HGG Advances (Jul 2022)

Variants in PHF8 cause a spectrum of X-linked neurodevelopmental disorders and facial dysmorphology

  • Andrew K. Sobering,
  • Laura M. Bryant,
  • Dong Li,
  • Julie McGaughran,
  • Isabelle Maystadt,
  • Stephanie Moortgat,
  • John M. Graham, Jr.,
  • Arie van Haeringen,
  • Claudia Ruivenkamp,
  • Roos Cuperus,
  • Julie Vogt,
  • Jenny Morton,
  • Charlotte Brasch-Andersen,
  • Maria Steenhof,
  • Lars Kjærsgaard Hansen,
  • Élodie Adler,
  • Stanislas Lyonnet,
  • Veronique Pingault,
  • Marlin Sandrine,
  • Alban Ziegler,
  • Tyhiesia Donald,
  • Beverly Nelson,
  • Brandon Holt,
  • Oleksandra Petryna,
  • Helen Firth,
  • Kirsty McWalter,
  • Jacob Zyskind,
  • Aida Telegrafi,
  • Jane Juusola,
  • Richard Person,
  • Michael J. Bamshad,
  • Dawn Earl,
  • Anne Chun-Hui Tsai,
  • Katherine R. Yearwood,
  • Elysa Marco,
  • Catherine Nowak,
  • Jessica Douglas,
  • Hakon Hakonarson,
  • Elizabeth J. Bhoj

Journal volume & issue
Vol. 3, no. 3
p. 100102

Abstract

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Summary: Loss-of-function variants in PHD Finger Protein 8 (PHF8) cause Siderius X-linked intellectual disability (ID) syndrome, hereafter called PHF8-XLID. PHF8 is a histone demethylase that is important for epigenetic regulation of gene expression. PHF8-XLID is an under-characterized disorder with only five previous reports describing different PHF8 predicted loss-of-function variants in eight individuals. Features of PHF8-XLID include ID and craniofacial dysmorphology. In this report we present 16 additional individuals with PHF8-XLID from 11 different families of diverse ancestry. We also present five individuals from four different families who have ID and a variant of unknown significance in PHF8 with no other explanatory variant in another gene. All affected individuals exhibited developmental delay and all but two had borderline to severe ID. Of the two who did not have ID, one had dyscalculia and the other had mild learning difficulties. Craniofacial findings such as hypertelorism, microcephaly, elongated face, ptosis, and mild facial asymmetry were found in some affected individuals. Orofacial clefting was seen in three individuals from our cohort, suggesting that this feature is less common than previously reported. Autism spectrum disorder and attention deficit hyperactivity disorder, which were not previously emphasized in PHF8-XLID, were frequently observed in affected individuals. This series expands the clinical phenotype of this rare ID syndrome caused by loss of PHF8 function.

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