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Publication : Mutation in <i>LBX1/Lbx1</i> precludes transcription factor cooperativity and causes congenital hypoventilation in humans and mice.

First Author  Hernandez-Miranda LR Year  2018
Journal  Proc Natl Acad Sci U S A Volume  115
Issue  51 Pages  13021-13026
PubMed ID  30487221 Mgi Jnum  J:269168
Mgi Id  MGI:6272066 Doi  10.1073/pnas.1813520115
Citation  Hernandez-Miranda LR, et al. (2018) Mutation in LBX1/Lbx1 precludes transcription factor cooperativity and causes congenital hypoventilation in humans and mice. Proc Natl Acad Sci U S A 115(51):13021-13026
abstractText  The respiratory rhythm is generated by the preBotzinger complex in the medulla oblongata, and is modulated by neurons in the retrotrapezoid nucleus (RTN), which are essential for accelerating respiration in response to high CO2 Here we identify a LBX1 frameshift (LBX1 (FS) ) mutation in patients with congenital central hypoventilation. The mutation alters the C-terminal but not the DNA-binding domain of LBX1 Mice with the analogous mutation recapitulate the breathing deficits found in humans. Furthermore, the mutation only interferes with a small subset of Lbx1 functions, and in particular with development of RTN neurons that coexpress Lbx1 and Phox2b. Genome-wide analyses in a cell culture model show that Lbx1(FS) and wild-type Lbx1 proteins are mostly bound to similar sites, but that Lbx1(FS) is unable to cooperate with Phox2b. Thus, our analyses on Lbx1(FS) (dys)function reveals an unusual pathomechanism; that is, a mutation that selectively interferes with the ability of Lbx1 to cooperate with Phox2b, and thus impairs the development of a small subpopulation of neurons essential for respiratory control.
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