2018
DOI: 10.1111/cge.13415
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Novel SUZ12 mutations in Weaver‐like syndrome

Abstract: SUZ12 is a core component of polycomb repressive complex 2 (PRC2) along with EZH2 and EED. Recently, germline mutations in the SUZ12, EZH2 and EED genes have been reported in Weaver syndrome (WS) or Weaver-like syndrome, suggesting a functional link between PRC2 deficits and WS. However, only one case of a SUZ12 mutation presenting with Weaver-like syndrome has been reported. Here, we report a missense and a frameshift mutation in SUZ12 (c.1797A>C; p.Gln599His and c.844_845del; p.Ala282Glnfs*7), both of which … Show more

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Cited by 44 publications
(51 citation statements)
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“… 48 , 49 , 50 Not surprisingly, individuals with EZH2 , EED , and SUZ12 pathogenic variants present with overlapping phenotypes, including generalized overgrowth, similar craniofacial features, advanced bone maturation, macrocephaly, and variable degrees of intellectual disability. 51 As there are few specific clinical features that distinguish each of these three disorders from each other, it is difficult in many of these individuals, for even the most astute clinician, to define specific genomic diagnosis in a particular case. Here we show that the pathogenic sequence variants in these genes that confer similar phenotypes also confer a common DNAm signature that represents the functional effect of PRC2 perturbation during development.…”
Section: Discussionmentioning
confidence: 99%
“… 48 , 49 , 50 Not surprisingly, individuals with EZH2 , EED , and SUZ12 pathogenic variants present with overlapping phenotypes, including generalized overgrowth, similar craniofacial features, advanced bone maturation, macrocephaly, and variable degrees of intellectual disability. 51 As there are few specific clinical features that distinguish each of these three disorders from each other, it is difficult in many of these individuals, for even the most astute clinician, to define specific genomic diagnosis in a particular case. Here we show that the pathogenic sequence variants in these genes that confer similar phenotypes also confer a common DNAm signature that represents the functional effect of PRC2 perturbation during development.…”
Section: Discussionmentioning
confidence: 99%
“…For E(z) to have complete catalytic activity to generate the H3K27me3 mark, E(z) requires the presence of both Esc and Su(z)12 [20]. Interestingly, mutations in EZH2, EED and SU(z)12 have all been found in patients with Weaver syndrome, a rare congenital disorder characterized by intellectual disabilities, accelerated bone age and general overgrowth of the head and facial features [21][22][23]. In vitro assays demonstrate that several of the identified mutations in these core proteins reduce the histone methyltransferase ability of PRC2 [24,25].…”
Section: Polycomb Repressive Complexmentioning
confidence: 99%
“…All EZH2 mutations currently described to cause Weaver syndrome are either missense variants or truncating variants of the last exon ( Tatton-Brown et al 2018 ). Rare de novo mutations in EED were recently reported to cause Cohen–Gibson syndrome ( Cohen et al 2015 ; Cohen and Gibson 2016 ), whereas SUZ12 -related overgrowth (also referred to as Weaver-like syndrome) is caused by rare variants in its namesake gene ( Imagawa et al 2017 ; Imagawa et al 2018 ; Cyrus et al 2019 ). Similar to Weaver syndrome, reported mutations in EED and SUZ12 impair H3K27me3 formation ( Imagawa et al 2017 ), in line with the role these core components play in stabilizing PRC2 enzyme function.…”
Section: Regulators Of the H3k27 Transcriptional Switchmentioning
confidence: 99%