Scientists at A*STAR's Institute of Medical Biology (IMB), incollaboration with
doctors and scientists in Jordan, Turkey,Switzerland and USA, have identified
the genetic cause of a birthdefect known as Hamamy syndrome[1]. Their
groundbreaking findingswere published in the prestigious journal Nature Genetics
. The work lends new insights into common ailments such as heart disease ,
osteoporosis , blood disorders and possibly sterility. Hamamy syndrome is a rare
genetic disorder which is marked byabnormal facial features and defects in the
heart, bone, blood andreproductive cells. Its exact cause was unknown until now.
Theinternational team, led by scientists at IMB, have pinpointed thegenetic
mistake to be a mutation in a single gene called IRX5.
This is the first time
that a mutation in IRX5 (and the family ofIRX genes) has ever been discovered in
man. IRX5 is part of afamily of transcription factors that is highly conserved
in allanimals, meaning that this gene is present not only in humans butalso in
mice, fish, frogs, flies and even worms. Using a frogmodel, the scientists
demonstrated that Irx5 orchestrates cellmovements in the developing foetus which
underlie head and gonadformation. Carine Bonnard, a final-year PhD student at
IMB and the firstauthor of the paper, said, "Because Hamamy syndrome causes a
widerange of symptoms, not just in newborn babies but also in theadult, this
implies that IRX5 is critical for development in thewomb as well as for the
function of many organs in our adult body.For example, patients with this
disease cannot evacuate tears fromtheir eyes, and they will also go on to
experience repetitive bone fractures (Annex A) or progressive myopia as they
age. This discovery of thecausative gene is a significant finding that will
catalyze researchefforts into the role of the Irx gene family and greatly
increaseour understanding of human health, such as bone homeostasis, orgamete
formation for instance." "We believe that this discovery could open up new
therapeuticsolutions to common diseases like osteoporosis, heart disease,anaemia
which affect millions of people worldwide," said Dr BrunoReversade, Senior
Principal Investigator at IMB. "The findings alsoprovide a framework for
understanding fascinating evolutionaryquestions, such as why humans of different
ethnicities havedistinct facial features and how these are embedded in our
genome.IRX genes have been repeatedly co-opted during evolution, and
smallvariation in their activity could underlie fine alterations in theway we
look, or perhaps even drastic ones such as the traits seenin an elephant bending machine, whale,
turtle or frog body pattern." Only a handful of people in the world have been
identified withHamamy Syndrome making it a very rare genetic disorder.
Raregenetic diseases, usually caused by mutations in a single gene,provide a
unique opportunity to better understand more commondisease processes.
These
"natural" experiments are similar tocarefully controlled knockout animal
experiments in which thefunction of single genes are analyzed and often give
major insightsinto general health issues.[2] Prof Birgitte Lane, Executive
Director of IMB, said, "Understandinghow various pathways in the human body
function is the foundationfor developing new therapeutic targets. This is an
important pieceof research that I believe will be of great interest to
manyscientists and clinicians around the world because of the clinicaland
genetic insights it brings to a large range of diseases." Additional References
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