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CLMP Is Required for Intestinal Development, and Loss-of-Function Mutations Cause Congenital Short-Bowel Syndrome

Title: CLMP Is Required for Intestinal Development, and Loss-of-Function Mutations Cause Congenital Short-Bowel Syndrome
Authors: Van Der Werf, CS; Wabbersen, TD; Hsiao, NH; Paredes, J; Etchevers, HC; Kroisel, PM; Tibboel, Dick; Babarit, C; Schreiber, RA; Hoffenberg, EJ; Vekemans, M; Zeder, SL; Ceccherini, I; Lyonnet, S; Ribeiro, AS; Seruca, R; Meerman, GJT; van Ijzendoorn, SCD; Shepherd, IT; Verheij, JBGM; Hofstra, Robert
Source: Van Der Werf, CS, Wabbersen, TD, Hsiao, NH, Paredes, J, Etchevers, HC, Kroisel, PM, Tibboel, D, Babarit, C, Schreiber, RA, Hoffenberg, EJ, Vekemans, M, Zeder, SL, Ceccherini, I, Lyonnet, S, Ribeiro, AS, Seruca, R, Meerman, GJT, van Ijzendoorn, SCD, Shepherd, IT, Verheij, JBGM & Hofstra, R 2012, 'CLMP Is Required for Intestinal Development, and Loss-of-Function Mutations Cause Congenital Short-Bowel Syndrome', Gastroenterology, vol. 142, no. 3, pp. 453-U98. https://doi.org/10.1053/j.gastro.2011.11.038
Publication Year: 2012
Subject Terms: /dk/atira/pure/keywords/researchprograms/AFL001000/EMCMGC025301A; name=EMC MGC-02-53-01-A; /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being; name=SDG 3 - Good Health and Well-being
Description: BACKGROUND & AIMS: Short-bowel syndrome usually results from surgical resection of the small intestine for diseases such as intestinal atresias, volvulus, and necrotizing enterocolitis. Patients with congenital short-bowel syndrome (CSBS) are born with a substantial shortening of the small intestine, to a mean length of 50 cm, compared with a normal length at birth of 190-280 cm. They also are born with intestinal malrotation. Because CSBS occurs in many consanguineous families, it is considered to be an autosomal-recessive disorder. We aimed to identify and characterize the genetic factor causing CSBS. METHODS: We performed homozygosity mapping using 610,000 K single-nucleotide polymorphism arrays to analyze the genomes of 5 patients with CSBS. After identifying a gene causing the disease, we determined its expression pattern in human embryos. We also overexpressed forms of the gene product that were and were not associated with CSBS in Chinese Hamster Ovary and T84 cells and generated a zebrafish model of the disease. RESULTS: We identified loss-of-function mutations in Coxsackie-and adenovirus receptor-like membrane protein (CLMP) in CSBS patients. CLMP is a tight-junction-associated protein that is expressed in the intestine of human embryos throughout development. Mutations in CLMP prevented its normal localization to the cell membrane. Knock-down experiments in zebrafish resulted in general developmental defects, including shortening of the intestine and the absence of goblet cells. Because goblet cells are characteristic for the midintestine in zebrafish, which resembles the small intestine in human beings, the zebrafish model mimics CSBS. CONCLUSIONS: Loss-of-function mutations in CLMP cause CSBS in human beings, likely by interfering with tight-junction formation, which disrupts intestinal development. Furthermore, we developed a zebrafish model of CSBS.
Document Type: article in journal/newspaper
Language: unknown
ISSN: 0016-5085; 1528-0012
Relation: info:eu-repo/semantics/altIdentifier/pmid/22155368; info:eu-repo/semantics/altIdentifier/pissn/0016-5085; info:eu-repo/semantics/altIdentifier/eissn/1528-0012
DOI: 10.1053/j.gastro.2011.11.038
Availability: https://pure.eur.nl/en/publications/55e679a9-6c7f-4431-b9d8-0281f3dde723; https://doi.org/10.1053/j.gastro.2011.11.038; https://hdl.handle.net/1765/71322
Rights: info:eu-repo/semantics/closedAccess
Accession Number: edsbas.1DE0DD15
Database: BASE