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Germline pathogenic variants in DNMT3A were recently described in patients with overgrowth, obesity, behavioral, and learning difficulties (DNMT3A Overgrowth Syndrome/DOS). Somatic mutations in the DNMT3A gene are also the most common cause of clonal hematopoiesis, and can initiate acute myeloid leukemia (AML). Using whole genome bisulfite sequencing, we studied DNA methylation in peripheral blood cells of 11 DOS patients and found a focal, canonical hypomethylation phenotype, which is most severe with the dominant negative DNMT3A mutation. A germline mouse model expressing the homologous Dnmt3a mutation phenocopies most aspects of the human DOS syndrome, including the methylation phenotype and an increased incidence of spontaneous hematopoietic malignancies, suggesting that all aspects of this syndrome are caused by this mutation.
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http://dx.doi.org/10.1038/s41467-021-24800-7 | DOI Listing |
Pathogenic mutations cause Tatton-Brown-Rahman Syndrome (TBRS), a disorder characterized by intellectual disability and overgrowth of multiple somatic tissues including the brain. However, the functions of DNMT3A during human cortical development remain poorly understood. Here, we utilized newly developed human pluripotent stem cell models of TBRS-associated mutation to define DNMT3A requirements and consequences of mutation during human cortical neuron development.
View Article and Find Full Text PDFDNA methyltransferase 3A (DNMT3A) plays crucial roles in mammalian development and hematopoiesis. DNMT3A protein instability is associated with blood diseases such as myelodysplastic syndrome (MDS), acute myeloid leukemia (AML), as well as Tatton-Brown-Rahman syndrome, an overgrowth disorder. We found that certain unstable DNMT3A mutations cause DNMT3A localization changes, resulting in loss of function.
View Article and Find Full Text PDFFront Cardiovasc Med
January 2025
Department of Cardiology, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Central Hospital, Zhejiang, China.
A 13-year-old child presented with specific facial features, overgrowth, and intellectual disability. Echocardiography revealed the presence of a large pericardial effusion, left ventricular enlargement, mitral annular separation, and mitral valve prolapse with moderate regurgitation. These symptoms suggested a possible genetic disorder.
View Article and Find Full Text PDFAnn Endocrinol (Paris)
April 2025
GCS AURAGEN, 69003 Lyon, France.
We describe for the first time the case of a woman presenting with Tatton-Brown-Rahman syndrome (TBRS) and multiple endocrine neoplasia (MEN). She developed primary hyperparathyroidism at age 13, a pituitary cyst at age 14, adrenal tumor at age 21, and metastatic insulinoma at age 34. In addition, she showed intellectual disability, obesity, multiple lipomas, facial dysmorphia, hemihypertrophy and kyphoscoliosis.
View Article and Find Full Text PDFCurr Res Transl Med
March 2025
Division of Pediatric Hematology, Department of Pediatrics, Etlik City Hospital, Ankara, Yenimahalle CP 06170, Turkey.