2017
DOI: 10.1016/j.ajhg.2017.05.006
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YY1 Haploinsufficiency Causes an Intellectual Disability Syndrome Featuring Transcriptional and Chromatin Dysfunction

Abstract: Yin and yang 1 (YY1) is a well-known zinc-finger transcription factor with crucial roles in normal development and malignancy. YY1 acts both as a repressor and as an activator of gene expression. We have identified 23 individuals with de novo mutations or deletions of YY1 and phenotypic features that define a syndrome of cognitive impairment, behavioral alterations, intrauterine growth restriction, feeding problems, and various congenital malformations. Our combined clinical and molecular data define "YY1 synd… Show more

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Cited by 133 publications
(159 citation statements)
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“…A cohort of patients with various mutations in one allele and exhibiting intellectual disability have been described as having a “YY1 syndrome,” and lymphoblastoid cell lines from these patients show reduced occupancy of regulatory regions and small changes in gene expression at a subset of genes associated with YY1 binding (Gabriele et al, 2017). These results are consistent with the model we describe for YY1 in global enhancer-promoter structuring, and with the idea that higher neurological functions are especially sensitive to such gene dysregulation.…”
Section: Discussionmentioning
confidence: 99%
“…A cohort of patients with various mutations in one allele and exhibiting intellectual disability have been described as having a “YY1 syndrome,” and lymphoblastoid cell lines from these patients show reduced occupancy of regulatory regions and small changes in gene expression at a subset of genes associated with YY1 binding (Gabriele et al, 2017). These results are consistent with the model we describe for YY1 in global enhancer-promoter structuring, and with the idea that higher neurological functions are especially sensitive to such gene dysregulation.…”
Section: Discussionmentioning
confidence: 99%
“…Haploinsufficiency of SIN3A causes a recognizable ID syndrome with a subset of the individuals displaying ASD, seizures, microcephaly and short stature [94]. Also, pathogenic variants in the RLIMinteracting protein YY1, a zinc finger transcription factor, which is implicated in the regulation of XCI [2] in mice, cause a syndromic form of ID with behavioral disturbances, intrauterine growth restriction, and various congenital malformations, through dysregulation of key transcriptional regulators [95]. These findings could hint at RLIM-NPAS3, RLIM-SIN3A, and RLIM-YY1 co-regulatory functions that, when impaired by genetic mutations, lead to clinically overlapping neurodevelopmental disorders.…”
Section: Discussionmentioning
confidence: 99%
“…We note that a very similar distribution of variants was recently documented for the YY1 gene (OMIM# 600013), which also encodes for a transcription factor with four C2H2‐type zinc fingers. Strikingly, the missense variants in the YY1 gene that cause intellectual disability, also appear to cluster in the zinc finger domains, with different variants affecting the identical amino acid residue (Gabriele et al., ). Mutational clustering in the ZNF region is described for ZBTB20 (OMIM# 606025) as well, where de novo variants in the C2H2 ZNF domain of this protein lead to a hypothyroidism phenotype (Mattioli et al., ).…”
Section: Discussionmentioning
confidence: 99%