Development of a zebrafish model of Loeys-Dietz syndrome through tgfbr2b knockdown

Rie Chida1,2, Genri Kawahara3, Mami Nakayashiki1

  • 1Department of Pathophysiology, Tokyo Medical University, Tokyo, Japan.

Journal of Human Genetics
|February 2, 2026
PubMed

Insights

Loeys-Dietz syndrome (LDS) involves TGF-β pathway gene mutations, unlike Marfan syndrome (MFS). Zebrafish models reveal BMP signaling dysregulation in LDS, clarifying its distinct pathology and craniofacial/cardiac abnormalities.

Area of Science:

  • Genetics
  • Developmental Biology
  • Molecular Biology

Background:

  • Loeys-Dietz syndrome (LDS) is a connective tissue disorder often mistaken for Marfan syndrome (MFS).
  • While MFS stems from FBN1 mutations, LDS arises from TGF-β pathway gene mutations, such as TGFBR2.
  • Distinctive features of LDS include arterial tortuosity, widespread aortic aneurysms, hypertelorism, and cleft palate, differentiating it from MFS.

Purpose of the Study:

  • To investigate the distinct pathological mechanisms of LDS compared to MFS.
  • To elucidate the role of the TGF-β signaling pathway in LDS pathogenesis.
  • To establish and characterize an LDS zebrafish model to study craniofacial and cardiovascular abnormalities.

Main Methods:

  • An LDS zebrafish model was created by knocking down tgfbr2b using antisense morpholino oligonucleotides.
  • Phenotypic analysis of the tgfbr2b morphants was performed.
  • Gene and protein expression related to the TGF-β and BMP signaling pathways were analyzed, including TGF-β1 and phosphorylated smad1/5/9.

Main Results:

  • The tgfbr2b morphants exhibited craniofacial dysmorphism, body curvature, and cardiovascular defects, mirroring LDS patient phenotypes.
  • Upregulation of TGF-β1 gene and protein expression was observed.
  • Enhanced phosphorylation of smad1/5/9 and upregulation of BMP signaling pathway genes indicated dysregulation in this pathway.

Conclusions:

  • Dysregulation of BMP signaling during development is crucial for the craniofacial and cardiac abnormalities seen in the LDS zebrafish model.
  • The study clarifies the distinct pathological mechanisms differentiating LDS from MFS.
  • The zebrafish model provides valuable insights into LDS pathogenesis and potential therapeutic targets.

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