Down syndrome mouse models have an abnormal enteric nervous system

Ellen M Schill1,2, Christina M Wright2, Alisha Jamil2

  • 1Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.

JCI Insight
|April 19, 2019
PubMed

Insights

Children with Down syndrome (DS) have a higher risk of Hirschsprung disease (HSCR). DS models show reduced submucosal neurons, suggesting other ENS defects contribute to bowel issues in DS patients.

Area of Science:

  • Developmental biology
  • Genetics
  • Neuroscience

Background:

  • Children with Down syndrome (DS) exhibit a significantly higher incidence of Hirschsprung disease (HSCR).
  • HSCR involves the absence of the enteric nervous system (ENS) in the distal bowel, leading to surgical intervention.
  • Post-surgical complications are frequent in children with DS and HSCR, indicating underlying developmental complexities.

Purpose of the Study:

  • To investigate the impact of trisomy 21 on the development of the enteric nervous system (ENS).
  • To evaluate ENS structure in DS mouse models (Ts65Dn and Tc1) to understand HSCR risk factors.

Main Methods:

  • Analysis of ENS development in Ts65Dn and Tc1 trisomy 21 mouse models.
  • Assessment of enteric nervous system precursor migration and adult myenteric and submucosal plexus structure.
  • Evaluation of the role of Dscam and Dyrk1a genes in ENS development by normalizing copy number.

Main Results:

  • Ts65Dn and Tc1 mice displayed normal ENS precursor migration and largely normal adult myenteric plexus structure.
  • A significant reduction in submucosal plexus neuron density was observed throughout the bowel in these DS models.
  • The submucosal neuron defect was not rescued by normalizing Dscam or Dyrk1a gene copy numbers, suggesting other factors are involved.

Conclusions:

  • Trisomy 21 impacts ENS development, specifically affecting submucosal plexus neuron density.
  • The observed ENS defect in DS mouse models is independent of Dscam and Dyrk1a gene dosage.
  • These findings suggest that unrecognized structural abnormalities in the ENS may contribute to the high frequency of bowel problems in children with DS and HSCR.

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