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Updated: May 25, 2026

Transuterine Fetal Tracheal Occlusion Model in Mice
Published on: February 5, 2021
Congenital diaphragmatic hernia candidate genes derived from embryonic transcriptomes
Meaghan K Russell1, Mauro Longoni, Julie Wells
1Pediatric Surgical Research Laboratories, Massachusetts General Hospital, Boston, MA 02114, USA.
Insights
Congenital diaphragmatic hernia (CDH) is a birth defect impacting diaphragm formation. This study used gene expression profiling to identify 27 candidate genes, including Pbx1, offering new insights into CDH development.
Area of Science:
- Developmental biology
- Genetics
- Bioinformatics
Background:
- Congenital diaphragmatic hernia (CDH) is a common congenital malformation with high morbidity and mortality.
- Genetic heterogeneity complicates the identification of CDH-associated genes using traditional methods.
Purpose of the Study:
- To identify genes associated with congenital diaphragmatic hernia (CDH) by analyzing gene expression profiles of developing embryonic mouse diaphragms.
- To develop a strategy for disease gene identification by studying normal development.
Main Methods:
- Generated whole-transcriptome expression profiles from laser-captured embryonic mouse diaphragms at key developmental stages (E11.5, E12.5, E16.5).
- Utilized bioinformatic algorithms to identify gene sets related to biological pathways and temporal expression trends.
- Compared identified gene sets with a curated list of known diaphragm defect genes.
- Examined diaphragmatic defects in knockout mice for candidate gene Pbx1.
Main Results:
- Identified 27 candidate genes for CDH through an integrative filtering strategy.
- Confirmed the role of Pbx1 by observing previously undetected diaphragmatic defects in Pbx1 knockout mice.
- Demonstrated the effectiveness of analyzing normal development for disease gene discovery.
Conclusions:
- Gene expression profiling of embryonic diaphragms is a valuable tool for identifying CDH-associated genes.
- The study successfully identified candidate genes and validated Pbx1's role in diaphragm development.
- This approach can be extended to identify genes for other developmental anomalies.
Abstract:
Congenital diaphragmatic hernia (CDH) is a common (1 in 3,000 live births) major congenital malformation that results in significant morbidity and mortality. The discovery of CDH loci using standard genetic approaches has been hindered by its genetic heterogeneity. We hypothesized that gene expression profiling of developing embryonic diaphragms would help identify genes likely to be associated with diaphragm defects. We generated a time series of whole-transcriptome expression profiles from laser captured embryonic mouse diaphragms at embryonic day (E)11.5 and E12.5 when experimental perturbations lead to CDH phenotypes, and E16.5 when the diaphragm is fully formed. Gene sets defining biologically relevant pathways and temporal expression trends were identified by using a series of bioinformatic algorithms. These developmental sets were then compared with a manually curated list of genes previously shown to cause diaphragm defects in humans and in mouse models. Our integrative filtering strategy identified 27 candidates for CDH. We examined the diaphragms of knockout mice for one of the candidate genes, pre-B-cell leukemia transcription factor 1 (Pbx1), and identified a range of previously undetected diaphragmatic defects. Our study demonstrates the utility of genetic characterization of normal development as an integral part of a disease gene identification and prioritization strategy for CDH, an approach that can be extended to other diseases and developmental anomalies.
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