4.4 Article

Novel exomphalos genetic mouse model: The importance of accurate phenotypic classification

Journal

JOURNAL OF PEDIATRIC SURGERY
Volume 48, Issue 10, Pages 2036-2042

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jpedsurg.2013.04.010

Keywords

Exomphalos; Gastroschisis; Abdominal wall defect; Rodent model; Scrib; In amnio micro-MRI; Interstitial cells of Cajal

Funding

  1. Great Ormond Street Hospital Children's Charity
  2. MRC [G0800973, G0801124] Funding Source: UKRI
  3. Medical Research Council [G0800973, G0801124] Funding Source: researchfish
  4. National Institute for Health Research [ACF-2010-18-026] Funding Source: researchfish

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Background: Rodent models of abdominal wall defects (AWD) may provide insight into the pathophysiology of these conditions including gut dysfunction in gastroschisis, or pulmonary hypoplasia in exomphalos. Previously, a Scribble mutant mouse model (circletail) was reported to exhibit gastroschisis. We further characterise this AWD in Scribble knockout mice. Method: Homozygous Scrib knockout mice were obtained from heterozygote matings. Fetuses were collected at E17.5-18.5 with intact amniotic membranes. Three mutants and two control fetuses were imaged by in amnio micro-MRI. Remaining fetuses were dissected, photographed and gut length/weight measured. Ileal specimens were stained for interstitial cells of Cajal (ICC), imaged using confocal microscopy and ICC quantified. Results: 127 fetuses were collected, 15 (12%) exhibited AWD. Microdissection revealed 3 mutants had characteristic exomphalos phenotype with membrane-covered gut/liver herniation into the umbilical cord. A further 12 exhibited extensive AWD, with eviscerated abdominal organs and thin covering membrane (intact or ruptured). Micro-MRI confirmed these phenotypes. Gut was shorter and heavier in AWD group compared to controls but morphology/number of ICC was not different. Discussion: The Scribble knockout fetus exhibits exomphalos (intact and ruptured), in contrast to the original published phenotype of gastroschisis. Detailed dissection of fetuses is essential ensuring accurate phenotyping and result reporting. (C) 2013 Elsevier Inc. All rights reserved.

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