Dominant negative variants in KIF5B cause osteogenesis imperfecta via down regulation of mTOR signaling.
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Marom Ronit, Zhang Bo, Washington Megan E, Song I-Wen, Burrage Lindsay C, Rossi Vittoria C, Berrier Ava S, Lindsey Anika, Lesinski Jacob, Nonet Michael L, Chen Jian, Baldridge Dustin, Silverman Gary A, Sutton V Reid, Rosenfeld Jill A, Tran Alyssa A, Hicks M John, Murdock David R, Dai Hongzheng, Weis MaryAnn, Jhangiani Shalini N, Muzny Donna M, Gibbs Richard A, Caswell Richard, Pottinger Carrie, Cilliers Deirdre, Stals Karen, Undiagnosed Diseases Network, Eyre David, Krakow Deborah, Schedl Tim, Pak Stephen C, Lee Brendan H
Аннотация
METHODS: To understand the in vivo genetic mechanism of KIF5B variants, we modeled the p.Thr87Ile variant that was found in two patients in the C. elegans ortholog, unc-116, at the corresponding position (Thr90Ile) by CRISPR/Cas9 editing and performed functional analysis. Next, we studied the cellular and molecular consequences of the recurrent p.Thr87Ile variant by microscopy, RNA and protein analysis in NIH3T3 cells, primary human fibroblasts and bone biopsy.
RESULTS: C. elegans heterozygous for the unc-116 Thr90Ile variant displayed abnormal body length and motility phenotypes that were suppressed by additional copies of the wild type allele, consistent with a dominant negative mechanism. Time-lapse imaging of GFP-tagged mitochondria showed defective mitochondria transport in unc-116 Thr90Ile neurons providing strong evidence for disrupted kinesin motor function. Microscopy studies in human cells showed dilated endoplasmic reticulum, multiple intracellular vacuoles, and abnormal distribution of the Golgi complex, supporting an intracellular trafficking defect. RNA sequencing, proteomic analysis, and bone immunohistochemistry demonstrated down regulation of the mTOR signaling pathway that was partially rescued with leucine supplementation in patient cells.
CONCLUSION: We report dominant negative variants in the KIF5B kinesin motor domain in individuals with osteogenesis imperfecta. This study expands the spectrum of kinesin-related disorders and identifies dysregulated signaling targets for KIF5B in skeletal development.