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Publication : Unraveling the genetic architecture of congenital vertebral malformation with reference to the developing spine.

First Author  Zhao S Year  2024
Journal  Nat Commun Volume  15
Issue  1 Pages  1125
PubMed ID  38321032 Mgi Jnum  J:360339
Mgi Id  MGI:7581483 Doi  10.1038/s41467-024-45442-5
Citation  Zhao S, et al. (2024) Unraveling the genetic architecture of congenital vertebral malformation with reference to the developing spine. Nat Commun 15(1):1125
abstractText  Congenital vertebral malformation, affecting 0.13-0.50 per 1000 live births, has an immense locus heterogeneity and complex genetic architecture. In this study, we analyze exome/genome sequencing data from 873 probands with congenital vertebral malformation and 3794 control individuals. Clinical interpretation identifies Mendelian etiologies in 12.0% of the probands and reveals a muscle-related disease mechanism. Gene-based burden test of ultra-rare variants identifies risk genes with large effect sizes (ITPR2, TBX6, TPO, H6PD, and SEC24B). To further investigate the biological relevance of the genetic association signals, we perform single-nucleus RNAseq on human embryonic spines. The burden test signals are enriched in the notochord at early developmental stages and myoblast/myocytes at late stages, highlighting their critical roles in the developing spine. Our work provides insights into the developmental biology of the human spine and the pathogenesis of spine malformation.
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