Inherited mutations in the spindle pole-associated scaffold protein WDR62 cause autosomal recessive primary microcephaly. Previous research has characterised the roles of WDR62 in the regulation of sp...

“A discrepancy between how federal and state public health officials determine measles deaths will only increase public confusion,” write Denys T. Lau and Jennifer D. Schoendorf.

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A girl born in Pennsylvania with a rare neurological disorder called Amish lethal microcephaly died of measles at around 6 weeks of age, the Lancaster County coroner said Friday.

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Oropouche virus (OROV) is an emerging arbovirus currently spreading across South America, with increasing reports of neurological manifestations, severe systemic disease, and congenital abnormalities. Although traditionally associated with mild febrile illness, the recent geographic expansion and surge in OROV outbreaks have prompted attention to its neurotropic potential. Here, we investigated the impact of OROV infection on human neural development using neural stem cells (NSCs) and brain organoids derived from induced pluripotent stem cells. Recent OROV isolates exhibiting genomic reassortment and associated with increased neurological manifestations were compared with a prototypical strain for the ability to infect NSCs, early-stage organoids, and more mature cortical-like tissues. OROV infected NSCs efficiently, leading to widespread cell death, depletion of proliferative progenitors, and disruption of neuroepithelial organization. Transcriptomic profiling of infected NSCs revealed a robust reduction of antiviral response genes and an enrichment of pathways related to viral replication, apoptosis, and the inhibition of stem cell maintenance and neuronal differentiation. These molecular signatures aligned with the phenotypic collapse of progenitor pools and cortical structure observed in organoids. OROV antigens were detected in both astrocytes and neurons, with associated structural degeneration. Although a substantial overlap in differentially expressed genes was observed between the two viral strains, some strain-specific transcriptional responses were detected. However, these modest differences did not translate into distinct cytopathogenic effects between the two viral strains. These phenotypes, including the reduced growth of infected organoids, resemble those previously described with Zika virus in the same cellular models, supporting the hypothesis that OROV may impair brain development. Together, these results reveal a previously unrecognized neuroteratogenic potential of OROV strains and provide mechanistic insight into the potential of OROV to induce microcephaly-like phenotypes, highlighting its relevance as a significant threat to maternal-fetal health.

Read the full paper: The microcephaly-associated protein YIPF5 differentially regulates ER-export

Oropouche virus (OROV) is an emerging arbovirus currently spreading across South America, with increasing reports of neurological manifestations, severe systemic disease, and congenital abnormalities. Although traditionally associated with mild febrile illness, the recent geographic expansion and surge in OROV outbreaks have prompted attention to its neurotropic potential. Here, we investigated the impact of OROV infection on human neural development using neural stem cells (NSCs) and brain organoids derived from induced pluripotent stem cells. Recent OROV isolates exhibiting genomic reassortment and associated with increased neurological manifestations were compared with a prototypical strain for the ability to infect NSCs, early-stage organoids, and more mature cortical-like tissues. OROV infected NSCs efficiently, leading to widespread cell death, depletion of proliferative progenitors, and disruption of neuroepithelial organization. Transcriptomic profiling of infected NSCs revealed a robust reduction of antiviral response genes and an enrichment of pathways related to viral replication, apoptosis, and the inhibition of stem cell maintenance and neuronal differentiation. These molecular signatures aligned with the phenotypic collapse of progenitor pools and cortical structure observed in organoids. OROV antigens were detected in both astrocytes and neurons, with associated structural degeneration. Although a substantial overlap in differentially expressed genes was observed between the two viral strains, some strain-specific transcriptional responses were detected. However, these modest differences did not translate into distinct cytopathogenic effects between the two viral strains. These phenotypes, including the reduced growth of infected organoids, resemble those previously described with Zika virus in the same cellular models, supporting the hypothesis that OROV may impair brain development. Together, these results reveal a previously unrecognized neuroteratogenic potential of OROV strains and provide mechanistic insight into the potential of OROV to induce microcephaly-like phenotypes, highlighting its relevance as a significant threat to maternal-fetal health.

Background Pathogenic CASK variants are associated with neurodevelopmental disorders of variable severity including X-linked intellectual disability (XLID) and microcephaly with pontocerebellar hypoplasia (MICPCH). Although the number of diagnosed cases is rising, current understanding of the CASK-related neurodevelopmental spectrum is limited. Here, we systematically review the published characteristics of individuals with CASK-related disorder, and compare these to a more recently-diagnosed group. We provide quantitative information about the ranges of adaptive abilities, motor function, visual function and social-emotional-behavioural characteristics, and explore within-group associations. Methods One hundred and fifty-one individuals with CASK variants were identified in published literature. Thirty-one children and young people with CASK variants were recruited to the UK-based Brain and Behaviour in Neurodevelopmental disorders of Genetic Origin (BINGO) project. BINGO-participating caregivers completed a bespoke medical history questionnaire and battery of standardised neurodevelopmental measures. Results Comparing the recently diagnosed BINGO CASK-related disorder group to previously reported individuals, we found consistent prevalence of tone abnormalities, sensorineural hearing loss and epilepsy, but lower prevalence of severe/profound ID, MICPCH, optic atrophy and nystagmus. Areas of frequent difficulty not highlighted in previous reports include sleep difficulties and cerebral visual impairment (CVI). Neurodevelopmental characteristics were highly variable within the BINGO CASK-related disorder group, and group-wide patterns were similar to those observed in other rare genetic conditions. Within the BINGO CASK-related group, epilepsy is significantly associated with ID severity, after controlling for age. Sub-groups with MICPCH or microcephaly only have equivalent ranges of adaptive function, but MICPCH may be associated with more severe motor difficulties. Conclusion The spectrum of neurodevelopmental characteristics associated with CASK-related disorder appears to be broadening with increased access to genome-wide diagnostic testing. Further studies are needed to elucidate the relationships between CASK variants, structural brain development, epilepsy, and neurodevelopmental characteristics.

Splicing is a complex process that is required to create the transcriptomic diversity needed for specialized functions in higher eukaryotes. The splic…

CEP152 is essential for centriole function and neurodevelopment, and pathogenic recessive variants in CEP152 cause primary microcephaly. We identified new compound heterozygous CEP152 variants, c.314 G > A,p.(W105*) and c.2689 A > T,p.(K897*), in a microcephalic patient and analyzed them alongside a homozygous variant c.95 A > C,p.(Q32P) associated with severe microcephaly with marked gyral simplification. In vitro assays revealed distinct effects: p.K897* prevented centrosomal localization, p.W105* led to protein degradation, and p.Q32P retained centrosomal targeting but disrupted binding to Polo-like kinase 4, a key centriole biogenesis kinase and CEP152 partner. In vivo, both Cep152W105*/K897* and Cep152Q32P/Q32P knock-in mice displayed microcephaly; notably, Cep152Q32P/Q32P mice also exhibited severe cortical defects during brain development. Cellular analyses revealed centrosome dysfunction, mitotic errors, and increas

We identified via exome sequencing bi-allelic variants in TM2D3 in four affected individuals from four unrelated families with overlapping clinical presentations, including microcephaly, severe global...

Inherited mutations in the spindle pole-associated scaffold protein WDR62 cause autosomal recessive primary microcephaly. Previous research has characterised the roles of WDR62 in the regulation of spindle dynamics, cell division, and brain development. Here, we identify a new function of this protein in regulating purine metabolism. WDR62 interacts directly with BAG2, a co-chaperone of HSP70/90. Under stress conditions, WDR62 and BAG2 re-localise to cytoplasmic granules enriched for enzymes involved in purine synthesis (PFAS) and salvage (HPRT). In WDR62-deficient cells, purine synthesis is impaired, while purine deprivation leads to cytotoxicity and nucleoside accumulation. Furthermore, in these cells elevated BAG2 levels are linked to HPRT destabilisation, which can be reversed by BAG2 knockdown. Notably, microcephaly-associated WDR62 mutations disrupt interaction with BAG2 and fail to restore HPRT levels. In utero depletion of WDR62 or HPRT in the mouse neocortex causes premature d

Dmrta2 (also designated Dmrt5) is a transcriptional regulator expressed in cortical progenitors in a caudomedialhigh/rostrolaterallow gradient with important roles at different steps of cortical devel...