Inositol-tetrakisphosphate 1-kinase (ITPK1) is a cytosolic enzyme critical for the synthesis and regulation of inositol polyphosphates (IPs), which serve as key signaling molecules in eukaryotic cells. It belongs to a conserved family of kinases found in archaea, plants, and animals, with structural homology to ATP-grasp domains . ITPK1 catalyzes the phosphorylation of inositol trisphosphate (IP3) and tetrakisphosphate (IP4) isomers, generating intermediates for higher-order IPs like IP6 (inositol hexakisphosphate) .
ITPK1 is central to IP6 synthesis via two pathways:
PLC-generated Ins(1,4,5)P3 → Ins(1,3,4)P3 via phosphatases.
ITPK1 phosphorylates Ins(1,3,4)P3 → Ins(1,3,4,5/6)P4.
De novo inositol synthesis: From glucose-6-phosphate or sphingolipids.
ITPK1 phosphorylates I(3)P1 or I(1)P1 → IP6 via sequential kinase steps .
ITPK1 activity is tightly regulated by acetylation and phosphorylation:
Effects:
ITPK1 homologs are present in:
Human vs. Plant: Human ITPK1 lacks plant-specific IP6 kinase activity .
Archaea vs. Eukaryotes: Asgard archaeal ITPK1s retain IP1 phosphorylation but lack complex IP4/5 processing .
ITPK1 KO in tumors: Reduces IgA-dependent neutrophil killing in vivo but not in vitro .
Mechanism: ITPK1-dependent IPs may modulate MLKL-mediated necroptosis or membrane integrity .
Modifier Gene: ITPK1 polymorphisms influence disease severity by altering chloride channel regulation .
ITPK1 (inositol-tetrakisphosphate 1-kinase) is a multifunctional enzyme that occupies a central position in the inositol phosphate signaling network. Its primary function is to catalyze the rate-limiting step in the formation of higher phosphorylated forms of inositol in mammalian cells . ITPK1 can phosphorylate inositol monophosphate derived from glucose to enable synthesis of IP6, and it plays a crucial role in mediating lipid-independent synthesis of inositol phosphates . The enzyme exhibits remarkable versatility, functioning as both a kinase and phosphatase in the complex network of inositol phosphate interconversions. ITPK1 catalyzes the phosphorylation of Ins(1,3,4)P3 at positions 5 or 6, and can also phosphorylate Ins(3,4,5,6)P4 at position 1, as well as dephosphorylate Ins(1,3,4,5,6)P5 to Ins(3,4,5,6)P4 . This enzymatic flexibility allows ITPK1 to regulate multiple signaling pathways through the generation of distinct inositol phosphate species.
The crystal structure of human ITPK1 reveals unique structural elements that contribute to its remarkable catalytic versatility. ITPK1 contains novel secondary structural features that impart substrate selectivity and enhance nucleotide binding . These structural characteristics enable the enzyme to perform its diverse functions, including intersubstrate phosphate transfer. The protein structure shows that human ITPK1 can form a complex with AMPPNP (a non-hydrolyzable ATP analog) and Mn2+, indicating the importance of these cofactors in its catalytic mechanism . The positioning of lysine residues on the protein surface, particularly lysines 340, 383, and 410, is significant as these sites are targets for post-translational acetylation which regulates enzyme activity and stability . The structure also reveals specific binding pockets that accommodate various inositol phosphate substrates, allowing ITPK1 to participate in multiple branches of the inositol phosphate metabolic pathway.
The evolutionary history of ITPK1 reveals interesting differences between species that highlight the unique properties of the human enzyme. ITPK1 is found in Asgard archaea, social amoeba, plants, and animals, suggesting it had functional roles before the appearance of eukaryotes . The human ITPK1 possesses a distinctive feature not present in plant or protozoan homologues: the ability to perform intersubstrate phosphate transfer . This mechanism allows the human enzyme to transfer phosphate directly between inositol phosphates via ITPK1-bound nucleotide without releasing the nucleotide into the bulk medium . This evolutionary adaptation enables more sophisticated regulation of inositol phosphate metabolism in humans compared to other organisms. The presence of ITPK1 in archaeal clades thought to define eukaryogenesis indicates that inositol phosphates had important functional roles in early cellular evolution, with the human enzyme developing additional regulatory capabilities over evolutionary time .
Intersubstrate phosphate transfer represents a unique enzymatic mechanism exclusive to human ITPK1 that significantly enhances its regulatory capabilities. In this process, ITPK1 sequesters a tightly bound nucleotide that can accept a phosphate from, or donate a phosphate directly to, an inositol polyphosphate without the nucleotide being released into the bulk medium . This mechanism allows phosphate to be transferred between different inositol phosphate species via the ITPK1-bound nucleotide, rather than requiring complete release and rebinding of nucleotide cofactors . The significance of this phenomenon is that it enables competing substrates to stimulate each other's catalysis by ITPK1, creating a sophisticated regulatory network . For example, Ins(1,3,4)P3 can promote increased cellular concentrations of Ins(3,4,5,6)P4 through this mechanism . This intersubstrate transfer explains how human ITPK1 can coordinate communication between different branches of the inositol phosphate metabolic pathway that were previously thought to be separate, such as the branch producing Ins(1,3,4)P3 from Ins(1,4,5)P3 and the branch containing Ins(3,4,5,6)P4 that inhibits plasma membrane chloride channels .
Several complementary methodologies provide robust assessment of ITPK1 enzymatic activity, each with specific advantages for different research questions:
Method | Application | Advantages | Limitations |
---|---|---|---|
PAGE mass assay | Measurement of IP6 levels under metabolic stress conditions | Can detect changes not visible by radiolabeling; suitable for analyzing physiological responses | Less sensitive for low abundance inositol phosphates |
[3H]-inositol labeling | Tracking inositol phosphate metabolism | Provides dynamic information on flux through pathways | May miss lipid-independent synthesis routes |
High-pressure liquid chromatography (HPLC) | Quantification of specific inositol phosphate species | High specificity for distinguishing between different isomers | Requires specialized equipment and expertise |
In vitro kinase/phosphatase assays | Direct measurement of enzymatic capabilities | Allows controlled testing of substrate specificity | May not reflect in vivo regulation |
Mass spectrometry | Identification of post-translational modifications | High sensitivity for detecting acetylation and phosphorylation sites | Sample preparation can be technically challenging |
When investigating ITPK1 enzyme activity, researchers should consider combining methods to capture both lipid-dependent and lipid-independent synthesis pathways. For example, the PAGE mass assay was crucial in identifying that phosphate starvation increases IP6 levels in an ITPK1-dependent manner, a phenomenon not detectable through traditional [3H]-inositol labeling . For studying post-translational modifications, mass spectrometry offers the highest sensitivity, as demonstrated in the identification of specific acetylation sites (lysines 340, 383, and 410) on ITPK1 .
ITPK1 activity is precisely controlled through multiple post-translational modifications that affect both its stability and catalytic function. Research has demonstrated that ITPK1 undergoes both phosphorylation and acetylation, with acetylation emerging as a particularly important regulatory mechanism . Mass spectrometry analysis has identified three specific acetylation sites on ITPK1: lysines 340, 383, and 410, all strategically located on the surface of the protein . The functional consequences of acetylation are significant and multifaceted. First, acetylation dramatically reduces the half-life of ITPK1, as demonstrated by experiments showing that overexpression of the acetyltransferase CREB-binding protein significantly decreases ITPK1 stability . Second, acetylation directly down-regulates ITPK1's enzyme activity. HEK293 cells stably expressing acetylated ITPK1 showed reduced levels of higher phosphorylated forms of inositol compared to cells expressing unacetylated ITPK1 . This dual regulation through protein stability and catalytic activity provides cells with precise control over ITPK1-mediated inositol phosphate signaling, allowing for rapid adaptations to changing cellular conditions.
The acetylation status of ITPK1 is dynamically regulated by specific acetyltransferases and deacetylases that act as molecular switches controlling ITPK1 function:
These enzymes provide a sophisticated regulatory system that allows cells to fine-tune ITPK1 activity in response to various metabolic and signaling states. The opposing actions of acetyltransferases and deacetylases create a dynamic equilibrium that can be shifted depending on cellular needs. For example, CREB-binding protein not only increases ITPK1 acetylation but also dramatically decreases its half-life, providing a mechanism for rapid downregulation of ITPK1 activity . This regulatory mechanism is likely important in contexts where inositol phosphate signaling needs to be quickly modulated, such as in response to changes in cellular metabolism or external stimuli.
ITPK1 serves as a critical link between cellular metabolism and inositol phosphate signaling, with its activity being responsive to the metabolic state of the cell. Research has revealed that metabolic stress, particularly phosphate starvation, significantly impacts ITPK1-dependent inositol phosphate synthesis . Surprisingly, phosphate starvation was found to increase IP6 levels in an ITPK1-dependent manner, establishing a route to IP6 synthesis that is controlled by cellular metabolic status . This finding is particularly notable because this metabolic regulation is not detectable by traditional [3H]-inositol labeling techniques, suggesting it operates through the lipid-independent pathway of inositol phosphate synthesis . The mechanism likely involves ITPK1's ability to phosphorylate I(3)P1 originating from glucose-6-phosphate and I(1)P1 generated from sphingolipids . This metabolic sensing function of ITPK1 allows cells to adjust their signaling networks in response to nutrient availability, providing an important adaptive mechanism. The integration of metabolic status with inositol phosphate signaling through ITPK1 represents a sophisticated regulatory system that helps maintain cellular homeostasis under varying environmental conditions.
ITPK1 plays a crucial role in regulating ion channel function through its production of Ins(3,4,5,6)P4, which acts as a specific inhibitor of calcium-activated chloride channels. Ins(3,4,5,6)P4 inhibits the conductance of Ca2+-activated chloride channels in the plasma membrane . These ion channels are essential for multiple physiological processes, including salt and fluid secretion from epithelial cells, cell volume homeostasis, and electrical excitability in neurons and smooth muscle . ITPK1 is the primary source of Ins(3,4,5,6)P4, possessing the enzymatic versatility to both synthesize this signaling molecule and regulate its levels through multiple activities: it can phosphorylate Ins(1,3,4)P3 at the 5 or 6 positions, phosphorylate Ins(3,4,5,6)P4 at the 1 position, and dephosphorylate Ins(1,3,4,5,6)P5 to Ins(3,4,5,6)P4 . This regulatory mechanism allows receptor-activated changes in phospholipase C activity and consequent increases in Ins(1,3,4)P3 concentration to modulate the abundance of Ins(3,4,5,6)P4 . Through this pathway, ITPK1 provides a sophisticated link between receptor signaling events at the plasma membrane and the regulation of chloride channel activity, allowing for coordinated control of ion transport in response to cellular stimuli.
The subcellular localization of ITPK1 significantly enhances its regulatory capacity in epithelial cells, particularly in the context of chloride secretion. Research using confocal immunofluorescence microscopy has revealed that ITPK1 is concentrated at the apical membrane of mouse tracheal epithelial cells (MTEs) . This strategic positioning is functionally significant because it places ITPK1 in close proximity to its site of action - the calcium-activated chloride channels that it regulates through the production of Ins(3,4,5,6)P4 . The compartmentalization of Ins(3,4,5,6)P4 synthesis adjacent to these channels dramatically enhances the regulatory capacity of this signaling molecule . By localizing at the apical membrane, ITPK1 can generate localized, high-concentration pools of Ins(3,4,5,6)P4 that efficiently inhibit nearby chloride channels, providing spatial precision to this regulatory mechanism. This subcellular targeting represents an important regulatory layer beyond simple control of enzymatic activity, allowing for more nuanced and efficient modulation of chloride secretion in epithelial tissues. The localized action of ITPK1 highlights the importance of considering not just the presence of signaling enzymes, but also their precise subcellular distribution when studying their physiological functions.
ITPK1 functions as a molecular hub that integrates multiple signaling pathways through its diverse enzymatic activities and regulatory mechanisms. One of the most significant integration points is between receptor-activated phospholipase C signaling and chloride channel regulation . When phospholipase C is activated at the plasma membrane, it generates Ins(1,4,5)P3, which is subsequently converted to Ins(1,3,4)P3. ITPK1 then uses this Ins(1,3,4)P3 to regulate the levels of Ins(3,4,5,6)P4, which inhibits calcium-activated chloride channels . This process creates a sophisticated feedback loop where one branch of inositol phosphate signaling can influence another through ITPK1's intersubstrate phosphate transfer mechanism .
Additionally, ITPK1 integrates metabolic signaling with inositol phosphate pathways. The enzyme's ability to synthesize inositol phosphates through a lipid-independent pathway linked to glucose metabolism allows cells to adjust their signaling networks based on metabolic status . This integration is further enhanced by post-translational modifications of ITPK1, particularly acetylation, which is responsive to cellular metabolic state and impacts both the stability and activity of the enzyme . The strategic localization of ITPK1 at the apical membrane of epithelial cells also facilitates pathway integration by positioning the enzyme at the interface between extracellular signals and intracellular responses . Through these multiple mechanisms, ITPK1 serves as a sophisticated signal integrator that coordinates diverse cellular processes and environmental inputs.
ITPK1 has emerged as an important modifier gene in cystic fibrosis (CF), influencing disease severity through its regulation of chloride secretion in airway epithelial cells. Research using an airway-epithelial-cell model has demonstrated that ITPK1 significantly impacts chloride transport, a process critically disrupted in CF patients . The mechanism involves ITPK1's production of Ins(3,4,5,6)P4, which inhibits calcium-activated chloride channels . These channels represent an alternative pathway for chloride secretion that becomes particularly important in CF, where the primary CFTR channel is dysfunctional .
Experimental evidence shows that endogenous Ins(3,4,5,6)P4 levels in CF mouse tracheal epithelial cells (MTEs) were approximately 60% below those in wild-type MTEs (P<0.03) . This adaptation improves purinergic activation of Ca2+-dependent Cl- secretion in CF MTEs, helping to compensate for the loss of CFTR function . The molecular basis for this difference was revealed through real-time PCR analysis, which showed that ITPK1 expression in wild-type MTEs was twice as high as in CF MTEs (P<0.002) . This differential gene expression results in lower levels of the inhibitory Ins(3,4,5,6)P4 in CF cells, allowing for enhanced calcium-dependent chloride secretion that partially compensates for the CF defect. The biological impact of this differential gene expression is amplified by ITPK1's concentration at the apical membrane, where it can more effectively regulate nearby chloride channels .
Investigating ITPK1 genetic variants in human diseases requires a multi-faceted approach combining genomic analysis with functional validation:
Research Approach | Application | Advantages | Key Considerations |
---|---|---|---|
Genome-wide association studies (GWAS) | Identification of ITPK1 variants associated with disease phenotypes | Can detect common variants with modest effects across large populations | Requires large sample sizes; may miss rare variants |
Targeted gene sequencing | Detailed analysis of ITPK1 coding and regulatory regions | Higher coverage depth; can detect rare variants | Needs careful selection of regions to sequence |
Functional genomics (CRISPR, siRNA) | Validation of variant effects on ITPK1 expression/function | Provides causality evidence beyond association | Cell type selection critical for disease relevance |
Animal models with ITPK1 variants | In vivo assessment of phenotypic effects | Reveals systemic and tissue-specific effects | Species differences may limit translation to humans |
Patient-derived cell models | Examination of ITPK1 function in disease-relevant cells | Maintains patient genetic background | Variability between patient samples; limited to accessible tissues |
Inositol phosphate profiling | Measurement of functional consequences on signaling | Directly links variants to biochemical outcomes | Requires specialized analytical techniques |
For effective investigation of ITPK1 variants, researchers should employ a stepwise approach beginning with genomic identification followed by functional validation. For example, in cystic fibrosis research, after identifying differential ITPK1 expression between wild-type and CF cells, researchers confirmed the functional significance by measuring Ins(3,4,5,6)P4 levels and their impact on chloride secretion . Similar comprehensive approaches combining genetic analysis with biochemical and physiological validation would be valuable for investigating ITPK1's role in other diseases where inositol phosphate signaling may be disrupted.
The development of ITPK1-targeted therapeutics represents a promising approach for treating diseases characterized by disrupted chloride channel function, particularly cystic fibrosis. Based on the current understanding of ITPK1 biology, several therapeutic strategies could be pursued:
Modulation of ITPK1 enzyme activity: Small molecule inhibitors could reduce ITPK1's production of Ins(3,4,5,6)P4, potentially enhancing calcium-activated chloride channel activity in diseases like CF where additional chloride secretion would be beneficial . Conversely, activators might be useful in conditions characterized by excessive chloride secretion.
Regulation of ITPK1 expression: Given that CF cells naturally downregulate ITPK1 expression as a compensatory mechanism , therapeutic approaches that further reduce ITPK1 expression through antisense oligonucleotides or siRNA might enhance this beneficial adaptation.
Targeting post-translational modifications: Modulating the acetylation status of ITPK1 through small molecules that affect specific acetyltransferases (like CREB-binding protein) or deacetylases (like SIRT1) could provide a nuanced approach to regulating ITPK1 activity and stability .
Cell-permeable inositol phosphate analogs: Bio-activatable, cell-permeable analogs of Ins(3,4,5,6)P4 have already been developed and shown to inhibit Ca2+-dependent secretion of Cl- from polarized monolayers of immortalized mouse tracheal epithelial cells . Similar approaches could be utilized to develop membrane-permeable molecules that either mimic or antagonize ITPK1's products.
Compartment-specific targeting: Given ITPK1's strategic localization at the apical membrane of epithelial cells , delivery systems that target therapeutic agents to this specific subcellular compartment could enhance efficacy while reducing off-target effects.
The development of these approaches would require careful consideration of tissue specificity and potential systemic effects, given ITPK1's widespread expression and involvement in multiple signaling pathways.
Investigating ITPK1's unique intersubstrate phosphate transfer mechanism requires sophisticated methodological approaches that can capture the dynamic nature of this process:
Technique | Application | Specific Advantages for ITPK1 Research |
---|---|---|
Real-time NMR spectroscopy | Monitor phosphate transfer between substrates | Can directly observe the transfer process without disrupting enzyme-substrate complexes |
Single-molecule FRET | Visualize conformational changes during catalysis | Provides insight into how substrate binding affects ITPK1 structure |
Cryo-electron microscopy | Capture intermediates in the transfer process | Allows visualization of ITPK1 with bound nucleotide and various inositol phosphate substrates |
Isotope labeling and mass spectrometry | Track phosphate movement between substrates | Can distinguish between different phosphorylation pathways |
Molecular dynamics simulations | Model nucleotide binding and phosphate transfer | Predicts structural changes not easily observed experimentally |
Time-resolved X-ray crystallography | Capture snapshots of the reaction mechanism | Provides structural details of reaction intermediates |
For investigating human ITPK1's intersubstrate phosphate transfer, researchers should consider combining structural studies with dynamic analyses. For example, crystallographic studies have already provided valuable insights into ITPK1's structure in complex with AMPPNP and Mn2+ , but these could be complemented with time-resolved techniques to capture the actual transfer process. The unique feature of human ITPK1 to sequester a tightly bound nucleotide that can transfer phosphate between inositol phosphates without being released makes it particularly amenable to single-molecule techniques that can detect subtle conformational changes during this process.
Advanced imaging techniques offer powerful tools for investigating ITPK1's subcellular distribution and protein interactions in living cells:
Super-resolution microscopy: Techniques such as STED (Stimulated Emission Depletion) or PALM (Photoactivated Localization Microscopy) can visualize ITPK1 localization with nanometer precision, revealing details not visible with conventional confocal microscopy that was used to initially identify ITPK1's apical membrane localization in epithelial cells .
Live-cell imaging with fluorescent fusion proteins: ITPK1 tagged with fluorescent proteins allows real-time tracking of its movements within cells, particularly in response to stimuli that activate inositol phosphate signaling pathways.
FRET/BRET-based interaction assays: These techniques can detect direct physical interactions between ITPK1 and potential binding partners, such as inositol phosphate kinases/phosphatases, acetyltransferases, or membrane proteins.
Split-GFP complementation: This approach can verify protein-protein interactions in living cells by reconstituting fluorescent signal only when ITPK1 associates with an interaction partner.
Proximity labeling with BioID or APEX: These methods allow identification of proteins in close proximity to ITPK1 in living cells by attaching a promiscuous biotin ligase to ITPK1, followed by purification and mass spectrometry identification of biotinylated proteins.
Correlative light and electron microscopy (CLEM): Combines fluorescence microscopy to locate ITPK1 with electron microscopy to visualize ultrastructural context, particularly valuable for studying membrane associations.
Optogenetic approaches: Light-controlled dimerization systems can be used to artificially relocate ITPK1 within cells to test how its subcellular positioning affects function.
These methods would significantly advance our understanding of how ITPK1's localization at the apical membrane of epithelial cells enhances its regulatory capacity and how this localization might change in disease states or in response to cellular signals.
Comprehensive bioinformatic analysis of ITPK1 evolution requires multiple computational approaches to uncover patterns of conservation, adaptation, and functional divergence:
Phylogenetic analysis: Construction of phylogenetic trees based on ITPK1 sequences from diverse species, from Asgard archaea to humans , can reveal major evolutionary transitions and branches where functional changes might have occurred. Special attention should be paid to the emergence of intersubstrate phosphate transfer ability, which is present in human ITPK1 but absent in plant and protozoan homologues .
Comparative structural modeling: Homology modeling of ITPK1 proteins from different species based on the available human ITPK1 crystal structure can identify structural innovations that correlate with functional differences, particularly focusing on regions involved in nucleotide binding and catalysis.
Motif identification and conservation analysis: Tools like MEME (Multiple EM for Motif Elicitation) can identify conserved sequence motifs across ITPK1 proteins, with particular focus on catalytic domains and regions potentially involved in substrate recognition.
Positive selection analysis: Methods such as PAML (Phylogenetic Analysis by Maximum Likelihood) can detect amino acid sites under positive selection pressure, potentially indicating functionally important adaptations in specific lineages.
Co-evolution analysis: Identification of co-evolving residues within ITPK1 or between ITPK1 and interaction partners can reveal functional dependencies and constraints.
Ancestral sequence reconstruction: Computational inference of ITPK1 sequences at key ancestral nodes, particularly at the archaeal-eukaryotic transition, can provide insights into the evolutionary trajectory of this enzyme.
Domain architecture analysis: Examination of domain gain, loss, or shuffling events across ITPK1 evolution using tools like SMART (Simple Modular Architecture Research Tool) or Pfam.
These approaches, used in combination, would provide a comprehensive picture of how ITPK1 evolved from its origins in Asgard archaea to its sophisticated regulatory functions in humans, particularly the emergence of the intersubstrate phosphate transfer mechanism that is unique to the human enzyme .
Inositol-Tetrakisphosphate 1-Kinase (ITPK1) is an enzyme that plays a crucial role in the metabolism of inositol phosphates. This enzyme is encoded by the ITPK1 gene, which is located on chromosome 14 in humans . ITPK1 is involved in the phosphorylation of various inositol polyphosphates, which are important signaling molecules in cellular processes.
The enzyme activity of ITPK1 was first described in 1987 by two independent research groups . The gene encoding the enzyme was cloned almost a decade later, in 1996 . Initially, the enzyme was referred to as inositol 1,3,4-trisphosphate 5/6-kinase due to its ability to phosphorylate inositol 1,3,4-trisphosphate (Ins(1,3,4)P3) at positions 5 and 6 . Later, it was discovered that ITPK1 could also phosphorylate Ins(3,4,5,6)P4 at position 1, leading to the updated nomenclature .
ITPK1 is a kinase that can phosphorylate various inositol polyphosphates, such as Ins(3,4,5,6)P4 and Ins(1,3,4)P3 . The enzyme’s activity is crucial for the synthesis of inositol tetraphosphate, pentakisphosphate, and hexakisphosphate . These molecules play significant roles in cellular signaling pathways, including the regulation of calcium channels and chloride flux across the plasma membrane .
The enzyme is composed of 12 exons and is ubiquitously expressed in various tissues, with the highest expression levels observed in the brain and heart . Alternative splicing at the 5′ untranslated region of the gene has been noted, although its significance remains unclear .
Inositol metabolism, regulated by ITPK1, is essential for various physiological processes. One of the critical roles of inositol phosphates is in the development of the neural tube . Disruptions in the ITPK1 gene have been associated with neural tube defects, highlighting the enzyme’s importance in embryonic development .
Additionally, the enzyme’s ability to regulate chloride flux across the plasma membrane through the phosphorylation of Ins(3,4,5,6)P4 has implications for various physiological processes . The enzyme’s unique phosphotransferase activity, which involves the ADP-driven removal of the 1-phosphate from Ins(1,3,4,5,6)P5, further underscores its regulatory significance .
Mutations or disruptions in the ITPK1 gene have been linked to several disorders. For instance, alterations in the gene are thought to be associated with Spitzoid melanoma and developmental and epileptic encephalopathy 95 . The enzyme’s role in neural tube development also implicates it in conditions related to neural tube defects .