RAP1-mediated MEK/ERK pathway defects in Kabuki syndrome.

Journal Article

The genetic disorder Kabuki syndrome (KS) is characterized by developmental delay and congenital anomalies. Dominant mutations in the chromatin regulators lysine (K)-specific methyltransferase 2D (KMT2D) (also known as MLL2) and lysine (K)-specific demethylase 6A (KDM6A) underlie the majority of cases. Although the functions of these chromatin-modifying proteins have been studied extensively, the physiological systems regulated by them are largely unknown. Using whole-exome sequencing, we identified a mutation in RAP1A that was converted to homozygosity as the result of uniparental isodisomy (UPD) in a patient with KS and a de novo, dominant mutation in RAP1B in a second individual with a KS-like phenotype. We elucidated a genetic and functional interaction between the respective KS-associated genes and their products in zebrafish models and patient cell lines. Specifically, we determined that dysfunction of known KS genes and the genes identified in this study results in aberrant MEK/ERK signaling as well as disruption of F-actin polymerization and cell intercalation. Moreover, these phenotypes could be rescued in zebrafish models by rebalancing MEK/ERK signaling via administration of small molecule inhibitors of MEK. Taken together, our studies suggest that the KS pathophysiology overlaps with the RASopathies and provide a potential direction for treatment design.

Full Text

Duke Authors

Cited Authors

  • Bögershausen, N; Tsai, I-C; Pohl, E; Kiper, PÖS; Beleggia, F; Percin, EF; Keupp, K; Matchan, A; Milz, E; Alanay, Y; Kayserili, H; Liu, Y; Banka, S; Kranz, A; Zenker, M; Wieczorek, D; Elcioglu, N; Prontera, P; Lyonnet, S; Meitinger, T; Stewart, AF; Donnai, D; Strom, TM; Boduroglu, K; Yigit, G; Li, Y; Katsanis, N; Wollnik, B

Published Date

  • September 2015

Published In

Volume / Issue

  • 125 / 9

Start / End Page

  • 3585 - 3599

PubMed ID

  • 26280580

Electronic International Standard Serial Number (EISSN)

  • 1558-8238

International Standard Serial Number (ISSN)

  • 0021-9738

Digital Object Identifier (DOI)

  • 10.1172/jci80102

Language

  • eng