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Isolation of Neonatal Extrahepatic Cholangiocytes
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DCDC2 Mutations Cause Neonatal Sclerosing Cholangitis.

Muriel Girard1,2,3, Albane A Bizet4,5, Alain Lachaux6,7

  • 1Hepatology Unit, Necker Hospital, Assistance Publique-Hopitaux de Paris, France. muriel.girard@aphp.fr.

Human Mutation
|June 21, 2016
PubMed
Summary
This summary is machine-generated.

Mutations in the DCDC2 gene cause neonatal sclerosing cholangitis (NSC), a rare liver disease. This finding identifies NSC as a ciliopathy and expands the known DCDC2 mutation spectrum.

Keywords:
DCDC2biliary cirrhosisciliopathy, doublecortin domainhyperechogenic kidneyneonatal sclerosing cholangitis

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Area of Science:

  • Genetics
  • Hepatology
  • Cell Biology

Background:

  • Neonatal sclerosing cholangitis (NSC) is a rare pediatric liver disease often requiring transplantation.
  • The molecular basis for most NSC cases remains unknown.
  • Previous research linked CLDN1 mutations to NSC in patients with ichthyosis.

Purpose of the Study:

  • To investigate the genetic cause of NSC in patients without known mutations.
  • To characterize the function of DCDC2 in cholangiocytes.
  • To expand the understanding of NSC's molecular etiology and DCDC2-related disorders.

Main Methods:

  • Genetic analysis (whole-exome sequencing or targeted gene sequencing) to identify mutations.
  • In vitro studies using cholangiocytes to assess DCDC2 protein localization and function.
  • Analysis of DCDC2 protein in patient-derived cells.

Main Results:

  • Biallelic mutations (missense or in-frame deletion) in the DCDC2 gene were identified in four children with NSC.
  • These mutations affect highly conserved amino acids within the doublecortin domains of DCDC2.
  • Mutated DCDC2 protein accumulates in the cytoplasm, is absent from cilia, and disrupts ciliogenesis in cholangiocytes.

Conclusions:

  • Mutations in DCDC2 are a novel cause of neonatal sclerosing cholangitis.
  • NSC can be classified as a ciliopathy based on these findings.
  • This study broadens the clinical spectrum associated with DCDC2 mutations, previously linked to dyslexia, deafness, and nephronophthisis.