Entry - *601819 - BROMODOMAIN PHD FINGER TRANSCRIPTION FACTOR; BPTF - OMIM

 
* 601819

BROMODOMAIN PHD FINGER TRANSCRIPTION FACTOR; BPTF


Alternative titles; symbols

FETAL ALZHEIMER ANTIGEN; FALZ
FAC1
NURF301, DROSOPHILA, HOMOLOG OF; NURF301
BROMODOMAIN AND PHD DOMAIN TRANSCRIPTION FACTOR


HGNC Approved Gene Symbol: BPTF

Cytogenetic location: 17q24.2     Genomic coordinates (GRCh38): 17:67,825,503-67,984,378 (from NCBI)


Gene-Phenotype Relationships
Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
17q24.2 Neurodevelopmental disorder with dysmorphic facies and distal limb anomalies 617755 AD 3


TEXT

Description

The BPTF gene encodes the bromodomain PHD finger transcription factor, which is the largest subunit of nucleosome remodeling factor (NURF), a member of the ISWI chromatin-remodeling complex. NURF is an evolutionarily conserved transcription regulator that plays a key role in development (summary by Stankiewicz et al., 2017).


Cloning and Expression

Bowser et al. (1995) used immunoscreening with the monoclonal antibody Alz50, which recognizes neurofibrillary pathology associated with Alzheimer disease and subplate neurons in the developing human brain, to isolate a cDNA from a fetal brain library. The FAC1 (fetal Alz50-reactive clone-1) gene product was abundantly expressed in fetal brain and was detected in both the cytoplasm and nucleus of cells in the developing cortex. In the adult brain, expression was much lower and was seen almost exclusively in the nuclei of neurons of the neocortex. Expression was higher in neurodegenerative diseases; in the brains of Alzheimer disease patients, the protein was localized in a subset of amyloid-containing plaques. The 810-amino acid FAC1 protein contains a zinc finger binding domain, nuclear localization signals, and motifs associated with rapid protein degradation (Zhu and Bowser, 1996).

Xiao et al. (2001) cloned a cDNA encoding Nurf301, the largest subunit of the Drosophila NURF complex, which catalyzes nucleosome sliding. The 301-kD Nurf301 protein is necessary for accurate and efficient nucleosome sliding. The HMGA/HMGI(Y) (600701)-like domain of Nurf301 that facilitates nucleosome sliding indicates the importance of DNA conformational changes in the sliding mechanism. Nurf301 also interacts with sequence-specific transcription factors, providing a basis for targeted recruitment of the NURF complex to specific genes. Xiao et al. (2001) searched human genome databases for sequences similar to Nurf301. By sequencing overlapping human cDNA clones, they reconstructed an open reading frame of 8,967 nucleotides, predicting a 322,948-Da polypeptide, which they called p323. Xiao et al. (2001) found that the nucleotide sequence of human p323 was identical to BPTF, the human bromodomain and PHD domain transcription factor identified by Jones et al. (2000); p323 has 2 additional exons and may be a product of alternative splicing. The N-terminal 2,200 nucleotides of p323 and BPTF are also essentially identical to the cDNA for human FAC1, or FALZ. The protein sequence of human p323/BPTF is approximately 35% identical to Nurf301 over the entire coding region, suggesting that it is the human ortholog of Nurf301.


Gene Function

Wysocka et al. (2006) showed that a plant homeodomain (PHD) finger of nucleosome remodeling factor (NURF), an ISWI-containing ATP-dependent chromatin-remodeling complex, mediates a direct preferential association with trimethylated histone H3/lysine-4 (H3K4) tails. Depletion of trimethylated H3K4 causes partial release of the NURF subunit BPTF from chromatin and defective recruitment of the associated ATPase, SNF2L1 (SMARCA1; 300012), to the HOXC8 (142970) promoter. Loss of BPTF in Xenopus embryos mimics WDR5 (609012) loss-of-function phenotypes, and compromises spatial control of Hox gene expression. Wysocka et al. (2006) suggested that WDR5 and NURF function in a common biologic pathway in vivo, and that NURF-mediated ATP-dependent chromatin remodeling is directly coupled to H3K4 trimethylation to maintain HOX gene expression patterns during development.

Using microarray analysis, Dutta et al. (2016) found that human WDFY1 (618080) was specifically regulated by NRP2 (602070). Depletion of NRP2 in PC3 prostate cancer cells increased both the mRNA and protein levels of WDFY1 due to increased WDFY1 transcriptional activity, as shown in promoter activity assays. Analysis of the WDFY1 promoter region identified FAC1 as a transcriptional repressor whose binding to the promoter was regulated by NRP2, as confirmed in a chromatin immunoprecipitation assay and knockdown studies. In the presence of NPR2, FAC1 bound to the WDFY1 promoter region and downregulated WDFY1 transcriptional activity. Following NRP2 depletion, FAC1 was removed from the WDFY1 promoter and relocated from the nucleus to the cytosol, thereby releasing inhibition of WDFY1 transcription.


Biochemical Features

Li et al. (2006) demonstrated the molecular basis for specific recognition of trimethylated H3K4 by the PHD finger of human BPTF, the largest subunit of the NURF complex. Li et al. (2006) reported on crystallographic and NMR structures of the bromodomain-proximal PHD finger of BPTF in free and trimethylated H3K4-bound states. The trimethylated H3K4 interacts through an antiparallel beta-sheet formation on the surface of the PHD finger, with the long side chains of arginine-2 and trimethylated lysine-4 fitting snugly in adjacent preformed surface pockets, and bracketing an invariant tryptophan. The observed stapling role by nonadjacent arg2 and trimethylated lys4 provides a molecular explanation for trimethylated H3K4 site specificity. Binding studies established that the BPTF PHD finger exhibits a modest preference for K4methyl3- over K4methyl2-containing H3 peptides, and discriminates against monomethylated and unmodified counterparts. Li et al. (2006) also identified key specificity-determining residues from binding studies of H3(1-15)K4methyl3 with PHD finger point mutants.


Mapping

Bowser (1996) mapped the FAC1 gene to 17q24 by fluorescence in situ hybridization.


Molecular Genetics

In 8 unrelated patients with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified 8 different heterozygous mutations in the BPTF gene (see, e.g., 601819.0001-601819.0005). The mutations, which were found by exome sequencing from several different genetic research cohorts, were demonstrated to occur de novo in all except 1 patient whose paternal DNA was not available. There were 6 truncating mutations and 2 missense mutations. Two additional patients with a similar phenotype had different heterozygous CNV deletions involving the BPTF gene. Functional studies of the variants and studies of patient cells were not performed. The findings suggested that haploinsufficiency for BPTF is the pathogenic mechanism.

In 25 novel patients from 20 families with NEDDFL, Glinton et al. (2021) reported 20 novel heterozygous variants in the BPTF gene, including 14 de novo and 4 inherited from an apparently non-mosaic affected parent (e.g., 601819.0006). These included 9 frameshift, 4 nonsense, 3 splicing, 2 in-frame deletions, 1 missense, and 1 single-exon truncating deletion. The authors found no clear genotype-phenotype correlation within their cohort, although findings were milder in the patient with a missense mutation compared to the rest of the cohort.


Animal Model

Stankiewicz et al. (2017) found that zebrafish embryos with CRISPR/CAS9-mediated knockdown of the bptf gene had smaller head sizes compared to controls, and that the smaller head size resulted from increased cell death. Mutant zebrafish also showed abnormal craniofacial patterning compared to controls.


ALLELIC VARIANTS ( 6 Selected Examples):

.0001 NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, 1-BP DUP, NT2860
  
RCV000515231...

In a 2-year-old boy (patient 1) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a de novo heterozygous 1-bp duplication (c.2860dup, NM_004459.6) in exon 9 of the BPTF gene, resulting in a frameshift and premature termination (Glu954GlyfsTer5). The mutation was found by whole-exome sequencing and confirmed by Sanger sequencing; functional studies of the variant and studies of patient cells were not performed.


.0002 NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, 2-BP DEL, NT5216
  
RCV000515333...

In a 7-year-old boy of Latino origin (patient 2) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a heterozygous 2-bp deletion (c.5216_5217del, NM_004459.6) in exon 13 of the BPTF gene, resulting in a frameshift and premature termination (Val1739GlyfsTer96). The mutation was not present in the mother; DNA from the father was unavailable. The mutation was found by whole-exome sequencing and confirmed by Sanger sequencing; functional studies of the variant and studies of patient cells were not performed.


.0003 NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, LYS2884TER
  
RCV000515433...

In a 10-year-old boy of Latino origin (patient 3) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a de novo heterozygous c.8650A-T transversion (c.8650A-T, NM_004459.6) in exon 29 of the BPTF gene, resulting in a lys2884-to-ter (K2884X) substitution. The mutation was found by whole-exome sequencing and confirmed by Sanger sequencing; functional studies of the variant and studies of patient cells were not performed.


.0004 NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, MET2853ARG
  
RCV000515238...

In an 11-year-old girl (patient 8) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a de novo heterozygous c.8558T-G transversion (c.8558T-G, NM_004459.6) in exon 29 of the BPTF gene, resulting in a met2853-to-arg (M2853R) substitution in the bromodomain. The mutation, which was found by exome sequencing and confirmed by Sanger sequencing, was not found in the gnomAD database. The variant was predicted to destabilize the protein conformation, likely disrupting protein function. Functional studies of the variant and studies of patient cells were not performed.


.0005 NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, 1-BP DEL, NT989
  
RCV000496129...

In a 7-year-old boy (patient 9) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a de novo heterozygous 1-bp deletion (c.989del, NM_004459.6) in exon 2 of the BPTF gene, resulting in a frameshift and premature termination (Leu330ArgfsTer28). The mutation was found by whole-exome sequencing and confirmed by Sanger sequencing; functional studies of the variant and studies of patient cells were not performed.


.0006 NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, 1-BP DUP, 209G
  
RCV002260902...

In a 2-year-old girl (patient 1) and her affected mother (patient 2) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Glinton et al. (2021) identified a heterozygous 1-bp duplication (c.209dupG, NM_004459.6) in exon 1 of the BPTF gene that resulted in frameshift and premature termination of the protein (Ser71GlnfsTer3). The mutation was identified by trio exome sequencing. The girl had mild dysmorphic features including epicanthal folds, short palpebral fissures, tubular nose, flat cheekbones, syndactyly of toes 2 and 3, and fetal fingertip pads. She had global developmental delay with a history of feeding difficulties and poor growth, and head circumference was small (Z score = -2). She had generalized tonic-clonic seizures as well as staring spells. MRI showed minimal asymmetry of the temporal horn of the right lateral ventricle. Her mother had mild dysmorphic features and had a small head and significant feeding difficulties as a child; she had substantial learning disabilities in school but was able as an adult to generally function independently, with some assistance.


REFERENCES

  1. Bowser, R., Giambrone, A., Davies, P. FAC1, a novel gene identified with the monoclonal antibody Alz50, is developmentally regulated in human brain. Dev. Neurosci. 17: 20-37, 1995. [PubMed: 7621746, related citations] [Full Text]

  2. Bowser, R. Assignment of the human FAC1 gene to chromosome 17q24 by fluorescence in situ hybridization. Genomics 38: 455-457, 1996. [PubMed: 8975731, related citations] [Full Text]

  3. Dutta, S., Roy, S., Polavaram, N. S., Baretton, G. B., Muders, M. H., Batra, S., Datta, K. NRP2 transcriptionally regulates its downstream effector WDFY1. Sci. Rep. 6: 23588, 2016. Note: Electronic Article. [PubMed: 27026195, images, related citations] [Full Text]

  4. Glinton, K. E, Hurst, A. C. E., Bowling, K. M., Cristian, I., Haynes, D., Adstamongkonkul, D., Schnappauf, O., Beck, D. B., Brewer, C., Parikh, A. S., Shinde, D. N., Donaldson, A., and 36 others. Phenotypic expansion of the BPTF-related neurodevelopmental disorder with dysmorphic facies and distal limb anomalies. Am. J. Med. Genet. 185A: 1366-1378, 2021. [PubMed: 33522091, images, related citations] [Full Text]

  5. Jones, M. H., Hamana, N., Shimane, M. Identification and characterization of BPTF, a novel bromodomain transcription factor. Genomics 63: 35-39, 2000. [PubMed: 10662542, related citations] [Full Text]

  6. Li, H., Ilin, S., Wang, W., Duncan, E. M., Wysocka, J., Allis, C. D., Patel, D. J. Molecular basis for site-specific read-out of histone H3K4me3 by the BPTF PHD finger of NURF. Nature 442: 91-95, 2006. [PubMed: 16728978, images, related citations] [Full Text]

  7. Stankiewicz, P., Khan, T. N., Szafranski, P., Slattery, L., Streff, H., Vetrini, F., Bernstein, J. A., Brown, C. W., Rosenfeld, J. A., Rednam, S., Scollon, S., Bergstrom, K. L., and 27 others. Haploinsufficiency of the chromatin remodeler BPTF causes syndromic developmental and speech delay, postnatal microcephaly, and dysmorphic features. Am. J. Hum. Genet. 101: 503-515, 2017. [PubMed: 28942966, images, related citations] [Full Text]

  8. Wysocka, J., Swigut, T., Xiao, H., Milne, T. A., Kwon, S. Y., Landry, J., Kauer, M., Tackett, A. J., Chait, B. T., Badenhorst, P., Wu, C., Allis, C. D. A PHD finger of NURF couples histone H3 lysine 4 trimethylation with chromatin remodelling. Nature 442: 86-90, 2006. [PubMed: 16728976, related citations] [Full Text]

  9. Xiao, H., Sandaltzopoulos, R., Wang, H.-M., Hamiche, A., Ranallo, R., Lee, K.-M., Fu, D., Wu, C. Dual functions of largest NURF subunit NURF301 in nucleosome sliding and transcription factor interactions. Molec. Cell 8: 531-543, 2001. [PubMed: 11583616, related citations] [Full Text]

  10. Zhu, P., Bowser, R. Identification and analysis of the complete cDNA sequence for the human FAC1 gene. Biochim. Biophys. Acta 1309: 5-8, 1996. [PubMed: 8950167, related citations] [Full Text]


Sonja A. Rasmussen - updated : 06/08/2022
Bao Lige - updated : 08/08/2018
Ada Hamosh - updated : 8/11/2006
Stylianos E. Antonarakis - updated : 11/5/2001
Creation Date:
Alan F. Scott : 5/20/1997
carol : 04/02/2024
alopez : 06/08/2022
mgross : 08/08/2018
alopez : 11/07/2017
ckniffin : 11/01/2017
carol : 10/27/2014
carol : 8/15/2006
terry : 8/11/2006
mgross : 11/5/2001
terry : 12/3/1999
joanna : 5/20/1997

* 601819

BROMODOMAIN PHD FINGER TRANSCRIPTION FACTOR; BPTF


Alternative titles; symbols

FETAL ALZHEIMER ANTIGEN; FALZ
FAC1
NURF301, DROSOPHILA, HOMOLOG OF; NURF301
BROMODOMAIN AND PHD DOMAIN TRANSCRIPTION FACTOR


HGNC Approved Gene Symbol: BPTF

Cytogenetic location: 17q24.2     Genomic coordinates (GRCh38): 17:67,825,503-67,984,378 (from NCBI)


Gene-Phenotype Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
17q24.2 Neurodevelopmental disorder with dysmorphic facies and distal limb anomalies 617755 Autosomal dominant 3

TEXT

Description

The BPTF gene encodes the bromodomain PHD finger transcription factor, which is the largest subunit of nucleosome remodeling factor (NURF), a member of the ISWI chromatin-remodeling complex. NURF is an evolutionarily conserved transcription regulator that plays a key role in development (summary by Stankiewicz et al., 2017).


Cloning and Expression

Bowser et al. (1995) used immunoscreening with the monoclonal antibody Alz50, which recognizes neurofibrillary pathology associated with Alzheimer disease and subplate neurons in the developing human brain, to isolate a cDNA from a fetal brain library. The FAC1 (fetal Alz50-reactive clone-1) gene product was abundantly expressed in fetal brain and was detected in both the cytoplasm and nucleus of cells in the developing cortex. In the adult brain, expression was much lower and was seen almost exclusively in the nuclei of neurons of the neocortex. Expression was higher in neurodegenerative diseases; in the brains of Alzheimer disease patients, the protein was localized in a subset of amyloid-containing plaques. The 810-amino acid FAC1 protein contains a zinc finger binding domain, nuclear localization signals, and motifs associated with rapid protein degradation (Zhu and Bowser, 1996).

Xiao et al. (2001) cloned a cDNA encoding Nurf301, the largest subunit of the Drosophila NURF complex, which catalyzes nucleosome sliding. The 301-kD Nurf301 protein is necessary for accurate and efficient nucleosome sliding. The HMGA/HMGI(Y) (600701)-like domain of Nurf301 that facilitates nucleosome sliding indicates the importance of DNA conformational changes in the sliding mechanism. Nurf301 also interacts with sequence-specific transcription factors, providing a basis for targeted recruitment of the NURF complex to specific genes. Xiao et al. (2001) searched human genome databases for sequences similar to Nurf301. By sequencing overlapping human cDNA clones, they reconstructed an open reading frame of 8,967 nucleotides, predicting a 322,948-Da polypeptide, which they called p323. Xiao et al. (2001) found that the nucleotide sequence of human p323 was identical to BPTF, the human bromodomain and PHD domain transcription factor identified by Jones et al. (2000); p323 has 2 additional exons and may be a product of alternative splicing. The N-terminal 2,200 nucleotides of p323 and BPTF are also essentially identical to the cDNA for human FAC1, or FALZ. The protein sequence of human p323/BPTF is approximately 35% identical to Nurf301 over the entire coding region, suggesting that it is the human ortholog of Nurf301.


Gene Function

Wysocka et al. (2006) showed that a plant homeodomain (PHD) finger of nucleosome remodeling factor (NURF), an ISWI-containing ATP-dependent chromatin-remodeling complex, mediates a direct preferential association with trimethylated histone H3/lysine-4 (H3K4) tails. Depletion of trimethylated H3K4 causes partial release of the NURF subunit BPTF from chromatin and defective recruitment of the associated ATPase, SNF2L1 (SMARCA1; 300012), to the HOXC8 (142970) promoter. Loss of BPTF in Xenopus embryos mimics WDR5 (609012) loss-of-function phenotypes, and compromises spatial control of Hox gene expression. Wysocka et al. (2006) suggested that WDR5 and NURF function in a common biologic pathway in vivo, and that NURF-mediated ATP-dependent chromatin remodeling is directly coupled to H3K4 trimethylation to maintain HOX gene expression patterns during development.

Using microarray analysis, Dutta et al. (2016) found that human WDFY1 (618080) was specifically regulated by NRP2 (602070). Depletion of NRP2 in PC3 prostate cancer cells increased both the mRNA and protein levels of WDFY1 due to increased WDFY1 transcriptional activity, as shown in promoter activity assays. Analysis of the WDFY1 promoter region identified FAC1 as a transcriptional repressor whose binding to the promoter was regulated by NRP2, as confirmed in a chromatin immunoprecipitation assay and knockdown studies. In the presence of NPR2, FAC1 bound to the WDFY1 promoter region and downregulated WDFY1 transcriptional activity. Following NRP2 depletion, FAC1 was removed from the WDFY1 promoter and relocated from the nucleus to the cytosol, thereby releasing inhibition of WDFY1 transcription.


Biochemical Features

Li et al. (2006) demonstrated the molecular basis for specific recognition of trimethylated H3K4 by the PHD finger of human BPTF, the largest subunit of the NURF complex. Li et al. (2006) reported on crystallographic and NMR structures of the bromodomain-proximal PHD finger of BPTF in free and trimethylated H3K4-bound states. The trimethylated H3K4 interacts through an antiparallel beta-sheet formation on the surface of the PHD finger, with the long side chains of arginine-2 and trimethylated lysine-4 fitting snugly in adjacent preformed surface pockets, and bracketing an invariant tryptophan. The observed stapling role by nonadjacent arg2 and trimethylated lys4 provides a molecular explanation for trimethylated H3K4 site specificity. Binding studies established that the BPTF PHD finger exhibits a modest preference for K4methyl3- over K4methyl2-containing H3 peptides, and discriminates against monomethylated and unmodified counterparts. Li et al. (2006) also identified key specificity-determining residues from binding studies of H3(1-15)K4methyl3 with PHD finger point mutants.


Mapping

Bowser (1996) mapped the FAC1 gene to 17q24 by fluorescence in situ hybridization.


Molecular Genetics

In 8 unrelated patients with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified 8 different heterozygous mutations in the BPTF gene (see, e.g., 601819.0001-601819.0005). The mutations, which were found by exome sequencing from several different genetic research cohorts, were demonstrated to occur de novo in all except 1 patient whose paternal DNA was not available. There were 6 truncating mutations and 2 missense mutations. Two additional patients with a similar phenotype had different heterozygous CNV deletions involving the BPTF gene. Functional studies of the variants and studies of patient cells were not performed. The findings suggested that haploinsufficiency for BPTF is the pathogenic mechanism.

In 25 novel patients from 20 families with NEDDFL, Glinton et al. (2021) reported 20 novel heterozygous variants in the BPTF gene, including 14 de novo and 4 inherited from an apparently non-mosaic affected parent (e.g., 601819.0006). These included 9 frameshift, 4 nonsense, 3 splicing, 2 in-frame deletions, 1 missense, and 1 single-exon truncating deletion. The authors found no clear genotype-phenotype correlation within their cohort, although findings were milder in the patient with a missense mutation compared to the rest of the cohort.


Animal Model

Stankiewicz et al. (2017) found that zebrafish embryos with CRISPR/CAS9-mediated knockdown of the bptf gene had smaller head sizes compared to controls, and that the smaller head size resulted from increased cell death. Mutant zebrafish also showed abnormal craniofacial patterning compared to controls.


ALLELIC VARIANTS 6 Selected Examples):

.0001   NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, 1-BP DUP, NT2860
SNP: rs1555639411, ClinVar: RCV000515231, RCV000577919

In a 2-year-old boy (patient 1) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a de novo heterozygous 1-bp duplication (c.2860dup, NM_004459.6) in exon 9 of the BPTF gene, resulting in a frameshift and premature termination (Glu954GlyfsTer5). The mutation was found by whole-exome sequencing and confirmed by Sanger sequencing; functional studies of the variant and studies of patient cells were not performed.


.0002   NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, 2-BP DEL, NT5216
SNP: rs1555652383, ClinVar: RCV000515333, RCV000577888

In a 7-year-old boy of Latino origin (patient 2) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a heterozygous 2-bp deletion (c.5216_5217del, NM_004459.6) in exon 13 of the BPTF gene, resulting in a frameshift and premature termination (Val1739GlyfsTer96). The mutation was not present in the mother; DNA from the father was unavailable. The mutation was found by whole-exome sequencing and confirmed by Sanger sequencing; functional studies of the variant and studies of patient cells were not performed.


.0003   NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, LYS2884TER
SNP: rs1555693714, ClinVar: RCV000515433, RCV000577911

In a 10-year-old boy of Latino origin (patient 3) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a de novo heterozygous c.8650A-T transversion (c.8650A-T, NM_004459.6) in exon 29 of the BPTF gene, resulting in a lys2884-to-ter (K2884X) substitution. The mutation was found by whole-exome sequencing and confirmed by Sanger sequencing; functional studies of the variant and studies of patient cells were not performed.


.0004   NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, MET2853ARG
SNP: rs782736894, gnomAD: rs782736894, ClinVar: RCV000515238, RCV000577896

In an 11-year-old girl (patient 8) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a de novo heterozygous c.8558T-G transversion (c.8558T-G, NM_004459.6) in exon 29 of the BPTF gene, resulting in a met2853-to-arg (M2853R) substitution in the bromodomain. The mutation, which was found by exome sequencing and confirmed by Sanger sequencing, was not found in the gnomAD database. The variant was predicted to destabilize the protein conformation, likely disrupting protein function. Functional studies of the variant and studies of patient cells were not performed.


.0005   NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, 1-BP DEL, NT989
SNP: rs1135401778, ClinVar: RCV000496129, RCV000515336, RCV000577907

In a 7-year-old boy (patient 9) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Stankiewicz et al. (2017) identified a de novo heterozygous 1-bp deletion (c.989del, NM_004459.6) in exon 2 of the BPTF gene, resulting in a frameshift and premature termination (Leu330ArgfsTer28). The mutation was found by whole-exome sequencing and confirmed by Sanger sequencing; functional studies of the variant and studies of patient cells were not performed.


.0006   NEURODEVELOPMENTAL DISORDER WITH DYSMORPHIC FACIES AND DISTAL LIMB ANOMALIES

BPTF, 1-BP DUP, 209G
SNP: rs1259365489, gnomAD: rs1259365489, ClinVar: RCV002260902, RCV003095871

In a 2-year-old girl (patient 1) and her affected mother (patient 2) with neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL; 617755), Glinton et al. (2021) identified a heterozygous 1-bp duplication (c.209dupG, NM_004459.6) in exon 1 of the BPTF gene that resulted in frameshift and premature termination of the protein (Ser71GlnfsTer3). The mutation was identified by trio exome sequencing. The girl had mild dysmorphic features including epicanthal folds, short palpebral fissures, tubular nose, flat cheekbones, syndactyly of toes 2 and 3, and fetal fingertip pads. She had global developmental delay with a history of feeding difficulties and poor growth, and head circumference was small (Z score = -2). She had generalized tonic-clonic seizures as well as staring spells. MRI showed minimal asymmetry of the temporal horn of the right lateral ventricle. Her mother had mild dysmorphic features and had a small head and significant feeding difficulties as a child; she had substantial learning disabilities in school but was able as an adult to generally function independently, with some assistance.


REFERENCES

  1. Bowser, R., Giambrone, A., Davies, P. FAC1, a novel gene identified with the monoclonal antibody Alz50, is developmentally regulated in human brain. Dev. Neurosci. 17: 20-37, 1995. [PubMed: 7621746] [Full Text: https://doi.org/10.1159/000111270]

  2. Bowser, R. Assignment of the human FAC1 gene to chromosome 17q24 by fluorescence in situ hybridization. Genomics 38: 455-457, 1996. [PubMed: 8975731] [Full Text: https://doi.org/10.1006/geno.1996.0657]

  3. Dutta, S., Roy, S., Polavaram, N. S., Baretton, G. B., Muders, M. H., Batra, S., Datta, K. NRP2 transcriptionally regulates its downstream effector WDFY1. Sci. Rep. 6: 23588, 2016. Note: Electronic Article. [PubMed: 27026195] [Full Text: https://doi.org/10.1038/srep23588]

  4. Glinton, K. E, Hurst, A. C. E., Bowling, K. M., Cristian, I., Haynes, D., Adstamongkonkul, D., Schnappauf, O., Beck, D. B., Brewer, C., Parikh, A. S., Shinde, D. N., Donaldson, A., and 36 others. Phenotypic expansion of the BPTF-related neurodevelopmental disorder with dysmorphic facies and distal limb anomalies. Am. J. Med. Genet. 185A: 1366-1378, 2021. [PubMed: 33522091] [Full Text: https://doi.org/10.1002/ajmg.a.62102]

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Contributors:
Sonja A. Rasmussen - updated : 06/08/2022
Bao Lige - updated : 08/08/2018
Ada Hamosh - updated : 8/11/2006
Stylianos E. Antonarakis - updated : 11/5/2001

Creation Date:
Alan F. Scott : 5/20/1997

Edit History:
carol : 04/02/2024
alopez : 06/08/2022
mgross : 08/08/2018
alopez : 11/07/2017
ckniffin : 11/01/2017
carol : 10/27/2014
carol : 8/15/2006
terry : 8/11/2006
mgross : 11/5/2001
terry : 12/3/1999
joanna : 5/20/1997