Human myelomeningocele risk and ultra-rare deleterious variants in genes associated with cilium, WNT-signaling, ECM, cytoskeleton and cell migration
Open accessAbstract
Myelomeningocele (MMC) affects one in 1000 newborns annually worldwide and each surviving child faces tremendous lifetime medical and caregiving burdens. Both genetic and environmental factors contribute to disease risk but the mechanism is unclear. This study examined 506 MMC subjects for ultra-rare deleterious variants (URDVs, absent in gnomAD v2.1.1 controls that have Combined Annotation Dependent Depletion score ≥ 20) in candidate genes either known to cause abnormal neural tube closure in animals or previously associated with human MMC in the current study cohort. Approximately 70% of the study subjects carried one to nine URDVs among 302 candidate genes. Half of the study subjects carried heterozygous URDVs in multiple genes involved in the structure and/or function of cilium, cytoskeleton, extracellular matrix, WNT signaling, and/or cell migration. Another 20% of the study subjects carried heterozygous URDVs in candidate genes associated with gene transcription regulation, folate metabolism, or glucose metabolism. Presence of URDVs in the candidate genes involving these biological function groups may elevate the risk of developing myelomeningocele in the study cohort.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Two missense variants in ABI1, c.584C > T (p.Thr195Ile) and c.1238A > C (p.Glu413Ala), were found in patients with myelomeningocele and autism spectrum disorder, respectively.
“Additionally, two missense variants, c.584C > T, p.Thr195Ile, and c.1238A > C, p.Glu413Ala, in ABI1 were found in patients with myelomeningocele (spina bifida)138 and ASD104,114, respectively.”
From The WAVE complex in developmental and adulthood brain disorders (2025) · cites this paper as [138]
Citation 138 is attached to the myelomeningocele finding, not the ASD finding. The Results section reports missense variants in the myelomeningocele cohort, but our copy does not identify ABI1 c.584C > T (p.Thr195Ile) among them; searches for ABI1 and the variant found no confirming passage. Page numbers were unavailable. (LLM, conf=0.70)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Cellular signalling by primary cilia in development, organ function and disease
Anvarian, Z., Mykytyn, K., Mukhopadhyay, S., Pedersen, L. B., & Christensen, S. T. (2019) · Nature Reviews Nephrology · doi:10.1038/s41581-019-0116-9 · Cited by 845 · see citing works
Simons, M., Gloy, J., Ganner, A., Bullerkotte, A., Bashkurov, M., Krönig, C., Schermer, B., Benzing, T., Cabello, O. A., Jenny, A., et al. (2005) · Nature Genetics · doi:10.1038/ng1552 · Cited by 767 · see citing works
Flagged first, then by citations
Research works printed but not linked: 62
- [1]Nikolopoulou E Galea GL Rolo A Greene NDE Copp AJ Neural tube closure: Cellular, molecular and biomechanical mechanisms Development 2017 144 552 566 10.1242/dev.145904 28196803 PMC5325323 · DOI
- [2]Veland IR Lindbæk L Christensen ST Linking the primary cilium to cell migration in tissue repair and brain development Bioscience 2014 64 1115 1125 10.1093/biosci/biu179 26955067 PMC4776690 · DOI
- [3]Juriloff D Harris M Insights into the etiology of mammalian neural tube closure defects from developmental, genetic and evolutionary studies J. Dev. Biol. 2018 6 22 10.3390/jdb6030022 30134561 PMC6162505 · DOI
- [4]Ray HJ Niswander LA Grainyhead-like 2 downstream targets act to suppress epithelial-to-mesenchymal transition during neural tube closure Development 2016 143 1192 1204 10.1242/dev.129825 26903501 PMC4852492 · DOI
- [5]Gustavsson P Increased expression of Grainyhead-like-3 rescues spina bifida in a folate-resistant mouse model Hum. Mol. Genet. 2007 16 2640 2646 10.1093/hmg/ddm221 17720888 · DOI
- [6]Harris MJ Juriloff DM An update to the list of mouse mutants with neural tube closure defects and advances toward a complete genetic perspective of neural tube closure Birth Defects Res. Part A Clin. Mol. Teratol. 2010 88 653 669 10.1002/bdra.20676 20740593 · DOI
- [7]Salbaum JM Kappen C Neural tube defect genes and maternal diabetes during pregnancy Birth Defects Res. Part A Clin. Mol. Teratol. 2010 88 601 611 10.1002/bdra.20680 20564432 PMC3509193 · DOI
- [8]Eppig JT The Mouse Genome Database (MGD): Comprehensive resource for genetics and genomics of the laboratory mouse Nucleic Acids Res. 2012 10.1093/nar/gkr974 22075990 PMC3245042 · DOI
- [9]Blake JA Bult CJ Kadin JA Richardson JE Eppig JT The Mouse Genome Database (MGD): Premier model organism resource for mammalian genomics and genetics Nucleic Acids Res. 2011 39 D842 D848 10.1093/nar/gkq1008 21051359 PMC3013640 · DOI
- [10]Chen Z Genetic analysis of Wnt/PCP genes in neural tube defects BMC Med. Genomics 2018 11 38 10.1186/s12920-018-0355-9 29618362 PMC5885375 · DOI
- [11]Ishida M A targeted sequencing panel identifies rare damaging variants in multiple genes in the cranial neural tube defect, anencephaly Clin. Genet. 2018 93 870 879 10.1111/cge.13189 29205322 PMC5887939 · DOI
- [12]Wang L Digenic variants of planar cell polarity genes in human neural tube defect patients Mol. Genet. Metab. 2018 124 94 100 10.1016/j.ymgme.2018.03.005 29573971 PMC5966321 · DOI
- [13]Lemay P Whole exome sequencing identifies novel predisposing genes in neural tube defects Mol. Genet. Genomic Med. 2019 7 e00467 10.1002/mgg3.467 30415495 PMC6382446 · DOI
- [14]Bao EL Cheng AN Sankaran VG The genetics of human hematopoiesis and its disruption in disease EMBO Mol. Med. 2019 11 e10316 10.15252/emmm.201910316 31313878 PMC6685084 · DOI
- [15]Katsanis N Triallelic inheritance in Bardet-Biedl syndrome, a Mendelian recessive disorder Science (80-.) 2001 10.1126/science.1063525 11567139 · DOI
- [16]Rentzsch P Witten D Cooper GM Shendure J Kircher M CADD: Predicting the deleteriousness of variants throughout the human genome Nucleic Acids Res. 2019 47 D886 D894 10.1093/nar/gky1016 30371827 PMC6323892 · DOI · Paper page
- [17]Harris MJ Juriloff DM Mouse mutants with neural tube closure defects and their role in understanding human neural tube defects Birth Defects Res. Part A Clin. Mol. Teratol. 2007 79 187 210 10.1002/bdra.20333 17177317 · DOI
- [18]Kim A Integrated clinical and omics approach to rare diseases: Novel genes and oligogenic inheritance in holoprosencephaly Brain 2019 10.1093/brain/awy290 30508070 · DOI
- [19]Wang M Capra Kibar Update on the role of the non-canonical Wnt/planar cell polarity pathway in neural tube defects Cells 2019 8 1198 10.3390/cells8101198 PMC6829399 31590237 · DOI
- [20]Kaimal V Bardes EE Tabar SC Jegga AG Aronow BJ ToppCluster: A multiple gene list feature analyzer for comparative enrichment clustering and network-based dissection of biological systems Nucleic Acids Res. 2010 38 W96 W102 10.1093/nar/gkq418 20484371 PMC2896202 · DOI
- [21]Hillman P Identification of novel candidate risk genes for myelomeningocele within the glucose homeostasis/oxidative stress and folate/one-carbon metabolism networks Mol. Genet. Genomic Med. 2020 8 11 e1495 10.1002/mgg3.1495 32960507 PMC7667334 · DOI
- [22]Krupp DR Transcriptome profiling of genes involved in neural tube closure during human embryonic development using long serial analysis of gene expression (long-SAGE) Birth Defects Res. Part A Clin. Mol. Teratol. 2012 94 683 692 10.1002/bdra.23040 PMC3438356 22806986 · DOI
- [23]Vogel TW Carter CS Abode-Iyamah K Zhang Q Robinson S The role of primary cilia in the pathophysiology of neural tube defects Neurosurg. Focus 2012 33 E2 10.3171/2012.6.FOCUS12222 23025443 · DOI
- [24]Christensen, S. T., Pedersen, S. F., Satir, P., Veland, I. R. & Schneider, L. Chapter 10 the primary cilium coordinates signaling pathways in cell cycle control and migration during development and tissue repair. In Current Topics in Developmental Biology 261–301 (2008). 10.1016/S0070-2153(08)00810-7. 19147009 · DOI
- [25]Murdoch JN Copp AJ The relationship between sonic Hedgehog signaling, cilia, and neural tube defects Birth Defects Res. Part A Clin. Mol. Teratol. 2010 88 633 652 10.1002/bdra.20686 PMC3635124 20544799 · DOI
- [26]Ybot-Gonzalez P Cogram P Gerrelli D Copp AJ Sonic hedgehog and the molecular regulation of mouse neural tube closure Development 2002 129 2507 2517 11973281
- [27]Ybot-Gonzalez P Convergent extension, planar-cell-polarity signalling and initiation of mouse neural tube closure Development 2007 134 789 799 10.1242/dev.000380 17229766 PMC1839770 · DOI
- [29]Wheway, G., Nazlamova, L. & Hancock, J. T. Signaling through the primary cilium. Front. Cell Dev. Biol.6, 8. 10.3389/fcell.2018.00008 (2018). PMC5809511 29473038 · DOI · Paper page
- [30]Chen X Detection of Copy Number Variants Reveals Association of Cilia Genes with Neural Tube Defects PLoS ONE 2013 8 e54492 10.1371/journal.pone.0054492 23349908 PMC3547935 · DOI
- [31]Rolo A Escuin S Greene NDE Copp AJ Rho GTPases in mammalian spinal neural tube closure Small GTPases 2018 9 283 289 10.1080/21541248.2016.1235388 27768516 PMC5438870 · DOI
- [32]Malicki JJ Johnson CA The cilium: Cellular antenna and central processing unit Trends Cell Biol. 2017 27 126 140 10.1016/j.tcb.2016.08.002 27634431 PMC5278183 · DOI
- [33]Gurniak CB Perlas E Witke W The actin depolymerizing factor n-cofilin is essential for neural tube morphogenesis and neural crest cell migration Dev. Biol. 2005 278 231 241 10.1016/j.ydbio.2004.11.010 15649475 · DOI
- [34]Wallingford JB Planar cell polarity, ciliogenesis and neural tube defects Hum. Mol. Genet. 2006 15 R227 R234 10.1093/hmg/ddl216 16987888 · DOI
- [35]May-Simera HL Kelley MW Cilia, Wnt signaling, and the cytoskeleton Cilia 2012 1 7 10.1186/2046-2530-1-7 23351924 PMC3555707 · DOI
- [36]Oteiza P Planar cell polarity signalling regulates cell adhesion properties in progenitors of the zebrafish laterality organ Development 2010 137 3459 3468 10.1242/dev.049981 20843857 · DOI
- [37]Mirvis M Stearns T James Nelson W Cilium structure, assembly, and disassembly regulated by the cytoskeleton Biochem. J. 2018 475 2329 2353 10.1042/BCJ20170453 30064990 PMC6068341 · DOI
- [39]Beaumont M Targeted panel sequencing establishes the implication of planar cell polarity pathway and involves new candidate genes in neural tube defect disorders Hum. Genet. 2019 138 363 374 10.1007/s00439-019-01993-y 30838450 · DOI
- [40]Hebert H Burden of rare deleterious variants in WNT signaling genes among 511 myelomeningocele patients PLoS One 2020 15 9 83 10.22541/au.158983195.57483136 PMC7514064 32970752 · DOI
- [41]Reynolds A VANGL1 rare variants associated with neural tube defects affect convergent extension in zebrafish Mech. Dev. 2010 127 385 392 10.1016/j.mod.2009.12.002 20043994 PMC2965831 · DOI
- [42]Lei Y Rare LRP6 Variants Identified in Spina Bifida Patients Hum. Mutat. 2015 36 342 349 10.1002/humu.22750 25546815 PMC4361299 · DOI
- [43]Lemay P Loss-of-function de novo mutations play an important role in severe human neural tube defects J. Med. Genet. 2015 52 493 497 10.1136/jmedgenet-2015-103027 25805808 · DOI
- [44]van Haelst MM Scambler PJ Hennekam RCM Fraser syndrome: A clinical study of 59 cases and evaluation of diagnostic criteria Am. J. Med. Genet. Part A 2007 143A 3194 3203 10.1002/ajmg.a.31951 18000968 · DOI
- [45]McShane SG Cellular basis of neuroepithelial bending during mouse spinal neural tube closure Dev. Biol. 2015 404 113 124 10.1016/j.ydbio.2015.06.003 26079577 PMC4528075 · DOI
- [46]Brook FA Shum ASW Van Straaten HWM Copp AJ Curvature of the caudal region is responsible for failure of neural tube closure in the curly tail (ct) mouse embryo Development 1991 113 671 678 1782873
- [47]Morita H Cell movements of the deep layer of non-neural ectoderm underlie complete neural tube closure in Xenopus Development 2012 139 1417 1426 10.1242/dev.073239 22378637 · DOI
- [48]Rolo A Galea GL Savery D Greene NDE Copp AJ Novel mouse model of encephalocele: Post-neurulation origin and relationship to open neural tube defects Dis. Model. Mech. 2019 12 dmm04083 10.1242/dmm.040683 PMC6899037 31628096 · DOI
- [49]Salbaum JM Novel mode of defective neural tube closure in the non-obese diabetic (NOD) mouse strain Sci. Rep. 2015 5 16917 10.1038/srep16917 26593875 PMC4655353 · DOI
- [50]Di Mauro V Crasto S Colombo FS Di Pasquale E Catalucci D Wnt signalling mediates miR-133a nuclear re-localization for the transcriptional control of Dnmt3b in cardiac cells Sci. Rep. 2019 9 9320 10.1038/s41598-019-45818-4 31249372 PMC6597717 · DOI
- [51]Brown HM Murray S Northrup H Au KS Niswander LA Snx3 is important for mammalian neural tube closure via its role in canonical and non-canonical WNT signaling Development 2020 147 22 dev192518 10.1242/dev.192518 33214242 PMC7687862 · DOI
- [52]Santos JMA Exogenous WNT5A and WNT11 proteins rescue CITED2 dysfunction in mouse embryonic stem cells and zebrafish morphants Cell Death Dis. 2019 10.1038/s41419-019-1816-6 31378782 PMC6680046 · DOI
- [53]Au KS Characteristics of a spina bifida population including North American Caucasian and Hispanic individuals. Birth Defects Res Part A Clin. Mol. Teratol. 2008 82 692 700 10.1002/bdra.20499 PMC2597629 18937358 · DOI
- [54]FDA-DHHS. Food Additives Permitted for Direct Addition to Food for Human Consumption; Folic Acid. vol. 81 https://www.govinfo.gov/content/pkg/FR-2016-04-15/pdf/2016-08792.pdf (2016). 27101640
- [55]Auwera, G. A. et al. From FastQ data to high‐confidence variant calls: The genome analysis toolkit best practices pipeline. Curr. Protoc. Bioinforma.43 (2013). PMC4243306 25431634
- [56]Liu X Wu C Li C Boerwinkle E dbNSFP v3.0: A one-stop database of functional predictions and annotations for human nonsynonymous and splice-site SNVs Hum. Mutat. 2016 37 235 241 10.1002/humu.22932 26555599 PMC4752381 · DOI
- [57]Karczewski KJ The mutational constraint spectrum quantified from variation in 141,456 humans Nature 2020 581 434 443 10.1038/s41586-020-2308-7 32461654 PMC7334197 · DOI · Paper page
- [58]Thorvaldsdóttir H Robinson JT Mesirov JP Integrative genomics viewer (IGV): High-performance genomics data visualization and exploration Brief. Bioinform. 2013 10.1093/bib/bbs017 22517427 PMC3603213 · DOI · Paper page
- [59]Carbon S The gene ontology resource: 20 years and still going strong Nucleic Acids Res. 2019 47 D330 D338 10.1093/nar/gky1055 30395331 PMC6323945 · DOI · Paper page
- [60]Raudvere U g:Profiler: A web server for functional enrichment analysis and conversions of gene lists (2019 update) Nucleic Acids Res. 2019 47 W191 W198 10.1093/nar/gkz369 31066453 PMC6602461 · DOI · Paper page
- [61]Firth HV DECIPHER: Database of chromosomal imbalance and phenotype in humans using ensembl resources Am. J. Hum. Genet. 2009 84 524 533 10.1016/j.ajhg.2009.03.010 19344873 PMC2667985 · DOI · Paper page
- [62]Lohnes D Function of the retinoic acid receptors (RARs) during development (I). Craniofacial and skeletal abnormalities in RAR double mutants Development 1994 120 2723 2748 7607067
- [63]Willsey HR Katanin-like protein Katnal2 is required for ciliogenesis and brain development in Xenopus embryos Dev. Biol. 2018 442 276 287 10.1016/j.ydbio.2018.08.002 30096282 PMC6143417 · DOI
- [64]Alby C Mutations in KIAA0586 cause lethal ciliopathies ranging from a hydrolethalus phenotype to short-rib polydactyly syndrome Am. J. Hum. Genet. 2015 97 311 318 10.1016/j.ajhg.2015.06.003 26166481 PMC4573270 · DOI
Cited by
Sorted by citations
The WAVE complex in developmental and adulthood brain disorders
Kim, H.-G., Berdasco, C., Nairn, A. C., & Kim, Y. (2025) · Experimental & Molecular Medicine · doi:10.1038/s12276-024-01386-w · Cited by 8 · see citing works
- Authors
- Au, K. S., Hebert, L., Hillman, P., Baker, C., Brown, M. R., Kim, D.-K., Soldano, K., Garrett, M., Ashley-Koch, A., Lee, S., Gleeson, J., Hixson, J. E., Morrison, A. C., & Northrup, H.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- University of Nebraska Medical Center (US)
- Duke Medical Center (US)
- University of California San Diego (US)
- Corresponding author
- Au, K. S.
- ORCID
- Venue
- Scientific Reports
- Published
- 2021-02-11
- Volume
- 11
- Issue
- 1
- Pages
- 3639-3639
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC7878900
- OpenAlex
- W3128832051
- Cited by
- 20
- References
- 2
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 1
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD073434)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Spinal Dysraphism and Malformations
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Health Sciences › Medicine › Surgery › Congenital gastrointestinal and neural anomalies
- Keywords
- myelomeningocele, neural tube defects, cilia, Wnt signaling, extracellular matrix, cytoskeleton, cell migration, folate metabolism, glucose metabolism, transcriptional regulation, genetic risk factors
- MeSH terms
- Cell Movement, Cilia, Cytoskeleton, Extracellular Matrix, Female, Humans, Male, Meningomyelocele, Neural Tube Defects, Risk Factors, Gene Deletion, Genetic Predisposition to Disease, Genetic Association Studies, Wnt Signaling Pathway
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review