TY - JOUR A1 - Kolvenbach, Caroline A1 - Dworschak, Gabriel Clemens A1 - Frese, Sandra A1 - Japp, Anna Sophia A1 - Schuster, Peggy A1 - Wenzlitschke, Nina A1 - Yilmaz, Öznur A1 - Lopes, Filipa M. A1 - Pryalukhin, Alexey A1 - Schierbaum, Luca A1 - Zanden, Loes F. M. van der A1 - Kause, Franziska A1 - Schneider, Ronen A1 - Taranta-Janusz, Katarzyna A1 - Szczepańska, Maria A1 - Pawlaczyk, Krzysztof A1 - Newman, William G. A1 - Beaman, Glenda M. A1 - Stuart, Helen A1 - Cervellione, Raimondo M. A1 - Feitz, Wouter F. J. A1 - Rooij, Iris Antonia Leonarda Martina van A1 - Schreuder, Michiel F. A1 - Steffens, Martijn A1 - Weber, Stefanie A1 - Merz, Waltraut Maria A1 - Feldkötter, Markus A1 - Hoppe, Bernd A1 - Thiele, Holger A1 - Altmüller, Janine A1 - Berg, Christoph A1 - Kristiansen, Glen A1 - Ludwig, Michael A1 - Reutter, Heiko A1 - Woolf, Adrian S. A1 - Hildebrandt, Friedhelm A1 - Grote, Phillip A1 - Zaniew, Marcin A1 - Odermatt, Benjamin A1 - Hilger, Alina Christine T1 - Rare variants in BNC2 are implicated in autosomal-dominant congenital lower urinary-tract obstruction T2 - The American journal of human genetics N2 - Congenital lower urinary-tract obstruction (LUTO) is caused by anatomical blockage of the bladder outflow tract or by functional impairment of urinary voiding. About three out of 10,000 pregnancies are affected. Although several monogenic causes of functional obstruction have been defined, it is unknown whether congenital LUTO caused by anatomical blockage has a monogenic cause. Exome sequencing in a family with four affected individuals with anatomical blockage of the urethra identified a rare nonsense variant (c.2557C>T [p.Arg853∗]) in BNC2, encoding basonuclin 2, tracking with LUTO over three generations. Re-sequencing BNC2 in 697 individuals with LUTO revealed three further independent missense variants in three unrelated families. In human and mouse embryogenesis, basonuclin 2 was detected in lower urinary-tract rudiments. In zebrafish embryos, bnc2 was expressed in the pronephric duct and cloaca, analogs of the mammalian lower urinary tract. Experimental knockdown of Bnc2 in zebrafish caused pronephric-outlet obstruction and cloacal dilatation, phenocopying human congenital LUTO. Collectively, these results support the conclusion that variants in BNC2 are strongly implicated in LUTO etiology as a result of anatomical blockage. KW - lower urinary tract obstruction KW - LUT KW - Oposterior urethral valve KW - basonuclin 2 KW - BNC2 KW - zebrafish KW - functional genetics KW - pronephric development KW - cloacae KW - distal pronephric outlet obstruction Y1 - 2019 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/50264 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-502648 SN - 1537-6605 SN - 0002-9297 N1 - © 2019 The Authors. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). VL - 104 IS - 5 SP - 994 EP - 1006 PB - Cell Press ; Elsevier CY - New York, NY [u. a.] ER -