Abstract
Extensive studies that have sought causative mutation(s) for neural tube defects (NTDs) have yielded limited positive findings to date. One possible reason for this is that many studies have been confined to analyses of germline mutations and so may have missed other, non-germline mutations in NTD cases. We hypothesize that somatic mutations of planar polarity pathway (PCP) genes may play a role in the development of NTDs. Torrent™ Personal Genome Machine™ (PGM) sequencing was designed for selected PCP genes in paired DNA samples extracted from the tissues of lesion sites and umbilical cord from 48 cases. Sanger sequencing was used to validate the detected mutations. The source and distribution of the validated mutations in tissues from different germ layers were investigated. Subcellular location, western blotting, and luciferase assays were performed to better understand the effects of the mutations on protein localization, protein level, and pathway signaling. ix somatic mutations were identified and validated, which showed diverse distributions in different tissues. Three somatic mutations were novel/rare: CELSR1 p.Gln2125His, FZD6 p.Gln88Glu, and VANGL1 p.Arg374His. FZD6 p.Gln88Glu caused mislocalization of its protein from the cytoplasm to the nucleus, and disrupted the colocalization of CELSR1 and FZD6. This mutation affected non-canonical WNT signaling in luciferase assays. VANGL1 p.Arg374His impaired the co-localization of CELSR1 and VANGL1, increased the protein levels of VANGL1, and influenced cell migration. In all, 7/48 (14.5%) of the studied NTD cases contained somatic PCP mutations. Somatic mutations in PCP genes (e.g., FZD6 and VANGL1) are associated with human NTDs, and they may occur in different stages and regions during embryonic development, resulting in a varied distribution in fetal tissues/organs.






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Data availability
The datasets for this manuscript are not publicly available for ethical and legal reasons. Requests to access the datasets should be directed to LW at linlinwang@bjmu.edu.cn.
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Funding
This work was supported by the National Natural Science Foundation of China (Grant No. 81773441). Dr. Richard Finnell was supported in part by funds made available from the William T. Butler, M.D., Distinguished Chair endowment at Baylor College of Medicine and a grant from the National Institutes of Health (HD081216).
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LW, YL, and AR conceptualized the study; LW supervised the implementation and drafted the manuscript; TT conducted the functional study and drafted the manuscript; YL provided critical guidance on the functional study and interpretation of the results; YC helped with bench work; MK performed the cell migration assay; LJ participated in subject enrollment; and RHF critically revised the manuscript.
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The study protocol was approved by the institutional review board of Peking University (Beijing, China, IRB00001052-18082).
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Tian, T., Lei, Y., Chen, Y. et al. Somatic mutations in planar cell polarity genes in neural tissue from human fetuses with neural tube defects. Hum Genet 139, 1299–1314 (2020). https://doi.org/10.1007/s00439-020-02172-0
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DOI: https://doi.org/10.1007/s00439-020-02172-0