PUBLICATION

ERBB3 deficiency causes a multisystemic syndrome in human patient and zebrafish

Authors
Liu, K., Chen, R., Zhang, M., Gong, Y., Wang, Y., Cai, W.
ID
ZDB-PUB-231128-3
Date
2023
Source
Clinical genetics   105(3): 283-293 (Journal)
Registered Authors
Keywords
ERBB3, Hirschsprung disease, enteric nervous system, lethal congenital contracture syndrome, zebrafish
MeSH Terms
  • Animals
  • Contracture*
  • Hirschsprung Disease*/genetics
  • Humans
  • Phenotype
  • Receptor, ErbB-3/genetics
  • Syndrome
  • Zebrafish/genetics
PubMed
38009810 Full text @ Clin. Genet.
Abstract
The Erb-B2 receptor tyrosine kinase 3 (ERBB3) gene was first identified as a cause of lethal congenital contracture syndrome (OMIM 607598), while a recent study reported six additional patients carrying ERBB3 variants which exhibited distinct clinical features with evident intestinal dysmotility (OMIM 243180). The potential connection between these phenotypes remains unknown, and the ERBB3-related phenotype spectrum needs to be better characterized. Here, we described a patient presenting with a multisystemic syndrome including skip segment Hirschsprung disease, bilateral clubfoot deformity, and cardiac defect. Trio-whole exome sequencing revealed a novel compound heterozygous variant (c.1914-7C>G; c.2942_2945del) in the patient's ERBB3 gene. RT-PCR and in vitro minigene analysis demonstrated that variant c.1914-7C>G caused aberrant mRNA splicing. Both variants resulted in premature termination codon and complete loss of ERBB3 function. erbb3b knockdown in zebrafish simultaneously caused a reduction in enteric neurons in the distal intestine, craniofacial cartilage defects, and micrognathia, which phenotypically mimics ERBB3-related intestinal dysmotility and some features of lethal congenital contracture syndrome in human patients. These findings provide further patient and animal evidence supporting that ERBB3 deficiency causes a complex syndrome involving multiple systems with phenotypic variability among distinct individuals.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping