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Candidate Heterotaxy Gene FGFR4 Is Essential for Patterning of the Left-Right Organizer in Xenopus
Emily Sempou1, Osaamah Ali Lakhani1, Sarah Amalraj1
1Department of Pediatrics, Yale School of Medicine, Yale University, New Haven, CT, United States.
Insights
Fibroblast growth factor receptor 4 (FGFR4) is crucial for left-right body axis development in frogs. FGFR4 is essential for proper organ positioning and prevents defects in congenital heart disease (CHD).
Area of Science:
- Developmental Biology
- Genetics
- Cardiovascular Research
Background:
- Congenital heart disease (CHD) is a common birth defect with largely unknown genetic causes.
- Fibroblast growth factor receptor 4 (FGFR4) is a candidate gene for CHD and heterotaxy, a condition affecting left-right body axis patterning.
- FGF signaling is implicated in left-right (LR) development, but the roles of specific FGF receptors (FGFRs) are unclear.
Purpose of the Study:
- To investigate the role of FGFR4 in left-right (LR) body axis development and organ situs determination.
- To determine if FGFR4 plays a role in heterotaxy and congenital heart disease (CHD).
Main Methods:
- Utilized Xenopus laevis as a model organism.
- Performed fgfr4 knockdown experiments using morpholino antisense oligonucleotides.
- Analyzed organ situs, cardiac and gut looping, and expression of key LR patterning genes (coco, xnr1, gdf3).
Main Results:
- FGFR4 is essential for proper organ situs in Xenopus; fgfr4 depletion leads to inverted cardiac and gut looping.
- FGFR4 knockdown causes mispatterning of the left-right organizer (LRO) early in development, prior to ciliary function.
- FGFR4 acts during gastrulation to pattern paraxial mesoderm, a precursor to the LRO, affecting the expression of critical symmetry-breaking genes.
Conclusions:
- FGF signaling mediated by FGFR4 is critical for establishing left-right asymmetry in mesodermal progenitors of the LRO.
- FGFR4 plays a fundamental role in the earliest stages of LR patterning, impacting subsequent organ development.
- These findings identify FGFR4 as a key player in LR development and a potential target for understanding CHD.
Abstract:
Congenital heart disease (CHD) is the most common birth defect, yet its genetic causes continue to be obscure. Fibroblast growth factor receptor 4 (FGFR4) recently emerged in a large patient exome sequencing study as a candidate disease gene for CHD and specifically heterotaxy. In heterotaxy, patterning of the left-right (LR) body axis is compromised, frequently leading to defects in the heart's LR architecture and severe CHD. FGF ligands like FGF8 and FGF4 have been previously implicated in LR development with roles ranging from formation of the laterality organ [LR organizer (LRO)] to the transfer of asymmetry from the embryonic midline to the lateral plate mesoderm (LPM). However, much less is known about which FGF receptors (FGFRs) play a role in laterality. Here, we show that the candidate heterotaxy gene FGFR4 is essential for proper organ situs in Xenopus and that frogs depleted of fgfr4 display inverted cardiac and gut looping. Fgfr4 knockdown causes mispatterning of the LRO even before cilia on its surface initiate symmetry-breaking fluid flow, indicating a role in the earliest stages of LR development. Specifically, fgfr4 acts during gastrulation to pattern the paraxial mesoderm, which gives rise to the lateral pre-somitic portion of the LRO. Upon fgfr4 knockdown, the paraxial mesoderm is mispatterned in the gastrula and LRO, and crucial genes for symmetry breakage, like coco, xnr1, and gdf3 are subsequently absent from the lateral portions of the organizer. In summary, our data indicate that FGF signaling in mesodermal LRO progenitors defines cell fates essential for subsequent LR patterning.
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