TY - JOUR A1 - Rieke, Johanna Magdalena A1 - Zhang, Rong A1 - Braun, Doreen A1 - Yilmaz, Öznur A1 - Japp, Anna S. A1 - Lopes, Filipa M. A1 - Pleschka, Michael A1 - Hilger, Alina Christine A1 - Schneider, Sophia A1 - Newman, William G. A1 - Schneider, Sophia A1 - Newman, William G. A1 - Beaman, Glenda M. A1 - Nordenskjöld, Agneta A1 - Ebert, Anne-Karoline A1 - Promm, Martin A1 - Rösch, Wolfgang H. A1 - Stein, Raimund A1 - Hirsch, Karin A1 - Schäfer, Frank-Mattias A1 - Schmiedeke, Eberhard A1 - Boemers, Thomas M. A1 - Lacher, Martin A1 - Kluth, Dietrich A1 - Gosemann, Jan-Hendrik A1 - Anderberg, Magnus A1 - Barker, Gillian A1 - Holmdahl, Gundela A1 - Läckgren, Göran A1 - Keene, David A1 - Cervellione, Raimondo M. A1 - Giorgio, Elisa A1 - Di Grazia, Massimo A1 - Feitz, Wouter F. J. A1 - Marcelis, Carlo L. M. A1 - Rooij, Iris Antonia Leonarda Martina van A1 - Bökenkamp, Arend A1 - Beckers, Goedele M. A. A1 - Keegan, Catherine E. A1 - Sharma, Amit A1 - Dakal, Tikam Chand A1 - Wittler, Lars A1 - Grote, Phillip A1 - Zwink, Nadine A1 - Jenetzky, Ekkehart A1 - Brusco, Alfredo A1 - Thiele, Holger A1 - Ludwig, Michael A1 - Schweizer, Ulrich A1 - Woolf, Adrian S. A1 - Odermatt, Benjamin A1 - Reutter, Heiko T1 - SLC20A1 is involved in urinary tract and urorectal development T2 - Frontiers in cell and developmental biology N2 - Previous studies in developing Xenopus and zebrafish reported that the phosphate transporter slc20a1a is expressed in pronephric kidneys. The recent identification of SLC20A1 as a monoallelic candidate gene for cloacal exstrophy further suggests its involvement in the urinary tract and urorectal development. However, little is known of the functional role of SLC20A1 in urinary tract development. Here, we investigated this using morpholino oligonucleotide knockdown of the zebrafish ortholog slc20a1a. This caused kidney cysts and malformations of the cloaca. Moreover, in morphants we demonstrated dysfunctional voiding and hindgut opening defects mimicking imperforate anus in human cloacal exstrophy. Furthermore, we performed immunohistochemistry of an unaffected 6-week-old human embryo and detected SLC20A1 in the urinary tract and the abdominal midline, structures implicated in the pathogenesis of cloacal exstrophy. Additionally, we resequenced SLC20A1 in 690 individuals with bladder exstrophy-epispadias complex (BEEC) including 84 individuals with cloacal exstrophy. We identified two additional monoallelic de novo variants. One was identified in a case-parent trio with classic bladder exstrophy, and one additional novel de novo variant was detected in an affected mother who transmitted this variant to her affected son. To study the potential cellular impact of SLC20A1 variants, we expressed them in HEK293 cells. Here, phosphate transport was not compromised, suggesting that it is not a disease mechanism. However, there was a tendency for lower levels of cleaved caspase-3, perhaps implicating apoptosis pathways in the disease. Our results suggest SLC20A1 is involved in urinary tract and urorectal development and implicate SLC20A1 as a disease-gene for BEEC. KW - SLC20A1 KW - urinary tract development KW - kidney formation KW - zebrafish development KW - cloacal malformation KW - functional genetics KW - CAKUT KW - bladder exstrophy-epispadias complex Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/55396 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-553961 SN - 2296-634X VL - 8 IS - 567 PB - Frontiers Media CY - Lausanne ER -