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Deleterious, protein-altering variants in the transcriptional coregulator ZMYM3 in 27 individuals with a neurodevelopmental delay phenotype

SM. Hiatt, S. Trajkova, MR. Sebastiano, EC. Partridge, FE. Abidi, A. Anderson, M. Ansar, SE. Antonarakis, A. Azadi, R. Bachmann-Gagescu, A. Bartuli, C. Benech, JL. Berkowitz, MJ. Betti, A. Brusco, A. Cannon, G. Caron, Y. Chen, ME. Cochran, TF....

. 2023 ; 110 (2) : 215-227. [pub] 20221230

Language English Country United States

Document type Journal Article, Research Support, Non-U.S. Gov't

Grant support
UM1 HG007301 NHGRI NIH HHS - United States

E-resources Online Full text

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Neurodevelopmental disorders (NDDs) result from highly penetrant variation in hundreds of different genes, some of which have not yet been identified. Using the MatchMaker Exchange, we assembled a cohort of 27 individuals with rare, protein-altering variation in the transcriptional coregulator ZMYM3, located on the X chromosome. Most (n = 24) individuals were males, 17 of which have a maternally inherited variant; six individuals (4 male, 2 female) harbor de novo variants. Overlapping features included developmental delay, intellectual disability, behavioral abnormalities, and a specific facial gestalt in a subset of males. Variants in almost all individuals (n = 26) are missense, including six that recurrently affect two residues. Four unrelated probands were identified with inherited variation affecting Arg441, a site at which variation has been previously seen in NDD-affected siblings, and two individuals have de novo variation resulting in p.Arg1294Cys (c.3880C>T). All variants affect evolutionarily conserved sites, and most are predicted to damage protein structure or function. ZMYM3 is relatively intolerant to variation in the general population, is widely expressed across human tissues, and encodes a component of the KDM1A-RCOR1 chromatin-modifying complex. ChIP-seq experiments on one variant, p.Arg1274Trp, indicate dramatically reduced genomic occupancy, supporting a hypomorphic effect. While we are unable to perform statistical evaluations to definitively support a causative role for variation in ZMYM3, the totality of the evidence, including 27 affected individuals, recurrent variation at two codons, overlapping phenotypic features, protein-modeling data, evolutionary constraint, and experimentally confirmed functional effects strongly support ZMYM3 as an NDD-associated gene.

Advanced Molecular Genetics and Genomics Disease Research and Treatment Centre Dow University of Health Sciences Karachi Pakistan

Amsterdam Neuroscience Amsterdam The Netherlands

Amsterdam University Medical Centers Department of Clinical Genetics Amsterdam the Netherlands

Boston Children's Hospital Boston MA USA

Center for Integrative Genomics University of Lausanne Lausanne Switzerland

Centre de Référence Déficiences Intellectuelles de causes rares Brest France

Children's Hospital of Eastern Ontario Research Institute Ottawa ON Canada

Children's Medical Center Dallas TX USA

Children's Mercy Kansas City Center for Pediatric Genomic Medicine Kansas City KS USA

Childrens Hospital of Philadelphia Philadelphia PA USA

Department of Clinical Genetics Erasmus MC University Medical Center Rotterdam the Netherlands

Department of Endocrinology and Genetics University Clinic for Children's Diseases Medical Faculty University Sv Kiril i Metodij Skopje Republic of Macedonia

Department of Genetic Medicine and Development University of Geneva Geneva Switzerland

Department of Genetics University of Alabama at Birmingham Birmingham AL USA

Department of Human Genetics Amsterdam University Medical Centers VU University Amsterdam Amsterdam The Netherlands

Department of Medical Sciences University of Torino 10126 Torino Italy

Department of Ophthalmology University of Lausanne Jules Gonin Eye Hospital Fondation Asile des Aveugles Lausanne Switzerland

Department of Pediatrics and Inherited Metabolic Disorders General University Hospital and 1st faculty of Medicine Charles University Prague Czech Republic

Department of Pediatrics Division of Genetics and Metabolism University of Texas Southwestern Medical Center Dallas TX USA

Department of Pharmacology and Toxicology College of Pharmacy University of Utah Salt Lake City UT 84112 USA

Division of Genetics and Metabolism Children's Health Dallas TX USA

Division of Genetics Children's Mercy Kansas City Kansas City MO USA

GeneDx LLC Gaithersburg MD 20877 USA

Genetic Medicine UCSF Fresno Fresno CA 93701 USA

Genetics and Metabolism Arkansas Children's Hospital Little Rock AR 72202 USA

Genetics and Rare Diseases Research Division Ospedale Pediatrico Bambino Gesù IRCCS 00146 Rome Italy

Greenwood Genetic Center Greenwood SC 29646 USA

Harvard Medical School Boston MA 02115 USA

HudsonAlpha Clinical Services Lab LLC Huntsville AL 35806 USA

HudsonAlpha Institute for Biotechnology Huntsville AL 35806 USA

Institute of Medical Genetics University of Zurich Schlieren 8952 Switzerland

Medical Genetics Institute of Medical Genetics and Pathology University Hospital Basel Basel Switzerland

Medical Genetics Unit and Thalassemia Center San Luigi University Hospital University of Torino Orbassano Italy

Molecular Biotechnology and Health Sciences Department Università degli Studi di Torino via Quarello 15 10135 Torino Italy

Neuroscience Research Center Faculty of Medicine Golestan University of Medical Sciences Gorgan Iran

Nikagene Genetic Diagnostic Laboratory Gorgan Golestan Iran

Obestetrics and Gynecology Department Golestan University of Medical Sciences Gorgan Iran

Pathology and Laboratory Medicine Genomic Medicine Neurological and Pediatrics Institutes Cleveland Clinic Cleveland OH USA

Pediatrics and Medical Genetics University of Colorado Aurora CO USA

Research Unit for Rare Diseases Department of Pediatrics and Inherited Metabolic Disorders 1st Faculty of Medicine Charles University Prague Prague Czech Republic

Section of Genetics and Metabolism Department of Pediatrics University of Colorado Anschutz Medical Campus Aurora CO 80045 USA

Service de Génétique Clinique Centre de Référence Maladies Rares CLAD Ouest CHU Hôpital Sud Rennes France

Service de Génétique Médicale et Biologie de la Reproduction CHU de Brest Brest France

Service de Génétique Moléculaire et Génomique CHU Rennes 35033 France

Service de Médecine Génomique des Maladies de Système et d'Organe Département Médico Universitaire BioPhyGen Hôpital Cochin APHP Université Paris Cité Paris France

Univ Brest Inserm EFS UMR 1078 GGB 29200 Brest France

Univ Rennes CNRS IGDR UMR 6290 Rennes 35000 France

University Children's Hospital Zurich University of Zurich Zurich 8032 Switzerland

Vanderbilt University Medical Center Nashville TN 37232 USA

References provided by Crossref.org

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