31Planar cell polarity (PCP) and neural tube defects (NTDs) are linked, with a subset of NTD 32 patients found to harbour mutations in PCP genes, but there is limited data on whether these 33 mutations disrupt PCP signaling in vivo. The core PCP gene Van Gogh (Vang), Vangl1/2 in 34 mammals, is the most specific for PCP. We thus addressed potential causality of NTD-35 associated Vangl1/2 mutations, from either mouse or human patients, in Drosophila allowing 36 intricate analysis of the PCP pathway. Introducing the respective mammalian mutations into 37 Drosophila Vang revealed defective phenotypic and functional behaviors, with changes to 38 Vang localization, post-translational modification, and mechanistic function, such as its 39 ability to interact with PCP effectors. Our findings provide mechanistic insight into how 40 different mammalian mutations contribute to developmental disorders and strengthen the 41 link between PCP and NTD. Importantly, analyses of the human mutations revealed that 42 each is a causative factor for the associated NTD.43 108 Wnt/Frizzled-PCP pathway. Besides the four-pass trans-membrane protein Vang (Vangl1 109 and Vangl2 in mammals, see above), which was -like all other core PCP factors -originally 110 discovered in Drosophila (Taylor et al., 1998), a.k.a. strabismus/stbm (Wolff and Rubin, 111 1998), they include the atypical cadherin Flamingo (Fmi; Celsr in mammals), the seven-pass 112 transmembrane protein Frizzled (Fz; Fzd in vertebrates with several family members), and 113 the cytoplasmic proteins Dishevelled (Dsh; Dvl in mammals), Diego (Dgo; Inversin/Diversin 114 in vertebrates), and Prickle (Pk). The pathway is synonymous with the asymmetric