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Publication : Hypomorphic Mutations in TONSL Cause SPONASTRIME Dysplasia.

First Author  Chang HR Year  2019
Journal  Am J Hum Genet Volume  104
Issue  3 Pages  439-453
PubMed ID  30773278 Mgi Jnum  J:282817
Mgi Id  MGI:6383753 Doi  10.1016/j.ajhg.2019.01.009
Citation  Chang HR, et al. (2019) Hypomorphic Mutations in TONSL Cause SPONASTRIME Dysplasia. Am J Hum Genet 104(3):439-453
abstractText  SPONASTRIME dysplasia is a rare, recessive skeletal dysplasia characterized by short stature, facial dysmorphism, and aberrant radiographic findings of the spine and long bone metaphysis. No causative genetic alterations for SPONASTRIME dysplasia have yet been determined. Using whole-exome sequencing (WES), we identified bi-allelic TONSL mutations in 10 of 13 individuals with SPONASTRIME dysplasia. TONSL is a multi-domain scaffold protein that interacts with DNA replication and repair factors and which plays critical roles in resistance to replication stress and the maintenance of genome integrity. We show here that cellular defects in dermal fibroblasts from affected individuals are complemented by the expression of wild-type TONSL. In addition, in vitro cell-based assays and in silico analyses of TONSL structure support the pathogenicity of those TONSL variants. Intriguingly, a knock-in (KI) Tonsl mouse model leads to embryonic lethality, implying the physiological importance of TONSL. Overall, these findings indicate that genetic variants resulting in reduced function of TONSL cause SPONASTRIME dysplasia and highlight the importance of TONSL in embryonic development and postnatal growth.
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