Loss-of-function variant in SPIN4 causes an X-linked overgrowth syndrome

Overgrowth syndromes can be caused by pathogenic genetic variants in epigenetic writers, such as DNA and histone methyltransferases. However, no overgrowth disorder has previously been ascribed to variants in a gene that acts primarily as an epigenetic reader. Here, we studied a male individual with...

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Main Authors: Julian C. Lui, Jacob Wagner, Elaine Zhou, Lijin Dong, Kevin M. Barnes, Youn Hee Jee, Jeffrey Baron
Format: Article
Language:English
Published: American Society for Clinical investigation 2023-05-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.167074
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author Julian C. Lui
Jacob Wagner
Elaine Zhou
Lijin Dong
Kevin M. Barnes
Youn Hee Jee
Jeffrey Baron
author_facet Julian C. Lui
Jacob Wagner
Elaine Zhou
Lijin Dong
Kevin M. Barnes
Youn Hee Jee
Jeffrey Baron
author_sort Julian C. Lui
collection DOAJ
description Overgrowth syndromes can be caused by pathogenic genetic variants in epigenetic writers, such as DNA and histone methyltransferases. However, no overgrowth disorder has previously been ascribed to variants in a gene that acts primarily as an epigenetic reader. Here, we studied a male individual with generalized overgrowth of prenatal onset. Exome sequencing identified a hemizygous frameshift variant in Spindlin 4 (SPIN4), with X-linked inheritance. We found evidence that SPIN4 binds specific histone modifications, promotes canonical WNT signaling, and inhibits cell proliferation in vitro and that the identified frameshift variant had lost all of these functions. Ablation of Spin4 in mice recapitulated the human phenotype with generalized overgrowth, including increased longitudinal bone growth. Growth plate analysis revealed increased cell proliferation in the proliferative zone and an increased number of progenitor chondrocytes in the resting zone. We also found evidence of decreased canonical Wnt signaling in growth plate chondrocytes, providing a potential explanation for the increased number of resting zone chondrocytes. Taken together, our findings provide strong evidence that SPIN4 is an epigenetic reader that negatively regulates mammalian body growth and that loss of SPIN4 causes an overgrowth syndrome in humans, expanding our knowledge of the epigenetic regulation of human growth.
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spelling doaj.art-7cb28f5d0b99487daa54b3d5c0a7b96b2023-11-07T16:25:35ZengAmerican Society for Clinical investigationJCI Insight2379-37082023-05-0189Loss-of-function variant in SPIN4 causes an X-linked overgrowth syndromeJulian C. LuiJacob WagnerElaine ZhouLijin DongKevin M. BarnesYoun Hee JeeJeffrey BaronOvergrowth syndromes can be caused by pathogenic genetic variants in epigenetic writers, such as DNA and histone methyltransferases. However, no overgrowth disorder has previously been ascribed to variants in a gene that acts primarily as an epigenetic reader. Here, we studied a male individual with generalized overgrowth of prenatal onset. Exome sequencing identified a hemizygous frameshift variant in Spindlin 4 (SPIN4), with X-linked inheritance. We found evidence that SPIN4 binds specific histone modifications, promotes canonical WNT signaling, and inhibits cell proliferation in vitro and that the identified frameshift variant had lost all of these functions. Ablation of Spin4 in mice recapitulated the human phenotype with generalized overgrowth, including increased longitudinal bone growth. Growth plate analysis revealed increased cell proliferation in the proliferative zone and an increased number of progenitor chondrocytes in the resting zone. We also found evidence of decreased canonical Wnt signaling in growth plate chondrocytes, providing a potential explanation for the increased number of resting zone chondrocytes. Taken together, our findings provide strong evidence that SPIN4 is an epigenetic reader that negatively regulates mammalian body growth and that loss of SPIN4 causes an overgrowth syndrome in humans, expanding our knowledge of the epigenetic regulation of human growth.https://doi.org/10.1172/jci.insight.167074DevelopmentGenetics
spellingShingle Julian C. Lui
Jacob Wagner
Elaine Zhou
Lijin Dong
Kevin M. Barnes
Youn Hee Jee
Jeffrey Baron
Loss-of-function variant in SPIN4 causes an X-linked overgrowth syndrome
JCI Insight
Development
Genetics
title Loss-of-function variant in SPIN4 causes an X-linked overgrowth syndrome
title_full Loss-of-function variant in SPIN4 causes an X-linked overgrowth syndrome
title_fullStr Loss-of-function variant in SPIN4 causes an X-linked overgrowth syndrome
title_full_unstemmed Loss-of-function variant in SPIN4 causes an X-linked overgrowth syndrome
title_short Loss-of-function variant in SPIN4 causes an X-linked overgrowth syndrome
title_sort loss of function variant in spin4 causes an x linked overgrowth syndrome
topic Development
Genetics
url https://doi.org/10.1172/jci.insight.167074
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