisa, Kibar Zoha, Allache Redouane, Piatelli Gianluca, Cama Armando, Capra Valeria, De Marco Patrizia
UOC Neurochirurgia, Istituto Giannina Gaslini, Genova, Italia.
Birth Defects Res A Clin Mol Teratol. 2013 Jul;97(7):452-5. doi: 10.1002/bdra.23157. Epub 2013 Jul 8.
Neural tube defects (NTDs) are severe malformations that arise when the neural tube fails to close during embryogenesis. The planar cell polarity pathway is involved in neural tube closure and has been implicated in the pathogenesis of NTDs both in animal models and human cohorts. Dishevelled (Dvl/Dsh) is a multi-module protein and a key regulator of both the canonical Wnt and the PCP pathway. In mouse, all Dvl1(-/-) ; Dvl2(-/-) double mutants display craniorachischisis, a severe form of open NTDs. Recently, we have reported a possible role for rare variants of DVL2 as risk factors for NTDs.
In view of these data, we hypothesized that DVL1 mutations might increase the risk for NTDs in some cases. Resequencing of the DVL1 gene in a cohort of 473 NTDs patients and 150 ethnically matched controls was performed. Prediction of the downstream effects of the nonsynonymous variants was done using computational methods.
We identified six missense variants that were absent in our ethnically matched controls group, and four of them (p.Arg153Cys; p.Glu544Arg; p.Arg568Trp; p.Val644Phe) were predicted to have a functional effect on protein structure by one or more bioinformatic programs. However, there was no difference in the overall rate of deleterious variants between the patients and controls (four in patients and three in controls; p=0.36).
Our findings did not provide evidence for the implication of DVL1 in the pathogenesis of human NTDs.
神经管缺陷(NTDs)是严重的畸形,在胚胎发育过程中神经管未能闭合时出现。平面细胞极性通路参与神经管闭合,并且在动物模型和人类群体中均与NTDs的发病机制有关。Dishevelled(Dvl/Dsh)是一种多模块蛋白,是经典Wnt通路和PCP通路的关键调节因子。在小鼠中,所有Dvl1(-/-); Dvl2(-/-)双突变体均表现出颅脑脊柱裂,这是一种严重的开放性NTDs形式。最近,我们报道了DVL2的罕见变异作为NTDs风险因素的可能作用。
鉴于这些数据,我们假设在某些情况下DVL1突变可能会增加NTDs的风险。对473名NTDs患者和150名种族匹配的对照人群进行了DVL1基因的重测序。使用计算方法对非同义变异的下游效应进行预测。
我们鉴定出六个在种族匹配的对照组中不存在的错义变异,其中四个(p.Arg153Cys;p.Glu544Arg;p.Arg568Trp;p.Val六十四四苯丙氨酸)被一个或多个生物信息学程序预测对蛋白质结构有功能影响。然而,患者和对照之间有害变异的总体发生率没有差异(患者中有四个,对照中有三个;p = 0.36)。
我们的研究结果没有为DVL1参与人类NTDs发病机制提供证据。