PMID- 36379543 OWN - NLM STAT- MEDLINE DCOM- 20230524 LR - 20230704 IS - 1468-6244 (Electronic) IS - 0022-2593 (Print) IS - 0022-2593 (Linking) VI - 60 IP - 6 DP - 2023 Jun TI - X-linked variations in SHROOM4 are implicated in congenital anomalies of the urinary tract and the anorectal, cardiovascular and central nervous systems. PG - 587-596 LID - 10.1136/jmg-2022-108738 [doi] AB - BACKGROUND: SHROOM4 is thought to play an important role in cytoskeletal modification and development of the early nervous system. Previously, single-nucleotide variants (SNVs) or copy number variations (CNVs) in SHROOM4 have been associated with the neurodevelopmental disorder Stocco dos Santos syndrome, but not with congenital anomalies of the urinary tract and the visceral or the cardiovascular system. METHODS: Here, exome sequencing and CNV analyses besides expression studies in zebrafish and mouse and knockdown (KD) experiments using a splice blocking morpholino in zebrafish were performed to study the role of SHROOM4 during embryonic development. RESULTS: In this study, we identified putative disease-causing SNVs and CNVs in SHROOM4 in six individuals from four families with congenital anomalies of the urinary tract and the anorectal, cardiovascular and central nervous systems (CNS). Embryonic mouse and zebrafish expression studies showed Shroom4 expression in the upper and lower urinary tract, the developing cloaca, the heart and the cerebral CNS. KD studies in zebrafish larvae revealed pronephric cysts, anomalies of the cloaca and the heart, decreased eye-to-head ratio and higher mortality compared with controls. These phenotypes could be rescued by co-injection of human wild-type SHROOM4 mRNA and morpholino. CONCLUSION: The identified SNVs and CNVs in affected individuals with congenital anomalies of the urinary tract, the anorectal, the cardiovascular and the central nervous systems, and subsequent embryonic mouse and zebrafish studies suggest SHROOM4 as a developmental gene for different organ systems. CI - (c) Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Kolvenbach, Caroline M AU - Kolvenbach CM AD - Institute of Anatomy, Medical Faculty, University of Bonn, Bonn, Germany. AD - Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA. FAU - Felger, Tim AU - Felger T AD - Institute of Anatomy, Medical Faculty, University of Bonn, Bonn, Germany. FAU - Schierbaum, Luca AU - Schierbaum L AD - Institute of Human Genetics, Medical Faculty, University of Bonn, Bonn, Germany. FAU - Thiffault, Isabelle AU - Thiffault I AD - Genomic Medicine Center, Children's Mercy Hospital, Kansas City, Missouri, USA. FAU - Pastinen, Tomi AU - Pastinen T AD - Genomic Medicine Center, Children's Mercy Hospital, Kansas City, Missouri, USA. FAU - Szczepanska, Maria AU - Szczepanska M AD - Department of Pediatrics, Faculty of Medical Sciences, Medical University of Silesia in Katowice, Zabrze, Poland. FAU - Zaniew, Marcin AU - Zaniew M AD - Department of Pediatrics, University of Zielona Gora, Zielona Gora, Poland. FAU - Adamczyk, Piotr AU - Adamczyk P AD - Department of Pediatrics, Faculty of Medical Sciences, Medical University of Silesia, Katowice, Poland. FAU - Bayat, Allan AU - Bayat A AD - Department of Epilepsy Genetics and Personalized Medicine, Danish Epilepsy Centre, Dianalund, Denmark. AD - Institute for Regional Health Services, University of Southern Denmark, Odense, Denmark. FAU - Yilmaz, Oznur AU - Yilmaz O AD - Institute of Anatomy, Medical Faculty, University of Bonn, Bonn, Germany. FAU - Lindenberg, Tobias T AU - Lindenberg TT AD - Institute of Anatomy, Medical Faculty, University of Bonn, Bonn, Germany. FAU - Thiele, Holger AU - Thiele H AD - Cologne Center for Genomics (CCG), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, Germany. FAU - Hildebrandt, Friedhelm AU - Hildebrandt F AUID- ORCID: 0000-0003-3845-3489 AD - Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA. FAU - Hinderhofer, Katrin AU - Hinderhofer K AD - Institute of Human Genetics, Heidelberg University, Heidelberg, Germany. FAU - Moog, Ute AU - Moog U AD - Institute of Human Genetics, Heidelberg University, Heidelberg, Germany. FAU - Hilger, Alina C AU - Hilger AC AD - Department of Pediatrics and Adolescent Medicine, Friedrich-Alexander University of Erlangen-Nurnberg, Erlangen, Germany. AD - Research Center On Rare Kidney Diseases (RECORD), University Hospital Erlangen, Erlangen, Germany. FAU - Sullivan, Bonnie AU - Sullivan B AD - Division of Clinical Genetics, Children's Mercy Hospital, Kansas City, Missouri, USA. FAU - Bartik, Lauren AU - Bartik L AD - Division of Clinical Genetics, Children's Mercy Hospital, Kansas City, Missouri, USA. FAU - Gnys, Piotr AU - Gnys P AD - Medeor Hospital, Department of Genetics, Lodz, Poland. FAU - Grote, Phillip AU - Grote P AD - Institute of Cardiovascular Regeneration, Center for Molecular Medicine, Goethe University, Frankfurt am Main, Germany. AD - Georg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt am Main, Germany. FAU - Odermatt, Benjamin AU - Odermatt B AD - Institute of Anatomy, Medical Faculty, University of Bonn, Bonn, Germany. FAU - Reutter, Heiko M AU - Reutter HM AUID- ORCID: 0000-0002-3591-5265 AD - Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics and Adolescent Medicine, Friedrich-Alexander University of Erlangen-Nurnberg, Erlangen, Germany. FAU - Dworschak, Gabriel C AU - Dworschak GC AUID- ORCID: 0000-0003-0015-6964 AD - Institute of Anatomy, Medical Faculty, University of Bonn, Bonn, Germany gabriel.dworschak@uni-bonn.de. AD - Institute of Human Genetics, Medical Faculty, University of Bonn, Bonn, Germany. AD - Department of Neuropediatrics, University Hospital Bonn, Bonn, Germany. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - R01 DK068306/DK/NIDDK NIH HHS/United States GR - R01 DK076683/DK/NIDDK NIH HHS/United States GR - R01 DK088767/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20221115 PL - England TA - J Med Genet JT - Journal of medical genetics JID - 2985087R RN - 0 (Morpholinos) SB - IM MH - Pregnancy MH - Female MH - Humans MH - Animals MH - Mice MH - Zebrafish/genetics MH - DNA Copy Number Variations MH - Morpholinos MH - *Urinary Tract/abnormalities MH - Central Nervous System MH - *Cardiovascular System PMC - PMC10262053 MID - NIHMS1901205 OTO - NOTNLM OT - congenital, hereditary, and neonatal diseases and abnormalities OT - digestive system abnormalities OT - genetic counseling OT - heart defects, congenital OT - nervous system malformations COIS- Competing interests: None declared. EDAT- 2022/11/16 06:00 MHDA- 2023/05/24 06:42 PMCR- 2023/07/01 CRDT- 2022/11/15 20:43 PHST- 2022/05/30 00:00 [received] PHST- 2022/10/01 00:00 [accepted] PHST- 2023/05/24 06:42 [medline] PHST- 2022/11/16 06:00 [pubmed] PHST- 2022/11/15 20:43 [entrez] PHST- 2023/07/01 00:00 [pmc-release] AID - jmg-2022-108738 [pii] AID - jmedgenet-2022-108738 [pii] AID - 10.1136/jmg-2022-108738 [doi] PST - ppublish SO - J Med Genet. 2023 Jun;60(6):587-596. doi: 10.1136/jmg-2022-108738. Epub 2022 Nov 15.