Journal
NATURE MEDICINE
Volume 9, Issue 12, Pages 1513-1519Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/nm961
Keywords
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Funding
- NATIONAL CANCER INSTITUTE [P30CA021765] Funding Source: NIH RePORTER
- NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [P01HL053749] Funding Source: NIH RePORTER
- NCI NIH HHS [P30 CA 21765] Funding Source: Medline
- NHLBI NIH HHS [P01 HL53749-03] Funding Source: Medline
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The neural tube defects (NTDs) spina bifida and anencephaly are widely prevalent severe birth defects. The mouse mutant curly tail (ct/ ct) has served as a model of NTDs for 50 years, even though the responsible genetic defect remained unrecognized. Here we show by gene targeting, mapping and genetic complementation studies that a mouse homolog of the Drosophila grainyhead (grh) gene, grainyhead- like- 3 (Grhl3), is a compelling candidate for the gene underlying the curly tail phenotype. The NTDs in Grhl3- null mice are more severe than those in the curly tail strain, as the Grhl3 alleles in ct/ ct mice are hypomorphic. Spina bifida in ct/ ct mice is folate resistant, but its incidence can be markedly reduced by maternal inositol supplementation periconceptually. The NTDs in Grhl3 (-/-) embryos are also folate resistant, but unlike those in ct/ ct mice, they are resistant to inositol. These findings suggest that residual Grhl3 expression in ct/ ct mice may be required for inositol rescue of folate- resistant NTDs.
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