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Thalidomide promotes degradation of SALL4, a transcription factor implicated in Duane Radial Ray syndrome.

eLife | 2018

In historical attempts to treat morning sickness, use of the drug thalidomide led to the birth of thousands of children with severe birth defects. Despite their teratogenicity, thalidomide and related IMiD drugs are now a mainstay of cancer treatment; however, the molecular basis underlying the pleiotropic biology and characteristic birth defects remains unknown. Here we show that IMiDs disrupt a broad transcriptional network through induced degradation of several C2H2 zinc finger transcription factors, including SALL4, a member of the spalt-like family of developmental transcription factors. Strikingly, heterozygous loss of function mutations in SALL4 result in a human developmental condition that phenocopies thalidomide-induced birth defects such as absence of thumbs, phocomelia, defects in ear and eye development, and congenital heart disease. We find that thalidomide induces degradation of SALL4 exclusively in humans, primates, and rabbits, but not in rodents or fish, providing a mechanistic link for the species-specific pathogenesis of thalidomide syndrome.

Pubmed ID: 30067223 RIS Download

Associated grants

  • Agency: NCI NIH HHS, United States
    Id: R01CA214608
  • Agency: NIGMS NIH HHS, United States
    Id: T32 GM007753
  • Agency: NCI NIH HHS, United States
    Id: P01 CA066996
  • Agency: NCI NIH HHS, United States
    Id: R01 CA214608
  • Agency: Damon Runyon Cancer Research Foundation, United States
    Id: DRR-50-18

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RRID:CVCL_0063

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RRID:CVCL_1577

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