1区 · 医学
Article
作者: Gülez, Burcu ; Goc, Nükte ; Deniz, Engin ; Coskun, Süleyman ; Ozcan, Kent ; Cox, Andrew ; Guy, Mikhael ; Fomchenko, Elena ; Connolly, E Sander ; Khokha, Mustafa K ; Mishra-Gorur, Ketu ; Louvi, Angeliki ; Miyagishima, Danielle F ; Jin, Sheng Chih ; Rai, Devendra K ; Yarman, Yanki ; Kilic, Deniz ; Kahle, Kristopher T ; Gültekin, Batur ; Ozturk, Ali Kemal ; Aguilera, Stephanie Marie ; Jung, Su Woong ; Yasuno, Katsuhito ; Bilgüvar, Kaya ; Armero, William ; Dong, Weilai ; Erson-Omay, E Zeynep ; Günel, Murat ; Harmancı, Akdes Serin ; Nicoli, Stefania ; Ercan-Sencicek, A Gulhan ; Lifton, Richard P ; Prendergast, Andrew ; Hintzen, Jared ; Nelson-Williams, Carol ; Altinok, Selin ; Henegariu, Octavian ; Sempou, Emily ; Ristori, Emma ; Barak, Tanyeri
Intracranial aneurysm (IA) rupture leads to subarachnoid hemorrhage, a sudden-onset disease that often causes death or severe disability. Although genome-wide association studies have identified common genetic variants that increase IA risk moderately, the contribution of variants with large effect remains poorly defined. Using whole-exome sequencing, we identified significant enrichment of rare, deleterious mutations in PPIL4, encoding peptidyl-prolyl cis-trans isomerase-like 4, in both familial and index IA cases. Ppil4 depletion in vertebrate models causes intracerebral hemorrhage, defects in cerebrovascular morphology and impaired Wnt signaling. Wild-type, but not IA-mutant, PPIL4 potentiates Wnt signaling by binding JMJD6, a known angiogenesis regulator and Wnt activator. These findings identify a novel PPIL4-dependent Wnt signaling mechanism involved in brain-specific angiogenesis and maintenance of cerebrovascular integrity and implicate PPIL4 gene mutations in the pathogenesis of IA.