PUBLICATION

Phenotyping Zebrafish Mutant Models to Assess Candidate Genes Associated with Aortic Aneurysm

Authors
Prendergast, A., Ziganshin, B.A., Papanikolaou, D., Zafar, M.A., Nicoli, S., Mukherjee, S., Elefteriades, J.A.
ID
ZDB-PUB-220126-1
Date
2022
Source
Genes   13(1): (Journal)
Registered Authors
Nicoli, Stefania, Prendergast, Andrew
Keywords
EMILIN1, MIB1, VUS, thoracic aortic aneurysm, variant of unknown significance, whole exome sequencing, zebrafish
MeSH Terms
  • Animals
  • Aortic Aneurysm, Thoracic/genetics
  • Aortic Aneurysm, Thoracic/pathology*
  • Disease Models, Animal*
  • Embryo, Nonmammalian/metabolism
  • Embryo, Nonmammalian/pathology*
  • Humans
  • Loss of Function Mutation*
  • Phenotype*
  • Pilot Projects
  • Zebrafish
  • Zebrafish Proteins/genetics*
PubMed
35052463 Full text @ Genes (Basel)
Abstract
(1) Background: Whole Exome Sequencing of patients with thoracic aortic aneurysm often identifies "Variants of Uncertain Significance" (VUS), leading to uncertainty in clinical management. We assess a novel mechanism for potential routine assessment of these genes in TAA patients. Zebrafish are increasingly used as experimental models of disease. Advantages include low cost, rapid maturation, and physical transparency, permitting direct microscopic assessment. (2) Methods: Zebrafish loss of function mutations were generated using a CRISPRC/CAS9 approach for EMILIN1 and MIB1 genes similar to VUSs identified in clinical testing. Additionally, "positive control" mutants were constructed for known deleterious variants in FBN1 (Marfan's) and COL1A2, COL5A1, COL5A2 (Ehlers-Danlos). Zebrafish embryos were followed to six days post-fertilization. Embryos were studied by brightfield and confocal microscopy to ascertain any vascular, cardiac, and skeletal abnormalities. (3) Results: A dramatic pattern of cardiac, cerebral, aortic, and skeletal abnormalities was identified for the known pathogenic FBN1 and COL1A2, COL5A1, and COL5A2 mutants, as well as for the EMILIN1 and MIB1 mutants of prior unknown significance. Visualized abnormalities included hemorrhage (peri-aortic and cranial), cardiomegaly, reduced diameter of the aorta and intersegmental vessels, lower aortic cell counts, and scoliosis (often extremely severe). (4) Conclusion: This pilot study suggests that candidate genes arising in clinical practice may be rapidly assessed via zebrafish mutants-thus permitting evidence-based decisions about pathogenicity. Thus, years-long delays to clinically demonstrate pathogenicity may be obviated. Zebrafish data would represent only one segment of analysis, which would also include frequency of the variant in the general population, in silico genetic analysis, and degree of preservation in phylogeny.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping