Cell mixing at a neural crest-mesoderm boundary and deficient ephrin-Eph signaling in the pathogenesis of craniosynostosis
Open accessAbstract
Boundaries between cellular compartments often serve as signaling interfaces during embryogenesis. The coronal suture is a major growth center of the skull vault and develops at a boundary between cells derived from neural crest and mesodermal origin, forming the frontal and parietal bones, respectively. Premature fusion of these bones, termed coronal synostosis, is a common human developmental anomaly. Known causes of coronal synostosis include haploinsufficiency of TWIST1 and a gain of function mutation in MSX2. In Twist1(+/-) mice with coronal synostosis, we found that the frontal-parietal boundary is defective. Specifically, neural crest cells invade the undifferentiated mesoderm of the Twist1(+/-) mutant coronal suture. This boundary defect is accompanied by an expansion in Msx2 expression and reduction in ephrin-A4 distribution. Reduced dosage of Msx2 in the Twist1 mutant background restores the expression of ephrin-A4, rescues the suture boundary and inhibits craniosynostosis. Underlining the importance of ephrin-A4, we identified heterozygous mutations in the human orthologue, EFNA4, in three of 81 patients with non-syndromic coronal synostosis. This provides genetic evidence that Twist1, Msx2 and Efna4 function together in boundary formation and the pathogenesis of coronal synostosis.
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The greater genetic load in coronal synostosis probably reflects the coronal suture's distinct embryological origin, where neural crest-derived frontal bone meets cephalic mesoderm-derived parietal bone.
“The higher genetic load associated with coronal synostosis is likely to reflect the distinct embryological origin of the coronal suture, at the boundary between the developing frontal bone (neural crest origin) and parietal bone (cephalic mesoderm).8,40”
From Craniosynostosis (2011) · cites this paper as [8]
The Introduction (page unavailable) places the coronal suture at the boundary between neural crest-derived frontal bone and mesoderm-derived parietal bone. The paper also links defects at this boundary to coronal synostosis, but it does not establish that coronal synostosis has a higher genetic load than other forms or that this difference reflects the boundary’s embryological origin. (LLM, conf=0.86)
Experimental — accuracy not yet measuredTwist1 has a key role in maintaining the boundary between neural crest and cephalic mesoderm at the developing coronal suture.
“Twist1 has a key role in maintaining the boundary between neural crest and cephalic mesoderm at the site of the developing coronal suture.8”
From Craniosynostosis (2011) · cites this paper as [8]
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Cites
Twist, a Master Regulator of Morphogenesis, Plays an Essential Role in Tumor Metastasis
Yang, J., Mani, S. A., Donaher, J. L., Ramaswamy, S., Itzykson, R., Côme, C., Savagner, P., Gitelman, I., Richardson, A. L., & Weinberg, R. A. (2004) · Cell · doi:10.1016/j.cell.2004.06.006 · Cited by 3,856 · see citing works
Tissue origins and interactions in the mammalian skull vault.
Jiang, X., Iseki, S., Maxson, R. E., Sucov, H. M., & Morriss-Kay, G. M. (2002) · Developmental Biology · doi:10.1006/dbio.2001.0487 · Cited by 782 · see citing works
Self-citationA Twist Code Determines the Onset of Osteoblast Differentiation
Bialek, P., Kern, B., Yang, X., Schrock, M., Šošić, D., Hong, N. A., Wu, H., Yu, K., Ornitz, D. M., Olson, E. N., et al. (2004) · Developmental Cell · doi:10.1016/s1534-5807(04)00058-9 · Cited by 674 · see citing works
Jabs, E. W., Müller, U., Li, X., Ma, L., Luo, W., Haworth, I. S., Klisak, I. J., Sparkes, R. S., Warman, M. L., Mulliken, J. B., et al. (1993) · Cell · doi:10.1016/0092-8674(93)90379-5 · Cited by 673 · see citing works
Self-citationMutations in TWIST, a basic helix–loop–helix transcription factor, in Saethre-Chotzen syndrome
Howard, T. D., Paznekas, W. A., Green, E. D., Chiang, L. C., Ma, N. S. F., Luna, R. I. O. D., Delgado, C. G., Gonzalez-Ramos, M., Kline, A. D., & Jabs, E. W. (1997) · Nature Genetics · doi:10.1038/ng0197-36 · Cited by 645 · see citing works
Mutations of the TWIST gene in the Saethre-Chotzene syndrome
Ghouzzi, V. E., Merrer, M. F. L., Perrin‐Schmitt, F., Lajeunie, E., Bénit, P., Rénier, D., Bourgeois, P., Bolcato‐Bellemin, A., Münnich, A., & Bonaventure, J. (1997) · Nature Genetics · doi:10.1038/ng0197-42 · Cited by 639 · see citing works
twist is required in head mesenchyme for cranial neural tube morphogenesis.Preprint
Chen, Z., & Behringer, R. R. (1995) · Genes & Development · doi:10.1101/gad.9.6.686 · Cited by 616 · see citing works
Neural crest origins of the neck and shoulder
Matsuoka, T., Ahlberg, P., Kessaris, N., Iannarelli, P., Dennehy, U., Richardson, W. D., McMahon, A. P., & Koentges, G. (2005) · Nature · doi:10.1038/nature03837 · Cited by 525 · see citing works
Wang, H. U., & Anderson, D. J. (1997) · Neuron · doi:10.1016/s0896-6273(00)81240-4 · Cited by 479 · see citing works
Feldheim, D. A., Kim, Y.-I., Bergemann, A. D., Frisén, J., Barbacid, M., & Flanagan, J. G. (2000) · Neuron · doi:10.1016/s0896-6273(00)81060-0 · Cited by 468 · see citing works
Repelling class discrimination: ephrin-A5 binds to and activates EphB2 receptor signaling
Himanen, J., Chumley, M. J., Lackmann, M., Li, C., Barton, W. A., Jeffrey, P. D., Vearing, C., Geleick, D., Feldheim, D. A., Boyd, A., et al. (2004) · Nature Neuroscience · doi:10.1038/nn1237 · Cited by 453 · see citing works
Diverse Roles of Eph Receptors and Ephrins in the Regulation of Cell Migration and Tissue Assembly
Poliakov, A. A., Cotrina, M. L., & Wilkinson, D. G. (2004) · Developmental Cell · doi:10.1016/j.devcel.2004.09.006 · Cited by 431 · see citing works
Krull, C. E., Lansford, R. D., Gale, N. W., Collazo, A., Marcelle, C., Yancopoulos, G. D., Fraser, S. E., & Bronner-Fraser, M. E. (1997) · Current Biology · doi:10.1016/s0960-9822(06)00256-9 · Cited by 395 · see citing works
Trainor, P. A., & Tam, P. (1995) · Development · doi:10.1242/dev.121.8.2569 · Cited by 341 · see citing works
Twigg, S. R. F., Kan, R., Babbs, C., Bochukova, E. G., Robertson, S. P., Wall, S. A., Morriss‐Kay, G. M., & Wilkie, A. O. M. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0402819101 · Cited by 341 · see citing works
Self-citationCrystal structure of an Eph receptor–ephrin complex
Himanen, J., Rajashankar, K. R., Lackmann, M., Cowan, C. A., Henkemeyer, M. J., & Nikolov, D. B. (2001) · Nature · doi:10.1038/414933a · Cited by 339 · see citing works
Xu, Q., Alldus, G., Holder, N., et al. (1995) · Development · doi:10.1242/dev.121.12.4005 · Cited by 314 · see citing works
Ephrin-B1 forward and reverse signaling are required during mouse developmentPreprint
Davy, A., Aubin, J., & Soriano, P. M. (2004) · Genes & Development · doi:10.1101/gad.1171704 · Cited by 288 · see citing works
Eph signaling is required for segmentation and differentiation of the somitesPreprint
Durbin, L., Brennan, C. H., Shiomi, K., et al. (1998) · Genes & Development · doi:10.1101/gad.12.19.3096 · Cited by 262 · see citing works
Mutations of the Ephrin-B1 Gene Cause Craniofrontonasal Syndrome
Wieland, I., Jakubiczka, S., Muschke, P., Cohen, M. Y., Thiele, H., Gerlach, K. L., Adams, R. H., & Wieacker, P. F. (2004) · The American Journal of Human Genetics · doi:10.1086/421532 · Cited by 243 · see citing works
Soo, K., O'Rourke, M. P., Khoo, P., Steiner, K. A., Wong, N., Behringer, R. R., & Tam, P. (2002) · Developmental Biology · doi:10.1006/dbio.2002.0699 · Cited by 228 · see citing works
Disruption of thetalin gene arrests mouse development at the gastrulation stage
Monkley, S. J., Zhou, X.-H., Kinston, S., Giblett, S. M., Hemmings, L., Priddle, H., Brown, J., Pritchard, C. A., Critchley, D. R., & F�ssler, R. (2000) · Developmental Dynamics · doi:10.1002/1097-0177(2000)9999:9999 · Cited by 218 · see citing works
Compartment boundaries: at the edge of development
Dahmann, C., Dahmann, C., Basler, K., et al. (1999) · Trends in Genetics · doi:10.1016/s0168-9525(99)01774-6 · Cited by 207 · see citing works
Liu, Y., Tang, Z., Kundu, R. K., Wu, L., Luo, W., Zhu, D., Sangiorgi, F. O., Snead, M. L., & Maxson, R. E. (1999) · Developmental Biology · doi:10.1006/dbio.1998.9114 · Cited by 201 · see citing works
Self-citationCranial sutures require tissue interactions with dura mater to resist osseous obliteration in vitro
Opperman, L. A., Passarelli, R. W., Morgan, E. P., Reintjes, M., & Ogle, R. C. (1995) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.5650101218 · Cited by 191 · see citing works
Ishii, M., Merrill, A. E., Chan, Y.-S., Gitelman, I., Rice, D. P. C., Sucov, H. M., & Maxson, R. E. (2003) · Development · doi:10.1242/dev.00793 · Cited by 182 · see citing works
Self-citationChin-Sang, I. D., George, S. E., Ding, M., Moseley, S. L., Lynch, A. S., & Chisholm, A. D. (1999) · Cell · doi:10.1016/s0092-8674(00)81675-x · Cited by 181 · see citing works
EphA4 Is Required for Cell Adhesion and Rhombomere-Boundary Formation in the Zebrafish
Cooke, J. E., Kemp, H. A., & Moens, C. B. (2005) · Current Biology · doi:10.1016/j.cub.2005.02.019 · Cited by 174 · see citing works
Ma, L. (1996) · Human Molecular Genetics · doi:10.1093/hmg/5.12.1915 · Cited by 174 · see citing works
Cheng, Y., Amoyel, M., Qiu, X., Jiang, Y., Xu, Q., & Wilkinson, D. G. (2004) · Developmental Cell · doi:10.1016/s1534-5807(04)00097-8 · Cited by 141 · see citing works
Progression of calvarial bone development requires Foxc1 regulation of Msx2 and Alx4
Rice, R., Rice, D. P. C., Olsen, B. R., & Thesleff, I. (2003) · Developmental Biology · doi:10.1016/s0012-1606(03)00355-5 · Cited by 125 · see citing works
The Role of the Dura in Cranial Bone Regeneration in the Immature Animal
Hobar, C. P., Schreiber, J. S., McCarthy, J. G., et al. (1993) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199309000-00003 · Cited by 122 · see citing works
Brugger, S. M., Merrill, A. E., Torres‐Vázquez, J., Wu, N. L., Ting, M.-C., Cho, J. Y.-M., Dobias, S. L., Yi, S. E., Lyons, K. M., Bell, J. R., et al. (2004) · Development · doi:10.1242/dev.01390 · Cited by 117 · see citing works
Self-citationFringe-dependent separation of dorsal and ventral cells in the Drosophila wing
Rauskolb, C., Correia, T., & Irvine, K. D. (1999) · Nature · doi:10.1038/46786 · Cited by 111 · see citing works
Gale, N. W., Flenniken, A. M., Compton, D. C., Jenkins, N. A., Copeland, N. G., Gilbert, D. J., Davis, S., Wilkinson, D. G., & Yancopoulos, G. D. (1996) · PubMed · Cited by 110 · see citing works
Dorsoventral lineage restriction in wing imaginal discs requires Notch
Micchelli, C. A., & Blair, S. S. (1999) · Nature · doi:10.1038/46779 · Cited by 105 · see citing works
Apoptosis in murine calvarial bone and suture development
Rice, D. P. C., Kim, H., & Thesleff, I. (1999) · European Journal Of Oral Sciences · doi:10.1046/j.0909-8836.1999.eos107406.x · Cited by 100 · see citing works
de Pollack, C., Rénier, D., Hott, M., & Marie, P. J. (1996) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.5650110314 · Cited by 93 · see citing works
Yousfi, M., Lasmoles, F., Lomri, A., et al. (2001) · Journal of Clinical Investigation · doi:10.1172/jci11846 · Cited by 90 · see citing works
Msx2is an immediate downstream effector ofPax3in the development of the murine cardiac neural crest
Kwang, S. J., Brugger, S. M., Lazik, A., Merrill, A. E., Wu, L.-Y., Liu, Y., Ishii, M., Sangiorgi, F. O., Rauchman, M. I., Sucov, H. M., et al. (2002) · Development · doi:10.1242/dev.129.2.527 · Cited by 90 · see citing works
Self-citationCraniosynostosis in Twist heterozygous mice: A model for Saethre‐Chotzen syndrome
Carver, E. A., Oram, K. F., & Gridley, T. (2002) · The Anatomical Record · doi:10.1002/ar.10124 · Cited by 88 · see citing works
Aasheim, H., Munthe, E., Funderud, S., et al. (2000) · Blood · doi:10.1182/blood.v95.1.221 · Cited by 78 · see citing works
A novel mutation, Ala315Ser, in FGFR2: a gene–environment interaction leading to craniosynostosis?
Johnson, D. W., Wall, S., Mann, S., & Wilkie, A. (2000) · European Journal of Human Genetics · doi:10.1038/sj.ejhg.5200499 · Cited by 76 · see citing works
Self-citationEnhanced Plasticity of Retinothalamic Projections in an Ephrin-A2/A5 Double Mutant
Lyckman, A. W., Jhaveri, S., Feldheim, D. A., et al. (2001) · Journal of Neuroscience · doi:10.1523/jneurosci.21-19-07684.2001 · Cited by 71 · see citing works
Roles of Eph receptors and ephrins in neural crest pathfinding
Robinson, V., Smith, A., Flenniken, A. M., et al. (1997) · Cell and Tissue Research · doi:10.1007/s004410050931 · Cited by 70 · see citing works
Opperman, L. A., Chhabra, A., Nolen, A. A., Bao, Y., & Ogle, R. C. (1998) · PubMed · Cited by 69 · see citing works
Mehrara, B. J., Most, D., Chang, J., Bresnick, S., Turk, A. E., Schendel, S. A., Gittes, G. K., & Longaker, M. T. (1999) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199908000-00017 · Cited by 52 · see citing works
Alx4 and Msx2 play phenotypically similar and additive roles in skull vault differentiation
Antonopoulou, I., Mavrogiannis, L. A., Wilkie, A. O. M., & Morriss‐Kay, G. M. (2004) · Journal of Anatomy · doi:10.1111/j.0021-8782.2004.00304.x · Cited by 50 · see citing works
Self-citationInhibition of Apoptosis: A Potential Mechanism for Syndromic Craniosynostosis
Dry, G. M., Yasinskaya, Y. I., Williams, J. K., et al. (2001) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200102000-00019 · Cited by 38 · see citing works
Three Distinct Molecular Surfaces in Ephrin-A5 Are Essential for a Functional Interaction with EphA3
Day, B. W., To, C., Himanen, J., et al. (2005) · Journal of Biological Chemistry · doi:10.1074/jbc.m504972200 · Cited by 37 · see citing works
Kirk, M. D., & Kahn, A. (1995) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.5650100810 · Cited by 29 · see citing works
Prader-Willi-like syndrome in a patient with an Xq23q25 duplication
Monaghan, K. G., Dyke, D. L. V., & Feldman, G. L. (1998) · American Journal of Medical Genetics · doi:10.1002/(sici)1096-8628(19981116)80:3 · Cited by 29 · see citing works
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- Authors
- Merrill, A. E., Bochukova, E. G., Brugger, S. M., Ishii, M., Pilz, D. T., Wall, S. A., Lyons, K. M., Wilkie, A. O. M., & Maxson, R. E.
- Affiliations
- University of Southern California (US)
- John Radcliffe Hospital (GB)
- University of California, Los Angeles (US)
- University Hospital of Wales (GB)
- Corresponding author
- Merrill, Amy E.
- ORCID
- Venue
- Human Molecular Genetics
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-03-15
- Volume
- 15
- Issue
- 8
- Pages
- 1319-1328
- ISSN
- 0964-6906 (ISSN-L)
- 1460-2083
- OpenAlex
- W2128550660
- Cited by
- 206
- References
- 52
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 10 · 2023: 3 · 2022: 7 · 2021: 11 · 2020: 11 · 2019: 11 · 2018: 8 · 2017: 14 · 2016: 15 · 2015: 9 · 2014: 11 · 2013: 18 · 2012: 15
- FWCI
- 6.01
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- Human Molecular Genetics (publishedVersion, other-oa)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- American Heart Association
- Wellcome Trust
- National Institutes of Health (DE12941)
- National Heart, Lung, and Blood Institute (T32HL007895)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR-44528, R01AR044528)
- National Institute of Dental and Craniofacial Research (DE 12941, R01DE016320, R01DE012450, DE12450, P01DE012941)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › dental development and anomalies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Keywords
- craniosynostosis, coronal synostosis, Eph/ephrin signaling, TWIST1, Msx2, cell mixing, coronal suture, nonsyndromic craniosynostosis, haploinsufficiency
- MeSH terms
- Animals, Base Sequence, Cells, Cultured, Chlorocebus aethiops, Cranial Sutures, Craniosynostoses, DNA-Binding Proteins, Embryo, Mammalian, Heterozygote, Humans, Immunohistochemistry, Mesoderm, Mice, Inbred C57BL, Mice, Transgenic, Molecular Sequence Data, Mutation, Neural Crest, Nuclear Proteins, Phenotype, Tumor Cells, Cultured, Signal Transduction, Homeodomain Proteins, Gene Expression Regulation, Developmental, COS Cells, Receptors, Eph Family, Ephrins, Ephrin-A2, Ephrin-A4, Mice, Twist-Related Protein 1
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