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Exome sequencing identifies MLL2 mutations as a cause of Kabuki syndrome

Open access
Ng, Sarah B, Bigham, Abigail W, Buckingham, Kati J, Hannibal, Mark C, McMillin, Margaret J, Gildersleeve, Heidi I, Beck, Anita E, Tabor, Holly K, Cooper, Gregory M, Mefford, Heather C, Lee, Choli, Turner, Emily H, Smith, Joshua D, Rieder, Mark J, Yoshiura, Koh-ichiro, Matsumoto, Naomichi, Ohta, Tohru, Niikawa, Norio, Nickerson, Deborah A, Bamshad, Michael J, Shendure, Jay·2010·Nature Genetics

Abstract

We demonstrate the successful application of exome sequencing to discover a gene for an autosomal dominant disorder, Kabuki syndrome (OMIM%147920). We subjected the exomes of ten unrelated probands to massively parallel sequencing. After filtering against existing SNP databases, there was no compelling candidate gene containing previously unknown variants in all affected individuals. Less stringent filtering criteria allowed for the presence of modest genetic heterogeneity or missing data but also identified multiple candidate genes. However, genotypic and phenotypic stratification highlighted MLL2, which encodes a Trithorax-group histone methyltransferase: seven probands had newly identified nonsense or frameshift mutations in this gene. Follow-up Sanger sequencing detected MLL2 mutations in two of the three remaining individuals with Kabuki syndrome (cases) and in 26 of 43 additional cases. In families where parental DNA was available, the mutation was confirmed to be de novo (n = 12) or transmitted (n = 2) in concordance with phenotype. Our results strongly suggest that mutations in MLL2 are a major cause of Kabuki syndrome.

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Metadata

Authors
Ng, S. B., Bigham, A. W., Buckingham, K. J., Hannibal, M. C., McMillin, M. J., Gildersleeve, H. I., Beck, A. E., Tabor, H. K., Cooper, G. M., Mefford, H. C., Lee, C., Turner, E. H., Smith, J. D., Rieder, M. J., Yoshiura, K.-I., Matsumoto, N., Ohta, T., Niikawa, N., Nickerson, D. A., Bamshad, M. J., & Shendure, J.
Venue
Nature Genetics
Published
2010-08-15
Volume
42
Issue
9
Pages
790-793
ISSN
  • 1061-4036 (ISSN-L)
  • 1546-1718
OpenAlex
W2155445544
Cited by
1,347
References
2
FWCI
74.61
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Exome sequencing identifies MLL2 mutations as a cause of Kabuki syndrome. https://app.cochat.ai/papers/10.1038/ng.646
The paper
Ng, S. B., Bigham, A. W., Buckingham, K. J., Hannibal, M. C., McMillin, M. J., Gildersleeve, H. I., Beck, A. E., Tabor, H. K., Cooper, G. M., Mefford, H. C., Lee, C., Turner, E. H., Smith, J. D., Rieder, M. J., Yoshiura, K.-I., Matsumoto, N., Ohta, T., Niikawa, N., Nickerson, D. A., . . . Shendure, J. (2010). Exome sequencing identifies MLL2 mutations as a cause of Kabuki syndrome. Nature Genetics. https://doi.org/10.1038/ng.646

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