| 1999 |
Phox2b is required for the development of all autonomic ganglia (sympathetic, parasympathetic, enteric) and three cranial sensory ganglia; in the enteric nervous system and sympathetic ganglia anlage, Phox2b is needed to maintain Mash1 expression and to induce expression of the GDNF receptor subunit Ret, as well as the noradrenaline biosynthesis enzymes dopamine-beta-hydroxylase and tyrosine hydroxylase. |
Genetic knockout mouse (loss-of-function), histology, gene expression analysis |
Nature |
High |
10360575
|
| 2000 |
Phox2b is required for the formation of all branchial and visceral (but not somatic) motor neurons in the hindbrain; in its absence, motor neuron precursors die in the neuroepithelium or fail to switch on postmitotic markers, demonstrating Phox2b controls a novel cell-type-specific checkpoint in CNS neurogenesis. |
Genetic knockout mouse, histology, marker expression analysis |
Development |
High |
10704382
|
| 2000 |
Phox2b is required for the differentiation of all central and peripheral noradrenergic neurons, including the locus coeruleus, making it a master regulator of the noradrenergic phenotype; Phox2b has a wider role than its paralog Phox2a and acts in a non-redundant partnership with Mash1. |
Genetic knockout mouse, gene expression analysis |
Molecular and cellular neurosciences |
High |
10736201
|
| 2000 |
Phox2b coordinates neuronal cell cycle exit with subtype identity specification: loss-of-function reduces post-mitotic precursor numbers, while forced expression in chick spinal cord drives progenitors to become post-mitotic neurons with a motor neuronal phenotype (Islet1+ and cholinergic), acting as a transcriptional activator. |
Loss- and gain-of-function experiments (mouse KO and chick in ovo electroporation), marker expression |
Development |
High |
11060244
|
| 2001 |
PHOX2B directly binds to a homeodomain recognition site in the 5' regulatory region of the human PHOX2A gene and transactivates its promoter, placing PHOX2B upstream of PHOX2A in the autonomic nervous system transcription factor cascade. |
Electrophoretic mobility shift assay (EMSA), cotransfection/luciferase reporter assay |
The Journal of neuroscience |
Medium |
11549713
|
| 2002 |
Phox2b promotes generic neuronal differentiation by upregulating proneural genes (Ngn2, Mash1) and repressing inhibitors of neurogenesis (Hes5, Id2); it specifies branchio/visceromotor neuronal identity by repressing Pax6 and Olig2 and inducing Nkx6.1/Nkx6.2, acting as a transcriptional activator. |
Gain-of-function (chick electroporation), genetic analysis, gene expression profiling |
Development |
Medium |
12399315
|
| 2003 |
Phox2b controls the differentiation of the carotid body chemosensor organ, the three epibranchial placode-derived visceral sensory ganglia (geniculate, petrosal, nodose), and is required for formation of the nucleus of the solitary tract; heterozygous Phox2b mutants show altered hypoxia/hypercapnia responses and reduced tyrosine hydroxylase expression in petrosal neurons. |
Homozygous and heterozygous knockout mice, plethysmography, immunohistochemistry, gene expression |
Development |
High |
14627719
|
| 2003 |
PHOX2B directly binds to and transactivates the promoter of RGS4, and cooperates with Mash1 to induce RGS4 expression in vivo; Phox2b also controls gustducin (a G-protein alpha-subunit) expression in facial motor neurons, identifying components of G-protein signaling as part of the Phox2b-dependent neuronal differentiation program. |
In vivo KO mouse, chick spinal cord electroporation, gene expression analysis |
The Journal of neuroscience |
Medium |
14627646
|
| 2003 |
PHOX2B is expressed in the human autonomic nervous system during embryonic development; heterozygous mutations (polyalanine expansions +5 to +9) are the primary cause of congenital central hypoventilation syndrome, establishing PHOX2B as essential for patterning the autonomic ventilation system. |
Human mutation screening, expression analysis in embryonic tissue |
Nature genetics |
High |
12640453
|
| 2004 |
Integration of anteroposterior (Hoxb1/Hoxb2) and dorsoventral (Nkx2.2) signals converges on a conserved proximal Phox2b enhancer containing Pbx-Hox and Prep/Meis binding sites; Hox-Pbx-Prep ternary complex formation on this enhancer is required for rhombomere-restricted Phox2b expression in visceral motoneuron progenitors, and Nkx2.2 enhances Hox-mediated transactivation via derepression. |
Reporter assays with enhancer deletions/mutations, EMSA, chick in ovo electroporation |
Development |
High |
15289435
|
| 2005 |
PHOX2B transactivation of target promoters (DBH, PHOX2A) is impaired by polyalanine expansions in a length-dependent manner; frameshift mutations abolish transactivation and DNA binding without causing cytoplasmic mislocalization, while longer polyalanine expansions (+9 and above) impair DNA binding and cause cytoplasmic aggregation with protein misfolding/multimerization in vitro. |
Transactivation assays, in vitro DNA binding assays, immunofluorescence, gel filtration of in vitro translated proteins |
Human molecular genetics |
High |
16249188
|
| 2005 |
Polyalanine expansion and frameshift mutations in PHOX2B cause distinct pathogenetic mechanisms: polyalanine expansions reduce transactivation of DBH and PHOX2A in a length-dependent manner (with cytoplasmic retention for longer expansions), while frameshift mutations do not impair nuclear localization but instead cause sequestration in the nucleolar compartment. |
Transactivation reporter assays, immunofluorescence of transfected cells |
Human molecular genetics |
High |
15888479
|
| 2005 |
PHOX2B auto-regulates its own expression by directly binding to four homeodomain recognition sites in its own promoter, as demonstrated by chromatin immunoprecipitation in vivo and EMSA in vitro; this auto-regulatory mechanism accounts for 65% of PHOX2B promoter activity in neuroblastoma cells. |
Chromatin immunoprecipitation (ChIP), EMSA, reporter/transactivation assays |
The Journal of biological chemistry |
High |
16144830
|
| 2005 |
In Phox2b knockout mice, chromaffin cell maturation is arrested at an earlier stage than in Mash1 knockouts: cells lack TH, fail to form a medulla, and do not express dHand, Phox2a, c-ret, neurofilament, NST, or NCAM, demonstrating Phox2b regulates very early events in adrenal chromaffin cell differentiation upstream of Mash1. |
Knockout mouse (Phox2b knockin/lacZ), ultrastructural analysis, immunohistochemistry, gene expression |
Developmental biology |
High |
15733675
|
| 2005 |
Phox2b heterozygous knockout mice display sleep-disordered breathing with increased apnea time and reduced ventilation during active sleep, partially modeling congenital central hypoventilation syndrome. |
Heterozygous KO mice, whole-body plethysmography, nuchal EMG sleep-wake staging |
American journal of respiratory and critical care medicine |
Medium |
15860752
|
| 2006 |
PHOX2B directly binds to and transactivates the TLX2 gene 5' regulatory region in neuroblastoma cells, as confirmed by EMSA, transient transfections, and ChIP; forced PHOX2B overexpression upregulates endogenous TLX2 mRNA; CCHS-associated PHOX2B mutants show severely impaired TLX2 transactivation. |
EMSA, luciferase reporter assay, chromatin immunoprecipitation, quantitative RT-PCR |
The Biochemical journal |
High |
16402914
|
| 2006 |
In the absence of Phox2b, expression of ChAT and VAChT from the cholinergic gene locus is absent from sympathetic ganglia, demonstrating that Phox2b is required for cholinergic neuron development in sympathetic ganglia. |
Phox2b knockout mouse, in situ hybridization for ChAT and VAChT mRNA |
Gene expression |
Medium |
17017126
|
| 2006 |
Geldanamycin (an HSP90 inhibitor activating heat shock response) prevents formation of and induces clearance of cytoplasmic PHOX2B polyalanine aggregate proteins, rescues nuclear localization, and restores PHOX2B-mediated DBH promoter transactivation; clearance is mediated by proteasome and autophagy pathways. |
Transfection of PHOX2B-GFP fusion constructs in COS-7 cells, immunofluorescence, luciferase reporter assay, proteasome/autophagy inhibitor treatments |
The international journal of biochemistry & cell biology |
Medium |
17045833
|
| 2004 |
Phox2b-induced generation of ectopic noradrenergic neurons in chick peripheral nerve involves induction of Cash1 (chick Mash1), and Phox2b coordinates generic and noradrenergic gene expression by recruiting Mash1/Cash1; conversely, Mash1 alone induces generic neuronal genes but requires additional autonomic codeterminants for full noradrenergic phenotype. |
Chick in vivo electroporation (gain-of-function), immunohistochemistry, gene expression |
Molecular and cellular neurosciences |
Medium |
15033166
|
| 2008 |
Mice bearing the PHOX2B(27Ala) mutation (a human CCHS-causing mutation) specifically lack glutamatergic Phox2b-expressing neurons in the parafacial region, breathe irregularly, fail to respond to CO2, and die from central apnea; other breathing-relevant neuronal populations are anatomically normal, establishing parafacial RTN neurons as essential for CO2 chemosensation. |
Knock-in mouse model, histology, plethysmography, neuron counting, CO2 challenge |
Proceedings of the National Academy of Sciences |
High |
18198276
|
| 2008 |
CO2-sensitive preinspiratory (Pre-I) neurons of the parafacial respiratory group (pFRG) in the neonatal rat express Phox2b, are depolarized by CO2 under TTX (i.e., exhibit intrinsic chemosensitivity), and are glutamatergic/NK1R-positive, establishing the identity and intrinsic properties of Phox2b+ parafacial neurons. |
Immunohistochemistry, electrophysiology (whole-cell patch-clamp in neonatal rat brainstem slices), TTX blockade, CO2 challenge |
The Journal of neuroscience |
High |
19036978
|
| 2009 |
Phox2b interacts physically with CREBBP/CBP; CBP acts as a coactivator of PHOX2B to mediate synergistic activation of target genes; CCHS-associated PHOX2B mutants interact with different CBP domains than wild-type and show impaired synergistic activation, with some mutants exerting an interfering (dominant-negative) effect. |
Co-immunoprecipitation, domain-mapping experiments, cotransfection/luciferase reporter assays with mutant proteins |
Human mutation |
Medium |
19191321
|
| 2009 |
Lentiviral expression of channelrhodopsin-2 under the Phox2b-responsive PRSx8 promoter in RTN neurons, followed by in vivo photostimulation, produces long-lasting activation of phrenic nerve activity; selective lesion of C1 adrenergic neurons abolishes the cardiovascular but not respiratory response, demonstrating non-catecholaminergic Phox2b+ RTN neurons function as central respiratory chemoreceptors. |
Lentiviral optogenetics (ChR2) in rat, in vivo phrenic nerve recording, selective C1 cell lesion |
The Journal of neuroscience |
High |
19420248
|
| 2009 |
Conditional Phox2b mutations that deplete RTN neurons abolish rhythmic parafacial respiratory activity and reduce phrenic nerve discharge frequency in embryonic preparations; low-pH (CO2) challenge activates parafacial and phrenic activity in controls but not in mutants, providing genetic evidence that Phox2b-expressing RTN neurons drive respiratory rhythm and chemosensory input. |
Conditional knockout mouse, fetal brainstem-spinal cord preparations, phrenic/parafacial nerve electrophysiology, pH challenge |
The Journal of neuroscience |
High |
19940179
|
| 2009 |
RTN neurons (Phox2b+, non-catecholaminergic, glutamatergic) are uniformly acid-activated in brain slices, contain VGLUT2 mRNA, and approximately 50% express preprogalanin; they receive both inhibitory and excitatory synaptic inputs and are in close contact with glial cells and capillary basement membranes, suggesting a role in CO2/H+ sensing. |
Patch-clamp electrophysiology in BAC eGFP-Phox2b transgenic mice, single-cell PCR, ultrastructural (electron microscopy) analysis |
The Journal of comparative neurology |
High |
19711410
|
| 2008 |
Trim11 physically interacts with Phox2b (requiring the B30.2/SPRY domain of Trim11) and, when co-expressed with Phox2b, further increases DBH mRNA levels in primary avian neural crest stem cell cultures, suggesting Trim11 contributes to noradrenergic specification through Phox2b. |
Yeast two-hybrid, co-immunoprecipitation (protein-protein interaction), primary avian NCSC culture with forced expression, quantitative RT-PCR |
Biochemical and biophysical research communications |
Medium |
18275850
|
| 2010 |
Selective inhibition of Phox2b-expressing neurons in the ventrolateral brainstem (RTN) using lentiviral-expressed allatostatin receptor abolishes CO2-evoked expiratory activity and reduces CO2-evoked inspiratory activity, demonstrating that Phox2b+ RTN neurons are essential for both chemoreceptor-driven expiration and inspiration. |
Lentiviral chemogenetic inhibition (allatostatin receptor) in rats, in vivo plethysmography, phrenic/abdominal nerve electrophysiology |
The Journal of neuroscience |
High |
20844141
|
| 2010 |
Wild-type PHOX2B suppresses neuroblastoma cell proliferation and synergizes with retinoic acid to promote differentiation; neuroblastoma-associated PHOX2B mutants retain antiproliferative capacity but fail to promote differentiation or activate a known target gene, demonstrating disruption of transcription-dependent terminal differentiation. |
Forced overexpression in neuroblastoma cell lines, cell proliferation assay, differentiation assay, target gene (luciferase reporter) activation |
Oncogene |
Medium |
17637745
|
| 2010 |
Phox2b-expressing neurons of the locus coeruleus (Phox2bLC) project to and activate preBötzinger complex neurons; chemogenetic stimulation of Phox2bLC neurons increases basal ventilation and ablation impairs the hypercapnic ventilatory response, establishing an LC-preBötzinger complex respiratory circuit. |
Cre-dependent DREADD (hM3Dq) in Phox2b-Cre mice, plethysmography, neuronal ablation, anterograde axon tracing |
Neuroscience bulletin |
Medium |
32468398
|
| 2010 |
Neuroblastoma-associated Phox2b variants with homeodomain mutations lose the antiproliferative effect of wild-type Phox2b and, when endogenous Phox2b is reduced by siRNA, stimulate sympathetic neuron proliferation; this proliferative effect is blocked by Hand2 knockdown and rescued by Hand2 overexpression, implicating Hand2 in Phox2b-mediated proliferation control. |
siRNA knockdown, ectopic expression in primary embryonic sympathetic neurons, proliferation assay, Hand2 functional epistasis |
The Journal of neuroscience |
Medium |
20089899
|
| 2010 |
PHOX2B directly binds to and drives transcription from the ALK gene promoter in neuroblastoma cells; siRNA knockdown of PHOX2B or PHOX2A downregulates ALK expression, and forced PHOX2B overexpression increases ALK protein, establishing ALK as a direct transcriptional target of PHOX2B. |
ChIP, siRNA knockdown, forced overexpression, qRT-PCR, Western blot in NB cell lines |
PloS one |
High |
20957039
|
| 2011 |
Conditional targeting of the PHOX2B(27Ala) mutation to RTN neurons abolishes central CO2 chemosensitivity in neonates; however, these mutant mice survive and breathe normally beyond the first days after birth, with peripheral chemoreceptor O2 sensing compensating for lost CO2 response, demonstrating CO2 chemosensitivity is dispensable for early life breathing. |
Conditional knock-in mouse, plethysmography, hyperoxia challenge (to silence peripheral chemoreceptors), blood gas analysis |
The Journal of neuroscience |
High |
21900566
|
| 2012 |
Nonpolyalanine repeat expansion mutations of PHOX2B (introduced into the mouse Phox2b locus) reduce transactivation of DBH in a dominant-negative fashion and convert PHOX2B's transcriptional effect on a Sox10 enhancer from repression to transactivation (gain-of-function), causing sustained Sox10 expression in enteric/sympathetic progenitors that biases them toward glial differentiation—mechanistically explaining HSCR and NB in syndromic CCHS. |
Knock-in mouse, reporter assay (DBH and Sox10 enhancer), co-transfection, embryonic progenitor analysis |
The Journal of clinical investigation |
High |
22922260
|
| 2012 |
Polyalanine-expanded PHOX2B mutant proteins impair the PHOX2B auto-regulatory mechanism in a promoter-specific, dominant-negative fashion; co-expression of wild-type and mutant proteins in equimolar amounts reveals that cytoplasmic/nuclear aggregation is only a partial mechanism, as the shortest expansions impair transactivation without forming visible aggregates. |
Co-transfection luciferase reporter assays (PHOX2B, PHOX2A, DBH, TLX2 promoters), immunofluorescence, truncation mutant analysis |
Neurobiology of disease |
Medium |
23103552
|
| 2013 |
Phox2b knockdown in zebrafish (modeling allelic deficiency) reduces sympathetic terminal differentiation markers (th, dbh); neuroblastoma-associated frameshift mutations (676delG, K155X) in the presence of endogenous Phox2b exert dominant-negative effects; Phox2b regulates its own expression (autoregulation) and ascl1, and phox2b deficiency uncouples this autoregulatory loop. |
Morpholino knockdown in zebrafish, overexpression of mutant constructs, in situ hybridization, gene expression analysis |
PLoS genetics |
Medium |
23754957
|
| 2015 |
Intersectional genetic lesioning of RTN neurons co-expressing Atoh1 and Phox2b, or abrogation of glutamatergic transmission in these cells, abolishes the respiratory chemoreflex in behaving animals; photostimulation of these neurons entrains respiratory rhythm; this establishes Atoh1+Phox2b+ RTN neurons as a necessary component of the CO2 chemoreflex circuitry. |
Intersectional genetics (dual Cre/Flpe mouse lines), optogenetics (ChR2), whole-body plethysmography, embryonic phrenic nerve recordings |
eLife |
High |
25866925
|
| 2016 |
PHOX2B forms homodimers and heterodimerizes with PHOX2A through homeodomain-mediated interactions; polyalanine-expanded PHOX2B retains partial heterodimerization with PHOX2A but the expanded C-terminus interferes with homeodomain-mediated nuclear import, providing a mechanism distinct from aggregation for loss of nuclear function. |
Co-immunoprecipitation, mammalian two-hybrid system, subcellular localization assays with truncation/expansion mutants |
The Journal of biological chemistry |
Medium |
27129232
|
| 2017 |
Frameshift mutations in PHOX2B that result in different translational reading frames ('frame 2' vs 'frame 3') produce structurally and functionally distinct mutant proteins with different degrees of transcriptional dysfunction, correlating with isolated versus syndromic CCHS clinical presentation. |
In vitro transcription/translation, transactivation reporter assays, subcellular localization, clinical-molecular correlation |
Human mutation |
Medium |
29098737
|
| 2017 |
Phox2b expression distinguishes oral cavity-projecting (taste) neurons from non-oral somatosensory neurons in the geniculate ganglion; all chorda tympani and greater superficial petrosal taste neurons express Phox2b, while auricular neurons do not, as shown by Phox2b-Cre-driven lineage tracing. |
Phox2b-Cre; tdTomato lineage tracing, nerve labeling, immunohistochemistry, chorda tympani transection |
The Journal of comparative neurology |
Medium |
28856690
|
| 2017 |
PHOX2B polyalanine contractions (in-frame deletions in the polyalanine stretch) reduce transactivation of the RET promoter in vitro in a length-dependent manner, suggesting that contraction variants impair PHOX2B's ability to drive RET expression and may predispose to Hirschsprung disease. |
Luciferase reporter assay with RET promoter, co-transfection of PHOX2B polyalanine contraction variants |
Biochimica et biophysica acta. Molecular basis of disease |
Medium |
28433712
|
| 2017 |
Nonsense mutations in exon 1 of PHOX2B escape nonsense-mediated decay and lead to translational reinitiation at a downstream AUG, producing N-terminally truncated proteins that localize to the nucleus and retain transactivation activity; this mechanism is distinct from polyalanine expansion mutations. |
In vitro translation, immunofluorescence (subcellular localization), luciferase reporter transactivation assay |
American journal of medical genetics. Part A |
Medium |
28371199
|
| 2019 |
Chemogenetic (DREADD) stimulation of Phox2b-expressing NTS neurons increases baseline minute volume and synergizes with CO2 stimulation; genetic ablation of these neurons attenuates hypercapnic ventilatory responses; axons of Phox2b-NTS neurons project directly to the preBötzinger complex, establishing an NTS-to-respiratory CPG circuit. |
Cre-dependent hM3Dq DREADD in Phox2b-Cre mice, plethysmography, neuron ablation, anterograde axon tracing, c-Fos immunostaining |
The Journal of neuroscience |
Medium |
30626698
|
| 2019 |
The CO2/pH response of Phox2b+ RTN neurons in brain slices is markedly reduced by 5-HT7 receptor antagonists and by inhibition of 5-HT synthesis, and enhanced by blocking 5-HT reuptake; RTN neurons are directly stimulated by endogenous and exogenous 5-HT, indicating that serotonergic input is a major mediator of RTN chemosensitivity rather than purely intrinsic pH sensing. |
Patch-clamp electrophysiology in brain slices and dissociated cultures, pharmacological manipulation of 5-HT signaling, in vivo plethysmography |
The Journal of physiology |
Medium |
30866045
|
| 1999 |
NBPhox/PHOX2B binds to three sites in the dopamine beta-hydroxylase (DBH) gene promoter, forms DNA-independent multimers, and exhibits cooperative binding to the DB1 regulatory element; it enhances second messenger-mediated (cAMP/PKC) activation of the DBH promoter and other promoters (c-fos, CRE, AP-1, SRE), with transactivation synergized by PKA. |
In vitro DNA binding assay, reporter/transactivation assays in PC12h cells, multimerization analysis |
Genomics |
Medium |
10395798
|
| 2000 |
Both Phox2a (Arix) and Phox2b (NBPhox) bind to three sites in the rat DBH promoter, form DNA-independent multimers, and exhibit cooperative binding to the DB1 element; both proteins synergistically increase DBH transcription in the presence of PKA; the N-terminal segment of Phox2a (50% identical to Phox2b) is essential for transcriptional regulatory activity, suggesting a similar transactivation mechanism. |
In vitro DNA binding assay, cotransfection/luciferase reporter assay, multimerization analysis |
DNA and cell biology |
Medium |
11034547
|
| 2004 |
Haploinsufficiency for Phox2b in mice causes highly atrophic ciliary ganglion and dilated pupils; the ciliary ganglion is exquisitely sensitive to reduced Phox2b dosage compared to other autonomic ganglia; this and the intact DNA-binding domain of CCHS-associated polyalanine mutations suggest CCHS mutations are gain-of-function rather than pure loss-of-function. |
Heterozygous Phox2b knockout mouse, complementation test, histology |
Human molecular genetics |
Medium |
15150159
|
| 2009 |
Transcription of Nkx2-1, PHOX2B, and Sox10 coordinately regulate RET promoter activity; PHOX2B has a responsive region in the RET promoter and acts cooperatively with Sox10 and Nkx2-1 (but not Pax3) to drive RET transcription in reporter assays. |
Dual-luciferase reporter assay, immunohistochemistry of human gut ganglions |
Journal of pediatric surgery |
Low |
19853745
|