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Purpose: Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) is defined as a congenital visceral myopathy with genetic mutations. However, the etiology and pathophysiology are not fully understood. We aimed to generate a gene leiomodin-1a (lmod1a) modification technique to establish a zebrafish model of MMIHS.
Methods: We targeted lmod1a in zebrafish using CRISPR/Cas9. After confirming the genotype, we measured the expression levels of the target gene and protein associated with MMIHS. A gut transit assay and spatiotemporal mapping were conducted to analyze the intestinal function.
Results: Genetic confirmation showed a 5-base-pair deletion in exon 1 of lmod1a, which caused a premature stop codon. We observed significant mRNA downregulation of lmod1a, myh11, myod1, and acta2 and the protein expression of Lmod1 and Acta2 in the mutant group. A functional analysis of the lmod1a mutant zebrafish showed that its intestinal peristalsis was fewer, slower, and shorter in comparison to the wild type.
Conclusion: This study showed that targeted deletion of lmod1a in zebrafish resulted in depletion of MMIHS-related genes and proteins, resulting in intestinal hypoperistalsis. This model may have the potential to be utilized in future therapeutic approaches, such as drug discovery screening and gene repair therapy for MMIHS.
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http://dx.doi.org/10.1007/s00383-024-05809-7 | DOI Listing |
Nutr Clin Pract
August 2025
Section of Gastroenterology, Hepatology & Nutrition, Comer Children's Hospital, University of Chicago, Chicago, Illinois, USA.
Central line-associated bloodstream infections (CLABSI) are a significant cause of morbidity in children with intestinal failure (IF). Probiotic therapy is discouraged in patients with IF because of the increased risk of bacteremia with the probiotic organism. We report an unusual, previously undescribed, clinical presentation of a Lactobacillus-species CLABSI linked to yogurt consumption in a toddler with IF secondary to Megacystis-microcolon-intestinal hypoperistalsis syndrome.
View Article and Find Full Text PDFFetal Pediatr Pathol
August 2025
Women's Clinic, Tartu University Hospital, Tartu, Estonia.
(smooth muscle actin γ-2) is a gene associated with smooth muscle function. Variants in this gene can lead to visceral myopathy (VM), which is a spectrum of various disorders affecting smooth muscle in different parts of the body. There is gap in the literature regarding understanding the full scope of -related VM.
View Article and Find Full Text PDFPLoS Genet
July 2025
Division of Medical Genetics, Department of Internal Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, Texas, United States of America.
Smooth muscle cell-specific myosin heavy chain, encoded by MYH11, is selectively expressed in smooth muscle cells (SMCs). Pathogenic variants in MYH11 predispose to a number of disorders, including heritable thoracic aortic disease associated with patent ductus arteriosus, visceral myopathy, and megacystis-microcolon-intestinal hypoperistalsis syndrome. Rare variants of uncertain significance occur throughout the gene, including MYH11 p.
View Article and Find Full Text PDFJ Pediatr Surg
July 2025
Division of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; Shanghai Institute for Pediatric Research, Shanghai, China; Shanghai Key Laboratory of Pediatric Gastroenterology and Nutrition, Shanghai, China; Department of C
Purpose: Megacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS; OMIM:619431) is a congenital disorder of the urinary and digestive systems that is caused by contractile dysfunction of smooth muscles. Recent studies have shown that ACTG2(HGNC:145) is the main gene involved in the pathogenesis of this disease. Herein, we aimed to investigate the correlation between the Actg2 mutation and disease phenotypes.
View Article and Find Full Text PDFCureus
May 2025
General Pediatrics, Al Jalila Children's Specialty Hospital, Dubai, ARE.
Visceral myopathy is a rare and complex congenital disorder primarily impacting the gastrointestinal and urologic systems. Among its manifestations, megacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS) represents the most severe form. Typically, this condition has a poor prognosis, with all reported cases necessitating lifelong parenteral nutrition, frequent surgical interventions, and intermittent catheterization.
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