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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 4

Transcriptional consequences of Kmt2a loss and rescue.

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Transcriptional consequences of Kmt2a loss and rescue.
(A) A schematic o...
(A) A schematic overview of the nestin-Cre strategy. By exposing the Kmt2a+/LSL mice to nestin-Cre, Kmt2a levels are expected to be restored in utero in the nervous system of the Nes-Cre+/– Kmt2a+/LSL mice in utero, allowing us to test in utero rescue. (B) qPCR demonstrates that relative Kmt2a mRNA expression is unchanged in Nes-Cre+/– Kmt2a+/LSL mice compared with Nes-Cre+/+Kmt2a+/+ littermates in nervous tissue (P1, n = 3 Nes-Cre+/– Kmt2a+/+, n = 3 Nes-Cre+/– Kmt2a+/LSL, unpaired t test). (C) Volcano plot showing the log2 fold changes of differentially expressed genes comparing Kmt2a+/+ versus Kmt2a+/LSL mNPCs (P0) with significant genes labeled in blue. (D) Correlation plot showing the negative correlation between log2 fold changes between Kmt2a+/+ versus Kmt2a+/LSL and then between Kmt2a+/LSL versus Nes-Cre+/– Kmt2a+/LSL mice (R2 = 0.57988). (E) Heatmap showing clustering of Kmt2a+/LSL samples compared with Kmt2a+/+ and Nes-Cre+/– Kmt2a+/LSL samples of the 26 rescued genes from significantly overrepresented biological pathways (with FDR < 0.05). Expression values were normalized to z-scores and plotted, with increased expression represented in red and decreased expression in blue. (F) Venn diagram of overlapping rescued genes with 1,177 known ASD-risk factor genes, with 26 genes overlapping (Fisher’s exact test). (G) Representative figure of Kmt2a isoforms and their exons. (H) Isoform switch analysis reveals a shift in isoform fraction (IF) in Kmt2a+/LSL mNPCs from the longer SET domain-containing Kmt2a transcript to the short non-SET domain containing Kmt2a transcript (GLM, FDR correction). **P < 0.01, ***P < 0.001, ****P < 0.0001.

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