Nature Communications (Feb 2024)

Unraveling the genetic architecture of congenital vertebral malformation with reference to the developing spine

  • Sen Zhao,
  • Hengqiang Zhao,
  • Lina Zhao,
  • Xi Cheng,
  • Zhifa Zheng,
  • Mengfan Wu,
  • Wen Wen,
  • Shengru Wang,
  • Zixiang Zhou,
  • Haibo Xie,
  • Dengfeng Ruan,
  • Qing Li,
  • Xinquan Liu,
  • Chengzhu Ou,
  • Guozhuang Li,
  • Zhengye Zhao,
  • Guilin Chen,
  • Yuchen Niu,
  • Xiangjie Yin,
  • Yuhong Hu,
  • Xiaochen Zhang,
  • Deciphering disorders Involving Scoliosis and COmorbidities (DISCO) study,
  • Pengfei Liu,
  • Guixing Qiu,
  • Wanlu Liu,
  • Chengtian Zhao,
  • Zhihong Wu,
  • Jianguo Zhang,
  • Nan Wu

DOI
https://doi.org/10.1038/s41467-024-45442-5
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 9

Abstract

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Abstract Congenital vertebral malformation, affecting 0.13–0.50 per 1000 live births, has an immense locus heterogeneity and complex genetic architecture. In this study, we analyze exome/genome sequencing data from 873 probands with congenital vertebral malformation and 3794 control individuals. Clinical interpretation identifies Mendelian etiologies in 12.0% of the probands and reveals a muscle-related disease mechanism. Gene-based burden test of ultra-rare variants identifies risk genes with large effect sizes (ITPR2, TBX6, TPO, H6PD, and SEC24B). To further investigate the biological relevance of the genetic association signals, we perform single-nucleus RNAseq on human embryonic spines. The burden test signals are enriched in the notochord at early developmental stages and myoblast/myocytes at late stages, highlighting their critical roles in the developing spine. Our work provides insights into the developmental biology of the human spine and the pathogenesis of spine malformation.