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Functional characterization of the MED12 p.Arg1138Trp variant in females: implications for neural development and disease mechanism
Journal article   Open access   Peer reviewed

Functional characterization of the MED12 p.Arg1138Trp variant in females: implications for neural development and disease mechanism

Nicole C Shaw, Saraya Harrison, Kevin Chen, Catherine A Forbes, Emma Kuzminski, Mitchell Hedges, Kathryn O Farley, Michelle Ward, Lily Loughman, Cathryn Poulton, …
Molecular medicine (Cambridge, Mass.), Vol.31(1), 300
2025
PMID: 41023835
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Published4.03 MBDownloadView
CC BY V4.0 Open Access

Abstract

Cell Differentiation Female Humans Induced Pluripotent Stem Cells - metabolism Intellectual Disability - genetics Mediator Complex - genetics Mediator Complex - metabolism Neurogenesis - genetics Neurons - metabolism Phenotype
Background Seven female individuals with multiple congenital anomalies, developmental delay and/or intellectual disability have been found to have a genetic variant of uncertain significance in the mediator complex subunit 12 gene (MED12 c.3412C>T, p.Arg1138Trp). The functional consequence of this genetic variant in disease is undetermined, and insight into disease mechanism is required. Methods We identified a de novo MED12 p.Arg1138Trp variant in a female patient and compared disease phenotypes with six female individuals identified in the literature. To investigate affected biological pathways, we derived two induced pluripotent stem cell (iPSC) lines from the patient: one expressing wildtype MED12 and the other expressing the MED12 p.Arg1138Trp variant. We performed neural disease modelling, transcriptomics and protein analysis, comparing healthy and variant cells. Results When comparing the two cell lines, we identified altered gene expression in neural cells expressing the variant, including genes regulating RNA polymerase II activity, transcription, pre-mRNA processing, and neural development. We also noted a decrease in MED12L expression. Pathway analysis indicated temporal delays in axon development, forebrain differentiation, and neural cell specification with significant upregulation of pre-ribosome complex gene pathways. Conclusion In a human neural model, expression of MED12 p.Arg1138Trp altered neural cell development and dysregulated the pre-ribosome complex providing functional evidence of disease aetiology and mechanism in MED12-related disorders.

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