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Mutations in the BRWD3 gene cause X-linked mental retardation associated with macrocephaly
Authors:Field Michael  Tarpey Patrick S  Smith Raffaella  Edkins Sarah  O'Meara Sarah  Stevens Claire  Tofts Calli  Teague Jon  Butler Adam  Dicks Ed  Barthorpe Syd  Buck Gemma  Cole Jennifer  Gray Kristian  Halliday Kelly  Hills Katy  Jenkinson Andrew  Jones David  Menzies Andrew  Mironenko Tatiana  Perry Janet  Raine Keiran  Richardson David  Shepherd Rebecca  Small Alexandra  Varian Jennifer  West Sofie  Widaa Sara  Mallya Uma  Wooster Richard  Moon Jenny  Luo Ying  Hughes Helen  Shaw Marie  Friend Kathryn L  Corbett Mark  Turner Gillian  Partington Michael  Mulley John  Bobrow Martin  Schwartz Charles  Stevenson Roger  Gecz Jozef
Affiliation:a From the GOLD Service, Hunter Genetics, Waratah, Australia
b Cancer Genome Project, Wellcome Trust Sanger Institute, Hinxton United Kingdom
c Cambridge Institute of Medical Research, University of Cambridge, Cambridge, United Kingdom
d Medical Genetics, Ysbyty Gwynedd, Bangor, United Kingdom
e Department of Genetic Medicine, Women’s and Children’s Hospital, Adelaide, and Departments of Paediatrics and Molecular Biosciences, University of Adelaide, Adelaide
f J. C. Self Research Institute of Human Genetics, Greenwood Genetic Center, Greenwood
Abstract:In the course of systematic screening of the X-chromosome coding sequences in 250 families with nonsyndromic X-linked mental retardation (XLMR), two families were identified with truncating mutations in BRWD3, a gene encoding a bromodomain and WD-repeat domain–containing protein. In both families, the mutation segregates with the phenotype in affected males. Affected males have macrocephaly with a prominent forehead, large cupped ears, and mild-to-moderate intellectual disability. No truncating variants were found in 520 control X chromosomes. BRWD3 is therefore a new gene implicated in the etiology of XLMR associated with macrocephaly and may cause disease by altering intracellular signaling pathways affecting cellular proliferation.
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