240
Xenopus
membrane-bound proteins important for vision and neural
function, respectively. As predicted, emc1 depletion in RPE
cells led to mis-localized rhodopsin and nAChR. EMC1
patient phenotypes can therefore be explained by the defects
in proper localization of these functionally important multipass transmembrane proteins during development (Marquez
et al. 2020).
16.5. WHERE TO GO FROM HERE? THE FUTURE
OF STUDYING CHD IN XENOPUS
With estimates of 10,000 patient-parent trios needed to
achieve 80% saturation of genes associated with syndromic
CHD cases (Jin et al. 2017), there is much more work to
be done identifying new candidate genes, connecting their
contributions to CHD/HTX, and understanding the role
each gene plays in CHD/HTX etiology. Both clinicians
and scientists beneft as they learn more about the genetic,
molecular, and cellular mechanisms underlying the etiology
of CHD/HTX. Clinicians will have access to an increasing list of studied CHD/HTX genes they can refer to when
admitting, diagnosing, and treating new CHD patients.
The list, along with basic science research of underlying
molecular mechanisms, can help improve targeted patient
care, potentially predict whether a patient may have undiagnosed extracardiac issues, and guide preventative care for
CHD comorbidities/shared etiologies with other anomalies
and neurodevelopmental disorders. These combined efforts
also will aid genetic counseling of couples for their family
planning.
Continued recruitment and genomic analysis of patients
will continue to provide researchers with new genes to gain
better insights into human health, development, and basic
cell biology. These developmental phenotype and mechanistic studies provide scaffolding for asking new lines of questions understudied in developmental biology. Such questions
shed light on shared molecular pathways between CHD/
HTX and associated diseases, new molecular functions of
understudied genes, and unexpected roles of known molecules in development.
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