Abrogation of MAP4K4 protein function causes congenital anomalies in humans and zebrafish

Victoria Patterson, Farid Ullah, Laura Bryant, John N. Griffin, Alpa Sidhu, Sheila Saliganan, Mackenzie Blaile, Margarita S. Saenz, Rosemarie Smith, Sara Ellingwood, Dorothy K. Grange, Xuyun Hu, Maimaiti Mireguli, Yanfei Luo, Yiping Shen, Maureen Mulhern, Elaine Zackai, Alyssa Ritter, Kosaki Izumi, Julia HoefeleMatias Wagner, Korbinian M. Riedhammer, Barbara Seitz, Nathaniel H. Robin, Dana Goodloe, Cyril Mignot, Boris Keren, Helen Cox, Joanna Jarvis, Maja Hempel, Cynthia Forster Gibson, Frederic Tran Mau-Them, Antonio Vitobello, Ange Line Bruel, Arthur Sorlin, Sarju Mehta, F. Lucy Raymond, Kelly Gilmore, Bradford C. Powell, Karen Weck, Chumei Li, Anneke T. Vulto-Van Silfhout, Thea Giacomini, Maria Margherita Mancardi, Andrea Accogli, Vincenzo Salpietro, Federico Zara, Neeta L. Vora, Erica E. Davis, Rebecca Burdine, Elizabeth Bhoj

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


We report 21 families displaying neurodevelopmental differences and multiple congenital anomalies while bearing a series of rare variants in mitogen-activated protein kinase kinase kinase kinase 4 (MAP4K4). MAP4K4 has been implicated in many signaling pathways including c-Jun N-terminal and RAS kinases and is currently under investigation as a druggable target for multiple disorders. Using several zebrafish models, we demonstrate that these human variants are either loss-of-function or dominant-negative alleles and show that decreasing Map4k4 activity causes developmental defects. Furthermore, MAP4K4 can restrain hyperactive RAS signaling in early embryonic stages. Together, our data demonstrate that MAP4K4 negatively regulates RAS signaling in the early embryo and that variants identified in affected humans abrogate its function, establishing MAP4K4 as a causal locus for individuals with syndromic neurodevelopmental differences.

Original languageEnglish (US)
Article numbereade0631
JournalScience Advances
Issue number17
StatePublished - Apr 2023

All Science Journal Classification (ASJC) codes

  • General


Dive into the research topics of 'Abrogation of MAP4K4 protein function causes congenital anomalies in humans and zebrafish'. Together they form a unique fingerprint.

Cite this