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TFAP2E is implicated in central nervous system, orofacial and maxillofacial anomalies

Title: TFAP2E is implicated in central nervous system, orofacial and maxillofacial anomalies
Authors: Kalanithy, Jeshurun C.; Mingardo, Enrico; Stegmann, Jil D.; Dhakar, Ramgopal; Dakal, Tikam Chand; Rosenfeld, Jill A.; Tan, Wen-Hann; Coury, Stephanie A.; Woerner, Audrey C.; Sebastian, Jessica; Levy, Paul A.; Fleming, Leah R.; Waffenschmidt, Lea; Lindenberg, Tobias T.; Yilmaz, Oeznur; Channab, Khadija; Babra, Bimaljeet K.; Christ, Andrea; Eiberger, Britta; Hoelzel, Selina; Vidic, Clara; Haeberlein, Felix; Ishorst, Nina; Rodriguez-Gatica, Juan E.; Pezeshkpoor, Behnaz; Kupczyk, Patrick A.; Vanakker, Olivier; Loddo, Sara; Novelli, Antonio; Dentici, Maria L.; Becker, Albert; Thiele, Holger; Posey, Jennifer E.; Lupski, James R.; Hilger, Alina C.; Reutter, Heiko M.; Merz, Waltraut M.; Dworschak, Gabriel C.; Odermatt, Benjamin
Source: JOURNAL OF MEDICAL GENETICS ; ISSN: 0022-2593 ; ISSN: 1468-6244
Publication Year: 2025
Collection: Ghent University Academic Bibliography
Subject Terms: Medicine and Health Sciences; Biology and Life Sciences; AP-2 TRANSCRIPTION FACTOR; CLONING; SPECIFICATION; EXPRESSION; MUTATIONS; GENE; Hydrocephalus; Central Nervous System Diseases; Genetic Diseases; Inborn; Whole Exome Sequencing
Description: Background Previous studies in mouse, Xenopus and zebrafish embryos show strong tfap2e expression in progenitor cells of neuronal and neural crest tissues suggesting its involvement in neural crest specification. However, the role of human transcription factor activator protein 2 (TFAP2E) in human embryonic central nervous system (CNS), orofacial and maxillofacial development is unknown.Methods Through a collaborative work, exome survey was performed in families with congenital CNS, orofacial and maxillofacial anomalies. Exome variant prioritisation prompted TFAP2E gene for functional analysis in zebrafish embryos. Embryonic morphology and development were assessed after antisense morpholino (MO) knockdown (KD), CRISPR/Cas9 knockout and overexpression of tfap2e in fluorescent zebrafish reporter lines using in vivo microscopy. Computational structural protein modelling of the identified human variants was performed.Results In total, exome survey identified novel or ultra-rare heterozygous missense variants in TFAP2E in seven individuals from five independent families with predominantly CNS, orofacial and maxillofacial anomalies. One variant was found de novo and another variant segregated in an affected multiplex family. Protein modelling of the identified variants indicated potential distortion of TFAP2E in the transactivation or dimerisation domain. MO KD and CRISPR/Cas9 knockout of tfap2e in zebrafish revealed hydrocephalus and a significant reduction of brain volume, consistent with a microencephaly phenotype. Furthermore, mRNA overexpression of TFAP2E indicates dosage-sensitive phenotype expression. In addition, zebrafish showed orofacial and maxillofacial anomalies following tfap2e KD, recapitulating the human phenotype.Conclusion Our human genetic data and analysis of Tfap2e manipulation in zebrafish indicate a potential role of TFAP2E in human CNS, orofacial and maxillofacial anomalies.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://biblio.ugent.be/publication/01JQ6Y26RPC7VQ2XXZ97ZXF8FN; https://biblio.ugent.be/publication/01JQ6Y26RPC7VQ2XXZ97ZXF8FN/file/01JQ6Y42CNAGBHTV4MP8K80HKQ
DOI: 10.1136/jmg-2023-109799
Availability: https://biblio.ugent.be/publication/01JQ6Y26RPC7VQ2XXZ97ZXF8FN; https://hdl.handle.net/1854/LU-01JQ6Y26RPC7VQ2XXZ97ZXF8FN; https://doi.org/10.1136/jmg-2023-109799; https://biblio.ugent.be/publication/01JQ6Y26RPC7VQ2XXZ97ZXF8FN/file/01JQ6Y42CNAGBHTV4MP8K80HKQ
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.2E063C9C
Database: BASE