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Vinculin influences essential processes in enteric nervous system development and Hirschsprung disease pathogenesis
Lifang Liu, Xixin Wang, Mingxuan Liang, Peiting Li, Cindy Yifei Yan, Patrick Ho-Yu Chung, Kenneth Kak-Yuen Wong, Asif Javed, Maria-Mercedes Garcia-Barcelo, Elly Sau-Wai Ngan
Lifang Liu, Xixin Wang, Mingxuan Liang, Peiting Li, Cindy Yifei Yan, Patrick Ho-Yu Chung, Kenneth Kak-Yuen Wong, Asif Javed, Maria-Mercedes Garcia-Barcelo, Elly Sau-Wai Ngan
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Research Article Gastroenterology Genetics

Vinculin influences essential processes in enteric nervous system development and Hirschsprung disease pathogenesis

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Abstract

Vinculin (VCL), a linker between cells and their environment, has rarely been linked to disease. This study examines the role of VCL in the development of the enteric nervous system (ENS) and its relationship to Hirschsprung disease (HSCR). Using whole-genome sequencing and in vitro assays, we identified 4 VCL mutations associated with HSCR, most causing loss of function. Neural crest–specific Vcl knock-out mice (Vcl cKO) displayed ENS defects resembling short-segment HSCR, including partial colonic aganglionosis and abnormal gut musculature. Single-cell transcriptomics revealed dysregulation of genes involved in neuronal differentiation and MAPK signaling. Spatial RNA-seq revealed reduced ENS-mesenchyme interactions in Vcl cKO mice, accompanied by significant disruption of the Pleiotrophin (PTN) pathway; Ptn knock-out mice exhibited phenotypes similar to those of Vcl cKO mice, underscoring the importance of ENS-mesenchyme crosstalk. VCL works as a hub gene crucial for cell connection and signaling pathways essential for ENS formation. VCL deficiency subtly impacts various developmental stages and neighboring cells, cumulatively leading to a phenotype similar to short-segment HSCR. This research highlights the role of VCL in maintaining cellular interactions and signaling pathways, such as MAPK and PTN, which are crucial for ENS development and may inform therapeutic targets for ENS disorders.

Authors

Lifang Liu, Xixin Wang, Mingxuan Liang, Peiting Li, Cindy Yifei Yan, Patrick Ho-Yu Chung, Kenneth Kak-Yuen Wong, Asif Javed, Maria-Mercedes Garcia-Barcelo, Elly Sau-Wai Ngan

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Figure 5

scRNA-seq analysis revealed a delayed progression of Vcl mutant cells along the neuronal lineage differentiation trajectory.

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scRNA-seq analysis revealed a delayed progression of Vcl mutant cells al...
(A) The workflow summarizing scRNA-seq data analysis and corresponding functional validations. (B) The integrated UMAP (Uniform Manifold Approximation and Projection) projection of 30,157 cells ENCCs at E13.5 and E15.5, colored by cell types. (BP, biopotent progenitor; GP, glial progenitor; Branch A & Branch B neurons, annotated by integrating the data from Morarach et al (46); ENMFB, enteric mesothelial fibroblast.) (C) The expression of marker genes and proliferative markers across cell types. (D) The proportion of cell types across different samples. Empirical Bayes moderated t test is used for the cell proportion comparison, with Benjamini-Hochberg–adjusted P value < 0.05 considered significant. The proportion of E13.5 BP, E13.5 Branch A, and E15.5 Branch A neurons is affected. (E) Comparison of RNA velocity in control and Vcl mutant. (F) The density plot shows the distributions of pseudotime of cell states inferred by Slingshot, revealing a delayed differentiation of neurons. (G) Expression of Branch A markers in control and Vcl mutant. 2-sided Wilcoxon rank-sum test, ****P < 0.0001.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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