Evidence map›Paper›PMID 33941880›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

Loss-of-function and missense variants in NSD2 cause decreased methylation activity and are associated with a distinct developmental phenotype.

Paolo Zanoni, Katharina Steindl, Deepanwita Sengupta, Pascal Joset, Angela Bahr, Heinrich Sticht, Mariarosaria Lang-Muritano, Conny M A van Ravenswaaij-Arts, Marwan Shinawi, Marisa Andrews and 24 more

Open access · hybridAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  8. Case Report: AFrontiers in pediatrics · 2026
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  14. Disrupted diencephalon development and neuropeptidergic pathways in zebrafish with autism-risk mutations.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  15. Review
  16. Article
  17. Chromatin modifiers in neurodevelopment.Frontiers in molecular neuroscience · 2025
    Review
  18. Observational
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 7 countries.

Paolo Zanoni *Institute of Medical Genetics, University of Zürich, Schlieren-Zurich, Switzerland. paolo.zanoni@uzh.ch.ORCID 0000-0001-9397-1989
Katharina Steindl *Institute of Medical Genetics, University of Zürich, Schlieren-Zurich, Switzerland.
Deepanwita Sengupta *Department of Biology, Stanford University, Stanford, CA, USA.
Pascal JosetInstitute of Medical Genetics, University of Zürich, Schlieren-Zurich, Switzerland.
Angela BahrInstitute of Medical Genetics, University of Zürich, Schlieren-Zurich, Switzerland.
Heinrich StichtInstitute of Biochemistry, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Mariarosaria Lang-MuritanoDepartment of Pediatric Endocrinology and Diabetology, University Children's Hospital, Zurich, Switzerland.
Conny M A van Ravenswaaij-ArtsDepartment of Genetics, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Marwan ShinawiDepartment of Pediatrics, Division of Genetics and Genomic Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Marisa AndrewsDepartment of Pediatrics, Division of Genetics and Genomic Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Tania Attie-BitachService d'Histologie-Embryologie-Cytogénétique, Unité d'Embryofoetopathologie, Hôpital Necker-Enfants Malades, APHP, Paris, France.
Isabelle MaystadtCentre de Génétique Humaine, Institut de Pathologie et de Génétique, Gosselies, Belgium.
Newell BelnapCenter for Rare Childhood Disorders (C4RCD), Translational Genomics Research Institute, Phoenix, AZ, USA.
Valerie BenoitCentre de Génétique Humaine, Institut de Pathologie et de Génétique, Gosselies, Belgium.
Geoffroy DelplancqCentre de Génétique Humaine, Université de Franche-Comté, CHU, Besançon, France.
Bert B A de VriesDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Sarah GrottoMaternité Port-Royal, AP-HP, Hôpital Cochin, Paris, France.
Didier LacombeService de Génétique Médicale, Hôpital Pellegrin CHU, Bordeaux, France.
Austin LarsonDepartment of Pediatrics, Section of Genetics, University of Colorado Anschutz Medical Campus, Denver, CO, USA.
Jeroen MourmansDeventer Ziekenhuis, Deventer, the Netherlands.
Katrin ÕunapDepartment of Clinical Genetics, United Laboratories, Tartu University Hospital, Tartu, Estonia.
Giulia PetrilliService d'Histologie-Embryologie-Cytogénétique, Unité d'Embryofoetopathologie, Hôpital Necker-Enfants Malades, APHP, Paris, France.
Rolph PfundtDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Keri RamseyCenter for Rare Childhood Disorders (C4RCD), Translational Genomics Research Institute, Phoenix, AZ, USA.
Lot Snijders BlokDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Vassilis TsatsarisMaternité Port-Royal, AP-HP, Hôpital Cochin, Paris, France.
Antonio VitobelloUFR Des Sciences de Santé, INSERM-Université de Bourgogne UMR1231 GAD, FHU-TRANSLAD, Unité Fonctionnelle D'Innovation en Diagnostique Génomique Des Maladies Rares, Pôle de Biologie, CHU Dijon Bourgogne, Dijon, France.
Laurence FaivreCentre de Référence Maladies Rares « Anomalies du Développement Et Syndrome Malformatifs » de L'Est, Hôpital D'Enfants, FHU-TRANSLAD, CHU Dijon Bourgogne, Dijon, France.
Patricia G WheelerDivision of Genetics, Arnold Palmer Hospital, Orlando Health, Orlando, FL, USA.
Marijke R WeversDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Monica WojcikDepartment of Pediatrics, Boston Children's Hospital, Divisions of Newborn Medicine and Genetics and Genomics, Boston, MA, USA.
Markus ZweierInstitute of Medical Genetics, University of Zürich, Schlieren-Zurich, Switzerland.
Or Gozani *Department of Biology, Stanford University, Stanford, CA, USA.
Anita Rauch *Institute of Medical Genetics, University of Zürich, Schlieren-Zurich, Switzerland. anita.rauch@medgen.uzh.ch.
University of Zurich · CHRadboud University Nijmegen · NLHôpital Cochin · FRHôpital Necker-Enfants Malades · FRStanford University · USTranslational Genomics Research Institute · USWashington University in St. Louis · USArnold Palmer Hospital for Children · USBroad Institute · USCentre Hospitalier Universitaire de Besançon · FRDeventer Ziekenhuis · NLFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHôpital d'Enfants · FRHôpital Pellegrin · FRInserm · FRInstitute of Pathology and Genetics · BETartu University Hospital · EEUniversity Children's Hospital Zurich · CHUniversity Medical Center Groningen · NLUniversity of Colorado Anschutz Medical Campus · US

Funding

Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
Function of Protein Methylation in Chromatin and Signaling RegulationR35GM139569 · NIGMS · STANFORD UNIVERSITY · PI Or P. Gozani · 2021 to 2026
$4.0M
NHGRI NIH HHS UM1 HG008900NIGMS NIH HHS R35 GM139569
6 · The paper itself

Abstract

purposeDespite a few recent reports of patients harboring truncating variants in NSD2, a gene considered critical for the Wolf-Hirschhorn syndrome (WHS) phenotype, the clinical spectrum associated with NSD2 pathogenic variants remains poorly understood.

methodsWe collected a comprehensive series of 18 unpublished patients carrying heterozygous missense, elongating, or truncating NSD2 variants; compared their clinical data to the typical WHS phenotype after pooling them with ten previously described patients; and assessed the underlying molecular mechanism by structural modeling and measuring methylation activity in vitro.

resultsThe core NSD2-associated phenotype includes mostly mild developmental delay, prenatal-onset growth retardation, low body mass index, and characteristic facial features distinct from WHS. Patients carrying missense variants were significantly taller and had more frequent behavioral/psychological issues compared with those harboring truncating variants. Structural in silico modeling suggested interference with NSD2's folding and function for all missense variants in known structures. In vitro testing showed reduced methylation activity and failure to reconstitute H3K36me2 in NSD2 knockout cells for most missense variants.

conclusionNSD2 loss-of-function variants lead to a distinct, rather mild phenotype partially overlapping with WHS. To avoid confusion for patients, NSD2 deficiency may be named Rauch-Steindl syndrome after the delineators of this phenotype.

Indexed as

Histone-Lysine N-MethyltransferaseWolf-Hirschhorn SyndromeFemaleHumansMethylationMutation, MissensePhenotypePregnancyHistone-Lysine N-Methyltransferase

Identifiers

PMID33941880
PMCPMC8354849
OpenAlexW3159688860

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