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Acrofacial Dysostosis, Cincinnati Type, a Mandibulofacial Dysostosis Syndrome with Limb Anomalies, Is Caused by POLR1A Dysfunction.


ABSTRACT: We report three individuals with a cranioskeletal malformation syndrome that we define as acrofacial dysostosis, Cincinnati type. Each individual has a heterozygous mutation in POLR1A, which encodes a core component of RNA polymerase 1. All three individuals exhibit varying degrees of mandibulofacial dysostosis, and two additionally have limb anomalies. Consistent with this observation, we discovered that polr1a mutant zebrafish exhibited cranioskeletal anomalies mimicking the human phenotype. polr1a loss of function led to perturbed ribosome biogenesis and p53-dependent cell death, resulting in a deficiency of neural-crest-derived skeletal precursor cells and consequently craniofacial anomalies. Our findings expand the genotypic and phenotypic heterogeneity of congenital acrofacial disorders caused by disruption of ribosome biogenesis.

SUBMITTER: Weaver KN 

PROVIDER: S-EPMC4570288 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature

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Acrofacial Dysostosis, Cincinnati Type, a Mandibulofacial Dysostosis Syndrome with Limb Anomalies, Is Caused by POLR1A Dysfunction.

Weaver K Nicole KN   Watt Kristin E Noack KE   Hufnagel Robert B RB   Navajas Acedo Joaquin J   Linscott Luke L LL   Sund Kristen L KL   Bender Patricia L PL   König Rainer R   Lourenco Charles M CM   Hehr Ute U   Hopkin Robert J RJ   Lohmann Dietmar R DR   Trainor Paul A PA   Wieczorek Dagmar D   Saal Howard M HM  

American journal of human genetics 20150423 5


We report three individuals with a cranioskeletal malformation syndrome that we define as acrofacial dysostosis, Cincinnati type. Each individual has a heterozygous mutation in POLR1A, which encodes a core component of RNA polymerase 1. All three individuals exhibit varying degrees of mandibulofacial dysostosis, and two additionally have limb anomalies. Consistent with this observation, we discovered that polr1a mutant zebrafish exhibited cranioskeletal anomalies mimicking the human phenotype. p  ...[more]

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