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Spectrum of MLL2 (ALR) mutations in 110 cases of Kabuki syndrome.
[kabuki syndrome]
Kabuki
syndrome
is
a
rare
,
multiple
malformation
disorder
characterized
by
a
distinctive
facial
appearance
,
cardiac
anomalies
,
skeletal
abnormalities
,
and
mild
to
moderate
intellectual
disability
.
Simplex
cases
make
up
the
vast
majority
of
the
reported
cases
with
Kabuki
syndrome
,
but
parent-
to
-child
transmission
in
more
than
a
half
-dozen
instances
indicates
that
it
is
an
autosomal
dominant
disorder
.
We
recently
reported
that
Kabuki
syndrome
is
caused
by
mutations
in
MLL
2
,
a
gene
that
encodes
a
Trithorax-group
histone
methyltransferase
,
a
protein
important
in
the
epigenetic
control
of
active
chromatin
states
.
Here
,
we
report
on
the
screening
of
110
families
with
Kabuki
syndrome
.
MLL
2
mutations
were
found
in
81
/
110
(
74
%
)
of
families
.
In
simplex
cases
for
which
DNA
was
available
from
both
parents
,
25
mutations
were
confirmed
to
be
de
novo
,
while
a
transmitted
MLL
2
mutation
was
found
in
two
of
three
familial
cases
.
The
majority
of
variants
found
to
cause
Kabuki
syndrome
were
novel
nonsense
or
frameshift
mutations
that
are
predicted
to
result
in
haploinsufficiency
.
The
clinical
characteristics
of
MLL
2
mutation
-
positive
cases
did
not
differ
significantly
from
MLL
2
mutation
-negative
cases
with
the
exception
that
renal
anomalies
were
more
common
in
MLL
2
mutation
-
positive
cases
.
These
results
are
important
for
understanding
the
phenotypic
consequences
of
MLL
2
mutations
for
individuals
and
their
families
as
well
as
for
providing
a
basis
for
the
identification
of
additional
genes
for
Kabuki
syndrome
.
Diseases
Validation
Diseases presenting
"mll2 mutation-negative"
symptom
kabuki syndrome
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