Elucidating Mechanisms Underlying Phenotypic Variation in Craniofacial Disorders
Due
to its anatomical complexity, the head is highly prone to genetic and
environmental insults. Although 1% of newborns exhibit developmental
deformities, one-third of these include craniofacial abnormalities. Over 700
distinct craniofacial syndromes exist so far, but the underlying causes for
most remains unknown. Craniofacial anomalies exhibit significant variation in
penetrance and severity of the phenotype to the extent that it is challenging
to predict who will present with a particular craniofacial condition even when
carrying an identified causative mutation. This greatly precludes our ability
to understand the cause and devise treatment strategies for these devastating
childhood disorders. Although genetic and environmental factors are known to contribute
to phenotypic variation, at the molecular level, we do not fully understand
how, where and when phenotypic variation arises and why is so pervasive in
these disorders. My goal is to elucidate molecular mechanisms leading to
phenotypic variation in craniofacial disorders. I will focus on Treacher
Collins syndrome (TCS), one of the most severe and phenotypically variable
disorders of craniofacial development. TCS is caused by heterozygous mutations
in the RNA polymerase I (Pol I) cofactor TCOF1 or subunits POLR1D and POLR1C. I
have successfully developed models of TCS in zebrafish that faithfully
recapitulate the human disease. I have also generated a cellular model of TCS
by introducing patient mutations into human embryonic stem cells using CRISPR-Cas9.
I will leverage these models to elucidate mechanism downstream of TCS-mutations
leading to phenotypic variability. This study will provide novel insights into
phenotypic variation and the etiology of craniofacial malformations.