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Relevance to Autism

Two de novo loss-of-function (LoF) variants were identified in ASD probands in Yuen et al., 2017 (one in a proband from a simplex family, the other in a proband from a multiplex family). Based on the discovery of two de novo LoF variants in ASD cases, a probability of LoF intolerance rate (pLI) > 0.9, and a higher-than expected mutation rate (a false discovery rate < 15%), KDM6A was determined to be an ASD candidate gene in Yuen et al., 2017.

Molecular Function

This gene is located on the X chromosome and is the corresponding locus to a Y-linked gene which encodes a tetratricopeptide repeat (TPR) protein. The encoded protein of this gene contains a JmjC-domain and catalyzes the demethylation of tri/dimethylated histone H3. Mutations in the KDM6A gene are associated with Kabuki syndrome 2 (KABUK2; OMIM 300867), a congenital intellectual disability syndrome with additional features including postnatal dwarfism and distinct facial dysmorphic features.

External Links

        

References

Type
Title
Type of Disorder
Associated Disorders
Author, Year
Primary
Whole genome sequencing resource identifies 18 new candidate genes for autism spectrum disorder
ASD
Support
Using medical exome sequencing to identify the causes of neurodevelopmental disorders: experience of two clinical units and 216 patients.
ID
Support
DD, ID
Support
A clinical utility study of exome sequencing versus conventional genetic testing in pediatric neurology.
Psychomotor retardation
Support
Integrating de novo and inherited variants in 42
ASD
Support
A three generation X-linked family with Kabuki syndrome phenotype and a frameshift mutation in KDM6A.
Kabuki syndrome 2
Support
Trio-based exome sequencing reveals a high rate of the de novo variants in intellectual disability
ID
Support
The impact of inversions across 33,924 families with rare disease from a national genome sequencing project
Schizophrenia, DD, ID, epilepsy/seizures
Support
KDM6A point mutations cause Kabuki syndrome.
Kabuki syndrome 2
Support
The utility of DNA methylation signatures in directing genome sequencing workflow: Kabuki syndrome and CDK13-related disorder
DD
Epilepsy/seizures
Support
Phenotypic and genetic analysis of children with unexplained neurodevelopmental delay and neurodevelopmental comorbidities in a Chinese cohort using trio-based whole-exome sequencing
ASD, DD, ID
Support
Deletion of KDM6A, a histone demethylase interacting with MLL2, in three patients with Kabuki syndrome.
Kabuki syndrome 2
Support
Unravelling the genetic causes of multiple malformation syndromes: A whole exome sequencing study of the Cypriot population
ID
Support
ASD
DD, ID
Support
Impact of on-site clinical genetics consultations on diagnostic rate in children and young adults with autism spectrum disorder.
ASD
Support
DD, epilepsy/seizures
Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN896R001 
 frameshift_variant 
 c.3217dup 
 p.Trp1073LeufsTer4 
 De novo 
  
 Simplex 
 GEN896R002 
 splice_site_variant 
 G>A 
 p.? 
 De novo 
  
 Multiplex 
 GEN896R003 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN896R004 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN896R005 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN896R006 
 splice_site_variant 
 c.975-1G>A 
  
 De novo 
  
  
 GEN896R007 
 splice_site_variant 
 c.2988+1G>C 
  
 De novo 
  
  
 GEN896R008 
 stop_gained 
 c.2944G>T 
 p.Gly982Ter 
 De novo 
  
 Simplex 
 GEN896R009 
 stop_gained 
 c.1192C>T 
 p.Gln398Ter 
 De novo 
  
  
 GEN896R010 
 copy_number_gain 
  
  
 Familial 
 Maternal 
 Simplex 
 GEN896R011 
 frameshift_variant 
 c.3669dup 
 p.Gly1224ArgfsTer8 
 De novo 
  
  
 GEN896R012 
 missense_variant 
 c.445G>C 
 p.Ala149Pro 
 De novo 
  
  
 GEN896R013 
 missense_variant 
 c.1070_1076delinsCTGGATT 
 p.Asp357_Gly359delinsAlaGlyPhe 
 De novo 
  
  
 GEN896R014 
 frameshift_variant 
 c.2791_2794dup 
 p.Gln932ProfsTer27 
 De novo 
  
 Simplex 
 GEN896R015 
 frameshift_variant 
 c.3219dup 
 p.His1074AlafsTer3 
 De novo 
  
 Simplex 
 GEN896R016 
 missense_variant 
 c.3730C>T 
 p.Leu1244Phe 
 Familial 
 Maternal 
 Simplex 
 GEN896R017 
 missense_variant 
 c.2150A>C 
 p.Glu717Ala 
 Unknown 
  
 Simplex 
 GEN896R018 
 copy_number_loss 
  
  
 Unknown 
  
 Simplex 
 GEN896R019 
 splice_site_variant 
 c.3365+2T>C 
  
 Familial 
 Maternal 
 Simplex 
 GEN896R020a 
 inversion 
  
  
 Unknown 
  
  
 GEN896R020b 
 copy_number_gain 
  
  
 Unknown 
  
  
 GEN896R020c 
 copy_number_gain 
  
  
 Unknown 
  
  
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
X
Deletion-Duplication
 19
 
X
Duplication
 1
 
X
Deletion
 1
 
X
Deletion
 7
 
X
Deletion
 3
 
X
Deletion
 4
 
X
Deletion-Duplication
 1
 
X
Deletion
 1
 
X
Duplication
 1
 
X
Deletion
 1
 
X
Deletion-Duplication
 22
 

Model Summary

Knockdown of kdm6a results in smaller craniofacial anatomy, which is rescued by wild-type kdm6a mRNA.

References

Type
Title
Author, Year
Primary
Haploinsufficiency of KDM6A is associated with severe psychomotor retardation, global growth restriction, seizures and cleft palate.
Model Type: Genetic
Model Genotype: Wildtype
Mutation: Knockdown was performed by injecting a 2ng dose (1nl) of translation-blocking kdm6a morpholino into one-cell stage embryos.
Allele Type: Knockdown
Strain of Origin: Unreported
Genetic Background:
ES Cell Line:
Mutant ES Cell Line:
Model Source: Unreported
Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Skeletal development: craniofacial1
Decreased
 Alcian blue staining
 96 hpf
 Not Reported: Circadian sleep/wake cycle, Communications, Emotion, Immune response, Learning & memory, Maternal behavior, Molecular profile, Motor phenotype, Neuroanatomy / ultrastructure / cytoarchitecture, Neurophysiology, Physiological parameters, Repetitive behavior, Seizure, Sensory, Social behavior

 

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