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Mutations in the β-Tubulin Gene TUBB5 Cause Microcephaly with Structural Brain Abnormalities

Identifieur interne : 001097 ( Pmc/Curation ); précédent : 001096; suivant : 001098

Mutations in the β-Tubulin Gene TUBB5 Cause Microcephaly with Structural Brain Abnormalities

Auteurs : Martin Breuss [Autriche] ; Julian Ik-Tsen Heng [Australie] ; Karine Poirier [France] ; Guoling Tian [États-Unis] ; Xavier Hubert Jaglin [France] ; Zhengdong Qu [Australie] ; Andreas Braun [Autriche] ; Thomas Gstrein [Autriche] ; Linh Ngo [Australie] ; Matilda Haas [Australie] ; Nadia Bahi-Buisson [France] ; Marie-Laure Moutard [France] ; Sandrine Passemard [France] ; Alain Verloes [France] ; Pierre Gressens [France] ; Yunli Xie [Autriche] ; Kathryn J. H. Robson [Royaume-Uni] ; Deepa Selvi Rani [Inde] ; Kumarasamy Thangaraj [Inde] ; Tim Clausen [Autriche] ; Jamel Chelly [France] ; Nicholas Justin Cowan [États-Unis] ; David Anthony Keays [Autriche]

Source :

RBID : PMC:3595605

Abstract

Summary

The formation of the mammalian cortex requires the generation, migration, and differentiation of neurons. The vital role that the microtubule cytoskeleton plays in these cellular processes is reflected by the discovery that mutations in various tubulin isotypes cause different neurodevelopmental diseases, including lissencephaly (TUBA1A), polymicrogyria (TUBA1A, TUBB2B, TUBB3), and an ocular motility disorder (TUBB3). Here, we show that Tubb5 is expressed in neurogenic progenitors in the mouse and that its depletion in vivo perturbs the cell cycle of progenitors and alters the position of migrating neurons. We report the occurrence of three microcephalic patients with structural brain abnormalities harboring de novo mutations in TUBB5 (M299V, V353I, and E401K). These mutant proteins, which affect the chaperone-dependent assembly of tubulin heterodimers in different ways, disrupt neurogenic division and/or migration in vivo. Our results provide insight into the functional repertoire of the tubulin gene family, specifically implicating TUBB5 in embryonic neurogenesis and microcephaly.


Url:
DOI: 10.1016/j.celrep.2012.11.017
PubMed: 23246003
PubMed Central: 3595605

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PMC:3595605

Le document en format XML

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Cause Microcephaly with Structural Brain Abnormalities</title>
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<name sortKey="Robson, Kathryn J H" sort="Robson, Kathryn J H" uniqKey="Robson K" first="Kathryn J. H." last="Robson">Kathryn J. H. Robson</name>
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<name sortKey="Rani, Deepa Selvi" sort="Rani, Deepa Selvi" uniqKey="Rani D" first="Deepa Selvi" last="Rani">Deepa Selvi Rani</name>
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<name sortKey="Thangaraj, Kumarasamy" sort="Thangaraj, Kumarasamy" uniqKey="Thangaraj K" first="Kumarasamy" last="Thangaraj">Kumarasamy Thangaraj</name>
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<title xml:lang="en" level="a" type="main">Mutations in the β-Tubulin Gene
<italic>TUBB5</italic>
Cause Microcephaly with Structural Brain Abnormalities</title>
<author>
<name sortKey="Breuss, Martin" sort="Breuss, Martin" uniqKey="Breuss M" first="Martin" last="Breuss">Martin Breuss</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">Institute of Molecular Pathology, Dr Bohr-Gasse, Vienna 1030, Austria</nlm:aff>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Institute of Molecular Pathology, Dr Bohr-Gasse, Vienna 1030</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Heng, Julian Ik Tsen" sort="Heng, Julian Ik Tsen" uniqKey="Heng J" first="Julian Ik-Tsen" last="Heng">Julian Ik-Tsen Heng</name>
<affiliation wicri:level="1">
<nlm:aff id="aff2">Australian Regenerative Medicine Institute, Monash University, Clayton, Victoria 3800, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Australian Regenerative Medicine Institute, Monash University, Clayton, Victoria 3800</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Poirier, Karine" sort="Poirier, Karine" uniqKey="Poirier K" first="Karine" last="Poirier">Karine Poirier</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Tian, Guoling" sort="Tian, Guoling" uniqKey="Tian G" first="Guoling" last="Tian">Guoling Tian</name>
<affiliation wicri:level="1">
<nlm:aff id="aff4">Department of Biochemistry and Molecular Pharmacology, New York University Medical Center, New York, NY 10016, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Biochemistry and Molecular Pharmacology, New York University Medical Center, New York, NY 10016</wicri:regionArea>
</affiliation>
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<name sortKey="Jaglin, Xavier Hubert" sort="Jaglin, Xavier Hubert" uniqKey="Jaglin X" first="Xavier Hubert" last="Jaglin">Xavier Hubert Jaglin</name>
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<nlm:aff id="aff3">Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris</wicri:regionArea>
</affiliation>
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<name sortKey="Qu, Zhengdong" sort="Qu, Zhengdong" uniqKey="Qu Z" first="Zhengdong" last="Qu">Zhengdong Qu</name>
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<country xml:lang="fr">Australie</country>
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</affiliation>
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<name sortKey="Braun, Andreas" sort="Braun, Andreas" uniqKey="Braun A" first="Andreas" last="Braun">Andreas Braun</name>
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<country xml:lang="fr">Autriche</country>
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</affiliation>
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<name sortKey="Gstrein, Thomas" sort="Gstrein, Thomas" uniqKey="Gstrein T" first="Thomas" last="Gstrein">Thomas Gstrein</name>
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<name sortKey="Ngo, Linh" sort="Ngo, Linh" uniqKey="Ngo L" first="Linh" last="Ngo">Linh Ngo</name>
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<name sortKey="Haas, Matilda" sort="Haas, Matilda" uniqKey="Haas M" first="Matilda" last="Haas">Matilda Haas</name>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Australian Regenerative Medicine Institute, Monash University, Clayton, Victoria 3800</wicri:regionArea>
</affiliation>
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<name sortKey="Bahi Buisson, Nadia" sort="Bahi Buisson, Nadia" uniqKey="Bahi Buisson N" first="Nadia" last="Bahi-Buisson">Nadia Bahi-Buisson</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Moutard, Marie Laure" sort="Moutard, Marie Laure" uniqKey="Moutard M" first="Marie-Laure" last="Moutard">Marie-Laure Moutard</name>
<affiliation wicri:level="1">
<nlm:aff id="aff5">Service de Neurologie Pediatrique, AP-HP, Hopital Trousseau, Paris, 75571, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de Neurologie Pediatrique, AP-HP, Hopital Trousseau, Paris, 75571</wicri:regionArea>
</affiliation>
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<name sortKey="Passemard, Sandrine" sort="Passemard, Sandrine" uniqKey="Passemard S" first="Sandrine" last="Passemard">Sandrine Passemard</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">INSERM UMR-676, Robert Debré Hospital, Paris, 75019, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM UMR-676, Robert Debré Hospital, Paris, 75019</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff7">Paris Diderot University, Department of Génétics, Robert Debré Hospital, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Paris Diderot University, Department of Génétics, Robert Debré Hospital, Paris</wicri:regionArea>
</affiliation>
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<name sortKey="Verloes, Alain" sort="Verloes, Alain" uniqKey="Verloes A" first="Alain" last="Verloes">Alain Verloes</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">INSERM UMR-676, Robert Debré Hospital, Paris, 75019, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM UMR-676, Robert Debré Hospital, Paris, 75019</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff7">Paris Diderot University, Department of Génétics, Robert Debré Hospital, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Paris Diderot University, Department of Génétics, Robert Debré Hospital, Paris</wicri:regionArea>
</affiliation>
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<name sortKey="Gressens, Pierre" sort="Gressens, Pierre" uniqKey="Gressens P" first="Pierre" last="Gressens">Pierre Gressens</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">INSERM UMR-676, Robert Debré Hospital, Paris, 75019, France</nlm:aff>
<country xml:lang="fr">France</country>
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</author>
<author>
<name sortKey="Xie, Yunli" sort="Xie, Yunli" uniqKey="Xie Y" first="Yunli" last="Xie">Yunli Xie</name>
<affiliation wicri:level="1">
<nlm:aff id="aff8">Institute of Molecular Biotechnology, Dr Bohr-Gasse 3, Vienna, Austria</nlm:aff>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Institute of Molecular Biotechnology, Dr Bohr-Gasse 3, Vienna</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Robson, Kathryn J H" sort="Robson, Kathryn J H" uniqKey="Robson K" first="Kathryn J. H." last="Robson">Kathryn J. H. Robson</name>
<affiliation wicri:level="1">
<nlm:aff id="aff9">MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Rani, Deepa Selvi" sort="Rani, Deepa Selvi" uniqKey="Rani D" first="Deepa Selvi" last="Rani">Deepa Selvi Rani</name>
<affiliation wicri:level="1">
<nlm:aff id="aff10">Centre for Cellular and Molecular Biology, Habsiguda, Uppal Rd, Hyderabad 500 007, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Centre for Cellular and Molecular Biology, Habsiguda, Uppal Rd, Hyderabad 500 007</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Thangaraj, Kumarasamy" sort="Thangaraj, Kumarasamy" uniqKey="Thangaraj K" first="Kumarasamy" last="Thangaraj">Kumarasamy Thangaraj</name>
<affiliation wicri:level="1">
<nlm:aff id="aff10">Centre for Cellular and Molecular Biology, Habsiguda, Uppal Rd, Hyderabad 500 007, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Centre for Cellular and Molecular Biology, Habsiguda, Uppal Rd, Hyderabad 500 007</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Clausen, Tim" sort="Clausen, Tim" uniqKey="Clausen T" first="Tim" last="Clausen">Tim Clausen</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">Institute of Molecular Pathology, Dr Bohr-Gasse, Vienna 1030, Austria</nlm:aff>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Institute of Molecular Pathology, Dr Bohr-Gasse, Vienna 1030</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Chelly, Jamel" sort="Chelly, Jamel" uniqKey="Chelly J" first="Jamel" last="Chelly">Jamel Chelly</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cowan, Nicholas Justin" sort="Cowan, Nicholas Justin" uniqKey="Cowan N" first="Nicholas Justin" last="Cowan">Nicholas Justin Cowan</name>
<affiliation wicri:level="1">
<nlm:aff id="aff4">Department of Biochemistry and Molecular Pharmacology, New York University Medical Center, New York, NY 10016, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Biochemistry and Molecular Pharmacology, New York University Medical Center, New York, NY 10016</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Keays, David Anthony" sort="Keays, David Anthony" uniqKey="Keays D" first="David Anthony" last="Keays">David Anthony Keays</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">Institute of Molecular Pathology, Dr Bohr-Gasse, Vienna 1030, Austria</nlm:aff>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Institute of Molecular Pathology, Dr Bohr-Gasse, Vienna 1030</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Cell Reports</title>
<idno type="eISSN">2211-1247</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<title>Summary</title>
<p>The formation of the mammalian cortex requires the generation, migration, and differentiation of neurons. The vital role that the microtubule cytoskeleton plays in these cellular processes is reflected by the discovery that mutations in various tubulin isotypes cause different neurodevelopmental diseases, including lissencephaly (
<italic>TUBA1A</italic>
), polymicrogyria (
<italic>TUBA1A</italic>
,
<italic>TUBB2B</italic>
,
<italic>TUBB3</italic>
), and an ocular motility disorder (
<italic>TUBB3</italic>
). Here, we show that
<italic>Tubb5</italic>
is expressed in neurogenic progenitors in the mouse and that its depletion in vivo perturbs the cell cycle of progenitors and alters the position of migrating neurons. We report the occurrence of three microcephalic patients with structural brain abnormalities harboring de novo mutations in
<italic>TUBB5</italic>
(M299V, V353I, and E401K). These mutant proteins, which affect the chaperone-dependent assembly of tubulin heterodimers in different ways, disrupt neurogenic division and/or migration in vivo. Our results provide insight into the functional repertoire of the tubulin gene family, specifically implicating
<italic>TUBB5</italic>
in embryonic neurogenesis and microcephaly.</p>
</div>
</front>
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<author>
<name sortKey="Tischfield, M A" uniqKey="Tischfield M">M.A. Tischfield</name>
</author>
<author>
<name sortKey="Baris, H N" uniqKey="Baris H">H.N. Baris</name>
</author>
<author>
<name sortKey="Wu, C" uniqKey="Wu C">C. Wu</name>
</author>
<author>
<name sortKey="Rudolph, G" uniqKey="Rudolph G">G. Rudolph</name>
</author>
<author>
<name sortKey="Van Maldergem, L" uniqKey="Van Maldergem L">L. Van Maldergem</name>
</author>
<author>
<name sortKey="He, W" uniqKey="He W">W. He</name>
</author>
<author>
<name sortKey="Chan, W M" uniqKey="Chan W">W.M. Chan</name>
</author>
<author>
<name sortKey="Andrews, C" uniqKey="Andrews C">C. Andrews</name>
</author>
<author>
<name sortKey="Demer, J L" uniqKey="Demer J">J.L. Demer</name>
</author>
<author>
<name sortKey="Robertson, R L" uniqKey="Robertson R">R.L. Robertson</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Tischfield, M A" uniqKey="Tischfield M">M.A. Tischfield</name>
</author>
<author>
<name sortKey="Cederquist, G Y" uniqKey="Cederquist G">G.Y. Cederquist</name>
</author>
<author>
<name sortKey="Gupta, M L" uniqKey="Gupta M">M.L. Gupta</name>
</author>
<author>
<name sortKey="Engle, E C" uniqKey="Engle E">E.C. Engle</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Walsh, C A" uniqKey="Walsh C">C.A. Walsh</name>
</author>
<author>
<name sortKey="Engle, E C" uniqKey="Engle E">E.C. Engle</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="brief-report">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Cell Rep</journal-id>
<journal-id journal-id-type="iso-abbrev">Cell Rep</journal-id>
<journal-title-group>
<journal-title>Cell Reports</journal-title>
</journal-title-group>
<issn pub-type="epub">2211-1247</issn>
<publisher>
<publisher-name>Cell Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23246003</article-id>
<article-id pub-id-type="pmc">3595605</article-id>
<article-id pub-id-type="publisher-id">S2211-1247(12)00414-7</article-id>
<article-id pub-id-type="doi">10.1016/j.celrep.2012.11.017</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Mutations in the β-Tubulin Gene
<italic>TUBB5</italic>
Cause Microcephaly with Structural Brain Abnormalities</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Breuss</surname>
<given-names>Martin</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
<xref rid="fn1" ref-type="fn">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Heng</surname>
<given-names>Julian Ik-Tsen</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
<xref rid="fn1" ref-type="fn">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Poirier</surname>
<given-names>Karine</given-names>
</name>
<xref rid="aff3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tian</surname>
<given-names>Guoling</given-names>
</name>
<xref rid="aff4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jaglin</surname>
<given-names>Xavier Hubert</given-names>
</name>
<xref rid="aff3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qu</surname>
<given-names>Zhengdong</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Braun</surname>
<given-names>Andreas</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gstrein</surname>
<given-names>Thomas</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ngo</surname>
<given-names>Linh</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Haas</surname>
<given-names>Matilda</given-names>
</name>
<xref rid="aff2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bahi-Buisson</surname>
<given-names>Nadia</given-names>
</name>
<xref rid="aff3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Moutard</surname>
<given-names>Marie-Laure</given-names>
</name>
<xref rid="aff5" ref-type="aff">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Passemard</surname>
<given-names>Sandrine</given-names>
</name>
<xref rid="aff6" ref-type="aff">6</xref>
<xref rid="aff7" ref-type="aff">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Verloes</surname>
<given-names>Alain</given-names>
</name>
<xref rid="aff6" ref-type="aff">6</xref>
<xref rid="aff7" ref-type="aff">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gressens</surname>
<given-names>Pierre</given-names>
</name>
<xref rid="aff6" ref-type="aff">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xie</surname>
<given-names>Yunli</given-names>
</name>
<xref rid="aff8" ref-type="aff">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Robson</surname>
<given-names>Kathryn J.H.</given-names>
</name>
<xref rid="aff9" ref-type="aff">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rani</surname>
<given-names>Deepa Selvi</given-names>
</name>
<xref rid="aff10" ref-type="aff">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thangaraj</surname>
<given-names>Kumarasamy</given-names>
</name>
<xref rid="aff10" ref-type="aff">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Clausen</surname>
<given-names>Tim</given-names>
</name>
<xref rid="aff1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chelly</surname>
<given-names>Jamel</given-names>
</name>
<xref rid="aff3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cowan</surname>
<given-names>Nicholas Justin</given-names>
</name>
<xref rid="aff4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Keays</surname>
<given-names>David Anthony</given-names>
</name>
<email>keays@imp.ac.at</email>
<xref rid="aff1" ref-type="aff">1</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
Institute of Molecular Pathology, Dr Bohr-Gasse, Vienna 1030, Austria</aff>
<aff id="aff2">
<label>2</label>
Australian Regenerative Medicine Institute, Monash University, Clayton, Victoria 3800, Australia</aff>
<aff id="aff3">
<label>3</label>
Institut Cochin; INSERM Unité 1016; CNRS UMR 8104; Université Paris Descartes, Sorbonne Paris Cité Paris, France</aff>
<aff id="aff4">
<label>4</label>
Department of Biochemistry and Molecular Pharmacology, New York University Medical Center, New York, NY 10016, USA</aff>
<aff id="aff5">
<label>5</label>
Service de Neurologie Pediatrique, AP-HP, Hopital Trousseau, Paris, 75571, France</aff>
<aff id="aff6">
<label>6</label>
INSERM UMR-676, Robert Debré Hospital, Paris, 75019, France</aff>
<aff id="aff7">
<label>7</label>
Paris Diderot University, Department of Génétics, Robert Debré Hospital, Paris, France</aff>
<aff id="aff8">
<label>8</label>
Institute of Molecular Biotechnology, Dr Bohr-Gasse 3, Vienna, Austria</aff>
<aff id="aff9">
<label>9</label>
MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DS, United Kingdom</aff>
<aff id="aff10">
<label>10</label>
Centre for Cellular and Molecular Biology, Habsiguda, Uppal Rd, Hyderabad 500 007, India</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author
<email>keays@imp.ac.at</email>
</corresp>
<fn id="fn1">
<label>11</label>
<p>These authors contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="pmc-release">
<day>27</day>
<month>12</month>
<year>2012</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<day>27</day>
<month>12</month>
<year>2012</year>
</pub-date>
<volume>2</volume>
<issue>6</issue>
<fpage>1554</fpage>
<lpage>1562</lpage>
<history>
<date date-type="received">
<day>27</day>
<month>4</month>
<year>2012</year>
</date>
<date date-type="rev-recd">
<day>18</day>
<month>7</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>11</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>© 2012 The Authors</copyright-statement>
<copyright-year>2012</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by-nc-nd/3.0/">
<license-p>Open Access under
<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/3.0/">CC BY-NC-ND 3.0</ext-link>
license</license-p>
</license>
</permissions>
<abstract>
<title>Summary</title>
<p>The formation of the mammalian cortex requires the generation, migration, and differentiation of neurons. The vital role that the microtubule cytoskeleton plays in these cellular processes is reflected by the discovery that mutations in various tubulin isotypes cause different neurodevelopmental diseases, including lissencephaly (
<italic>TUBA1A</italic>
), polymicrogyria (
<italic>TUBA1A</italic>
,
<italic>TUBB2B</italic>
,
<italic>TUBB3</italic>
), and an ocular motility disorder (
<italic>TUBB3</italic>
). Here, we show that
<italic>Tubb5</italic>
is expressed in neurogenic progenitors in the mouse and that its depletion in vivo perturbs the cell cycle of progenitors and alters the position of migrating neurons. We report the occurrence of three microcephalic patients with structural brain abnormalities harboring de novo mutations in
<italic>TUBB5</italic>
(M299V, V353I, and E401K). These mutant proteins, which affect the chaperone-dependent assembly of tubulin heterodimers in different ways, disrupt neurogenic division and/or migration in vivo. Our results provide insight into the functional repertoire of the tubulin gene family, specifically implicating
<italic>TUBB5</italic>
in embryonic neurogenesis and microcephaly.</p>
</abstract>
<abstract abstract-type="graphical">
<sec>
<title>Graphical Abstract</title>
<p>
<fig id="undfig1" position="anchor">
<graphic xlink:href="fx1"></graphic>
</fig>
</p>
</sec>
<sec>
<title>Highlights</title>
<p>► The β-tubulin Tubb5 is highly expressed in the developing mouse and human cortex ► In vivo knockdown of Tubb5 perturbs the cell cycle and alters neuronal positioning ► Mutations in
<italic>TUBB5</italic>
cause microcephaly with dysmorphic basal ganglia in humans ►
<italic>TUBB5</italic>
mutations affect chaperone-mediated tubulin folding in different ways</p>
</sec>
</abstract>
<abstract abstract-type="teaser">
<p>The formation of the cortex requires the generation, migration, and differentiation of neurons. While specific tubulin isotypes have been implicated in postmitotic events, those that mediate neurogenesis remain unknown. Here, Keays and colleagues report that mutations in the β-tubulin gene,
<italic>TUBB5</italic>
, cause microcephaly. They show that this gene is highly expressed in neuronal progenitors, and its depletion in vivo perturbs the cell cycle and alters neuronal migration. This work provides insight into the functional repertoire of the tubulin gene family.</p>
</abstract>
</article-meta>
<notes>
<p>Published: December 13, 2012</p>
</notes>
</front>
<floats-group>
<fig id="fig1">
<label>Figure 1</label>
<caption>
<p>
<italic>Tubb5</italic>
Is Highly Expressed in the Developing Mouse and Human Brain</p>
<p>(A) Relative expression levels of β-tubulin genes in the developing mouse brain determined by quantitative real-time PCR at E10.5, E12.5, E14.5, E16.5, and E18.5 and postnatal days zero (P0) and six (P6) (n = 3). Note the early onset and consistently high expression of
<italic>Tubb5</italic>
.</p>
<p>(B) Relative expression levels of all the human β-tubulin genes in the developing brain at GW13 and GW22.</p>
<p>(C–H) In situ hybridization results obtained with an antisense probe specific for
<italic>Tubb5</italic>
at E12.5 (C and D), E14.5 (E and F), and E16.5 (G and H). (D), (F), and (H) show higher magnifications of (C), (E), and (G), respectively.
<italic>Tubb5</italic>
is detected throughout the developing cortex with strong expression in the preplate at E12.5, and in the SVZ at E14.5.</p>
<p>(I–X) Antibody staining for Dcx (I–L), Tuj (M-P), Tbr2 (Q–T), and Pax6 (U–X) performed on coronal sections of the Tg (Tubb5-EGFP) mouse line at E14.5. Grey scale images of (J), (N), (R), and (V) are shown in (K) and (L), (O) and (P), (S) and (T), and (W) and (X). All markers were found to colocalize with or in GFP-positive cells.</p>
<p>Scale bars show 500 μm in (C), (E), and (G); 50 μm in (D), (F), and (H); 50 μm in (U); and 10 μm in (V). Error bars in (A) and (B) show SEM. See also
<xref rid="figs1" ref-type="fig">Figure S1</xref>
.</p>
</caption>
<graphic xlink:href="gr1"></graphic>
</fig>
<fig id="fig2">
<label>Figure 2</label>
<caption>
<p>
<italic>Tubb5</italic>
Depletion Perturbs Progenitor Mitosis and Alters the Positioning of Postmitotic Neurons</p>
<p>(A) Schematic illustrating the three different in utero electroporation experiments. After electroporation at E14.5, embryos were harvested 36 hr later to assess the mitotic index, harvested 72 hr later to assess the migration index, or harvested at P17 to assess the positioning index.</p>
<p>(B) Quantitation of the mitotic index, showing the relative proportion of GFP positive cells that are also pH3 positive in the VZ and SVZ, IZ, and across all zones (Total) for the following conditions: scrambled shRNA (scrshRNA); shRNA targeting
<italic>Tubb5</italic>
(shRNA); overexpression of
<italic>Tubb5</italic>
(pCIG2
<italic>Tubb5</italic>
); and the rescue experiment (pCIG2-
<italic>Tubb5</italic>
 + shRNA). Note that
<italic>Tubb5</italic>
depletion results in a significant increase in the mitotic index in comparison to the scrambled control, overexpression, and rescue experiments (n ≥ 5; VZ and SVZ: p < 0.001; Total: p < 0.05).</p>
<p>(C and D) Representative images for the mitotic index experiment. Arrowheads highlight colocalization of GFP-expressing cells (green) with pH3 staining (red).</p>
<p>(E and F) Representative images showing the migration assessment following
<italic>Tubb5</italic>
depletion. Note the conspicuous reduction in the proportion of GFP-positive cells reaching the CP.</p>
<p>(G) Quantification of the percentage of GFP-positive cells in the VZ, IZ, CP, and marginal zone (MZ) for the migration index following treatment with a scrshRNA; an shRNA targeting
<italic>Tubb5</italic>
(shRNA); a
<italic>Tubb5</italic>
expression construct (pCIG2
<italic>Tubb5</italic>
); and the rescue experiment (shRNA + pCIG2
<italic>Tubb5</italic>
).
<italic>Tubb5</italic>
depletion results in a moderate but significant increase in the percentage of GFP-positive cells located in the VZ and IZ and a decrease in the percentage of GFP-positive cells in the CP (n ≥ 5, VZ: p < 0.05; IZ: p < 0.05; CP: p < 0.01). This phenotype was partially rescued by coexpression of a
<italic>Tubb5</italic>
isotype lacking the shRNA targeting sequence (pCIG2
<italic>Tubb5</italic>
 + shRNA). Note that overexpression of
<italic>Tubb5</italic>
by itself has no effect on migration (pCIG2
<italic>Tubb5</italic>
).</p>
<p>(H) Quantification of the percentage of GFP-positive cells in the six layers of the P17 cortex following treatment with an scrshRNA and a shRNA targeting
<italic>Tubb5</italic>
<italic>Tubb5</italic>
depletion results in a significant increase in the percentage of neurons in layer VI (n = 4; p < 0.05), with a concomitant decrease in layers II–IV (n = 4; p < 0.01).</p>
<p>(I and J) Representative images for the positioning index in (H). The red channel shows Cux1 staining in layers II–IV.</p>
<p>Scale bars show 50 μm in (D), 100 μm in (F), and 200 μm in (J). Error bars in (B), (G), and (H) show mean ± SEM.
<sup></sup>
p < 0.05,
<sup>∗∗</sup>
p < 0.01,
<sup>∗∗∗</sup>
p < 0.001. MZ, marginal zone; scrshRNA, scrambled shRNA. See also
<xref rid="figs2" ref-type="fig">Figure S2</xref>
.</p>
</caption>
<graphic xlink:href="gr2"></graphic>
</fig>
<fig id="fig3">
<label>Figure 3</label>
<caption>
<p>Mutations in
<italic>TUBB5</italic>
Cause Microcephaly and Affect the Generation of Tubulin Heterodimers in Different Ways</p>
<p>(A–F) Coronal (A and D), sagittal (B and E), and horizontal (C and F) MRIs of two patients with
<italic>TUBB5</italic>
-associated microcephaly (M299V and V353I). (A–C) The patient with the M299V mutation has microcephaly (OFC of −2.5 SD), focal polymicrogyria (shown with arrowheads in A), severe brainstem hypoplasia (shown with an arrowhead in B), partial agenesis of the corpus callosum (shown with an arrow in B), and dysmorphic basal ganglia with streaks of white matter (highlighted with an arrowhead in C). (D–F) The patient with the V353I mutation has microcephaly (OFC of −4.0 SD), a hypoplastic corpus callosum (shown with an arrow in E), and a dysmorphic basal ganglia with streaks of white matter running through the lenticular nucleus (shown with an arrowhead in F).</p>
<p>(G) Structural representation of a tubulin heterodimer highlighting the positions of the mutated residues. The M299 residue is centrally located and is associated with a deep hydrophobic pocket. V353 lies on the intradimer interface, in contrast to E401, which is located at the interdimer interface.</p>
<p>(H–J) Higher-resolution images showing the mutated residues within the three-dimensional structure of the tubulin heterodimer. (H) The M299 side chain is surrounded by hydrophobic residues (M267, P305, Y310, F367, shown in green) that could be disrupted by replacement with valine. (J) E401 lies in proximity to a loop (98–104, shown in green) that is critical for the binding of GTP (shown in yellow).</p>
<p>(K) Denaturing gel of in vitro
<sup>35</sup>
S-methionine-labeled transcription/translation reaction products for wild-type and TUBB5 mutants showing similar translational efficiencies.</p>
<p>(L) Kinetic analysis on nondenaturing gels of the products of in vitro transcription/translation reactions for wild-type and TUBB5 mutants. Arrows (top to bottom) denote the migration positions of the chaperonin (CCT)/β-tubulin binary complex (CCT/β), the TBCD/β-tubulin cocomplex, the prefoldin (PFD)/β-tubulin binary complex (PFD/β), the native tubulin heterodimer (α/β), and the TBCA/β-tubulin cocomplex (TBCA/β), each assigned on the basis of their characteristic electrophoretic mobilities. Note that the V353I mutant polypeptide behaved similarly to wild-type controls, whereas there was a diminished heterodimer yield in the case of M299V and little or no detectable heterodimer in the case of E401K. Note also the absence of TBCA/β-tubulin and TBCD/β-tubulin cocomplexes and a relatively long persistence of the PFD/β-tubulin cocomplex in the case of reactions performed with the E401K mutation. Min. chase indicates that reaction products generated after 90 min were further chased with added native bovine brain tubulin so as to drive the generation of tubulin heterodimers for the times shown.</p>
<p>(M–X) Expression of FLAG-tagged wild-type and mutant (M299V, V353I, and E401K) TUBB5 in cultured Neuro-2a cells. Staining with the anti-FLAG antibody is shown in red and the microtubule cytoskeleton visualized using an anti-α-tubulin antibody (shown in green). Note that wild-type FLAG-tagged TUBB5, as well as the corresponding M299V and V353I mutants, incorporated into the microtubule lattice (M–O, P–R, and S–U, respectively). This contrasts with the E401K protein, which is distributed throughout the cytoplasm and failed to incorporate into the cytoskeletal network (V–X). Scale bar in (X) is 10 μm.</p>
<p>See also
<xref rid="figs3" ref-type="fig">Figure S3</xref>
.</p>
</caption>
<graphic xlink:href="gr3"></graphic>
</fig>
<fig id="fig4">
<label>Figure 4</label>
<caption>
<p>Expression of Disease-Causing
<italic>Tubb5</italic>
Mutations In Vivo</p>
<p>(A) Quantification of the mitotic index for cells electroporated with control vectors (ctrl), a
<italic>Tubb5</italic>
expression vector (pCIG2-
<italic>Tubb5</italic>
; note that this control is also presented in
<xref rid="fig2" ref-type="fig">Figure 2</xref>
B), and the mutants identified (pCIG2-
<italic>Tubb5</italic>
(M299V), pCIG2-
<italic>Tubb5</italic>
(V353I), pCIG2-
<italic>Tubb5</italic>
(E401K)).
<italic>Tubb5</italic>
overexpression resulted in a mitotic index that was comparable to controls. In contrast, there was a large increase in the percentage of GFP-positive cells that are also pH3 positive in the VZ and SVZ when expressing the E401K and V353I mutant constructs (n ≥ 5; E401K and V353I: VZ + SVZ: p < 0.001; Total: p < 0.001). This increase in the mitotic index was also apparent when overexpressing the M299V mutation, although the effect was not statistically significant (n ≥ 5; p > 0.05).</p>
<p>(B) Quantification of the migration index for all five conditions (note that the
<italic>Tubb5</italic>
overexpression control is also presented in
<xref rid="fig2" ref-type="fig">Figure 2</xref>
G). Overexpression of the mutants results in an accumulation of GFP-positive cells in the IZ with a concomitant decrease in the CP (n = 5; M299V: IZ: p < 0.001; CP: p < 0.01; V353I: VZ: p < 0.01; IZ: p < 0.001; CP: p < 0.001; E401K: IZ: p < 0.01; CP: p < 0.05) that was not observed when overexpressing
<italic>Tubb5</italic>
alone (n = 5, p > 0.05).</p>
<p>(C–E) Representative images used for mitotic index assessment with arrowheads showing colocalization of GFP-expressing cells (green) with pH3 staining (red).</p>
<p>(F–I) Representative images used for migration assessment. Note the decrease in the relative number of cells reaching the upper layers of the cortex when expressing the mutant constructs in comparison to controls (
<sup></sup>
p < 0.05,
<sup>∗∗</sup>
p < 0.01,
<sup>∗∗∗</sup>
p < 0.001).</p>
<p>Scale bars show 50 μm in (E) and 100 μm in (I). (A) and (B) show mean ± SEM. See also
<xref rid="figs4" ref-type="fig">Figure S4</xref>
.</p>
</caption>
<graphic xlink:href="gr4"></graphic>
</fig>
<fig id="figs1">
<label>Figure S1</label>
<caption>
<p>Negative Controls for
<xref rid="fig1" ref-type="fig">Figure 1</xref>
and Analysis of the Tg(Tubb5-EGFP) Mouse Line</p>
<p>(A–C) Negative controls (sense probe) for the in situ hybridization experiments shown in
<xref rid="fig1" ref-type="fig">Figure 1</xref>
for the indicated time points (E12.5, E14.5, E16.5).</p>
<p>(D–F) Littermate control of the Tg(Tubb5-EGFP) embryo shown in
<xref rid="fig1" ref-type="fig">Figure 1</xref>
, negative for the GFP transgene. Images were captured employing the same settings as those shown in (G)-(Q); no background fluorescence can be detected.</p>
<p>(G–Q) Representative coronal (G, I-K, M-O, Q) and sagittal (H, L, P) sections of Tg(Tubb5-EGFP) embryos at the indicated time points (E12.5, E14.5, E16.5). (I) and (M) show magnifications of the boxed regions shown in (G) and (K). High magnification confocal images of the developing cortex are shown in (J), (N), (Q). Note the robust expression of EGFP throughout the developing cortex, consistent with our in situ studies. Scale bars show 1000 μm for (A–C), (G), (H), (K), (L), (O) and (P), 500 μm in (F), 50 μm for (J), (N) and (Q). DAPI staining (shown in blue) is visible in (G), (H), (K), (L), (O) and (P).</p>
</caption>
<graphic xlink:href="figs1"></graphic>
</fig>
<fig id="figs2">
<label>Figure S2</label>
<caption>
<p>Supplemental Information to
<xref rid="fig2" ref-type="fig">Figure 2</xref>
and Assessment of Apoptosis</p>
<p>(A) Relative expression level of
<italic>Tubb5</italic>
mRNA in Neuro2a cells following transfection with a pSuper vector driving expression of a shRNA targeted to the 3′ UTR of this gene. This results in a ∼62% knockdown (36 hr) and ∼77% knockdown (72 hr) of
<italic>Tubb5</italic>
mRNA levels. The error bars show the SEM (n = 3 independent experiments for each time point).</p>
<p>(B and C) Representative images for the assessment of neuronal positioning following electroporation of pCIG2
<italic>Tubb5</italic>
and pCIG2
<italic>Tubb5</italic>
 + shRNA.</p>
<p>(D and E) Representative images for the mitotic index assessment when electroporating with pCIG2
<italic>Tubb5</italic>
and pCIG2
<italic>Tubb5</italic>
 + shRNA.</p>
<p>(F–N) Representative image of the apoptosis experiments showing the GFP channel (F-H), activated caspase-3 staining (I-K) and the merged image (L-N). Boxed regions in F, I and L are shown in the adjacent panels (G, J, M) and (H, K, N). Panels H, K and N highlight the mediodorsal region of the cortex as an internal positive control for caspase-3 staining. The magnified region in H, K and N show an apoptotic cell positive for caspase-3.</p>
<p>(O) Quantification of GFP+ cells co-localizing with activated capase-3. All conditions show less than 1% of co-localization. An ANOVA followed by a multiple comparison test revealed no significant difference between the relevant experiments (scrshRNA, shRNA, pCIG2
<italic>Tubb5</italic>
and pCIG2
<italic>Tubb5</italic>
 + shRNA; ctrl, pCIG2
<italic>Tubb5</italic>
, pCIG2
<italic>Tubb5</italic>
(M299V), pCIG2
<italic>Tubb5</italic>
(V353I) and pCIG2
<italic>Tubb5</italic>
(E401K)).</p>
<p>Scale bars show 50 μm in (C), 100 μm in (E), and 200 μm in (L).</p>
</caption>
<graphic xlink:href="figs2"></graphic>
</fig>
<fig id="figs3">
<label>Figure S3</label>
<caption>
<p>Supplemental Information to
<xref rid="fig3" ref-type="fig">Figure 3</xref>
</p>
<p>(A–C) Sequencing traces for patients and parents showing the mutations in
<italic>TUBB5</italic>
for M299V, V353I, and E401K together with the amino acid conversions. All mutations are de novo. (D) Protein sequence alignment of β-tubulins present in humans (upper panel). Note the high conservation between the isoforms for all three loci, with the exception of T299 in TUBB1, the most distinct of the human isoforms. The lower panel shows an alignment of TUBB5 homologs in a variety of species. Note that the three disease causing residues are conserved from yeast to man. (E and F) Horizontal (E) and sagittal (F) MRI images taken at 4 months of age for the patient harboring the E401K mutation. This individual presented with microcephaly (−4 SD OFC), partial posterior agenesis of the corpus callosum, and dysmorphic basal ganglia.</p>
</caption>
<graphic xlink:href="figs3"></graphic>
</fig>
<fig id="figs4">
<label>Figure S4</label>
<caption>
<p>Positioning Index following Expression of Mutant Tubb5 In Vivo, Related to
<xref rid="fig4" ref-type="fig">Figure 4</xref>
</p>
<p>(A–E) Representative images of P17 mouse brains following in utero electroporation at E14.5 with plasmids expressing: (A) scrambled shRNA; (B)
<italic>Tubb5</italic>
wt; (C)
<italic>Tubb5</italic>
M299V, (D)
<italic>Tubb5</italic>
V353I, and (E)
<italic>Tubb5</italic>
E401K. The cortical regions analyzed are indicated in A. The red channel shows Cux1 staining in layers II-IV. Note the increased number of ectopic cells in deep cortical layers when overexpressing the
<italic>Tubb5</italic>
mutants (M299V, V353I, E401K).</p>
<p>(F) Quantification of the percentage of GFP positive cells in layers I-VI of the P17 cortex for all five conditions (note that the control is also presented in
<xref rid="fig2" ref-type="fig">Figure 2</xref>
H; see also
<xref rid="mmc1" ref-type="supplementary-material">Table S2</xref>
). Overexpression of the
<italic>Tubb5</italic>
mutants results in fewer cells in superficial layers of the cortex (M299V; II-IV: p < 0.05, E401K; II-IV: p < 0.001), and an accumulation of GFP positive cells in the deeper layers (E401K; n = 3; VI: p < 0.01), but this was not significant in the case of the V353I mutation (n = 3; p > 0.05). Magnification of the boxed regions in (C), (D), and (E), showing ectopic clusters of GFP positive cells. Note that a number of these cells are also positive for the post-mitotic marker Cux 1.
<sup></sup>
p < 0.05,
<sup>∗∗</sup>
p < 0.01,
<sup>∗∗∗</sup>
p < 0.001. Data are mean ± SEM.</p>
<p>Scale bars show 200 μm in (E) and 100 μm in (I).</p>
</caption>
<graphic xlink:href="figs4"></graphic>
</fig>
<table-wrap id="tbl1" position="float">
<label>Table 1</label>
<caption>
<p>Summary of Clinical, Neurological, Biochemical, Cellular and In Vivo Data Associated with
<italic>TUBB5</italic>
Mutations</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th></th>
<th>
<italic>M299V</italic>
</th>
<th>
<italic>V353I</italic>
</th>
<th>
<italic>E401K</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>Ethnicity/Origin</td>
<td>Caucasian</td>
<td>Sri Lanka</td>
<td>Vietnam/Caucasian</td>
</tr>
<tr>
<td>Sex</td>
<td>Male</td>
<td>Male</td>
<td>Female</td>
</tr>
<tr>
<td>Age at last evaluation</td>
<td>2 years 6 months</td>
<td>4 years 10 months</td>
<td>2 years 8 months</td>
</tr>
<tr>
<td>OFC at birth</td>
<td>32 cm (−3 SD)</td>
<td>31 cm (−3 SD)</td>
<td>28.5 cm (−4 SD)</td>
</tr>
<tr>
<td>OFC at last evaluation</td>
<td>−2.5 SD</td>
<td>46.5 cm (−4 SD)</td>
<td>42 cm (−4 SD)</td>
</tr>
<tr>
<td>Cortical dysgenesis</td>
<td>Focal polymicrogyria, localized band heterotopia</td>
<td>None apparent</td>
<td>None apparent at 4 months</td>
</tr>
<tr>
<td>Basal ganglia</td>
<td>Dysmorphic
<break></break>
White matter streaks</td>
<td>Dysmorphic
<break></break>
White matter streaks</td>
<td>Dysmorphic</td>
</tr>
<tr>
<td>Cerebellum</td>
<td>Hypoplastic and dysplastic cerebellar vermis</td>
<td>Possible white matter abnormalities.</td>
<td>Large 4th ventricle</td>
</tr>
<tr>
<td>Corpus callosum</td>
<td>Partial agenesis</td>
<td>Thin and short but complete</td>
<td>Partial posterior agenesis</td>
</tr>
<tr>
<td>Cognitive abilities</td>
<td>Severe MR</td>
<td>MR (global DQ:48)</td>
<td>Mild developmental delay</td>
</tr>
<tr>
<td>Verbal abilities</td>
<td>Severe language delay</td>
<td>Limited language
<break></break>
Speech delay.</td>
<td>Delayed</td>
</tr>
<tr>
<td>Motor abilities</td>
<td>Severe motor delay, ataxia</td>
<td>Motor delay. Walked at 21 months.</td>
<td>Motor delay. Walked at 25 months</td>
</tr>
<tr>
<td>Other</td>
<td>Retina dysplasia and micro-ophthalmia</td>
<td>None apparent.</td>
<td>Prenatal diagnosis of cardiopathy</td>
</tr>
<tr>
<td>Family history</td>
<td>None</td>
<td>Mother’s OFC is −4 SD
<break></break>
Brother’s OFC is −2 SD
<break></break>
Sister’s OFC is −1 SD</td>
<td>None</td>
</tr>
<tr>
<td>Heterodimer folding</td>
<td>Slightly impaired</td>
<td>Not affected</td>
<td>Severely impaired</td>
</tr>
<tr>
<td>Microtubule lattice incorporation</td>
<td>Not affected</td>
<td>Not affected</td>
<td>No incorporation</td>
</tr>
<tr>
<td>Mitotic index</td>
<td>n.s.</td>
<td>Significantly increased</td>
<td>Significantly increased</td>
</tr>
<tr>
<td>Migration index</td>
<td>Significantly decreased</td>
<td>Significantly decreased</td>
<td>Significantly decreased</td>
</tr>
<tr>
<td>Positioning index</td>
<td>Affected</td>
<td>n.s.</td>
<td>Affected</td>
</tr>
<tr>
<td>Ectopic clusters at P17</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>OFC, orbitofrontal cortex; MR, mental retardation; DQ, development quotient; n.s., nonsignificant.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
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