Impaired neurogenesis alters brain biomechanics in a neuroprogenitor-based genetic subtype of congenital hydrocephalus

Authors

Document Type

Article

Abstract

Hydrocephalus, characterized by cerebral ventricular dilatation, is routinely attributed to primary defects in cerebrospinal fluid (CSF) homeostasis. This fosters CSF shunting as the leading reason for brain surgery in children despite considerable disease heterogeneity. In this study, by integrating human brain transcriptomics with whole-exome sequencing of 483 patients with congenital hydrocephalus (CH), we found convergence of CH risk genes in embryonic neuroepithelial stem cells. Of all CH risk genes, TRIM71/lin-41 harbors the most de novo mutations and is most specifically expressed in neuroepithelial cells. Mice harboring neuroepithelial cell-specific Trim71 deletion or CH-specific Trim71 mutation exhibit prenatal hydrocephalus. CH mutations disrupt TRIM71 binding to its RNA targets, causing premature neuroepithelial cell differentiation and reduced neurogenesis. Cortical hypoplasia leads to a hypercompliant cortex and secondary ventricular enlargement without primary defects in CSF circulation. These data highlight the importance of precisely regulated neuroepithelial cell fate for normal brain-CSF biomechanics and support a clinically relevant neuroprogenitor-based paradigm of CH.

Medical Subject Headings

Animals; Biomechanical Phenomena; Brain (metabolism); Cerebrospinal Fluid (metabolism); Humans; Hydrocephalus (cerebrospinal fluid, genetics); Mice; Neurogenesis (genetics); Tripartite Motif Proteins (genetics, metabolism); Ubiquitin-Protein Ligases (genetics); Exome Sequencing

Publication Date

4-1-2022

Publication Title

Nature neuroscience

E-ISSN

1546-1726

Volume

25

Issue

4

First Page

458

Last Page

473

PubMed ID

35379995

Digital Object Identifier (DOI)

10.1038/s41593-022-01043-3

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