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Mutations in NCAPG2 Cause a Severe Neurodevelopmental Syndrome that Expands the Phenotypic Spectrum of Condensinopathies.

Publication ,  Journal Article
Khan, TN; Khan, K; Sadeghpour, A; Reynolds, H; Perilla, Y; McDonald, MT; Gallentine, WB; Baig, SM; Task Force for Neonatal Genomics; Davis, EE ...
Published in: Am J Hum Genet
January 3, 2019

The use of whole-exome and whole-genome sequencing has been a catalyst for a genotype-first approach to diagnostics. Under this paradigm, we have implemented systematic sequencing of neonates and young children with a suspected genetic disorder. Here, we report on two families with recessive mutations in NCAPG2 and overlapping clinical phenotypes that include severe neurodevelopmental defects, failure to thrive, ocular abnormalities, and defects in urogenital and limb morphogenesis. NCAPG2 encodes a member of the condensin II complex, necessary for the condensation of chromosomes prior to cell division. Consistent with a causal role for NCAPG2, we found abnormal chromosome condensation, augmented anaphase chromatin-bridge formation, and micronuclei in daughter cells of proband skin fibroblasts. To test the functional relevance of the discovered variants, we generated an ncapg2 zebrafish model. Morphants displayed clinically relevant phenotypes, such as renal anomalies, microcephaly, and concomitant increases in apoptosis and altered mitotic progression. These could be rescued by wild-type but not mutant human NCAPG2 mRNA and were recapitulated in CRISPR-Cas9 F0 mutants. Finally, we noted that the individual with a complex urogenital defect also harbored a heterozygous NPHP1 deletion, a common contributor to nephronophthisis. To test whether sensitization at the NPHP1 locus might contribute to a more severe renal phenotype, we co-suppressed nphp1 and ncapg2, which resulted in significantly more dysplastic renal tubules in zebrafish larvae. Together, our data suggest that impaired function of NCAPG2 results in a severe condensinopathy, and they highlight the potential utility of examining candidate pathogenic lesions beyond the primary disease locus.

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Published In

Am J Hum Genet

DOI

EISSN

1537-6605

Publication Date

January 3, 2019

Volume

104

Issue

1

Start / End Page

94 / 111

Location

United States

Related Subject Headings

  • Zebrafish Proteins
  • Zebrafish
  • Syndrome
  • Phenotype
  • Pedigree
  • Neurodevelopmental Disorders
  • Mutation
  • Multiprotein Complexes
  • Membrane Proteins
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Khan, T. N., Khan, K., Sadeghpour, A., Reynolds, H., Perilla, Y., McDonald, M. T., … Katsanis, N. (2019). Mutations in NCAPG2 Cause a Severe Neurodevelopmental Syndrome that Expands the Phenotypic Spectrum of Condensinopathies. Am J Hum Genet, 104(1), 94–111. https://doi.org/10.1016/j.ajhg.2018.11.017
Khan, Tahir N., Kamal Khan, Azita Sadeghpour, Hannah Reynolds, Yezmin Perilla, Marie T. McDonald, William B. Gallentine, et al. “Mutations in NCAPG2 Cause a Severe Neurodevelopmental Syndrome that Expands the Phenotypic Spectrum of Condensinopathies.Am J Hum Genet 104, no. 1 (January 3, 2019): 94–111. https://doi.org/10.1016/j.ajhg.2018.11.017.
Khan TN, Khan K, Sadeghpour A, Reynolds H, Perilla Y, McDonald MT, et al. Mutations in NCAPG2 Cause a Severe Neurodevelopmental Syndrome that Expands the Phenotypic Spectrum of Condensinopathies. Am J Hum Genet. 2019 Jan 3;104(1):94–111.
Khan, Tahir N., et al. “Mutations in NCAPG2 Cause a Severe Neurodevelopmental Syndrome that Expands the Phenotypic Spectrum of Condensinopathies.Am J Hum Genet, vol. 104, no. 1, Jan. 2019, pp. 94–111. Pubmed, doi:10.1016/j.ajhg.2018.11.017.
Khan TN, Khan K, Sadeghpour A, Reynolds H, Perilla Y, McDonald MT, Gallentine WB, Baig SM, Task Force for Neonatal Genomics, Davis EE, Katsanis N. Mutations in NCAPG2 Cause a Severe Neurodevelopmental Syndrome that Expands the Phenotypic Spectrum of Condensinopathies. Am J Hum Genet. 2019 Jan 3;104(1):94–111.
Journal cover image

Published In

Am J Hum Genet

DOI

EISSN

1537-6605

Publication Date

January 3, 2019

Volume

104

Issue

1

Start / End Page

94 / 111

Location

United States

Related Subject Headings

  • Zebrafish Proteins
  • Zebrafish
  • Syndrome
  • Phenotype
  • Pedigree
  • Neurodevelopmental Disorders
  • Mutation
  • Multiprotein Complexes
  • Membrane Proteins
  • Male