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Unveiling ZNF124 as a novel determinant in neurodegeneration: orchestration of photoreceptor homeostasis through MSX2 transcriptional regulation
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  • Published: 19 February 2026

Unveiling ZNF124 as a novel determinant in neurodegeneration: orchestration of photoreceptor homeostasis through MSX2 transcriptional regulation

  • Yeming Yang1,2 na1,
  • Xiaoyan Jiang1 na1,
  • Shujin Li  ORCID: orcid.org/0000-0002-7691-37761,2,3 na1,
  • Kuanxiang Sun1 na1,
  • Rong Zou1 na1,
  • Can Chen1,
  • Yi Shi1,
  • Wenjing Liu1,
  • Periasamy Sundaresan4,
  • Lulin Huang  ORCID: orcid.org/0000-0002-1204-59571,2,
  • Lin Zhang  ORCID: orcid.org/0000-0003-2298-500X1,2,3,
  • Zhenglin Yang  ORCID: orcid.org/0000-0002-8656-78621,2,3 &
  • …
  • Xianjun Zhu  ORCID: orcid.org/0000-0002-2531-75521,2,3,5 

Cell Death & Disease , Article number:  (2026) Cite this article

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Genetics of the nervous system
  • Neurodegeneration
  • Retina

Abstract

Retinitis pigmentosa (RP), affecting more than 20 million people worldwide, refers to a group of inherited retinal dystrophies characterized by progressive photoreceptor degeneration and vision loss. However, the underlying genetic causes of substantial RP cases remain unidentified. In this report, we identified a novel homozygous splicing variant, c.219-1delG, which introduced skipping of exon 4 of the ZNF124 gene in a large RP pedigree by whole-exome sequencing analysis. To elucidate the pathogenesis of the mutation, we generated a retina-specific knockout mouse model of ZNF124 murine homologous gene Gm20541, which manifested RP-like phenotypes characterized by reduced electroretinogram response and progressive retinal degeneration. Integrated analysis using CUT&Tag, ChIP-exo, and RNA-seq data further revealed that ZNF124 regulated MSX2 expression through binding its promoter region. Moreover, deletion of Msx2in the retina led to thinning of retina owing to progressive degeneration of rod cells. Integrated analysis of RNA-seq data from both Gm20541 and Msx2 mutant retinas indicated that ZNF124 is essential for maintaining normal retinal function by regulating Msx2 transcription, which in turn controls the expression of murine homologues of retinal dystrophy genes Rs1, Pde6g, and Pdc. Taken together, our study identified a novel mechanism of transcriptional regulation for retinal homeostasis via ZNF124-MSX2 axis and ZNF124 as a novel candidate gene for RP.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Acknowledgements

This study was supported by the National Key R&D Program of China (grant no. 2024YFC2510900/2024YFC2510902), the National Natural Science Foundation of China (82371083, 82471100, 82121003, 82271084), the Department of Science and Technology of Sichuan Province (2023ZYD0172, 23ZDYF2057), research grant from Jinfeng Laboratory (JFLKYXM202403AZ-101). The funders had no role in the study design, data collection and analysis, or preparation of the manuscript.

Author information

Author notes
  1. These authors contributed equally: Yeming Yang, Xiaoyan Jiang, Shujin Li, Kuanxiang Sun, Rong Zou.

Authors and Affiliations

  1. Genetic Diseases Key Laboratory of Sichuan Province, Center for Medical Genetics, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China

    Yeming Yang, Xiaoyan Jiang, Shujin Li, Kuanxiang Sun, Rong Zou, Can Chen, Yi Shi, Wenjing Liu, Lulin Huang, Lin Zhang, Zhenglin Yang & Xianjun Zhu

  2. Research Unit for Blindness Prevention of Chinese Academy of Medical Sciences (2019RU026), Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Chengdu, Sichuan, China

    Yeming Yang, Shujin Li, Lulin Huang, Lin Zhang, Zhenglin Yang & Xianjun Zhu

  3. Sichuan-Chongqing Joint Key Laboratory for Pathology and Laboratory Medicine, Jinfeng Laboratory, Chongqing, China

    Shujin Li, Lin Zhang, Zhenglin Yang & Xianjun Zhu

  4. Department of Genetics, Aravind Medical Research Foundation, Aravind Eye Hospital, Madurai, Tamil Nadu, India

    Periasamy Sundaresan

  5. Henan Eye Hospital, People’s Hospital of Zhengzhou University, Henan Provincial People’s Hospital, Zhengzhou, China

    Xianjun Zhu

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Contributions

XZ, ZY, LZ, LH, and PS conceived the project. XZ and ZY designed experiments. YY, XJ, SL, KS, RZ, CC, YS, and WL acquired data. YY, LH, and XZ analyzed data. YY, PS and XZ interpreted data and drafted the manuscript. XZ, ZY, LZ, and SL revised the manuscript. All authors approved submission for publication.

Corresponding authors

Correspondence to Periasamy Sundaresan, Lulin Huang, Lin Zhang, Zhenglin Yang or Xianjun Zhu.

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Yang, Y., Jiang, X., Li, S. et al. Unveiling ZNF124 as a novel determinant in neurodegeneration: orchestration of photoreceptor homeostasis through MSX2 transcriptional regulation. Cell Death Dis (2026). https://doi.org/10.1038/s41419-026-08487-6

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  • Received: 10 July 2025

  • Revised: 07 January 2026

  • Accepted: 10 February 2026

  • Published: 19 February 2026

  • DOI: https://doi.org/10.1038/s41419-026-08487-6

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