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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.
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.
Abstract:
Children with trisomy 21 (Down syndrome [DS]) have a 130-fold increased incidence of Hirschsprung Disease (HSCR), a developmental defect where the enteric nervous system (ENS) is missing from distal bowel (i.e., distal bowel is aganglionic). Treatment for HSCR is surgical resection of aganglionic bowel, but many children have bowel problems after surgery. Post-surgical problems like enterocolitis and soiling are especially common in children with DS. To determine how trisomy 21 affects ENS development, we evaluated the ENS in two DS mouse models, Ts65Dn and Tc1. These mice are trisomic for many chromosome 21 homologous genes, including Dscam and Dyrk1a, which are hypothesized to contribute to HSCR risk. Ts65Dn and Tc1 mice have normal ENS precursor migration at E12.5 and almost normal myenteric plexus structure as adults. However, Ts65Dn and Tc1 mice have markedly reduced submucosal plexus neuron density throughout the bowel. Surprisingly, the submucosal neuron defect in Ts65Dn mice is not due to excess Dscam or Dyrk1a, since normalizing copy number for these genes does not rescue the defect. These findings suggest the possibility that the high frequency of bowel problems in children with DS and HSCR may occur because of additional unrecognized problems with ENS structure.
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