Heterozygous Mutations in MAP3K7, Encoding TGF-β-Activated Kinase 1, Cause Cardiospondylocarpofacial Syndrome

Am J Hum Genet. 2016 Aug 4;99(2):407-13. doi: 10.1016/j.ajhg.2016.06.005. Epub 2016 Jul 14.

Abstract

Cardiospondylocarpofacial (CSCF) syndrome is characterized by growth retardation, dysmorphic facial features, brachydactyly with carpal-tarsal fusion and extensive posterior cervical vertebral synostosis, cardiac septal defects with valve dysplasia, and deafness with inner ear malformations. Whole-exome sequencing identified heterozygous MAP3K7 mutations in six distinct CSCF-affected individuals from four families and ranging in age from 5 to 37 years. MAP3K7 encodes transforming growth factor β (TGF-β)-activated kinase 1 (TAK1), which is involved in the mitogen-activated protein kinase (MAPK)-p38 signaling pathway. MAPK-p38 signaling was markedly altered when expression of non-canonical TGF-β-driven target genes was impaired. These findings support the loss of transcriptional control of the TGF-β-MAPK-p38 pathway in fibroblasts obtained from affected individuals. Surprisingly, although TAK1 is located at the crossroad of inflammation, immunity, and cancer, this study reports MAP3K7 mutations in a developmental disorder affecting mainly cartilage, bone, and heart.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abnormalities, Multiple
  • Adolescent
  • Adult
  • Carpal Bones / abnormalities*
  • Cervical Vertebrae / abnormalities*
  • Child
  • Child, Preschool
  • Female
  • Fibroblasts
  • Gene Expression Regulation
  • Hearing Loss, Bilateral
  • Hearing Loss, Conductive / genetics*
  • Heterozygote*
  • Humans
  • Interleukin-1beta / metabolism
  • MAP Kinase Kinase Kinases / genetics*
  • MAP Kinase Signaling System
  • Male
  • Mitral Valve Insufficiency / genetics*
  • Mutation / genetics*
  • Osteosclerosis
  • Syndrome
  • Tarsal Bones / abnormalities*
  • Transforming Growth Factor beta / metabolism
  • Young Adult
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Interleukin-1beta
  • Transforming Growth Factor beta
  • p38 Mitogen-Activated Protein Kinases
  • MAP Kinase Kinase Kinases
  • MAP kinase kinase kinase 7

Supplementary concepts

  • Forney Robinson Pascoe syndrome