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European Human Genetics Conference 2007 June 16 – 19, 2007 ...

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Concurrent Symposia<br />

were significantly less frequent in CSD melanomas. We showed that<br />

germline variants of MC1R are a major susceptibility factor for BRAF<br />

mutations among non-CSD melanomas. Further analysis our array<br />

CGH data suggested a genomic region harboring KIT to be important<br />

in melanomas on mucosa, acral skin and skin with CSD. Oncogenic<br />

mutations or focused copy number increases in the gene were found in<br />

40% of acral and mucosal melanomas, and 30% of CSD melanomas.<br />

These results suggest that the existing drugs such as imatanib and<br />

new are inhibitors against KIT could be useful for certain melanoma<br />

types. More recent studies correlating phenotypic alterations with the<br />

underlying genotype have shown that mutations in BRAF are associated<br />

with distinct histopathological features of the primary tumor that<br />

can be combined to simple algorithms that can predict the mutation<br />

status of BRAF with high accuracy. Our data show that melanoma is<br />

comprised of genetically and phenotypically distinct subtypes with different<br />

requirements for treatment stratification.<br />

S13. Comprehensive analysis of the SRY-box 10 locus (SOX10):<br />

Implications for diseases of neural crest derivatives<br />

B. J. Pavan;<br />

Genetic Disease Research Branch, National <strong>Human</strong> Genome Research Institute,<br />

National Institutes of Health, Bethesda, MD, United States.<br />

The transcription factor SOX10 is a key regulator of genes involved<br />

in neural-crest derived melanocytes, enteric neurons, and myelinating<br />

Schwann cells. Mutations in the SOX10 gene are associated with human<br />

diseases that affect these cell populations, including impaired pigmentation,<br />

enteric aganglionosis (e.g., Waardenburg-Shah syndrome),<br />

and demyelinating peripheral neuropathy. While SOX10 targets have<br />

been identified, the mechanisms involved in the transcriptional regulation<br />

of SOX10 remain elusive. Recently, we used comparative sequence<br />

analysis to identify highly-conserved, non-coding segments<br />

upstream of SOX10. We demonstrated that three of these segments<br />

are encompassed by a 15-kb deletion residing ~ 50 kb upstream of<br />

Sox10 in a mouse model of Waardenburg-Shah syndrome. Importantly,<br />

this deletion does not completely compromise Sox10 expression<br />

in all tissues. Thus, other sequences at the Sox10 locus are likely involved<br />

in transcriptional regulation, and mutations in these sequences<br />

may contribute to neural crest disorders in humans.<br />

One goal of our lab is to fully characterize SOX10 regulatory sequences<br />

and to establish if mutations in these sequences contribute to human<br />

disease. Our studies involve four distinct research areas: (1) Testing<br />

conserved segments for enhancer activity in cell lines; (2) Determining<br />

if these conserved segments drive reporter gene expression in a<br />

tissue-specific manner in zebrafish and mouse; (3) Deleting these conserved<br />

segments in BACs and testing for altered reporter gene expression<br />

in transgenic mice; and (4) Screening these conserved segments<br />

for sequence variations in a panel of >600 DNA samples isolated from<br />

patients with enteric aganglionosis (Hirschsprung disease). These<br />

studies will provide important clues about the transcriptional regulation<br />

of SOX10 and the full role of the transcription factor in human development<br />

and disease.<br />

S14. Cilia in Skeletal Development: identification of Evc as a<br />

mediator of Ihh signalling<br />

V. L. Ruiz-Perez 1 , H. J. Blair 2 , M. Rodriguez-Andres 1 , M. Blanco 3 , Y. Liu 2 , H.<br />

Peters 2 , C. Miles 2 , J. A. Goodship 2 ;<br />

1 Centro de Investigaciones Biológicas, Consejo Superior de Investigaciones<br />

Científicas, Madrid, Spain, 2 Institute of <strong>Human</strong> <strong>Genetics</strong>, International Centre<br />

for Life, Newcastle upon Tyne, United Kingdom, 3 Department of <strong>Human</strong> Anatomy<br />

and Embryology, Faculty of Medicine, Universidad Complutense de Madrid,<br />

Madrid, Spain.<br />

Cilia are projections from the cell made of a core of microtubules and<br />

associated proteins. Cilia are classified according to their microtubule<br />

components: 9+2 motile cilia and 9+0 primary cilia, which are usually<br />

immotile. The importance of primary cilia in development, e.g. leftright<br />

development, and postnatally, e.g. in the kidney, is increasingly<br />

recognised. Intraflagellar transport (IFT) is required to generate cilia.<br />

IFT mutants are embryonic lethal but generation of conditional alleles<br />

enables studies regarding requirement for cilia in later processes and<br />

have shown that they play a critical role in endochondral bone formation.<br />

A limitation of this approach is that removal of cilia disrupts all of<br />

their many functions. We identified two causative genes for the human<br />

chondrodysplasia Ellis-van Creveld syndrome (EvC, OMIM:225500)<br />

by positional cloning. We have inactivated Evc in the mouse and show<br />

that Evc -/- mice develop an EvC-like syndrome, including short ribs,<br />

short limbs, and dental abnormalities. LacZ driven by the Evc promoter<br />

revealed that Evc is expressed in the developing bones and the orofacial<br />

region. We developed antibodies that localized the Evc protein<br />

to the base of the primary cilium. Recent studies of IFT mutants have<br />

revealed that primary cilia are integral to Hedgehog signalling. Analysis<br />

of the growth plate of Evc -/- mice shows delayed bone collar formation<br />

and advanced maturation of chondrocytes. By in situ hybridization<br />

we detected that Indian hedgehog (Ihh) is expressed normally in the<br />

growth plates of Evc -/- mutants but expression of the Ihh downstream<br />

genes Ptch1 and Gli1 were markedly decreased. Cilia formation is not<br />

affected in Evc mutants and western blot analysis indicates that Gli3<br />

processing is normal. We conclude that Evc is required for Ihh signalling<br />

in endochondral bone formation.<br />

S15. Molecular basis of primary ciliary dyskinesia<br />

S. Amselem;<br />

INSERM U.654, Hôpital Armand-Trousseau, Paris, France.<br />

Defects in structure and function of cilia have recently been associated<br />

with a growing number of rare diseases. The phenotypic features<br />

of these so-called ciliopathies reflect the diverse biological properties<br />

of these evolutionarily conserved structures that protrude from the<br />

apical surface of most eukaryotic cells. Cilia, which contain a microtubule<br />

cytoskeleton (axoneme) structurally related to the flagella of<br />

spermatozoa, can be classified according to their axonemal components:<br />

primary cilia, with sensory function, are involved in a wide range<br />

of disorders, whereas motile cilia are involved in the most prominent<br />

ciliopathy called primary ciliary dyskinesia (PCD). PCD is a rare respiratory<br />

disease, affecting approximately 1/<strong>16</strong>,000 individuals, due to<br />

impaired mucociliary clearance. This disorder, usually transmitted as<br />

an autosomal recessive trait, is characterized by chronic airway inflammation,<br />

male infertility, and, in approximately half of the patients,<br />

abnormal left-right asymmetry, defining the Kartagener syndrome. The<br />

disease phenotype results from various axonemal defects involving<br />

the motile respiratory and embryonic nodal cilia, as well as the flagella<br />

of spermatozoa. Its molecular basis is just beginning to be elucidated,<br />

with, to date, 5 genes known to be involved in that condition<br />

(i.e. DNAI1, DNAH5, DNAH11, RPGR, and TXNDC3). These results<br />

were obtained by various means, including original candidate-gene<br />

approaches based on data from a one-billion-year-old unicellular flagellar<br />

algae (Chalmydomonas reinhardtii) and from see urchin. The current<br />

challenges are to identify new PCD genes and to characterize<br />

the molecular and cellular mechanisms involved in ciliary dyskinesia.<br />

Flagellated protists like trypanosomes represents promising models to<br />

achieve these goals. These lower eukaryotes possess genes for flagellar<br />

motility whose inactivation reproduces the motility and ultra-structural<br />

defects seen in patients with PCD. In addition, in spite of the evolutionary<br />

distance between these unicellular organisms and humans,<br />

the complementation of genetically modified strains of trypanosomes<br />

with human orthologous sequences seems conceivable.<br />

S<strong>16</strong>. Making sense of cilia: Bardet Biedl syndrome and other<br />

ciliopathies<br />

P. L. Beales;<br />

The Institute of Child Health,, University College London, London, United Kingdom.<br />

Despite knowledge of primary (non-motile) cilia for over a century, recently<br />

ascribed functions have rekindled interest in these sessile cellular<br />

appendages. Less than a decade ago, cilia were associated with<br />

renal cyst formation (through observations in mouse models of polycystic<br />

kidney disease) although the mechanism is still hotly debated.<br />

More recently, developmental biologists have discovered the origins<br />

of left-right asymmetry common to vertebrates and demonstrated the<br />

involvement of specialised “spinning” primary cilia. Our own area of<br />

study, the Bardet-Biedl syndrome along with nephronophthisis, both<br />

causes of renal cyst formation have revealed the importance of primary<br />

cilia in human disease.<br />

In this lecture, I will describe the evidence for ciliary dysfunction in Bardet-Biedl<br />

syndrome and how this is leading us to define extended roles<br />

for cilia in developmental pathways. I will also describe an approach<br />

we have taken to discover the causes of other diseases of cilia function<br />

thus widening the scope of this emerging class of ciliopathies.

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