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Non-coding deletions identify Maenli lncRNA as a limb-specific En1 regulator

Lila Allou, Sara Balzano, Andreas Magg, Mathieu Quinodoz, Beryl Royer-Bertrand, Robert Schöpflin, Wing-Lee Chan, Carlos E. Speck-Martins, Daniel Rocha Carvalho, Luciano Farage, Charles Marques Lourenço, Regina Albuquerque, Srilakshmi Rajagopal, Sheela Nampoothiri, Belinda Campos-Xavier, Carole Chiesa, Florence Niel-Bütschi, Lars Wittler, Bernd Timmermann, Malte Spielmann, Michael I. Robson, Alessa Ringel, Verena Heinrich, Giulia Cova, Guillaume Andrey, Cesar A. Prada-Medina, Rosanna Pescini-Gobert, Sheila Unger, Luisa Bonafé, Phillip Grote, Carlo Rivolta, Stefan Mundlos () and Andrea Superti-Furga
Additional contact information
Lila Allou: Max Planck Institute for Molecular Genetics
Sara Balzano: University of Lausanne
Andreas Magg: Max Planck Institute for Molecular Genetics
Mathieu Quinodoz: University of Lausanne
Beryl Royer-Bertrand: Lausanne University Hospital (CHUV) and University of Lausanne
Robert Schöpflin: Max Planck Institute for Molecular Genetics
Wing-Lee Chan: Charité-Universitätsmedizin Berlin
Carlos E. Speck-Martins: Genetic Unit, SARAH Network of Rehabilitation Hospitals
Daniel Rocha Carvalho: Genetic Unit, SARAH Network of Rehabilitation Hospitals
Luciano Farage: Instituto de Cardiologia do Distrito Federal
Charles Marques Lourenço: Centro Universitario Estácio
Regina Albuquerque: Faculdade Estadual de Medicina de São José do Rio Preto (FAMERP)
Srilakshmi Rajagopal: Tamil Nadu Dr M.G.R. Medical University
Sheela Nampoothiri: Amrita Institute of Medical Sciences & Research Centre
Belinda Campos-Xavier: Lausanne University Hospital (CHUV) and University of Lausanne
Carole Chiesa: Lausanne University Hospital (CHUV) and University of Lausanne
Florence Niel-Bütschi: Lausanne University Hospital (CHUV) and University of Lausanne
Lars Wittler: Max Planck Institute for Molecular Genetics
Bernd Timmermann: Max Planck Institute for Molecular Genetics
Malte Spielmann: Max Planck Institute for Molecular Genetics
Michael I. Robson: Max Planck Institute for Molecular Genetics
Alessa Ringel: Max Planck Institute for Molecular Genetics
Verena Heinrich: Max Planck Institute for Molecular Genetics
Giulia Cova: Max Planck Institute for Molecular Genetics
Guillaume Andrey: Max Planck Institute for Molecular Genetics
Cesar A. Prada-Medina: Max Planck Institute for Molecular Genetics
Rosanna Pescini-Gobert: University of Lausanne
Sheila Unger: Lausanne University Hospital (CHUV) and University of Lausanne
Luisa Bonafé: Lausanne University Hospital (CHUV) and University of Lausanne
Phillip Grote: Goethe University
Carlo Rivolta: University of Lausanne
Stefan Mundlos: Max Planck Institute for Molecular Genetics
Andrea Superti-Furga: Lausanne University Hospital (CHUV) and University of Lausanne

Nature, 2021, vol. 592, issue 7852, 93-98

Abstract: Abstract Long non-coding RNAs (lncRNAs) can be important components in gene-regulatory networks1, but the exact nature and extent of their involvement in human Mendelian disease is largely unknown. Here we show that genetic ablation of a lncRNA locus on human chromosome 2 causes a severe congenital limb malformation. We identified homozygous 27–63-kilobase deletions located 300 kilobases upstream of the engrailed-1 gene (EN1) in patients with a complex limb malformation featuring mesomelic shortening, syndactyly and ventral nails (dorsal dimelia). Re-engineering of the human deletions in mice resulted in a complete loss of En1 expression in the limb and a double dorsal-limb phenotype that recapitulates the human disease phenotype. Genome-wide transcriptome analysis in the developing mouse limb revealed a four-exon-long non-coding transcript within the deleted region, which we named Maenli. Functional dissection of the Maenli locus showed that its transcriptional activity is required for limb-specific En1 activation in cis, thereby fine-tuning the gene-regulatory networks controlling dorso-ventral polarity in the developing limb bud. Its loss results in the En1-related dorsal ventral limb phenotype, a subset of the full En1-associated phenotype. Our findings demonstrate that mutations involving lncRNA loci can result in human Mendelian disease.

Date: 2021
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DOI: 10.1038/s41586-021-03208-9

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