Journal
GENETICS IN MEDICINE
Volume 17, Issue 6, Pages 460-466Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/gim.2014.124
Keywords
2p25.3 microdeletion; 2p25.3 microduplication; intellectual disability; MYT1L; obesity
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Funding
- Ghent University
- Institute for the Promotion of Innovation by Science and Technology in Flanders [SBO60848]
- Flemish government
- Netherlands Organization for Health Research and Development (ZonMw) [907-00-365]
- Wellcome Trust
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Purpose: Submicroscopic deletions of chromosome band 2p25.3 are associated with intellectual disability and/or central obesity. Although MYT1L is believed to be a critical gene responsible for intellectual disability, so far no unequivocal data have confirmed this hypothesis. Methods: In this study we evaluated a cohort of 22 patients (15 sporadic patients and two families) with a 2p25.3 aberration to further refine the clinical phenotype and to delineate the role of MYT1L in intellectual disability and obesity. In addition, myt1l spatiotemporal expression in zebrafish embryos was analyzed by quantitative polymerase chain reaction and whole-mount in situ hybridization. Results: Complete MYT1L deletion, intragenic deletion, or duplication was observed in all sporadic patients, in addition to two patients with a de novo point mutation in MYT1L. The familial cases comprise a 6-Mb deletion in a father and his three children and a 5' MYT1L overlapping duplication in a father and his two children. Expression analysis in zebrafish embryos shows specific myt1l expression in the developing brain. Conclusion: Our data strongly strengthen the hypothesis that MYT1L is the causal gene for the observed syndromal intellectual disability. Moreover, because 17 patients present with obesity/overweight, haploinsufficiency of MYT1L might predispose to weight problems with childhood onset.
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