CANDIDATE PLANAR CELL POLARITY (PCP) GENE ANALYSIS IN HUMAN NEURAL TUBE DEFECTS (NTDs)

  • 3 Years 2008/2011
  • 260.062€ Total Award
Neural Tube Defects (NTDs) are severe congenital malformations characterized by a failure of neural tube closure during early embryonic development. Failed closure at the cranial neural tube, known as anencephaly, is a lethal condition, whereas failed closure at the spinal region results in a myelomeningocele. Consequences of this birth defect range from minor defects that can be corrected by surgery to severe physical deformations and paralysis. NTDs occur in 1 out every 1,000 pregnancies and they represent the second cause of death after congenital heart defects. Animal models have provided crucial mechanistic information and possible candidate genes to explain susceptibility to NTDs. A survey of the genes whose disruption causes NTD indicates multiple key signaling pathways and cellular functions that are essential for neural tube closure. The gene VANGL1, that was found mutated in three NTDs children, codes for a membrane protein that enables cells to orient themselves properly, during early steps of development. The presence of mutations cause cells to lose their correct orientation, so the tissue in which it is expressed fails to develop properly, causing gaps that leave nerve tissue exposed. This finding encourage to extend the investigation to other proteins that, with VANGL1, play a role to determine the correct cell orientation during development. In fact, probably VANGL1 has just a partial role in the pathogenesis of NTDs, and alterations in more than one gene are causative. This research will provide us a better understanding of molecular mechanisms underlying NTDs. Moreover, the gain of our knowledge could help us in the diagnosis, by the identification of parents who have a higher chance of an affected child. Actually, we are far to have immediate clinical benefits for NTDs, but providing clinicians with a better knowledge of the development of the disease, we could speed up the search for a focused prevention and a more complete familial counseling.

Scientific Publications

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