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Pathogenic variants in the cohesin loader subunit MAU2 underlie a distinct Cornelia de Lange Syndrome subtype - PubMed

4 hours ago
  • #MAU2 variants
  • #chromatinopathy
  • #Cornelia de Lange Syndrome
  • Pathogenic variants in the cohesin loader subunit MAU2 cause a distinct subtype of Cornelia de Lange Syndrome (CdLS).
  • 18 individuals with 15 heterozygous MAU2 variants were studied; functional analyses confirmed pathogenicity.
  • In-frame variants impair NIPBL-MAU2 interaction, while truncating variants cause MAU2 haploinsufficiency and NIPBL reduction.
  • Most individuals show a DNA methylation profile consistent with the CdLS episignature, with two MAU2-specific episignatures identified.
  • Phenotypes range from classic CdLS to milder presentations, with major features including short stature and microcephaly.
  • A heterozygous Mau2 knockout mouse model recapitulates these traits, confirming MAU2 disruption as causal in vivo.
  • The study establishes MAU2 as a CdLS-associated gene and delineates a MAU2-related chromatinopathy with variable expressivity.