RT Journal Article SR Electronic T1 A ubiquitin-based mechanism for the oligogenic inheritance of heterotaxy and heart defects JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.05.25.113944 DO 10.1101/2020.05.25.113944 A1 Jennifer H. Kong A1 Cullen B. Young A1 Ganesh V. Pusapati A1 Chandni B. Patel A1 Sebastian Ho A1 Arunkumar Krishnan A1 Jiuann-Huey Ivy Lin A1 William Devine A1 Anne Moreau de Bellaing A1 Tejas S. Athni A1 L. Aravind A1 Teresa M. Gunn A1 Cecilia W. Lo A1 Rajat Rohatgi YR 2020 UL http://biorxiv.org/content/early/2020/05/26/2020.05.25.113944.abstract AB The etiology of congenital heart defects (CHDs), amongst the most common human birth defects, is poorly understood partly because of its complex genetic architecture. Here we show that two genes previously implicated in CHDs, Megf8 and Mgrn1, interact genetically and biochemically to regulate the strength of Hedgehog signaling in target cells. MEGF8, a single-pass transmembrane protein, and MGRN1, a RING superfamily E3 ligase, assemble to form a transmembrane ubiquitin ligase complex that catalyzes the ubiquitination and degradation of the Hedgehog pathway transducer Smoothened. Homozygous Megf8 and Mgrn1 mutations increased Smoothened abundance and elevated sensitivity to Hedgehog ligands. While mice heterozygous for loss-of-function Megf8 or Mgrn1 mutations were normal, double heterozygous embryos exhibited an incompletely penetrant syndrome of CHDs with heterotaxy. Thus, genetic interactions between components of a receptor-like ubiquitin ligase complex that tunes morphogen signaling strength can cause a birth defect syndrome inherited in an oligogenic pattern.Competing Interest StatementThe authors have declared no competing interest.