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In utero rescue of neurological dysfunction in a mouse model of Wiedemann-Steiner syndrome
Tinna Reynisdottir, Kimberley J. Anderson, Katrin Möller, Stefán Pétursson, Andrew Brinn, Katheryn P. Franklin, Juan Ouyang, Asbjorg O. Snorradottir, Cathleen M. Lutz, Aamir R. Zuberi, Valerie B. DeLeon, Hans T. Bjornsson
Tinna Reynisdottir, Kimberley J. Anderson, Katrin Möller, Stefán Pétursson, Andrew Brinn, Katheryn P. Franklin, Juan Ouyang, Asbjorg O. Snorradottir, Cathleen M. Lutz, Aamir R. Zuberi, Valerie B. DeLeon, Hans T. Bjornsson
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Research Article Genetics Neuroscience

In utero rescue of neurological dysfunction in a mouse model of Wiedemann-Steiner syndrome

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Abstract

Wiedemann-Steiner syndrome (WDSTS) is a rare genetic cause of intellectual disability that is primarily caused by heterozygous loss-of-function variants in the gene encoding the histone lysine methyltransferase 2A (KMT2A). Prior studies have shown successful postnatal amelioration of disease phenotypes for Rett, Rubinstein-Taybi, and Kabuki syndromes, which are related Mendelian disorders of the epigenetic machinery. To explore whether the neurological phenotype in WDSTS is treatable in utero, we created a mouse model carrying a loss-of-function variant placed between 2 loxP sites. Kmt2a+/LSL mice demonstrated core features of WDSTS including growth retardation, craniofacial abnormalities, and hypertrichosis as well as hippocampal memory defects. The neurological phenotypes were rescued upon restoration of KMT2A in utero following breeding to a nestin-Cre. Together, our data provide a mouse model to explore the potential therapeutic window in WDSTS. Our work suggests that WDSTS has a window of opportunity extending at least until the midpoint of in utero development, making WDSTS an ideal candidate for future therapeutic strategies.

Authors

Tinna Reynisdottir, Kimberley J. Anderson, Katrin Möller, Stefán Pétursson, Andrew Brinn, Katheryn P. Franklin, Juan Ouyang, Asbjorg O. Snorradottir, Cathleen M. Lutz, Aamir R. Zuberi, Valerie B. DeLeon, Hans T. Bjornsson

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Figure 1

A Wiedemann-Steiner syndrome mouse model (Kmt2a+/LSL) recapitulates core phenotypes seen in individuals with WDSTS.

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A Wiedemann-Steiner syndrome mouse model (Kmt2a+/LSL) recapitulates core...
(A) Schematic figure of Kmt2a+/LSL mouse model with a heterozygous loxP-stop-loxP cassette inserted in intron 1 of Kmt2a showing ONT sequencing reads of the cassette. Each line represents an individual long read including several that span the entire cassette as well as boundaries on either side allowing verification of its orientation. (B) Relative total Kmt2a mRNA expression is decreased in Kmt2a+/LSL mice compared with Kmt2a+/+ littermates (P1, n = 7 Kmt2a+/+ and n = 3 Kmt2a+/LSL, unpaired t test). (C) Kmt2a+/LSL mice weigh significantly less compared with Kmt2a+/+ littermates (8-week-old, n = 24 Kmt2a+/+ and n = 19 Kmt2a+/LSL, unpaired t test). (D) Hair follicle count per mm of skin is decreased on abdomen but not on the back of newborn Kmt2a+/LSL pups compared with littermates (P0, n = 3 Kmt2a+/+ and n = 4 Kmt2a+/LSL, unpaired t test). (E) Representative CT images of Kmt2a+/+ and Kmt2a+/LSL mice from lateral view, the depicting the craniofacial phenotype of 2- to 3.5-month-old mice. (F) PCA plot of the craniofacial structure showing a distinct separation of the genotypes along PC1 (n = 6 Kmt2a+/+ and n = 6 Kmt2a+/LSL, 1-way Procrustes ANOVA). (G) The Kmt2a+/LSL mice are positioned at the negative end of PC1 and characterized by increased height and width of the neurocranium, a shortened midface, and ventral bowing of the cranium. (H) Representative figure of the gap within the interfrontal suture in the Kmt2a+/LSL mice (right) compared with wild type (left). (I) Representative figure of the white abdominal spot of a Kmt2a+/LSL mouse next to a WT littermate (2- to 3-month-old). (J) The majority of Kmt2a+/LSL mice (n = 40, 57.5%) present with a white abdominal spot, a phenotype not present in Kmt2a+/+ littermates. *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.

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