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Relevance to Autism

A de novo in-frame deletion variant in the BRD4 gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2012; functional characterization in Korb et al., 2017 demonstrated that this variant prevented a Brd4-induced increase in spine formation in transfected neurons compared to wild-type Brd4, suggesting a loss-of-function effect. Korb et al., 2017 also demonstrated that Brd4 was upregulated in a mouse model of Fragile X syndrome (FXS), and that inhibition of Brd4 function by the inhibitor JQ1 alleviated many of the phenotypes associated with Fragile X syndrome that were observed in FXS mice. De novo missense variants in BRD4 have also been identified in ASD probands from the Simons Simplex Collection (Krumm et al., 2015). Jouret et al., 2022 reported 14 individuals with either point mutations or deletions affecting the BRD4 gene and found that microcephaly, initial global developmental delay, intellectual disability/learning disability, psychiatric disorders, and dysmorphic features were frequently observed phenotypes.

Molecular Function

BRD4 encodes a chromatin reader protein that recognizes and binds acetylated histones and plays a key role in transmission of epigenetic memory across cell divisions and transcription regulation. The protein encoded by the BRD4 gene remains associated with acetylated chromatin throughout the entire cell cycle and provides epigenetic memory for postmitotic G1 gene transcription by preserving acetylated chromatin status and maintaining high-order chromatin structure.

External Links

        

References

Type
Title
Type of Disorder
Associated Disorders
Author, Year
Primary
De novo gene disruptions in children on the autistic spectrum.
ASD
Support
Mutational Landscape of Autism Spectrum Disorder Brain Tissue
ASD
Support
Excess of rare, inherited truncating mutations in autism.
ASD
Support
Integrating de novo and inherited variants in 42
ASD
Support
Complex Diagnostics of Non-Specific Intellectual Developmental Disorder
DD, ID
Support
Understanding the new BRD4-related syndrome: Clinical and genomic delineation with an international cohort study
DD, ID, learning disability
Psychiatric disorders (SCZ, OCD), epilepsy/seizure
Support
Chromatin profiling in human neurons reveals aberrant roles for histone acetylation and BET family proteins in schizophrenia
Schizophrenia
Recent Recommendation
BRD4 interacts with NIPBL and BRD4 is mutated in a Cornelia de Lange-like syndrome.
DD, ID
Microcephaly, OCD
Recent Recommendation
Excess Translation of Epigenetic Regulators Contributes to Fragile X Syndrome and Is Alleviated by Brd4 Inhibition.

Rare

Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN970R001 
 inframe_deletion 
 c.651del 
 p.Val218CysfsTer22 
 De novo 
  
 Simplex 
 GEN970R002 
 missense_variant 
 c.878A>G 
 p.Asp293Gly 
 De novo 
  
 Simplex 
 GEN970R003 
 missense_variant 
  
  
 De novo 
  
 Simplex 
 GEN970R004 
 copy_number_loss 
  
  
 De novo 
  
 Simplex 
 GEN970R005 
 missense_variant 
 c.1289A>G 
 p.Tyr430Cys 
 De novo 
  
 Simplex 
 GEN970R006 
 frameshift_variant 
 c.1224delinsCA 
 p.Glu408AspfsTer4 
 De novo 
  
 Simplex 
 GEN970R007 
 frameshift_variant 
 c.691del 
 p.Asp231ThrfsTer9 
 De novo 
  
 Simplex 
 GEN970R008 
 missense_variant 
 c.662C>T 
 p.Thr221Met 
 Unknown 
  
  
 GEN970R009 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN970R010 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN970R011 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN970R012 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN970R013 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN970R014 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN970R015 
 stop_gained 
 c.703C>T 
 p.Gln235Ter 
 De novo 
  
 Simplex 
 GEN970R016 
 frameshift_variant 
 c.2753_2754insT 
 p.Pro919ThrfsTer174 
 De novo 
  
 Simplex 
 GEN970R017 
 missense_variant 
 c.1289A>G 
 p.Tyr430Cys 
 De novo 
  
 Simplex 
 GEN970R018 
 frameshift_variant 
 c.691del 
 p.Asp231ThrfsTer9 
 De novo 
  
 Simplex 
 GEN970R019 
 missense_variant 
 c.883A>C 
 p.Thr295Pro 
 De novo 
  
 Simplex 
 GEN970R020 
 missense_variant 
 c.1169A>G 
 p.Tyr390Cys 
 De novo 
  
 Simplex 
 GEN970R021 
 frameshift_variant 
 c.137dup 
 p.Pro47AlafsTer8 
 De novo 
  
 Simplex 
 GEN970R022 
 missense_variant 
 c.434A>G 
 p.Asp145Gly 
 Unknown 
  
  
 GEN970R023 
 frameshift_variant 
 c.3666_3667insCAGCTTC 
 p.Ser1223GlnfsTer18 
 Unknown 
  
 Unknown 
 GEN970R024 
 synonymous_variant 
 c.3798G>A 
 p.Glu1266%3D 
 De novo 
  
  
 GEN970R025 
 stop_gained 
 c.1267C>T 
 p.Arg423Ter 
 De novo 
  
  
 GEN970R026 
 missense_variant 
 c.883A>C 
 p.Thr295Pro 
 De novo 
  
  
 GEN970R027 
 missense_variant 
 c.2692C>A 
 p.Pro898Thr 
 De novo 
  
  
 GEN970R028 
 missense_variant 
 c.2272C>A 
 p.Pro758Thr 
 De novo 
  
  
 GEN970R029 
 missense_variant 
 c.1292A>T 
 p.Lys431Met 
 De novo 
  
 Multiplex 
 GEN970R030 
 frameshift_variant 
 c.3693_3694insTCGGGAGAAAGAGGAGC 
 p.Arg1232SerfsTer16 
 De novo 
  
  
 GEN970R031 
 splice_site_variant 
 c.3169+1G>A 
  
 Familial 
 Paternal 
 Multiplex 

Common

No Common Variants Available
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
19
Deletion-Duplication
 18
 
19
Deletion
 5
 
19
Duplication
 1
 
19
Duplication
 1
 
19
Deletion
 2
 
19
Deletion
 2
 
19
Duplication
 2
 
19
Deletion-Duplication
 6
 
19
Duplication
 1
 
19
Duplication
 1
 

No Animal Model Data Available

 

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