Phenotypic Mutation 'plus-sized' (pdf version)
Alleleplus-sized
Mutation Type missense
Chromosome2
Coordinate66,073,023 bp (GRCm39)
Base Change A ⇒ G (forward strand)
Gene Ttc21b
Gene Name tetratricopeptide repeat domain 21B
Synonym(s) Thm1, line 158, aln, 2410066K11Rik
Chromosomal Location 66,014,671-66,086,961 bp (-) (GRCm39)
MGI Phenotype FUNCTION: [Summary is not available for the mouse gene. This summary is for the human ortholog.] This gene encodes a member of TTC21 family, containing several tetratricopeptide repeat (TPR) domains. This protein is localized to the cilium axoneme, and may play a role in retrograde intraflagellar transport in cilia. Mutations in this gene are associated with various ciliopathies, nephronophthisis 12, and asphyxiating thoracic dystrophy 4. [provided by RefSeq, Oct 2011]
PHENOTYPE: Homozygous mutation of this gene is embryonic lethal. Mutant embryos exhibit several deformities including polydactyly, microphthalmia, irregular shape of the long bones, rib fusion and truncation, neural tube defects, and abnormal brain structure. [provided by MGI curators]
Accession Number

NCBI RefSeq: NM_001047604 (variant 1), NM_001290669 (variant 2); MGI:1920918

MappedYes 
Amino Acid Change Leucine changed to Serine
Institutional SourceBeutler Lab
Gene Model predicted gene model for protein(s): [ENSMUSP00000099779] [ENSMUSP00000131758]
AlphaFold Q0HA38
SMART Domains Protein: ENSMUSP00000099779
Gene: ENSMUSG00000034848
AA Change: L221S

DomainStartEndE-ValueType
Blast:TPR 109 141 5e-12 BLAST
Blast:TPR 178 211 3e-12 BLAST
TPR 324 357 4.21e1 SMART
low complexity region 379 390 N/A INTRINSIC
TPR 492 525 8.51e0 SMART
TPR 526 559 5.92e1 SMART
TPR 563 596 7.69e1 SMART
TPR 721 754 3.07e-5 SMART
TPR 755 788 9.45e0 SMART
TPR 790 821 9.24e1 SMART
TPR 830 863 3.05e0 SMART
TPR 883 916 1.55e-1 SMART
TPR 917 950 8.74e0 SMART
TPR 951 984 6.75e1 SMART
Blast:TPR 1023 1054 5e-13 BLAST
Blast:TPR 1156 1189 1e-12 BLAST
TPR 1196 1229 9.7e0 SMART
TPR 1265 1298 1.02e1 SMART
Predicted Effect probably damaging

PolyPhen 2 Score 0.998 (Sensitivity: 0.27; Specificity: 0.99)
(Using ENSMUST00000102718)
SMART Domains Protein: ENSMUSP00000131758
Gene: ENSMUSG00000034848
AA Change: L221S

DomainStartEndE-ValueType
Blast:TPR 108 141 3e-12 BLAST
Blast:TPR 178 211 3e-12 BLAST
TPR 324 357 4.21e1 SMART
low complexity region 379 390 N/A INTRINSIC
TPR 492 525 8.51e0 SMART
TPR 526 559 5.92e1 SMART
TPR 563 596 7.69e1 SMART
TPR 721 754 3.07e-5 SMART
TPR 755 788 9.45e0 SMART
TPR 790 821 9.24e1 SMART
TPR 830 863 3.05e0 SMART
TPR 883 916 1.55e-1 SMART
TPR 917 950 8.74e0 SMART
TPR 951 984 6.75e1 SMART
Blast:TPR 1023 1054 4e-13 BLAST
Blast:TPR 1156 1189 9e-13 BLAST
TPR 1196 1229 9.7e0 SMART
Predicted Effect probably damaging

PolyPhen 2 Score 0.998 (Sensitivity: 0.27; Specificity: 0.99)
(Using ENSMUST00000125446)
Meta Mutation Damage Score 0.8328 question?
Is this an essential gene? Essential (E-score: 1.000) question?
Phenotypic Category Autosomal Recessive
Candidate Explorer Status loading ...
Single pedigree
Linkage Analysis Data
Penetrance  
Alleles Listed at MGI

All Mutations and Alleles(7) : Chemically induced (ENU)(1) Chemically induced (other)(1) Targeted(5)

Lab Alleles
AlleleSourceChrCoordTypePredicted EffectPPH Score
IGL00465:Ttc21b APN 2 66073119 missense probably benign 0.00
IGL00467:Ttc21b APN 2 66018708 missense probably damaging 1.00
IGL00721:Ttc21b APN 2 66057122 missense probably benign 0.06
IGL00837:Ttc21b APN 2 66065915 critical splice donor site probably null
IGL01317:Ttc21b APN 2 66018700 missense probably benign 0.00
IGL01485:Ttc21b APN 2 66082234 splice site probably benign
IGL01739:Ttc21b APN 2 66068200 missense probably benign
IGL02282:Ttc21b APN 2 66022081 missense probably damaging 0.96
IGL02431:Ttc21b APN 2 66082229 splice site probably benign
IGL02478:Ttc21b APN 2 66018624 missense probably benign 0.05
IGL02487:Ttc21b APN 2 66065500 missense probably benign 0.02
IGL03327:Ttc21b APN 2 66068192 missense possibly damaging 0.92
IGL03346:Ttc21b APN 2 66068192 missense possibly damaging 0.92
puffer UTSW 2 66057244 missense probably benign 0.12
PIT4696001:Ttc21b UTSW 2 66061563 splice site probably null
R0049:Ttc21b UTSW 2 66053908 missense probably damaging 1.00
R0049:Ttc21b UTSW 2 66053908 missense probably damaging 1.00
R0373:Ttc21b UTSW 2 66018670 missense probably damaging 0.99
R0440:Ttc21b UTSW 2 66066726 missense probably benign 0.03
R0504:Ttc21b UTSW 2 66053142 splice site probably benign
R0600:Ttc21b UTSW 2 66069914 missense probably damaging 0.99
R0621:Ttc21b UTSW 2 66056355 missense probably benign 0.07
R0633:Ttc21b UTSW 2 66066577 missense probably benign
R0863:Ttc21b UTSW 2 66073117 missense probably benign
R1617:Ttc21b UTSW 2 66056379 missense probably benign 0.22
R1837:Ttc21b UTSW 2 66028106 missense probably benign 0.01
R1844:Ttc21b UTSW 2 66053921 nonsense probably null
R2120:Ttc21b UTSW 2 66057098 missense probably benign 0.12
R2205:Ttc21b UTSW 2 66065467 missense possibly damaging 0.51
R2392:Ttc21b UTSW 2 66037794 critical splice donor site probably null
R3689:Ttc21b UTSW 2 66054488 missense probably benign 0.22
R3810:Ttc21b UTSW 2 66082577 critical splice acceptor site probably null
R3847:Ttc21b UTSW 2 66073023 missense probably damaging 1.00
R3897:Ttc21b UTSW 2 66065413 missense probably benign 0.01
R4561:Ttc21b UTSW 2 66016562 missense probably damaging 1.00
R4671:Ttc21b UTSW 2 66057257 missense possibly damaging 0.66
R5161:Ttc21b UTSW 2 66059367 missense probably damaging 0.98
R5274:Ttc21b UTSW 2 66066627 missense possibly damaging 0.89
R5594:Ttc21b UTSW 2 66066579 missense probably benign 0.39
R6210:Ttc21b UTSW 2 66066698 missense probably benign 0.00
R6305:Ttc21b UTSW 2 66018614 missense probably damaging 0.99
R6456:Ttc21b UTSW 2 66018675 missense probably damaging 0.97
R6482:Ttc21b UTSW 2 66057244 missense probably benign 0.12
R6645:Ttc21b UTSW 2 66066721 missense probably benign 0.01
R6800:Ttc21b UTSW 2 66038994 splice site probably null
R6815:Ttc21b UTSW 2 66057134 missense probably benign 0.00
R6959:Ttc21b UTSW 2 66061656 missense probably benign 0.05
R7125:Ttc21b UTSW 2 66066670 missense probably benign 0.00
R7265:Ttc21b UTSW 2 66040517 missense possibly damaging 0.89
R7283:Ttc21b UTSW 2 66039062 missense probably damaging 0.96
R7560:Ttc21b UTSW 2 66047548 missense possibly damaging 0.69
R7561:Ttc21b UTSW 2 66047548 missense possibly damaging 0.69
R7816:Ttc21b UTSW 2 66077705 missense possibly damaging 0.82
R8172:Ttc21b UTSW 2 66082500 missense probably benign 0.01
R8179:Ttc21b UTSW 2 66031824 missense probably benign
R9047:Ttc21b UTSW 2 66031596 missense
R9282:Ttc21b UTSW 2 66056349 missense possibly damaging 0.65
R9336:Ttc21b UTSW 2 66057287 missense probably benign
R9464:Ttc21b UTSW 2 66053866 missense probably damaging 1.00
X0013:Ttc21b UTSW 2 66056294 nonsense probably null
Mode of Inheritance Autosomal Recessive
Local Stock
Repository
Last Updated 2022-11-11 1:45 PM by Lindsay Scott
Record Created 2016-01-26 2:25 PM
Record Posted 2018-07-27
Phenotypic Description
Figure 1. Plus-sized mice exhibited increased body weights compared to wild-type littermates. Scaled weight data are shown. Abbreviations: WT, wild-type; REF, homozygous reference mice; HET, heterozygous variant mice; VAR, homozygous variant mice. Mean (μ) and standard deviation (σ) are indicated.

The plus-sized phenotype was identified among N-ethyl-N-nitrosourea (ENU)-mutagenized G3 mice of the pedigree R3847, some of which showed increased body weights compared to wild-type littermates (Figure 1).

Nature of Mutation
Figure 2. Linkage mapping of the body weight phenotype using a recessive model of inheritance. Manhattan plot shows -log10 P values (Y-axis) plotted against the chromosome positions of 85 mutations (X-axis) identified in the G1 male of pedigree R3847. Weight data are shown for single locus linkage analysis without consideration of G2 dam identity. Horizontal pink and red lines represent thresholds of P = 0.05, and the threshold for P = 0.05 after applying Bonferroni correction, respectively.
Figure 3. CRISPR-Ttc21b mice exhibited increased body weights compared to wild-type littermates. Scaled weight data are shown. Abbreviations: WT, wild-type; REF, homozygous reference mice; HET, heterozygous variant mice; VAR, homozygous variant mice. Mean (μ) and standard deviation (σ) are indicated.

Whole exome HiSeq sequencing of the G1 grandsire identified 85 mutations. The body weight phenotype was linked to a mutation in Ttc21b: a T to C transition at base pair 66,242,679 (v38) on chromosome 2, or base pair 13,968 in the GenBank genomic region NC_000068 encoding Ttc21b. Linkage was found with a recessive model of inheritance, wherein four variant homozygotes departed phenotypically from 14 homozygous reference mice and 19 heterozygous mice with a P value of 7.354 x 10-10 (Figure 2).  

The mutation corresponds to residue 745 in the mRNA sequence NM_001047604 within exon 6 of 29 total exons.

729 GAGAAGAAAATGAAATTACAACTGGCTTTACAG

216 -E--K--K--M--K--L--Q--L--A--L--Q-

The mutated nucleotide is indicated in red. The mutation results in a leucine (L) to serine (S) substitution at position 221 (L221S) in the TTC21B protein, and is strongly predicted by PolyPhen-2 to be damaging (score = 0.998).

The causative mutation for the body weight phenotype was validated to be in Ttc21b by CRISPR-mediated replacement of the Ttc21bplus-sized allele (Figure 3; P = 0.006238).

Illustration of Mutations in
Gene & Protein
Protein Prediction
Figure 4. Domain organization of TTC21B. The location of the plus-sized mutation is indicated. Abbreviations: TPR, tetratricopeptide repeat.

Tetratricopeptide Repeat Domain 21B (TTC21B; alternatively, THM1 or IFT139) has 19 tetratricopeptide repeat (TPR) domains (1). TPRs are 34-amino acid motifs that mediate protein-protein interactions and the assembly of multiprotein complexes (2). The plus-sized mutation results in a leucine (L) to serine (S) substitution at position 221 (L221S) in the TTC21B protein; Leu221 is within TPR3.

Expression/Localization

TTC21B is expressed in the brain and kidney (3). TTC21B localizes to the primary cilium at the axoneme (1;4;5).

Background
Figure 5. TTC21B is a component of the IFT-A complex to mediate retrograde transport in cilia. The BBSome organizes IFT-A, IFT-B and kinesin motors into a functional complex. Entry of protein cargo to the cilium is regulated by active forms of Rab8, a master modulator for the ciliary protein trafficking. Rab8 is recruited to the basal body of primary cilium. The activities of Rab8 are then regulated by Rabin8, and its activity and basal body localization is modulated by the BBSome and Rab11. IFT particles dissociate after reaching the ciliary tip, and then the BBSome and DYF-2 coordinate to reorganize the entire IFT complex to ready it for retrograde transport.

Almost every cell in the body carries a single primary cilium at a certain stage of its life cycle. Primary cilia are required for planar cell polarity, phototransduction, olfaction, adipocyte differentiation, and Hedgehog signaling. Several events occur to facilitate transport of membrane proteins to the cilia, including sorting and packaging into carrier vesicles, docking and fusion of vesicles with the base of the cilium and intraflagellar transport (IFT) of protein complexes from cilia base to cilia tip.

IFT complexes (IFT-A and IFT-B) and the BBSome (see the record for corpulent for information about a component of the BBsome, BBS9) as well as kinesin and dynein motors mediate IFT (Figure 5). The BBSome organizes IFT-A, IFT-B, and the kinesin motors into a functional complex. The BBsome associates with the ciliary membrane and binds to the Rab8 guanosyl exchange factor RAB3IP/Rabin8 (6). The Rab8GTP localizes to the cilium whereby it promotes the extension of the ciliary membrane as well as docking and fusion of vesicles to the base of the ciliary membrane (6).

IFT-A and IFT-B are comprised of several subunits and peripherally associated proteins. TTC21B is a component of IFT-A, which facilitates retrograde transport of cargo from the ciliary tip to the cell body (1;5). TTC21B is also required for cilia formation (5), early forebrain patterning and development through the restriction of sonic hedgehog activity (1;3), and proper granule cell radial migration in Bergmann glia (7).

Mutations in TTC21B are associated with nephronophthisis-12 [OMIM: #613820; (4)] and short-rib thoracic dysplasia-4 with or without polydactyly [OMIM: #613819; (4)]. Nephronophthisis-12 and short-rib thoracic dysplasia-4 are ciliopathies. Nephronophthisis-12 is a cystic kidney disease that leads to renal failure. Short-rib thoracic dysplasia is a skeletal ciliopathy characterized by a constricted thoracic cage, short ribs, shortened tubular bones, and a 'trident' appearance of the acetabular roof. A TTC21B mutation (p.P209L) was identified in patients with focal segmental glomerulosclerosis (FSGS) and tubulointerstitial lesions (8;9).

Mice expressing an ENU-induced mutant Ttc21b allele (designated alien) have cilia with bulb-like structures at their tips and exhibit craniofacial abnormalities, polydactyly, defects in the length and shape of long bones, rib fusions, truncated ribs, misaligned vertebrae, neural tube defects, disorganized brain architecture, reduced brain sizes, absent olfactory bulbs, and polycystic kidneys (1;3;10;11). The brain phenotype observed in the alien mice was attributed to increased Sonic hedgehog and FGF8 signaling (3).

Putative Mechanism

Deletion of Ttc21b during adulthood causes obesity, diabetes, hypertension and fatty liver disease in mice; gender differences to weight gain susceptibility and metabolic dysfunction were observed (12). Primary cilia were shortened and neurons of the hypothalamic arcuate nucleus had bulbous distal tips. Expression of anorexogenic pro-opiomelanocortin was reduced in the arcuate nucleus of the Ttc21b conditional knockout mice and the mice were hyperphagic. The obesity phenotype observed in the plus-sized mice is putatively due to reduced expression of the anorexogenic pro-opiomelanocortin (Pomc) in the arcuate nucleus, resulting in hyperphagia.

Primers PCR Primer
plus-sized_pcr_F: CTTCACACTGAGGCAGTATGGTTTC
plus-sized_pcr_R: AGAATGATGTGCAACCTTGTTG

Sequencing Primer
plus-sized_seq_F: CTGTCTATGTTCCCACAAATGAGGG
plus-sized_seq_R: TATTCTGAAATAGCCCGGGC
Genotyping

Genotyping is performed by amplifying the region containing the mutation using PCR, followed by sequencing of the amplified region to detect the mutation.

PCR Primers

ICSI-R3847-plus-sized_PCR_F: 5’- CTTCACACTGAGGCAGTATGGTTTC-3’

ICSI-R3847-plus-sized_PCR_R: 5’- AGAATGATGTGCAACCTTGTTG-3’

Sequencing Primers

ICSI-R3847-plus-sized_SEQ_F: 5’- CTGTCTATGTTCCCACAAATGAGGG-3’
 

ICSI-R3847-plus-sized_SEQ_R: 5’- TATTCTGAAATAGCCCGGGC-3’
 

PCR program

1) 94°C             2:00

2) 94°C             0:30

3) 55°C             0:30

4) 72°C             1:00

5) repeat steps (2-4) 40X

6) 72°C             10:00

7) 4°C               hold

The following sequence of 647 nucleotides is amplified (NCBI RefSeq: NC_000068, chromosome 2:66242305-66242951):

cttcacactg aggcagtatg gtttcctttg ggaactccct gtctatgttc ccacaaatga       

gggttattga gaagttcaga atcaccaggc ttgatagcaa gcactttaat cactaagtca      

cctctccagc cctaattctg tttttaaaaa caatacagtt ttaaatactt tttcacttct      

atgatgcttg caataaaatc acttattact tgaaaaatta aattttatgc tgtgtaagtc      

ttgtaatgga ctgaacaaaa tctgattttc tttgttctca tgtctaacta gatccaaaga      

ggatgtgata tcattttaca cataaccttt gtgctgtctc cactgtctga tcccaatcct      

gtaaagccag ttgtaatttc attttcttct caaaggcagg aaggaagctt ggaaagttta      

caattatctg gctcacggtc tccagagctc cggaataatt ctgtcgaatc tcaaggcaca      

gaacctaata ggaggagaaa aatgatgtca aagcatggcc ttgtacatca ggtcctctca      

ggccagccta ggctacagag taagttccag atcagcccgg gctatttcag aatactgcta      

cttagcattt tatgatattt tttttcaaca aggttgcaca tcattct

Primer binding sites are underlined and the sequencing primer is highlighted; the mutated nucleotide is shown in red text (Chr. (+) = A>G).

References
  4. Davis, E. E., Zhang, Q., Liu, Q., Diplas, B. H., Davey, L. M., Hartley, J., Stoetzel, C., Szymanska, K., Ramaswami, G., Logan, C. V., Muzny, D. M., Young, A. C., Wheeler, D. A., Cruz, P., Morgan, M., Lewis, L. R., Cherukuri, P., Maskeri, B., Hansen, N. F., Mullikin, J. C., Blakesley, R. W., Bouffard, G. G., NISC Comparative Sequencing Program, Gyapay, G., Rieger, S., Tonshoff, B., Kern, I., Soliman, N. A., Neuhaus, T. J., Swoboda, K. J., Kayserili, H., Gallagher, T. E., Lewis, R. A., Bergmann, C., Otto, E. A., Saunier, S., Scambler, P. J., Beales, P. L., Gleeson, J. G., Maher, E. R., Attie-Bitach, T., Dollfus, H., Johnson, C. A., Green, E. D., Gibbs, R. A., Hildebrandt, F., Pierce, E. A., and Katsanis, N. (2011) TTC21B Contributes both Causal and Modifying Alleles Across the Ciliopathy Spectrum. Nat Genet. 43, 189-196.
Science Writers Anne Murray
Illustrators Diantha La Vine, Katherine Timer
AuthorsZhao Zhang, Emre Turer and Bruce Beutler