Evidence map›Paper›PMID 40410151›Full record

ArticleNature communications2025

The ALX4 dimer structure provides insight into how disease alleles impact function.

Brittany Cain, Zhenyu Yuan, Evelyn Thoman, Rhett A Kovall, Brian Gebelein

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Brittany Cain *Division of Developmental Biology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 7007, Cincinnati, OH, USA. Brittany.Cain@cchmc.org.ORCID http://orcid.org/0009-0006-1767-3019
Zhenyu Yuan *Department of Molecular and Cellular Biosciences, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Evelyn ThomanDepartment of Biomedical Engineering, University of Cincinnati, Cincinnati, OH, USA.
Rhett A KovallDepartment of Molecular and Cellular Biosciences, University of Cincinnati College of Medicine, Cincinnati, OH, USA. kovallra@ucmail.uc.edu.ORCID http://orcid.org/0000-0003-0520-1613
Brian GebeleinDivision of Developmental Biology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 7007, Cincinnati, OH, USA. Brian.Gebelein@cchmc.org.ORCID http://orcid.org/0000-0001-9791-9061

Funding

Mechanisms of Homeodomain Transcriptional SpecificityR01GM079428 · NIGMS · CINCINNATI CHILDRENS HOSP MED CTR · PI GEBELEIN, BRIAN · 2008 to 2023
$4.5M
Structure-function analysis of ALX4 disease allelesR03TR004875 · NCATS · UNIVERSITY OF CINCINNATI · PI KOVALL, RHETT ALLEN · 2024 to 2024
$177k
Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) GM079428Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) TR004875NCATS NIH HHS R03 TR004875NIGMS NIH HHS R01 GM079428
6 · The paper itself

Abstract

How homeodomain proteins gain sufficient DNA binding specificity to regulate diverse processes is a long-standing question. Here, we determine how the ALX4 Paired-like protein achieves DNA binding specificity for a TAAT-NNN-ATTA dimer site. We first show that ALX4 binds this motif independently of its co-factor, TWIST1, in cranial neural crest cells. Structural analysis identifies seven ALX4 residues that participate in dimer binding, many of which are conserved across the Paired-like family, but not other homeodomain proteins. Unexpectedly, the two ALX4 proteins within the dimer use distinct residues to form asymmetric protein-protein and protein-DNA interactions and mediate cooperativity. Moreover, we find that ALX4 cooperativity is required for transcriptional activation and that ALX4 disease variants cause distinct molecular defects that include loss of cooperativity. These findings provide insights into how Paired-like factors gain DNA specificity and show how disease variants can be stratified based on their molecular defects.

Indexed as

DNA-Binding ProteinsHomeodomain ProteinsTranscription FactorsAllelesAnimalsBinding SitesDNAHumansMiceNeural CrestProtein BindingProtein MultimerizationTranscriptional ActivationTwist-Related Protein 1DNADNA-Binding ProteinsHomeodomain ProteinsTranscription FactorsTwist-Related Protein 1

Identifiers

PMID40410151
PMCPMC12102336

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.