Beijing Institutes of Life Science, Chinese Academy of Sciences, Beijing, 100101, China.
CAS Center for Excellence in Biotic Interactions, University of Chinese Academy of Sciences, Beijing, 100049, China.
Adv Sci (Weinh). 2023 Feb;10(4):e2204018. doi: 10.1002/advs.202204018. Epub 2022 Dec 11.
Closure of the neural tube represents a highly complex and coordinated process, the failure of which constitutes common birth defects. The serine/threonine kinase p21-activated kinase 2 (PAK2) is a critical regulator of cytoskeleton dynamics; however, its role in the neurulation and pathogenesis of neural tube defects (NTDs) remains unclear. Here, the results show that Pak2 mouse embryos fail to develop dorsolateral hinge points (DLHPs) and exhibit craniorachischisis, a severe phenotype of NTDs. Pak2 knockout activates BMP signaling that involves in vertebrate bone formation. Single-cell transcriptomes reveal abnormal differentiation trajectories and transcriptional events in Pak2 mouse embryos during neural tube development. Two nonsynonymous and one recurrent splice-site mutations in the PAK2 gene are identified in five human NTD fetuses, which exhibit attenuated PAK2 expression and upregulated BMP signaling in the brain. Mechanistically, PAK2 regulates Smad9 phosphorylation to inhibit BMP signaling and ultimately induce DLHP formation. Depletion of pak2a in zebrafish induces defects in the neural tube, which are partially rescued by the overexpression of wild-type, but not mutant PAK2. The findings demonstrate the conserved role of PAK2 in neurulation in multiple vertebrate species, highlighting the molecular pathogenesis of PAK2 mutations in NTDs.
神经管的闭合是一个高度复杂和协调的过程,其失败构成了常见的出生缺陷。丝氨酸/苏氨酸激酶 p21 激活激酶 2(PAK2)是细胞骨架动力学的关键调节因子;然而,其在神经管闭合和神经管缺陷(NTD)发病机制中的作用尚不清楚。本研究结果表明,Pak2 敲除鼠胚胎未能形成背外侧铰链点(DLHPs),并表现出颅脊柱裂,这是 NTD 的一种严重表型。Pak2 敲除激活了涉及脊椎动物骨形成的 BMP 信号通路。单细胞转录组分析揭示了在神经管发育过程中 Pak2 敲除鼠胚胎的异常分化轨迹和转录事件。在五例 NTD 胎儿中鉴定出 PAK2 基因中的两个非同义突变和一个剪接位点突变,这些突变导致 PAK2 表达减弱和大脑中 BMP 信号通路上调。在机制上,PAK2 通过调节 Smad9 磷酸化来抑制 BMP 信号通路,最终诱导 DLHP 形成。在斑马鱼中敲低 pak2a 会导致神经管缺陷,而过表达野生型 PAK2 而非突变型 PAK2 可部分挽救该缺陷。这些发现表明 PAK2 在多种脊椎动物物种的神经管闭合中具有保守作用,突出了 PAK2 突变在 NTD 中的分子发病机制。