Abstract

Article Figures and data Abstract Editor's evaluation Introduction Results Discussion Materials and methods Data availability References Decision letter Author response Article and author information Metrics Abstract Deciphering the genetic architecture of human cardiac disorders is of fundamental importance but their underlying complexity is a major hurdle. We investigated the natural variation of cardiac performance in the sequenced inbred lines of the Drosophila Genetic Reference Panel (DGRP). Genome-wide associations studies (GWAS) identified genetic networks associated with natural variation of cardiac traits which were used to gain insights as to the molecular and cellular processes affected. Non-coding variants that we identified were used to map potential regulatory non-coding regions, which in turn were employed to predict transcription factors (TFs) binding sites. Cognate TFs, many of which themselves bear polymorphisms associated with variations of cardiac performance, were also validated by heart-specific knockdown. Additionally, we showed that the natural variations associated with variability in cardiac performance affect a set of genes overlapping those associated with average traits but through different variants in the same genes. Furthermore, we showed that phenotypic variability was also associated with natural variation of gene regulatory networks. More importantly, we documented correlations between genes associated with cardiac phenotypes in both flies and humans, which supports a conserved genetic architecture regulating adult cardiac function from arthropods to mammals. Specifically, roles for PAX9 and EGR2 in the regulation of the cardiac rhythm were established in both models, illustrating that the characteristics of natural variations in cardiac function identified in Drosophila can accelerate discovery in humans. Editor's evaluation The authors investigated natural variation and new genetic mechanisms underlying cardiac performance using sequenced inbred lines of the Drosophila Genetic Reference Panel. The study provides insights into the genetic architecture of complex cardiac performance traits and represents an important resource for researchers studying cardiac performance. https://doi.org/10.7554/eLife.82459.sa0 Decision letter eLife's review process Introduction Heart diseases is a major cause of mortality (Bezzina et al., 2015). Although a large number of genome-wide association studies (GWAS) have identified hundreds of genetic variants related to cardiovascular traits (Roselli et al., 2018; van Setten et al., 2018; Shah et al., 2020; Verweij et al., 2020), we are very far from a comprehensive understanding of the genetic architecture of these complex traits. Deciphering the impact of genetic variations on quantitative traits is however critical for the prediction of disease risk. But disentangling the relative genetic and environmental contributions to pathologies is challenging due to the difficulty in accounting for environmental influences and disease comorbidities. Underlying epistatic interactions may also contribute to problems with replication in human GWAS performed in distinct populations which rarely take epistatic effects into account. In addition, linking a trait associated locus to a candidate gene or a set of genes for prioritization is not straightforward (Mackay, 2014, Boyle et al., 2017). Furthermore, the analysis of genetic factors related to cardiac traits is complicated by their interactions with several risk factors, such as increasing age, hypertension, diabetes mellitus, ischemic, and structural heart disease (Paludan-Müller et al., 2016). These pitfalls can be overcome using animal models. Model organisms allow precise controlling of the genetic background and environmental rearing conditions. They can provide generally applicable insights into the genetic underpinnings of complex traits and human diseases, due to the evolutionary conservation of biological pathways. Numerous studies have highlighted the conservation of cardiac development and function from flies to mammals. Indeed, orthologous genes control the early development as well as the essential functional elements of the heart. The fly is the simplest genetic model with a heart muscle and is increasingly used to identify the genes involved in heart disease and aging (Ocorr et al., 2007b; Diop and Bodmer, 2015; Rosenthal et al., 2010). Although a large number of genes are implicated in establishing and maintaining cardiac function in Drosophila (Neely et al., 2010), the extent to which genes identified from mutant analysis reflect naturally occurring variants is neither known, nor do we know how allelic variants at several segregating loci combine to affect cardiac performance. We previously showed that wild populations of flies harbor rare polymorphisms of major effects that predispose them to cardiac dysfunction (Ocorr et al., 2007a). Here, we analyzed the genetic architecture of the natural variation of cardiac performance in Drosophila. Our aims were to (i) identify the variants associated with cardiac traits found in a natural population, (ii) decipher how these variants interact with each other and with the environment to impact cardiac performance, and (iii) gain insights into the molecular and cellular processes affected. For this, we used the Drosophila Genetic Reference Panel (DGRP) (Mackay et al., 2012; Huang et al., 2014), a community resource of sequenced inbred lines. Previous GWAS performed in the DGRP indicate that inheritance of most quantitative traits in Drosophila is complex, involving many genes with small additive effects as well as epistatic interactions (Mackay and Huang, 2018). The use of inbred lines allows us to assess the effects of genetic variations in distinct but constant genetic backgrounds and discriminate genetic and environmental effects. We demonstrated substantial among-lines variations of cardiac performance and identified genetic variants associated with the cardiac traits together with epistatic interactions among polymorphisms. Candidate loci were enriched for genes encoding transcription factors (TFs) and signaling pathways, which we validated in vivo. We used non-coding variants - which represented the vast majority of identified polymorphisms – for predicting transcriptional regulators of associated genes. Corresponding TFs were further validated in vivo by heart-specific RNAi-mediated knockdown (KD). This illustrates that natural variations of gene regulatory networks have widespread impact on cardiac function. In addition, we analyzed the phenotypic variability of cardiac traits between individuals within each of the DGRP lines (i.e., with the same genotype), and we documented significant diversity in phenotypic variability among the DGRP lines, suggesting genetic variations influenced phenotypic variability of cardiac performance. Genetic variants associated with this phenotypic variability were identified and shown to affect a set of genes that overlapped with those associated with trait means, although through different genetic variants in the same genes. Comparison of human GWAS of cardiac disorders with results in flies identified a set of orthologous genes associated with cardiac traits both in Drosophila and in humans, supporting the conservation of the genetic architecture of cardiac performance traits, from arthropods to mammals. siRNA-mediated gene KD were performed in human induced pluripotent stem cells derived cardiomyocytes (hiPSC-CMs) to indeed show that dmPox-meso/hPAX9 and dmStripe/hEGR2 have conserved functions in cardiomyocytes from both flies and humans. These new insights into the fly’s genetic architecture and the connections between natural variations and cardiac performance permit the accelerated identification of essential cardiac genes and pathways in humans. Results Quantitative genetics of heart performances in the DGRP In this study, we aimed to evaluate how naturally occurring genetic variations affect cardiac performance in young Drosophila adults and identify variants and genes involved in the genetic architecture of cardiac traits. To assess the magnitude of naturally occurring variations of the traits, we measured heart parameters in 1-week-old females for 167 lines from the DGRP, a publicly available population of sequenced inbred lines derived from wild caught females (Figure 1A). Briefly, semi-intact preparations of individual flies (Ocorr et al., 2007c) were used for high-speed video recording combined with Semi-automated Heartbeat Analysis (SOHA) software (http://www.sohasoftware.com/) which allows precise quantification of a number of cardiac function parameters (Fink et al., 2009; Cammarato et al., 2015). Fly cardiac function parameters are highly influenced by sex (Wessells et al., 2004). Due to the experimental burden of analyzing individual cardiac phenotypes, we focused on female flies only and designed our experiment in the following way: we randomly selected 14 lines out of 167 that were replicated twice. The remaining 153 lines were replicated once. Each replicate was composed of 12 individuals. No block effect was observed due to the replicates in the 14 selected lines (see Supplementary file 1a). This allowed us to perform our final analysis on one replicate of each of the 167 lines. A total sample of 1956 individuals was analyzed. Seven cardiac traits were analyzed across the whole population (Figure 1—source data 1 and Table 1). As illustrated in Figure 1A, we analyzed phenotypes related to the rhythmicity of cardiac function: the systolic interval (SI) is the time elapsed between the beginning and the end of one contraction, the diastolic interval (DI) is the time elapsed between two contractions and the heart period (HP) is the duration of a total cycle (contraction+relaxation (DI+SI)). The arrhythmia index (AI, std-dev(HP)/mean (HP)) is used to evaluate the variability of the cardiac rhythm. In addition, three traits related to contractility were measured. The diameters of the heart in diastole (end diastolic diameter [EDD]), in systole (end systolic diameter [ESD]), and the fractional shortening (FS), which measures the contraction efficacy (EDD −ESD/EDD). We found significant genetic variation for all traits (Figure 1B and Figure 1—figure supplement 1) with broad sense heritability ranging from 0.30 (AI) to 0.56 (EDD) (Table 1). Except for EDD/ESD and HP/DI, quantitative traits were poorly correlated with each other (Figure 1—figure supplement 1). Figure 1 with 2 supplements see all Download asset Open asset Quantitative genetics and genome-wide associations studies (GWAS) for cardiac traits in the Drosophila Genetic Reference Panel (DGRP). (A) Left: Cardiac performance traits were analyzed in 167 sequenced inbred lines from the DGRP population. Approximately 12 females per line were analyzed. Right panels: Schematic of the Drosophila adult heart assay and example of M-mode generated from video recording of a beating fly heart. Semi-intact preparations of 1-week-old adult females were used for high-speed video recording followed by automated and quantitative assessment of heart size and function. The representative M-mode trace illustrate the cardiac traits analyzed. DI: diastolic interval; SI: systolic interval; HP: heart period (duration of one heartbeat); EDD: end diastolic diameter (fully relaxed cardiac tube diameter); ESD: end systolic diameter (fully contracted cardiac tube diameter). Fractional shortening (FS=EDD − ESD/EDD) and arrythmia index (AI=Std Dev (HP)/HP) were additionally calculated and analyzed. (B) Distribution of line means and within lines variations (box plots) from 167 measured DGRP lines for HP and EDD. DGRP lines are ranked by their increasing mean phenotypic values. For both phenotypes, representative M-modes from extreme lines are shown below (other traits are displayed in Figure 1—figure supplement 1). (C) Pearson residuals of chi-square test from the comparison of indicated single nucleotide polymorphism (SNP) categories in the DGRP and among variants associated with cardiac traits. According to DGRP annotations, SNPs are attributed to genes if they are within the gene transcription unit (5’ and 3’ UTR, synonymous and non-synonymous coding, introns) or within 1 kb from transcription start and end sites (1 kb upstream, 1 kb downstream). NA: SNPs not attributed to genes (>1 kb from transcription start site [TSS] and transcription end sites [TES]). (D) Comparison of gene sets identified by single marker using Fast-LMM (LMM) and in interaction using FastEpistasis (Epistasis). The Venn diagram illustrates the size of the two populations and their overlap. (E) Overlap coefficient of gene sets associated with the different cardiac traits analyzed. Figure 1—source data 1 Individual values for cardiac traits analyzed across the 167 Drosophila Genetic Reference Panel (DGRP) lines. Individual and DGRP line number are indicated. Phenotypic values were determined from high-speed video recording on dissected flies and movie analysis using Semi-automated Heartbeat Analysis (SOHA) (Mackay et al., 2012). https://cdn.elifesciences.org/articles/82459/elife-82459-fig1-data1-v1.xlsx Download elife-82459-fig1-data1-v1.xlsx Figure 1—source data 2 Variants identified by FastLMM as associated to indicated phenotypes. Among the 100 best ranked associations, only variants with MAF >4% were retained. Tables for variants mapped to genes and for variants that are not within gene mapping criteria (>1 kb from transcription start site [TSS] and transcription end sites [TES]) are indicated. https://cdn.elifesciences.org/articles/82459/elife-82459-fig1-data2-v1.xlsx Download elife-82459-fig1-data2-v1.xlsx Figure 1—source data 3 All FastEpistasis data on mean phenotypes, per quantitative trait. Single nucleotide polymorphism (SNP) ID, position, associated genes, and statistics are indicated for both focal SNPs (left) and their interacting SNPs (right). Each sheet displays the results for indicated quantitative traits, except for the first one which is a merge of all quantitative traits association analyses. https://cdn.elifesciences.org/articles/82459/elife-82459-fig1-data3-v1.xlsx Download elife-82459-fig1-data3-v1.xlsx Table 1 Quantitative genetics of cardiac traits in the Drosophila Genetic Reference Panel (DGRP). Summary statistics over all DGRP genotypes assayed. Number of lines and individuals (after outlier removal, see Materials and methods) analyzed for each cardiac trait is indicated. Mean, standard deviation (Std dev.), and coefficient of variation (Coef. Var) among the whole population are indicated. Genetic, environment, and phenotypic variance (respectively Genet. var, Env. var, and Phen. var) were calculated for each trait. Broad sense heritability of traits means (H2) suggested heritability of corresponding traits. Levene test indicated significant heterogeneity of the variance among the lines. DiastolicintervalsSystolicintervalsHeartperiodDiastolic DiameterSystolic diameterFractional shorteningArrhythmia Indextotal.nb.lines167167167167167167167mean0.46380.21660.688379.420051.05000.35380.2475Std dev.0.263300.032160.2769014.090009.493000.068370.29230Coef. var0.56770.14850.40220.17740.18600.19331.1810lines (mean)165166165159157158166Indiv. (mean)1914191119201779175317671832lines (Cve)165166165159157158166Indiv. (Cve)1914191119201779175317671832Genet. var2.59e-025.03e-042.87e-021.13e+024.39e+011.57e-032.21e-02Env. var4.36e-025.35e-044.82e-028.64e+014.65e+013.11e-036.35e-02Phen. var6.95e-021.04e-037.68e-021.99e+029.04e+014.68e-038.56e-02H20.3730.4850.3730.5660.4850.3350.258F value76,86411,68674,71546,95015,04111,16465,308Pr(F)8.8e-1202.3e-1875.8e-1167.1e-621.9e-2318.8e-1751.8e-96Levene test1.9e-101.9e-101.7e-081.6e-052.1e-131.6e-052.1e-13 GWAS analyses of heart performance To identify candidate variants associated with cardiac performance variation, we performed GWAS analyses and evaluated single marker associations of line means with common variants using a linear mixed model (Lippert et al., 2011) and after accounting for effects of Wolbachia infection and common polymorphism inversions (see Materials and methods). Genotype-phenotype associations were performed separately for all seven quantitative traits and variants were ranked based on their p-values. For most of the phenotypes analyzed, quantile-quantile (QQ) plots were uniform (Figure 1—figure supplement 2) and none of the variants reached the strict Bonferroni correction threshold for multiple tests (2 · 10–8), which is usual in the DGRP given the size of the population. However, the decisive advantage of the Drosophila system is that we can use GWA analyses as primary screens for candidate genes and mechanisms that can be subsequently validated by different means. We therefore chose to analyze the 100 top ranked variants for each quantitative trait. This choice is based on our strategy to test the selected single nucleotide polymorphisms (SNPs) and associated genes by a variety of approaches – data mining and experimental validation (see below) – in order to provide a global validation of association results and to gain insights into the characteristics of the genetic architecture of the cardiac traits. This cut-off was chosen in order to be able to test a significant number of variants while being globally similar to the nominal cut-off (10–5) generally used in DGRP analyses. A large proportion of the variants retained have indeed a p-value below 10–5. Selected variants were further filtered on the basis of minor allele frequency (MAF >4%) (Figure 1—source data 2, Supplementary file 1b). Among the seven quantitative traits analyzed, we identified 530 unique variants. These variants were associated to genes if they were within 1 kb of transcription start site (TSS) or transcription end sites (TES). Using these criteria, 417 variants were mapped to 332 genes (Supplementary file 1c). We performed a chi-squared test to determine if the genomic location of variants associated with cardiac traits is biased toward any particular genomic region when compared with the whole set of variants with MAF >4% in the DGRP population and obtained a p-value of 2.778e-13. Genomic locations of the variants were biased toward regions within 1 kb upstream of genes TSS, and, to a lesser extent, to genes 5’ UTR (Figure 1C). Variants not mapped to genes (located at >1 kb from TSS or TES) were slightly depleted in our set. In GWAS analyses, loci associated with a complex trait collectively account for only a small proportion of the observed genetic variation (Manolio et al., 2009) and part of this ‘missing heritability’ is thought to come from interactions between variants (Flint and Mackay, 2009; Manolio et al., 2009; Huang et al., 2012; Shorter et al., 2015). As a first step toward identifying such interactions, we used FastEpistasis (Schüpbach et al., 2010). SNP identified by GWAS were used as focal SNPs and were tested for interactions with all other SNPs in the DGRP. FastEpistasis reports best ranked interacting SNP for each starting focal SNP, thus extending the network of variants and genes associated to natural variation of cardiac performance, which were used for hypothesis generation and functional validations; 288 unique SNPs were identified, which were mapped to 261 genes (Figure 1—source data 3, Supplementary file 1e). While none of the focal SNPs interacted with each other, there is a significant overlap between the 332 genes associated with single marker GWAS and the 261 genes identified by epistasis (n=31, Figure 1D and Supplementary file 1e, fold change (FC)=6; hypergeometric pval=6.8 × 10–16). This illustrates that the genes that contribute to quantitative variations in cardiac performance have a tendency to interact with each other, although through distinct alleles. Taken together, single marker GWAS and epistatic interactions performed on the seven cardiac phenotypes identified a compendium of 562 genes associated with natural variations of heart performance (Supplementary file 1f). In line with the correlation noted between their phenotypes (Figure 1—figure supplement 1B), the GWAS for HP and DI identified partially overlapping gene sets (overlap index 0.23, Figure 1E). The same was true, to a lesser extent, for ESD and EDD (0.15). Otherwise, the sets of genes associated with each of the cardiac traits are poorly correlated with each other. Functional annotations and network analyses of association results Our next objective was to identify the biological processes potentially affected by natural variation in cardiac performance. Gene Ontology (GO) enrichment analysis of the combined single marker GWAS and epistatic interactions analyses indicated that genes encoding signaling receptors, TFs, and cell adhesion molecules were over-represented among these gene sets (pval=1.4 × 10–9 [FC=2.9], 5×10–4 [FC=2], and 3×10–3 [FC=4.6], respectively). There was also a bias for genes encoding proteins located at the plasma membrane, at ion channel complexes as well as components of contractile fibers (pval=3.4 × 10–10 [FC=3], 7×10–5 [FC=4.2], and 4×10–2 [FC=3.6]; Figure 2A; Supplementary file 2a). Of note, although a number of genes have previously been identified as being required during heart development or for the establishment and maintenance of cardiac function by single gene approaches, we found no enrichment for these gene categories in our analysis. In addition, genes identified in a global screen for stress-induced lethality following heart-specific RNAi KD (Neely et al., 2010) were also not enriched in GWAS detected genes (FC=1; Supplementary file 2b). This indicates that genes associated to natural variations of cardiac traits are typically missed by traditional forward or reverse genetics approaches, which highlights the value of our approach. Figure 2 with 2 supplements see all Download asset Open asset Functional annotations and validations of genes associated with genome-wide associations studies (GWAS) for cardiac performance. (A) Gene Ontology (GO) enrichment analyses. Selected molecular functions (MF, left) and cellular components (CC, right) associated with cardiac performances at FDR < 0.05 are shown. Enrichment analysis was performed using G:profiler with a correction for multitesting (see Materials and methods). (B) Interaction network of genes associated with natural variations of cardiac performance. Direct genetic and physical interactions between cardiac fly GWAS genes are displayed. Nodes represent genes and/or proteins, edges represent interactions (blue: genetic; black: physical). Node shapes refer to single marker and/or epistasis GWAS, node color to the cardiac performances phenotype(s) for which associations were established. Genes and proteins highlighted in pink point to transcription factors, in green and blue to signaling pathways (FGF and TGFb, respectively), and in yellow to ion channels. (C) Heatmap representing the effects on indicated cardiac traits of heart-specific RNAi-mediated knockdown (KD) of 42 genes identified in GWAS for cardiac performance. Results of Wilcoxon rank sum test of the effects of indicated heart-specific RNAi-mediated gene KD (rows) for cardiac performance traits (columns), analyzed on semi-intact 1-week females flies. Detailed data are presented in Figure 2—source data 2. Thirty-eight (out of 42) genes tested lead to significant effects on cardiac performance traits upon KD. Black dots indicate the trait(s) for which the corresponding gene was associated in GWAS. ns: not significant; *: pval <0.05; **: pval <0.01; ***: pval <0.005; ****pval <0.0001 (p-values were adjusted for multiple testing using Bonferroni correction). Comparison with heart-specific effect of random selected genes is displayed in Figure 2—figure supplement 1. (D) Schematic drawing of BMP and activin pathways in Drosophila. (E) Genetic interactions between BMP and activin pathway genes. Genetic interactions tested between snooBSC234 and sogU2 for SI and between dppd14 and babo32 for FS (other phenotypes are shown in Figure 2—figure supplement 2). Cardiac traits were measured on each single heterozygotes and on double heterozygotes flies. Two-way ANOVA reveals that the interaction between snooBSC234 and sogU2 for SI and between dppd14 and babo32 for FS are significant. Detailed data for interaction effect corresponding to all phenotypes are displayed in Figure 2—figure supplement 2. Figure 2—source data 1 Collection of physical (IP, Y2H) and genetic interactions identified in Drosophila. https://cdn.elifesciences.org/articles/82459/elife-82459-fig2-data1-v1.xlsx Download elife-82459-fig2-data1-v1.xlsx Figure 2—source data 2 Data from validation experiments. (Heart-specific RNAi validations and tests for genetic interactions among BMP members.) https://cdn.elifesciences.org/articles/82459/elife-82459-fig2-data2-v1.xlsx Download elife-82459-fig2-data2-v1.xlsx In order to gain additional knowledge about the cellular and molecular pathways affected by natural variations of cardiac traits, we have mapped the associated genes and gene products onto characterized interaction networks. Of the 562 identified genes, 419 were mapped to the fly interactome that includes both physical (protein-protein) and genetic interactions from both DroID (Murali et al., 2011) and flybi databases (see Materials and methods and Figure 2—source data 1). Remarkably, a high proportion (148) of the GWAS identified genes were directly connected within the fly interactome and formed a large network of interacting genes/proteins (Supplementary file 2c and d, Figure 2B), suggesting that they participate in common biological processes. This network encompasses several TFs and ion channel complex genes, consistent with their potential role in the genetic architecture of natural variation of heart performance. Several components of signaling pathways are also present in the network, including members of the FGF and TGFβ pathways (see below). Functional validations of candidate genes To assess in an extensive way whether mutations in genes harboring SNPs associated with variation in cardiac traits contributed to these phenotypes, we selected 42 GWAS associated genes for cardiac-specific RNAi KD and tested the effects on cardiac performance. We selected genes that were identified in at least two independent GWAS for two traits or that were known to be dynamically expressed in the adult heart (Monnier et al., 2012) and for which inducible RNAi lines were available. Genes were tested in 1-week-old adult female flies, using the heart-specific Hand>Gal4 driver (Popichenko et al., 2007) and the same semi-intact heart preparations and SOHA analyses as for DGRP lines screening. Notably, 38 of the 42 selected genes led to various levels of cardiac performance defects following heart-specific KD (Figure 2C). In parallel, we tested the effect on cardiac performance of knocking down 18 genes randomly selected in the genome – the GWAS associated genes being excluded from the selection (see Materials and methods and Figure 2—figure supplement 1). Although a number of these genes lead to cardiac phenotypes when inactivated – which is consistent with published observations that quantitative traits can be influenced by a large number of genes (Zhang et al., 2021) – when inactivated in the heart, the genes selected from GWAS lead to significantly more frequent phenotypes compared to the randomly selected genes (Figure 2—figure supplement 1). These results therefore supported our association results. It is important to emphasize that our approach is limited to testing the effects of tissue-specific gene KD. Since some of the variants may lead to increased gene function and/or expression, this can lead to a false negative rate that is difficult to estimate. In addition, some of the associated variants may influence heart function by non-cell-autonomous mechanisms, which would not be replicated by cardiac-specific RNAi KD. We further focused on the TGFβ pathway, since members of both BMP and activin pathways were identified in our analyses. We tested different members of the TGFβ pathway for cardiac phenotypes using cardiac-specific RNAi KD (Figure 2C), and confirmed the involvement of the activin agonist snoo (Ski orthologue) and the BMP antagonist sog (chordin orthologue). Notably, activin and BMP pathways are usually antagonistic (Figure 2D). Their joint identification in our GWAS suggest that they act in a coordinated fashion to regulate heart function. Alternatively, it may simply reflect their involvement in different aspects of cardiac development and/or functional maturation. In order to discriminate between these two hypotheses, we tested if different components of these pathways interacted genetically. Single heterozygotes for loss of function alleles show dosage-dependent effects of snoo and sog on several phenotypes, providing an independent confirmation of their involvement in several cardiac traits (Figure 2—figure supplement 2). Importantly, compared to each single heterozygotes, snooBSC234/sogUU2 double heterozygotes flies showed non-additive SI phenotypes (two-way ANOVA pval: 2.1 · 10–7), suggesting a genetic interaction (Figure 2E and Figure 2—figure supplement 2). It is worth noting however that snoo is also a transcriptional repressor of the BMP pathway (Takaesu et al., 2006). The effect observed in snooBSC234/sogUU2 double heterozygotes can therefore alternatively arise as a consequence of an increased BMP signaling without affecting the activin pathway. We thus tested other allelic combinations for loss of function alleles of BMP and activin pathways. babo/

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