作者
Anne‐Christine Merveille,Erica E. Davis,Anita Becker-Heck,M. Legendre,Israel Amirav,Géraldine Bataille,John W. Belmont,Nicole Beydon,Frédéric Billen,Annick Clément,Cécile Clercx,André Coste,Rachelle H. Crosbie,Jacques de Blic,Stephane Deleuze,Philippe Duquesnoy,Denise Escalier,Estelle Escudier,Manfred Fliegauf,Judith Horvath,Kent L. Hill,Mark Jorissen,Jocelyne Just,Andreas Kispert,Mark Lathrop,Niki T. Loges,June K. Marthin,Yukihide Momozawa,Guy Montantin,Kim G. Nielsen,Heike Olbrich,Jean‐François Papon,I Rayet,Gilles Roger,Miriam Schmidts,Henrique Tenreiro,Jeffrey A. Towbin,Diana Zélénika,Hanswalter Zentgraf,Michel Georges,Anne‐Sophie Lequarré,Nicholas Katsanis,Heymut Omran,Serge Amselem
摘要
Primary ciliary dyskinesia (PCD) is an inherited disorder characterized by recurrent infections of the upper and lower respiratory tract, reduced fertility in males and situs inversus in about 50% of affected individuals (Kartagener syndrome). It is caused by motility defects in the respiratory cilia that are responsible for airway clearance, the flagella that propel sperm cells and the nodal monocilia that determine left-right asymmetry. Recessive mutations that cause PCD have been identified in genes encoding components of the outer dynein arms, radial spokes and cytoplasmic pre-assembly factors of axonemal dyneins, but these mutations account for only about 50% of cases of PCD. We exploited the unique properties of dog populations to positionally clone a new PCD gene, CCDC39. We found that loss-of-function mutations in the human ortholog underlie a substantial fraction of PCD cases with axonemal disorganization and abnormal ciliary beating. Functional analyses indicated that CCDC39 localizes to ciliary axonemes and is essential for assembly of inner dynein arms and the dynein regulatory complex.