title: Connexin 40, a target of transcription factor Tbx5, patterns wrist, digits, and sternum.
abstract: Haploinsufficiency of T-box transcription factor 5 (TBX5) causes human Holt-Oram syndrome (HOS), a developmental disorder characterized by skeletal and heart malformations. Mice carrying a Tbx5 null allele (Tbx5(+/Delta)) have malformations in digits, wrists, and sternum joints, regions where Tbx5 is expressed. We demonstrate that mice deficient in connexin 40 (Cx40), a Tbx5-regulated gap junction component, shared axial and appendicular skeletal malformations with Tbx5(+/Delta) mice. Although no role in skeleton patterning has been described for gap junctions, we demonstrate here that Cx40 is involved in formation of specific joints, as well as bone shape. Even a 50% reduction in either Tbx5 or Cx40 produces bone abnormalities, demonstrating their crucial control over skeletal development. Further, we demonstrate that Tbx5 exerts in part its key regulatory role in bone growth and maturation by controlling via Cx40 the expression of Sox9 (a transcription factor essential for chondrogenesis and skeleton growth). Our study strongly suggests that Cx40 deficiency accounts for many skeletal malformations in HOS and that Tbx5 regulation of Cx40 plays a critical role in the exquisite developmental patterning of the forelimbs and sternum.
authors.affiliation: Department of Genetics, Harvard Medical School and Howard Hughes Medical Institute, Boston, MA 02115, USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Pizard
authors.forename: Patrick G
authors.initials: PG
authors.lastname: Burgon
authors.forename: David L
authors.initials: DL
authors.lastname: Paul
authors.forename: Benoit G
authors.initials: BG
authors.lastname: Bruneau
authors.forename: Christine E
authors.initials: CE
authors.lastname: Seidman
authors.forename: J G
authors.initials: JG
authors.lastname: Seidman
mesh_terms: D000818:Animals; D000831:Animals, Newborn; D019521:Body Patterning; D002348:Carpal Bones / Q000002:abnormalities / Q000033:anatomy & histology / Q000378:metabolism; D017630:Connexins / Q000235:genetics / Q000378:metabolism*; D005552:Forelimb / Q000002:abnormalities / Q000033:anatomy & histology / Q000254:growth & development / Q000378:metabolism; D006801:Humans; D017403:In Situ Hybridization; D051379:Mice; D018345:Mice, Knockout; D009024:Morphogenesis / Q000502:physiology*; D009139:Musculoskeletal Abnormalities; D010641:Phenotype; D013249:Sternum / Q000002:abnormalities / Q000033:anatomy & histology / Q000254:growth & development / Q000378:metabolism; D020825:T-Box Domain Proteins / Q000235:genetics / Q000378:metabolism*; D000097003:Gap Junction alpha-5 Protein
chemical_list: D017630:Connexins; D020825:T-Box Domain Proteins; D000097003:Gap Junction alpha-5 Protein; C103172:T-box transcription factor 5