Dnah9 mutant mice and organoid models recapitulate the clinical features of patients with PCD and provide an excellent platform for drug screening

Abstract Primary cilia dyskinesia (PCD) is a rare genetic disease caused by ciliary structural or functional defects. It causes severe outcomes in patients, including recurrent upper and lower airway infections, progressive lung failure, and randomization of heterotaxy. To date, although 50 genes ha...

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Main Authors: Rui Zheng, Wenhao Yang, Yuting Wen, Liang Xie, Fang Shi, Danli Lu, Jiaxin Luo, Yan Li, Rui Zhang, Ting Chen, Lina Chen, Wenming Xu, Hanmin Liu
Format: Article
Language:English
Published: Nature Publishing Group 2022-06-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-022-05010-5
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author Rui Zheng
Wenhao Yang
Yuting Wen
Liang Xie
Fang Shi
Danli Lu
Jiaxin Luo
Yan Li
Rui Zhang
Ting Chen
Lina Chen
Wenming Xu
Hanmin Liu
author_facet Rui Zheng
Wenhao Yang
Yuting Wen
Liang Xie
Fang Shi
Danli Lu
Jiaxin Luo
Yan Li
Rui Zhang
Ting Chen
Lina Chen
Wenming Xu
Hanmin Liu
author_sort Rui Zheng
collection DOAJ
description Abstract Primary cilia dyskinesia (PCD) is a rare genetic disease caused by ciliary structural or functional defects. It causes severe outcomes in patients, including recurrent upper and lower airway infections, progressive lung failure, and randomization of heterotaxy. To date, although 50 genes have been shown to be responsible for PCD, the etiology remains elusive. Meanwhile, owing to the lack of a model mimicking the pathogenesis that can be used as a drug screening platform, thereby slowing the development of related therapies. In the current study, we identified compound mutation of DNAH9 in a patient with PCD with the following clinical features: recurrent respiratory tract infections, low lung function, and ultrastructural defects of the outer dynein arms (ODAs). Bioinformatic analysis, structure simulation assay, and western blot analysis showed that the mutations affected the structure and expression of DNAH9 protein. Dnah9 knock-down (KD) mice recapitulated the patient phenotypes, including low lung function, mucin accumulation, and increased immune cell infiltration. Immunostaining, western blot, and co-immunoprecipitation analyses were performed to clarify that DNAH9 interacted with CCDC114/GAS8 and diminished their protein levels. Furthermore, we constructed an airway organoid of Dnah9 KD mice and discovered that it could mimic the key features of the PCD phenotypes. We then used organoid as a drug screening model to identify mitochondrial-targeting drugs that can partially elevate cilia beating in Dnah9 KD organoid. Collectively, our results demonstrated that Dnah9 KD mice and an organoid model can recapture the clinical features of patients with PCD and provide an excellent drug screening platform for human ciliopathies.
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spelling doaj.art-2a3d95de1b7943fe9637fb598961c2362022-12-22T03:38:10ZengNature Publishing GroupCell Death and Disease2041-48892022-06-0113611410.1038/s41419-022-05010-5Dnah9 mutant mice and organoid models recapitulate the clinical features of patients with PCD and provide an excellent platform for drug screeningRui Zheng0Wenhao Yang1Yuting Wen2Liang Xie3Fang Shi4Danli Lu5Jiaxin Luo6Yan Li7Rui Zhang8Ting Chen9Lina Chen10Wenming Xu11Hanmin Liu12Department of Obstetrics/Gynecology, Joint Laboratory of Reproductive Medicine (SCU-CUHK), Key Laboratory of Obstetric, Gynecologic, and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second University Hospital, Sichuan UniversityDepartment of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan UniversityDepartment of Obstetrics/Gynecology, Joint Laboratory of Reproductive Medicine (SCU-CUHK), Key Laboratory of Obstetric, Gynecologic, and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second University Hospital, Sichuan UniversityKey Laboratory of Chronobiology (Sichuan University), National Health Commission of ChinaThe Joint Laboratory for Lung Development and Related Diseases of West China Second University Hospital, Sichuan University and School of Life Sciences of Fudan University, West China Institute of Women and Children’s Health, West China Second University Hospital, Sichuan UniversityDepartment of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan UniversityDepartment of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan UniversityDepartment of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan UniversityDepartment of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan UniversityDepartment of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan UniversityDepartment of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan UniversityDepartment of Obstetrics/Gynecology, Joint Laboratory of Reproductive Medicine (SCU-CUHK), Key Laboratory of Obstetric, Gynecologic, and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second University Hospital, Sichuan UniversityDepartment of Pediatric Pulmonology and Immunology, West China Second University Hospital, Sichuan UniversityAbstract Primary cilia dyskinesia (PCD) is a rare genetic disease caused by ciliary structural or functional defects. It causes severe outcomes in patients, including recurrent upper and lower airway infections, progressive lung failure, and randomization of heterotaxy. To date, although 50 genes have been shown to be responsible for PCD, the etiology remains elusive. Meanwhile, owing to the lack of a model mimicking the pathogenesis that can be used as a drug screening platform, thereby slowing the development of related therapies. In the current study, we identified compound mutation of DNAH9 in a patient with PCD with the following clinical features: recurrent respiratory tract infections, low lung function, and ultrastructural defects of the outer dynein arms (ODAs). Bioinformatic analysis, structure simulation assay, and western blot analysis showed that the mutations affected the structure and expression of DNAH9 protein. Dnah9 knock-down (KD) mice recapitulated the patient phenotypes, including low lung function, mucin accumulation, and increased immune cell infiltration. Immunostaining, western blot, and co-immunoprecipitation analyses were performed to clarify that DNAH9 interacted with CCDC114/GAS8 and diminished their protein levels. Furthermore, we constructed an airway organoid of Dnah9 KD mice and discovered that it could mimic the key features of the PCD phenotypes. We then used organoid as a drug screening model to identify mitochondrial-targeting drugs that can partially elevate cilia beating in Dnah9 KD organoid. Collectively, our results demonstrated that Dnah9 KD mice and an organoid model can recapture the clinical features of patients with PCD and provide an excellent drug screening platform for human ciliopathies.https://doi.org/10.1038/s41419-022-05010-5
spellingShingle Rui Zheng
Wenhao Yang
Yuting Wen
Liang Xie
Fang Shi
Danli Lu
Jiaxin Luo
Yan Li
Rui Zhang
Ting Chen
Lina Chen
Wenming Xu
Hanmin Liu
Dnah9 mutant mice and organoid models recapitulate the clinical features of patients with PCD and provide an excellent platform for drug screening
Cell Death and Disease
title Dnah9 mutant mice and organoid models recapitulate the clinical features of patients with PCD and provide an excellent platform for drug screening
title_full Dnah9 mutant mice and organoid models recapitulate the clinical features of patients with PCD and provide an excellent platform for drug screening
title_fullStr Dnah9 mutant mice and organoid models recapitulate the clinical features of patients with PCD and provide an excellent platform for drug screening
title_full_unstemmed Dnah9 mutant mice and organoid models recapitulate the clinical features of patients with PCD and provide an excellent platform for drug screening
title_short Dnah9 mutant mice and organoid models recapitulate the clinical features of patients with PCD and provide an excellent platform for drug screening
title_sort dnah9 mutant mice and organoid models recapitulate the clinical features of patients with pcd and provide an excellent platform for drug screening
url https://doi.org/10.1038/s41419-022-05010-5
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