The Ncx/Hox11L.1 gene, a member of the Hox11 homeobox gene family, is
mainly expressed in neural crest-derived tissues. To elucidate the rol
e of Ncx/Hox11L.1, the gene has been inactivated in embryonic stem cel
ls by homologous recombination. The homozygous mutant mice were viable
. These mice developed megacolon with enteric ganglia by age 3-5 wk. H
istochemical analysis of the ganglia revealed that the enteric neurons
hyperinnervated in the narrow segment of megacolon. Some of these neu
ronal cells degenerated and neuronal cell death occurred in later stag
es. We propose that Ncx/Hox11L.1 is required for maintenance of proper
functions of the enteric nervous system. These mutant mice can be use
d to elucidate a novel pathogenesis for human neuronal intestinal dysp
lasia.