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Gene-environment interactions modulate the phenotype severity in mouse models of congenital craniofacial syndromes
Sharien Fitriasari, … , Michael J. Dixon, Paul A. Trainor
Sharien Fitriasari, … , Michael J. Dixon, Paul A. Trainor
Published July 23, 2025
Citation Information: J Clin Invest. 2025;135(19):e181705. https://doi.org/10.1172/JCI181705.
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Research Article Bone biology Development

Gene-environment interactions modulate the phenotype severity in mouse models of congenital craniofacial syndromes

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Abstract

Birth defects are the leading cause of infant mortality, and most inborn errors of development are multifactorial in origin resulting from complex gene-environment interactions. Definition of specific gene-environment interactions in the etiology and pathogenesis of congenital disorders is critically needed in the absence of genotype-phenotype correlation but is challenging. This is particularly true for congenital craniofacial anomalies, which account for approximately one-third of all birth defects, as they typically exhibit considerable inter- and intrafamilial variability. A classic example of this is Treacher Collins syndrome (TCS), which, although primarily caused by mutations in treacle ribosome biogenesis factor 1 (TCOF1), is characterized by considerable variability in the severity of mandibulofacial dysostosis. Here, we describe the genetic and environmental factors with converging effects that mechanistically contribute to the etiology and pathogenesis of craniofacial variation in this rare congenital disorder. We discovered in Tcof1+/– mouse models of TCS that the combination of different endogenous levels of Tcof1 (also known as treacle) protein and ROS within distinct genetic backgrounds correlated with TCS phenotype severity. Furthermore, geometric morphometric analyses revealed that genotype largely determines the craniofacial shape but that redox status determines the size of individual bones. Taken together, our results highlight the roles of ROS and genomic instability in modulating the variability and phenotype severity of craniofacial anomalies.

Authors

Sharien Fitriasari, Roberta Fiorino, Thoa H.K. Truong, Mary C. McKinney, Jill Dixon, Michael J. Dixon, Paul A. Trainor

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Figure 1

Identical Tcof1+/– alleles on different genetic backgrounds result in a spectrum of TCS phenotype severity.

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Identical Tcof1+/– alleles on different genetic backgrounds result in a ...
(A–F) Bright-field images of the right-side lateral view of E18.5 WT embryos from pure DBA/1J, DBA/1J/BALB/c, DBA/1J/FVB/N, DBA/1J/C57BL/6, DBA/1J/CBA/CaJ, or DBA/1J/129S6/SVeV backgrounds. (G–L) Bright-field images of the right-side lateral view of E18.5 Tcof1+/–-mutant embryos. (M–R) Bright-field images of the right-side lateral view of alizarin red and Alcian blue–stained E18.5 WT bone and cartilage. (S–X) Bright-field images of the right-side lateral view of alizarin red– and Alcian blue–stained E18.5 Tcof1+/–-mutant bone and cartilage. (Y) Skull length across all collected samples was measured as the linear distance between the most anterior tip of the nasal bone to the most posterior tip of the supraoccipital bone. (Z) Mandible length was measured as the linear distance between the anterior tip of the mandibular body to the most posterior tip of the condyle. Scale bars: 1 mm. Data represent the mean ± SEM. *P < 0.05, **P < 0.01, and ***P < 0.001, by 1-way ANOVA and 2-tailed t test with Welch’s correction for comparison.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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