Nuclear deubiquitinase BAP1 (BRCA1-associated protein 1) is a core component of multiprotein complexes that promote transcription by reversing the ubiquitination of histone 2A (H2A). BAP1 is a tumor suppressor whose germline loss-of-function variants predispose to cancer. To our knowledge, there are very rare examples of different germline variants in the same gene causing either a neurodevelopmental disorder (NDD) or a tumor predisposition syndrome. Here, we report a series of 11 de novo germline heterozygous missense BAP1 variants associated with a rare syndromic NDD. Functional analysis showed that most of the variants cannot rescue the consequences of BAP1 inactivation, suggesting a loss-of-function mechanism. In T cells isolated from two affected children, H2A deubiquitination was impaired. In matching peripheral blood mononuclear cells, histone H3 K27 acetylation ChIP-seq indicated that these BAP1 variants induced genome-wide chromatin state alterations, with enrichment for regulatory regions surrounding genes of the ubiquitin-proteasome system (UPS). Altogether, these results define a clinical syndrome caused by rare germline missense BAP1 variants that alter chromatin remodeling through abnormal histone ubiquitination and lead to transcriptional dysregulation of developmental genes.
- MeSH
- chromatin chemie imunologie MeSH
- dítě MeSH
- faktor C1 hostitelské buňky genetika imunologie MeSH
- heterozygot MeSH
- histony genetika imunologie MeSH
- kojenec MeSH
- lidé MeSH
- missense mutace * MeSH
- mladiství MeSH
- mutace ztráty funkce * MeSH
- nádorové supresorové proteiny nedostatek genetika imunologie MeSH
- neurovývojové poruchy genetika imunologie patologie MeSH
- předškolní dítě MeSH
- proteasomový endopeptidasový komplex genetika imunologie MeSH
- protein BRCA1 genetika imunologie MeSH
- regulace genové exprese MeSH
- restrukturace chromatinu genetika imunologie MeSH
- rodina MeSH
- T-lymfocyty imunologie patologie MeSH
- thiolesterasa ubikvitinu nedostatek genetika imunologie MeSH
- ubikvitin genetika imunologie MeSH
- ubikvitinace MeSH
- ubikvitinligasy genetika imunologie MeSH
- zárodečné mutace * MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH