Peer Review History

Original SubmissionMay 1, 2026

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Submitted filename: Response to PlosBiology-28Apr2026.docx
Decision Letter - Ines Alvarez-Garcia, Editor

Dear Dr Larsen,

Thank you for submitting the revision of your manuscript entitled "TAK1 operates at the primary cilium in non-canonical TGFB/BMP signaling to control heart development" for consideration as a Research Article by PLOS Biology.

We have had a look at the revision and we would like to send it back to the original reviewers to have another look. However, as his is a new submission, before we can send your manuscript to reviewers, we need you to complete your submission by providing the metadata that is required for full assessment. To this end, please login to Editorial Manager where you will find the paper in the 'Submissions Needing Revisions' folder on your homepage. Please click 'Revise Submission' from the Action Links and complete all additional questions in the submission questionnaire.

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Feel free to email us at plosbiology@plos.org if you have any queries relating to your submission.

Kind regards,

Ines

--

Ines Alvarez-Garcia, PhD

Senior Editor

PLOS Biology

ialvarez-garcia@plos.org

Revision 1

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Submitted filename: Response_to_PlosBiology-28Apr2026_auresp_1.docx
Decision Letter - Ines Alvarez-Garcia, Editor

Dear Dr Larsen,

Thank you for your patience while we considered your revised manuscript entitled "TAK1 operates at the primary cilium in non-canonical TGFB/BMP signaling to control heart development" for publication as a Research Article at PLOS Biology. This revised version of your manuscript has been evaluated by the PLOS Biology editors, the Academic Editor and three of the original reviewers.

Based on the reviews (attached below), we are likely to accept this manuscript for publication, provided you satisfactorily address the remaining points raised by Reviewers 1 and 3. Please also make sure to address the data and other policy-related requests stated below my signature.

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We expect to receive your revised manuscript within two weeks.

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Please do not hesitate to contact me should you have any questions.

Sincerely,

Ines

--

Ines Alvarez-Garcia, PhD

Senior Editor

PLOS Biology

ialvarez-garcia@plos.org

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DATA POLICY: IMPORTANT - PLEASE READ

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DATA NOT SHOWN?

- Please note that per journal policy, we do not allow the mention of "data not shown", "personal communication", "manuscript in preparation" or other references to data that is not publicly available or contained within this manuscript. Please either remove mention of these data or provide figures presenting the results and the data underlying the figure(s).

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Reviewers' comments

Rev. 1:

In the revised manuscript from Doganli et al, the authors explore the requirement of TAK1 and TAB2, and other ciliary components in heart development. Human exome sequencing data implicated TAK1 and TAB2 as a risk factor in syndromic congenital heart defects. To model mutations in TAK1 and TAB2 in vivo, the authors generated zebrafish mutants for tak1 and tab2, which exhibited cardiac trabeculation defects, as well as craniofacial and limb defects, potentially reflecting FMD and CSCF syndromes found with human mutations. Pharmacological inhibition of Tak1 generated similar defects as the tak1 mutants. Bulk RNA sequencing of tak1 mutant hearts showed that loss of tak1 had a decrease in expression of transcription factors that promote heart development, sarcomeric proteins, and cardiac ECM genes. The authors utilized in vitro cell culture systems to show that TAK1, TAB2, and PKC-Cα localize to the primary cilium of differentiating cardiomyocytes. Human mutant versions of TAK1 do not localize to the base of cilia. Inhibition of TAK1 and TAB2 via CRISPR/Cas9 generated mutant lines and pharmacological inhibition of TAK1 blocked cardiomyocyte differentiation in vitro. TGFB addition is able to stimulate TAK1 phosphorylation and JNK1/2 phosphorylation at the base of cilia is inhibited via pharmacological inhibition of TAK1 in vitro. The authors conclude that their research provides insights into the regulation of TAK1 within the cilia and sheds new light on its role in cardiomyocyte development and potentially the causes of syndromic congenital heart defects.

The revised manuscript is much improved over the previous submission. It is appreciated that the authors we responsive to the majority of the previous critiques. The interpretations are more in line with their presented data. The actual mechanism underlying the trabeculation and valve defects in the zebrafish is not explained nor are the differences between the in vitro and in vivo data. However, the authors address the latter issue in the discussion. Overall, there is a significant amount of data supporting the molecular mechanism that is proposed in this improved manuscript, which may support a novel mechanisms of action within the cilia underlying syndromic congenital heart defects.

The statistical analysis used appears appropriate. Comments regarding supplementary data are below. Accession numbers for data have been supplied.

I have a some remaining minor suggestions that the authors may want to consider with respect to their final manuscript.

Minor issues:

1. On page 12, the sentence with "displayed no defect" is awkward and should be edited.

2. The increased heart rate in the mutants seems statistically different, but is this biologically meaningful? The mean for wt and tak1 mutants is 140 bpm vs 150 bpm. It seems to receive greater emphasis than needed in the manuscript. What this means is nor is its relationship to trabeculation clear and the cause of the tachycardia, like effects of Tak1 on pacemaker cells, are not examined.

3. Some Figures are presented out of order, in particular Fig. S4A.

4. Fig. S4A is difficult to interpret due to the angles used for imaging. It is hard to see the bulbus is actually reduced in size in the mutants. Presenting the different imagining channels may make this point clear.

5. The "normalized atrial area" as in Fig. S5A and S5B is still not a good way to examine chamber size compared to the quantification the authors have not performed. It could have a lot of different interpretations that are not really covered. This analysis should be qualified within the text.

6. On page 16, the "data not shown" might be good to show in the supplemental data, as the staining in the Fig. 3A is relatively minimal.

7. In Fig. 4F, the insets of Ac-tub/DAPI/TAB2 are pixelated.

8. It might be good to show to examine pSmad2/3 in the tak1 and tab2 mutant hearts, like they did with the RPE-1 cells.

9. With regard to interpretations of the RNA-seq data, the associated with terms related to fibroblasts likely reflects changes in epicardial cells, which is 3rd on the list in Fig. 2D, or the bulbus. The zebrafish heart does not have fibroblasts at that stage.

Rev. 3:

The authors have adressed most of my concerns but not all.

- Based on the images in Fig.3A and without a cardiomyocyte specific marker, they cannot conclude that Tak1 localizes to primary cilia in cardiomyocytes in zebrafish. The cilium can be seen inside the heart but whether the cilium is on an endocardial or myocardial cell in not evident. Therefore, they should adjust their conclusion that TAK1 localizes to cilia in cardiomyocytes in zebrafish.

- In addition, the TAK1 localisation in gastruloids also indicates that it is not exclusive to nkx2.5+ cells but also present in other (nkx2.5-) cells. Evidence that TAK1 operates in cardiomyocytes is very weak and cardiac phenotypes observed can also be explained by effects on other (non-myocardial) cells. In addition, TAK1 has very different effects on cardiomyocytes in vitro versus in vivo experiments. Therefore they need to tune down the suggestion that TAK1 has a specific role in cardiomyocytes and cardiomyogenesis and rather refer to a role of TAK1 in cardiac development.

- Methods section: Please include the temperature at which cardiac function was assesed as heart rate and cardiac output are influenced by temperture.

Rev. 4:

The authors have addressed my major concerns. I do not have any further comments.

Revision 2

Attachments
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Submitted filename: Response to reviewers-R2.docx
Decision Letter - Ines Alvarez-Garcia, Editor

Dear Dr Larsen,

Thank you for the submission of your revised Research Article entitled "TAK1 operates at the primary cilium in non-canonical TGFB/BMP signaling to control heart development" for publication in PLOS Biology. On behalf of my colleagues and the Academic Editor, Mary Mullins, I am delighted to let you know that we can in principle accept your manuscript for publication, provided you address any remaining formatting and reporting issues. These will be detailed in an email you should receive within 2-3 business days from our colleagues in the journal operations team; no action is required from you until then. Please note that we will not be able to formally accept your manuscript and schedule it for publication until you have completed any requested changes.

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Many congratulations and thanks again for choosing PLOS Biology for publication and supporting Open Access publishing. We look forward to publishing your study.

Sincerely,

Ines

--

Ines Alvarez-Garcia, PhD

Senior Editor

PLOS Biology

ialvarez-garcia@plos.org

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