Whitehead
Institute scientists have identified a genetic cause of a facial disorder known
as hemifacial microsomia (HFM). The researchers find that duplication of the
gene OTX2 induces HFM, the second-most common facial anomaly after cleft lip
and palate. The researchers find that duplication of the gene OTX2 induces HFM,
the second-most common facial anomaly after cleft lip and palate.
HFM
affects approximately one in 3,500 births. While some cases appear to run in
families, no gene had been found to be causative. Patients with HFM tend to
have asymmetrical faces, --typically with one side of the upper and lower jaws
smaller than the opposite side--a smaller or malformed ear on the affected
side, and, in some cases, neurological or developmental abnormalities.
The genetic cause of this girl's hemifacial
microsomia (HFM) was the focus of research conducted by Whitehead Institute
Fellow Yaniv Erlich and his lab..
Erlich and lab technician Dina Zielinski began
studying the genomes of a five-year-old female member of the family, along with
those of her mother, grandmother, and male cousin, who all exhibited traits of
HFM. Later, the genetic information from the grandmother's Russian cousin, who
resides in the Philadelphia area, was recruited to the study.To find the cause
of a family's HFM, Zielinski began by searching for a point mutation, but the
five of the study participants held no such mutation in common. Next she looked
for sections of the genome that are duplicated. All had an extra copy of one
1.3 megabase pair section of chromosome 14. Duplications this large are
frequently detrimental. Within this large piece of DNA, he identified eight
candidate genes that could cause the type of HFM running in this family. She
then used two algorithms to compare the molecular signatures of these eight
genes to other genes known to be responsible for various facial malformations
with features similar to HFM. After this analysis, the gene OTX2 that codes for
a transcription factor rose above the seven other candidates.
Intriguingly, another, darker role of OTX2 was
highlighted during the course of the study. The little girl who was this
research's main focus was diagnosed with medulloblastoma, a highly malignant
tumor originating at the base of the brain in or near the cerebellum. OTX2 is a
known oncogene for her subclass of medulloblastoma, confirming that her OTX2
expression is out of line.
Posted by
Keerti Mishra
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