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The gene-regulatory evolution of the human skeleton

Yizhi Yan, Nadav Mishol, Kathrin Lange, Zicong Zhang, Gal Bodek, Aya Kigel, Noam Priel, Nachshon Egyes, Omer Ronen, Itamar Nini, Liat Rotenstreich, Amit Philosoph, Sira Martínez, Silvia Beltramone, Rika Tsujikawa, Adi Rozenblatt, Lucas Esteban Wange, María Torralvo, Guy Hirsh, Yael Elboim, Sergey V. Viukov, Idan Korenfeld, Mythili Damal Kandadai, Océane CLUZEAU, Malka Nissim‐Rafinia, Eran Meshorer, Jacob H. Hanna, Evie Vereecke, Assaf Marom, Martin Kuhlwilm, Guillaume Bourque, Tomàs Marquès‐Bonet, Simon Fishilevich, Fumitaka Inoue, David Gokhman

Peer-reviewed journalClaims a big step

In the authors' words

Abstract Skeletal modifications were central to human evolution, enabling adaptations for bipedalism, large cranial vaults and childbirth 1 . Despite their importance, the genetic changes that gave rise to the unique human form remain mostly unknown 2 . Here we systematically map the gene-regulatory changes that shaped human skeletal evolution. Using massively parallel reporter assays (MPRAs) in chondrocytes, we assayed 561,410 human-derived substitutions in promoters and enhancers, identifying 15,077 loci with human-specific regulatory activity. We then generated human–ape hybrid cells and differentiated them into osteochondral progenitors. Integrating the hybrid cells with MPRA measurements produced genome-wide atlases of human-specific changes in cis -regulatory expression, and the sequence variants that drive them. These atlases reveal an extensive rewiring of the extracellular matrix (ECM), including a marked suppression of glycosaminoglycan (GAG) biosynthesis, leading to an approximately three-to-fourfold reduction in joint GAG content in humans compared with non-human apes. We find that this human-specific shift bears signatures of selection, and is likely to be a key contributor to the exceptional susceptibility of humans to degenerative skeletal diseases 3–5 . Together, our results reveal a coordinated evolutionary remodelling of the human skeletal ECM, and establish a comprehensive framework for dissecting the genetic basis of human skeletal biology.

Main resultThe abstract does not state a limitation.

Appeared: Friday, September 25. Nature. Peer-reviewed journal.

DOI: 10.1038/s41586-026-11053-x