Defects in blood development frequently occur among syndromic congenital anomalies. Thrombocytopenia-Absent Radius (TAR) syndrome is a rare congenital condition with reduced platelets (hypomegakaryocytic thrombocytopenia) and forelimb anomalies, concurrent with more variable heart and kidney defects. TAR syndrome associates with hypomorphic gene function for that encodes a component of the exon junction complex involved in mRNA splicing, transport, and nonsense-mediated decay. How perturbing a general mRNA-processing factor causes the selective TAR Syndrome phenotypes remains unknown. Here, we connect zebrafish perturbation to early hematopoietic defects via attenuated non-canonical Wnt/Planar Cell Polarity (PCP) signaling that controls developmental cell re-arrangements. In hypomorphic zebrafish, we observe a significant reduction of -positive thrombocytes. -mutant zebrafish embryos accumulate mRNAs with individual retained introns, a hallmark of defective nonsense-mediated decay; affected mRNAs include transcripts for non-canonical Wnt/PCP pathway components. We establish that -mutant embryos show convergent extension defects and that reduced function interacts with perturbations in non-canonical Wnt/PCP pathway genes w, , , and . Using live-imaging, we found reduced function impairs the architecture of the lateral plate mesoderm (LPM) that forms hematopoietic, cardiovascular, kidney, and forelimb skeleton progenitors as affected in TAR Syndrome. Both mutants for and for the PCP gene feature impaired expression of early hematopoietic/endothelial genes including and the megakaryocyte regulator . Together, our data propose aberrant LPM patterning and hematopoietic defects as consequence of attenuated non-canonical Wnt/PCP signaling upon reduced function. These results also link TAR Syndrome to a potential LPM origin and a developmental mechanism.
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http://dx.doi.org/10.1101/2023.04.12.536513 | DOI Listing |
J Hand Surg Asian Pac Vol
December 2024
Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy Of Higher Education, Manipal, Karnataka, India.
JCO Precis Oncol
October 2024
Division of Hematology, Department of Medicine, Stanford University School of Medicine, Stanford, CA.
J Hand Surg Am
July 2024
Shriners Children's Chicago, Chicago, IL; Department of Psychology, Purdue University Northwest, Hammond, IN.
Purpose: Classification systems and treatment for children with radial longitudinal deficiency are classically focused on the hand and wrist. However, the elbow can affect the function of these patients secondary to stiffness or instability. The objective of this study was to determine if a correlation exists between severity of radial longitudinal deficiency (RLD) and degree of proximal ulnar hypoplasia.
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May 2024
Northeast Georgia Medical Center, Graduate Medical Education, Research Department, Gainesville, Georgia, USA.
The co-occurrence of Thrombocytopenia with Absent Radius (TAR) syndrome and Langerhans Cell Histiocytosis (LCH) is exceedingly rare, with scant documentation in existing medical literature. This case report aims to shed light on this unique intersection of conditions, emphasizing the diagnostic and therapeutic challenges it presents. A 27-year-old female with a history of TAR syndrome presented with microcytic anemia, hip pain, and gastrointestinal symptoms.
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