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Updated: Feb 14, 2026

Engineering Oncogenic Heterozygous Gain-of-Function Mutations in Human Hematopoietic Stem and Progenitor Cells
Published on: March 10, 2023
Spina bifida-predisposing heterozygous mutations in Planar Cell Polarity genes and Zic2 reduce bone mass in young
Isabel R Orriss1, Stuart Lanham2, Dawn Savery3
1Department of Comparative Biomedical Sciences, Royal Veterinary College, Camden, London, NW1 0TU, UK.
Insights
Neural tube defect (NTD) mutations, particularly in Wnt/planar cell polarity (PCP) pathway genes, can independently reduce bone mass in mice. This suggests shared genetic networks between spina bifida and bone development.
Area of Science:
- Developmental Biology
- Genetics
- Orthopedics
Background:
- Fractures are common in children with spina bifida, a neural tube defect (NTD).
- Wnt/planar cell polarity (PCP) pathway mutations are linked to NTDs, but their direct impact on bone mass is unclear.
- Understanding shared genetic factors could reveal mechanisms underlying bone fragility in NTDs.
Purpose of the Study:
- To investigate whether Wnt/PCP pathway disruption, associated with NTDs, independently affects bone mass.
- To examine the role of specific NTD-associated genes (Vangl2, Celsr1, Pax3, Zic2) in bone structure.
- To identify shared genetic networks between NTDs and bone properties.
Main Methods:
- Confirmed Wnt/PCP component expression in osteoblasts and osteoclasts in vitro.
- Utilized microcomputed tomography (µCT) to compare tibial bone structure in mice with NTD-associated mutations versus wild-type littermates.
- Performed bioinformatic analysis to document shared genetic networks between NTDs and bone traits.
Main Results:
- Disruption of Vangl2 or Celsr1 mutations significantly reduced trabecular bone mass and tibial cortical thickness.
- Pax3 mutations had minimal effects on bone mass.
- Zic2 mutations altered tibia/fibula junction position and diminished proximal tibial cortical bone.
- Identified 46 genes involved in neural tube closure with bone-related ontologies.
Conclusions:
- Wnt/PCP pathway disruption and Zic2 mutations are linked to reduced bone mass, independent of NTDs.
- Shared genetic networks exist between spina bifida risk and bone structure.
- Genetic variants predisposing to spina bifida may independently decrease bone mass.
Abstract:
Fractures are a common comorbidity in children with the neural tube defect (NTD) spina bifida. Mutations in the Wnt/planar cell polarity (PCP) pathway contribute to NTDs in humans and mice, but whether this pathway independently determines bone mass is poorly understood. Here, we first confirmed that core Wnt/PCP components are expressed in osteoblasts and osteoclasts in vitro. In vivo, we performed detailed µCT comparisons of bone structure in tibiae from young male mice heterozygous for NTD-associated mutations versus WT littermates. PCP signalling disruption caused by Vangl2 (Vangl2Lp/+) or Celsr1 (Celsr1Crsh/+) mutations significantly reduced trabecular bone mass and distal tibial cortical thickness. NTD-associated mutations in non-PCP transcription factors were also investigated. Pax3 mutation (Pax3Sp2H/+) had minimal effects on bone mass. Zic2 mutation (Zic2Ku/+) significantly altered the position of the tibia/fibula junction and diminished cortical bone in the proximal tibia. Beyond these genes, we bioinformatically documented the known extent of shared genetic networks between NTDs and bone properties. 46 genes involved in neural tube closure are annotated with bone-related ontologies. These findings document shared genetic networks between spina bifida risk and bone structure, including PCP components and Zic2. Genetic variants which predispose to spina bifida may therefore independently diminish bone mass.
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