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Haploinsufficiency of SF3B2 causes craniofacial microsomia

  • University of Washington Center for Mendelian Genomics
  • NYU Langone Medical Center
  • New York University College of Dentistry
  • University of Washington
  • Children's Hospital and Regional Medical Center Seattle
  • University of Toronto
  • PathWest Laboratory Medicine WA
  • Peterborough Regional Health Centre
  • University of North Carolina
  • Hospital Edgardo Rebagliati Martins
  • King Edward Memorial Hospital for Women
  • Universidad Javeriana
  • Children's Hospital Los Angeles
  • Western University
  • University of Western Australia
  • Children’s Hospital of Philadelphia
  • OPKO Health, Inc.
  • Fundación Valle del Lili
  • Clinica Comfamiliar Risaralda
  • Cooper Medical School of Rowan University
  • Perth Children’s Hospital
  • Hospital Universitario San Ignacio

Research output: Contribution to journalArticlepeer-review

77 Scopus citations

Abstract

Craniofacial microsomia (CFM) is the second most common congenital facial anomaly, yet its genetic etiology remains unknown. We perform whole-exome or genome sequencing of 146 kindreds with sporadic (n = 138) or familial (n = 8) CFM, identifying a highly significant burden of loss of function variants in SF3B2 (P = 3.8 × 10−10), a component of the U2 small nuclear ribonucleoprotein complex, in probands. We describe twenty individuals from seven kindreds harboring de novo or transmitted haploinsufficient variants in SF3B2. Probands display mandibular hypoplasia, microtia, facial and preauricular tags, epibulbar dermoids, lateral oral clefts in addition to skeletal and cardiac abnormalities. Targeted morpholino knockdown of SF3B2 in Xenopus results in disruption of cranial neural crest precursor formation and subsequent craniofacial cartilage defects, supporting a link between spliceosome mutations and impaired neural crest development in congenital craniofacial disease. The results establish haploinsufficient variants in SF3B2 as the most prevalent genetic cause of CFM, explaining ~3% of sporadic and ~25% of familial cases.

Original languageEnglish
Article number4680
JournalNature Communications
Volume12
Issue number1
DOIs
StatePublished - 01 Dec 2021

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