Aideen M. McInerney-Leo, Miriam Schmidts, Claudio R. Cortés, Paul J

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Short-Rib Polydactyly and Jeune Syndromes Are Caused by Mutations in WDR60  Aideen M. McInerney-Leo, Miriam Schmidts, Claudio R. Cortés, Paul J. Leo, Blanca Gener, Andrew D. Courtney, Brooke Gardiner, Jessica A. Harris, Yeping Lu, Mhairi Marshall, Peter J. Scambler, Philip L. Beales, Matthew A. Brown, Andreas Zankl, Hannah M. Mitchison, Emma L. Duncan, Carol Wicking  The American Journal of Human Genetics  Volume 93, Issue 3, Pages 515-523 (September 2013) DOI: 10.1016/j.ajhg.2013.06.022 Copyright © 2013 The American Society of Human Genetics Terms and Conditions

Figure 1 Clinical Features of Individuals from the SRP and Jeune Syndrome Families (A and B) X-rays of individuals (A) SKDP42.3 (II-1 in Figure 2A) and (B) SKDP42.4 (II-2 in Figure 2A), showing shortening of the ribs and long bones and bowing of the limbs. (C–F) Individual JATD76 (II-1 in Figure 2A) displays typical hallmarks of Jeune syndrome: mildly narrowed thorax (C), also shown in (E); polydactyly (D, arrow points to remnants of an extra digit subsequently removed from the right hand); handlebar clavicles (E, asterisks); and acetabular spurs (F, arrows). The American Journal of Human Genetics 2013 93, 515-523DOI: (10.1016/j.ajhg.2013.06.022) Copyright © 2013 The American Society of Human Genetics Terms and Conditions

Figure 2 Segregation of WDR60 Variants and the Predicted Effect on Protein (A) Pedigree structure and WDR60 genotypes for the Australian SRPS family (SKDP42: individual II-1 = SKDP42.3; II-2 = SKDP42.4) and the Spanish Jeune syndrome family (JATD76). Sequencing chromatograms of genomic DNA show examples of each of the WDR60 mutations. Asterisks mark mutated base; dotted line in JATD76 sequence marks the intron 13/exon 14 junction. (B) Agarose gel showing RT-PCR products amplified from the proband in family JATD76 (II-1) and control cDNA, using primers in exon 13 and 18, spanning the splice mutation predicted to result in skipping of exon 14 (see Figure S1 for schema). Abbreviations are as follows: M, marker; C, control. (C) Sequencing chromatogram of the JATD76 (II-1) cDNA sample showing the nondeleted (upper line) and exon-14-skipped (lower line) alleles. Arrow indicates exon 15 boundary with exon 14 (control allele) or 13 (mutated allele). Note the sequencing shown is in the reverse orientation. Primer sequences available on request. (D) Schematic of human WDR60 showing the main protein domains and the positions of the residues affected by the three mutations found in this study. The residue altered by the c.2246C>T (p.Thr749Met) missense mutation present in both families is conserved back to Drosophila. (Human ENST00000407559; Mouse ENSMUSG00000042050; Chicken ENSGALG00000006558; Zebrafish ENSDART00000109166; C. elegans c27F2.1; Drosophila FBgn0034095.) The American Journal of Human Genetics 2013 93, 515-523DOI: (10.1016/j.ajhg.2013.06.022) Copyright © 2013 The American Society of Human Genetics Terms and Conditions

Figure 3 WDR60 Localizes to the Base of the Cilium in Human Chondrocytes and Ciliogenesis Is Impaired in Fibroblast Cultures from Affected Individuals (A–E) C-28/I2 immortalized human chondrocytes were serum starved for 24 hr in DMEM+0.2% FBS prior to fixing in 4% paraformaldehyde (PFA). Cells were stained with antibodies to acetylated α-tubulin (green) and WDR60 (red), showing localization of WDR60 at the base of the cilium (marked with arrowheads in A and B; see Table S4 for details of antibodies used). Nuclei were stained with 4′,6-Diamidino-2-Phenylindole (DAPI; blue). Cells were imaged on an Olympus Deltavision IX71 inverted microscope with a 100× objective. High-power images of boxed regions in (C) shown in (D) and (E). Scale bars represent 10 μm in (A)–(C) and 5 μm in (D) and (E). (F–H) Graphs showing a decreased percentage of ciliated cells in fibroblasts prepared from affected individuals SKDP42.3 (F), SKDP42.4 (G), and JATD76 (II-1; H) versus control fibroblast lines from postnatal foreskin (F, G) or adult skin (H). Cells were cultured for a maximum of six passages and serum starved and fixed as above. Acetylated α-tubulin-stained cilia were counted manually and expressed as a percentage of the number of nuclei. Data shown are from a minimum of three independent experiments. For each experiment at least 100 cells were counted, the mean percentage of ciliated cells was calculated, and the mean values compared statistically by a Student’s t test (∗∗∗p < 0.0001) with Prism 5 (Graphpad) software. Error bars represent standard error of the mean (SEM). The American Journal of Human Genetics 2013 93, 515-523DOI: (10.1016/j.ajhg.2013.06.022) Copyright © 2013 The American Society of Human Genetics Terms and Conditions

Figure 4 Localization of IFT and Trafficking Proteins in WDR60 Mutant Fibroblasts Fibroblasts from individual SKDP42.3 and control fibroblast lines were serum starved as described (see legend to Figure 3), fixed, and stained for (A–C) IFT144 (red), (D–F; J–L) IFT88 (red), (G–I) GLI2 (red), and (J–L) ARL13b (green). In (A)–(I), cells were costained for acetylated α-tubulin and γ-tubulin (green). Nuclei were stained with DAPI (blue), indicating that in (A) two independent cells are shown. Localization in cells in the mutant cultures that don’t form a detectable primary cilium are shown in (B), (E), (H), and (K). Arrows point to accumulated proteins. In those mutant cells that form a cilium, all proteins analyzed show a similar localization to control cells as shown in (C), (F), (I), and (L). For IFT144 experiments (A–C) only, cells were treated with saponin (0.05% in PBS) for 1 min prior to fixation in 4% PFA for 10 min. In (D)–(I), cells were fixed in ice-cold MeOH for 5 min, in (J)–(L) in 4% PFA. Cells were imaged on an Olympus Deltavision IX71 inverted microscope with a 100× objective. Scale bars represent 5 μm. See Table S4 for details of antibodies used. The American Journal of Human Genetics 2013 93, 515-523DOI: (10.1016/j.ajhg.2013.06.022) Copyright © 2013 The American Society of Human Genetics Terms and Conditions