Article
Author: Berry, Gerard T. ; Craigen, William J. ; Lanpher, Brendan C. ; Rydzanicz, Malgorzata ; Davis, Joie ; Allenspach, Eric ; Wener, Mark ; High, Frances ; Potocki, Lorraine ; Fu, Jiayu ; Doherty, Daniel ; Whitlock, Jordan ; Eng, Christine M. ; Rossignol, Francis ; Neumann, Serena ; Maghiro, AudreyStephannie ; Petcharet, Leoyklang ; Martínez-Agosto, Julian A. ; Delgado, Margaret ; Rebelo, Adriana ; Malicdan, May Christine V. ; Andrews, Ashley ; Bivona, Stephanie ; Marom, Ronit ; Morimoto, Marie ; Yamamoto, Shinya ; Tekin, Mustafa ; Chung, Wendy K. ; Karasozen, Yigit ; Callaway, Kaitlin ; Korrick, Susan ; Bennett, Jimmy ; Thorson, Willa ; Hernan, Rebecca R. ; Scott, Daryl A. ; Dai, Hongzheng ; Fisher, Paul G. ; Solomon, Ben ; Parker, Neil H. ; Barbouth, Deborah ; Alvarez, Raquel L. ; Latchman, Kumarie ; Narayanan, Vinodh ; Bayrak-Toydemir, Pinar ; Heide, Solveig ; Corona, Rosario I. ; Velinder, Matt ; Bacino, Carlos ; Korf, Bruce ; Worley, Kim ; Dipple, Katrina ; Cole, F. Sessions ; Earl, Dawn ; Fieg, Elizabeth L. ; Lim, Foong Y. ; Glanton, Emily ; Rosenfeld, Jill A. ; Bacino, Carlos A. ; Huang, Yan ; Bejerano, Gill ; Klee, Eric ; Hanchard, Neal ; Tifft, Cynthia J. ; Wegner, Daniel ; Shelkowitz, Emily ; Sampson, Jacinda B. ; Burrage, Lindsay C. ; Taylor, Herman ; Smith, Kevin S. ; Walker, Melissa ; Bale, Jim ; Lee, Brendan H. ; Weisz-Hubshman, Monika ; Rodriguez, Martin ; Mahoney, Rachel ; Cobban, Laurel A. ; Rajagopalan, Ramakrishnan ; Stembalska, Agnieszka ; Jangam, Sharayu V. ; Keren, Boris ; Shashi, Vandana ; Balasubramanyam, Ashok ; Quinlan, Aaron ; Huang, Alden ; Orengo, James P. ; Beck, Anita ; McMinn, Ashley ; Hurst, Anna ; Ketkar, Shamika ; Gahl, William A. ; Krakow, Deborah ; Bergmann, Anke ; Lam, Christina ; Halley, Meghan C. ; Introne, Wendy ; Vogel, Tiphanie P. ; Kravets, Elijah ; Westerfield, Monte ; Hisama, Fuki M. ; Leppig, Kathleen A. ; Sutton, Shirley ; Kohane, Isaac S. ; Stergachis, Andrew ; Brunet, Theresa ; Ashley, Euan A. ; Butte, Manish J. ; Glass, Ian ; Ward, Patricia A. ; Bademci, Guney ; Zuchner, Stephan ; von Hardenberg, Sandra ; Lalani, Seema R. ; Ruzhnikov, Maura ; Hom, Jason ; e Vairo, Filippo Pinto ; Schedl, Timothy ; Sheppeard, Sam ; Jean-Marie, Orpa ; Chanprasert, Sirisak ; Sweetser, David A. ; Jarvik, Gail P. ; Blue, Elizabeth ; Murdock, David R. ; Mikati, Mohamad ; Zhang, Zhe ; Pusey Swerdzewski, Barbara N. ; Chinn, Ivan ; Novacic, Donna ; Raskind, Wendy ; Dell’Angelica, Esteban C. ; Martin, Martin G. ; Wambach, Jennifer ; Graves, Hillary K. ; Richter, Manuela Friederike ; Pace, Laura ; Sirugo, Giorgio ; Mitchell, Breanna ; Acosta, Maria T. ; Rader, Daniel J. ; Sisco, Kathy ; Holm, Ingrid A. ; Wahl, Colleen E. ; Bernstein, Jonathan A. ; Raper, Anna ; Lee, Brendan ; Dawson, Brian ; Seto, Elaine ; Sybert, Virginia ; Schoch, Kelly ; Might, Matthew ; Dargie, Nitsuh K. ; Ploski, Rafal ; Cuddapah, Vishnu ; Solnica-Krezel, Lilianna ; Sullivan, Kathleen ; Carey, John ; Rao, Deepak A. ; Toro, Camilo ; Hing, Anne ; Kiley, Dana ; Skraban, Cara ; Dasari, Surendra ; Martin, Beth A. ; Crouse, Andrew B. ; Coakley, Terra R. ; Rives, Lynette ; Maduro, Valerie V. ; Pallais, J. Carl ; Burke, Elizabeth A. ; Beggs, Alan H. ; Afzali, Ben ; Spillmann, Rebecca C. ; Shin, Jimann ; Emrick, Lisa T. ; Briere, Lauren C. ; Tran, Alyssa A. ; Tan, Queenie ; Coggins, Matthew ; Viskochil, Dave ; Bellen, Hugo J. ; Esteves, Cecilia ; Loscalzo, Joseph ; Rosenthal, Elizabeth ; Wheeler, Matthew T. ; Kobren, Shilpa N. ; Moretti, Paolo ; Nakano-Okuno, Mariko ; Cogan, Joy D. ; Oglesbee, Devin ; Gropman, Andrea ; Maas, Richard L. ; Liu, Pengfei ; D’Souza, Precilla ; Mulvihill, Lindsay ; Jobanputra, Vaidehi ; Schimmenti, Lisa ; Horike-Pyne, Martha ; Corner, Brian ; Wood, Heidi ; Ungar, Rachel A. ; Bohnsack, John ; Cassini, Thomas ; Adams, David R. ; Mulvihill, John J. ; Behrens, Edward ; Longo, Nicola ; Gonzalez, Joanna M. ; Smith, Carson A. ; Byers, Peter ; Botto, Lorenzo ; Miller, Danny ; Ganetzky, Rebecca ; Kilich, Gonench ; Baldridge, Dustin ; Stoler, Joan M. ; Bamshad, Michael ; Allworth, Aimee ; Hayes, Nichole ; Pak, Stephen ; Wenger, Tara ; Darr, Kahlen ; Posey, Jennifer E. ; LeBlanc, Kimberly ; Rodan, Lance H. ; Wangler, Michael F. ; Silverman, Edwin K. ; McConkie-Rosell, Allyn ; Al-Beshri, Ali ; Reuter, Chloe M. ; Fogel, Brent L. ; Macnamara, Ellen F. ; Vanderver, Adeline ; Carvalho, George ; Bonner, Devon ; Syrbe, Steffen ; Peart, LéShon ; Borja, Nicholas ; Dorrani, Naghmeh ; Goddard, Page C. ; Nelson, Stanley F. ; Alvey, Justin ; Balton, Elsa ; Kohler, Jennefer N. ; Clark, Gary D. ; Jayadev, Suman ; Chao, Hsiao-Tuan ; Kanca, Oguz ; Ezell, Kimberly ; Wolfe, Lynne A. ; Byrd, William E. ; Hassey, Kelly ; Xia, Fan ; MacRae, Calum A. ; Walley, Nicole M. ; Tarakad, Arjun ; Sabaii, Marla ; Phillips, John A. ; Marwaha, Shruti ; Baldwin, Erin ; Lanza, Ian R. ; Lewis, Richard A. ; Tabor, Holly K. ; Sunyaev, Shamil R. ; Mao, Rong ; Marth, Gabor ; Mirzaa, Ghayda ; Douine, Emilie D. ; Hamid, Rizwan ; Skelton, Tammi ; Douglas, Jessica
PURPOSEPolycomb group proteins are key epigenetic transcriptional regulators. Multiple neurodevelopmental disorders are associated with pathogenic variants of the genes encoding Polycomb group proteins. RYBP is a core component of the noncanonical Polycomb Repressor Complex 1; however, its role in disease is unclear.METHODSFunctional consequences of RYBP variants were assessed using in vitro cellular and in vivo Drosophila melanogaster studies.RESULTSWe described 7 individuals with heterozygous de novo variants of RYBP and their clinical findings, including severe developmental delay, dysmorphisms, and multiple congenital anomalies. We showed that all single-nucleotide variants in RYBP localize to the N-terminal domain of the gene, which encodes the zinc-finger domain and ubiquitin-binding moiety. In vitro studies have demonstrated that the RYBP c.132C>G p.(Cys44Trp) variant causes reduced protein expression but does not affect the binding of YY1, RING1B, or ubiquitin. In vivo overexpression studies in Drosophila melanogaster showed a dramatic functional difference between human RYBP and its variant forms, affecting the C44 amino acid residue. DNA methylation studies suggested a possible episignature associated with RYBP-related disorder.CONCLUSIONHeterozygous de novo variants in RYBP are associated with an identifiable syndromic neurodevelopmental disorder with multiple congenital anomalies.