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LGR4/GPR48 inactivation leads to aniridia-genitourinary anomalies-mental retardation syndrome defects.
[aniridia]
AGR
syndrome
(
the
clinical
triad
of
aniridia
,
genitourinary
anomalies
,
and
mental
retardation
,
a
subgroup
of
WAGR
syndrome
for
Wilm
's
tumor
,
aniridia
,
genitourinary
anomalies
,
and
mental
retardation
)
is
a
rare
syndrome
caused
by
a
contiguous
gene
deletion
in
the
11
p
13
-
14
region
.
However
,
the
mechanisms
of
WAGR
syndrome
pathogenesis
are
elusive
.
In
this
study
we
provide
evidence
that
LGR
4
(
also
named
GPR
4
8
)
,
the
only
G-
protein-coupled
receptor
gene
in
the
human
chromosome
11
p
12
-
11
p
14
.
4
fragment
,
is
the
key
gene
responsible
for
the
diseases
of
AGR
syndrome
.
Deletion
of
Lgr
4
in
mouse
led
to
aniridia
,
polycystic
kidney
disease
,
genitourinary
anomalies
,
and
mental
retardation
,
similar
to
the
pathological
defects
of
AGR
syndrome
.
Furthermore
,
Lgr
4
inactivation
significantly
increased
cell
apoptosis
and
decreased
the
expression
of
multiple
important
genes
involved
in
the
development
of
WAGR
syndrome
related
organs
.
Specifically
,
deletion
of
Lgr
4
down-regulated
the
expression
of
histone
demethylases
Jmjd
2
a
and
Fbxl
10
through
cAMP-CREB
signaling
pathways
both
in
mouse
embryonic
fibroblast
cells
and
in
urinary
and
reproductive
system
mouse
tissues
.
Our
data
suggest
that
Lgr
4
,
which
regulates
eye
,
kidney
,
testis
,
ovary
,
and
uterine
organ
development
as
well
as
mental
development
through
genetic
and
epigenetic
surveillance
,
is
a
novel
candidate
gene
for
the
pathogenesis
of
AGR
syndrome
.
Diseases
Validation
Diseases presenting
"uterine organ development"
symptom
aniridia
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