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Monoallelic intragenic POU3F2 variants lead to neurodevelopmental delay and hyperphagic obesity, confirming the gene's candidacy in 6q16.1 deletions.


ABSTRACT: While common obesity accounts for an increasing global health burden, its monogenic forms have taught us underlying mechanisms via more than 20 single-gene disorders. Among these, the most common mechanism is central nervous system dysregulation of food intake and satiety, often accompanied by neurodevelopmental delay (NDD) and autism spectrum disorder. In a family with syndromic obesity, we identified a monoallelic truncating variant in POU3F2 (alias BRN2) encoding a neural transcription factor, which has previously been suggested as a driver of obesity and NDD in individuals with the 6q16.1 deletion. In an international collaboration, we identified ultra-rare truncating and missense variants in another ten individuals sharing autism spectrum disorder, NDD, and adolescent-onset obesity. Affected individuals presented with low-to-normal birth weight and infantile feeding difficulties but developed insulin resistance and hyperphagia during childhood. Except for a variant leading to early truncation of the protein, identified variants showed adequate nuclear translocation but overall disturbed DNA-binding ability and promotor activation. In a cohort with common non-syndromic obesity, we independently observed a negative correlation of POU3F2 gene expression with BMI, suggesting a role beyond monogenic obesity. In summary, we propose deleterious intragenic variants of POU3F2 to cause transcriptional dysregulation associated with hyperphagic obesity of adolescent onset with variable NDD.

SUBMITTER: Schonauer R 

PROVIDER: S-EPMC10257002 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Monoallelic intragenic POU3F2 variants lead to neurodevelopmental delay and hyperphagic obesity, confirming the gene's candidacy in 6q16.1 deletions.

Schönauer Ria R   Jin Wenjun W   Findeisen Christin C   Valenzuela Irene I   Devlin Laura Alice LA   Murrell Jill J   Bedoukian Emma C EC   Pöschla Linda L   Hantmann Elena E   Riedhammer Korbinian M KM   Hoefele Julia J   Platzer Konrad K   Biemann Ronald R   Campeau Philipp M PM   Münch Johannes J   Heyne Henrike H   Hoffmann Anne A   Ghosh Adhideb A   Sun Wenfei W   Dong Hua H   Noé Falko F   Wolfrum Christian C   Woods Emily E   Parker Michael J MJ   Neatu Ruxandra R   Le Guyader Gwenael G   Bruel Ange-Line AL   Perrin Laurence L   Spiewak Helena H   Missotte Isabelle I   Fourgeaud Melanie M   Michaud Vincent V   Lacombe Didier D   Paolucci Sarah A SA   Buchan Jillian G JG   Glissmeyer Margaret M   Popp Bernt B   Blüher Matthias M   Sayer John A JA   Halbritter Jan J  

American journal of human genetics 20230518 6


While common obesity accounts for an increasing global health burden, its monogenic forms have taught us underlying mechanisms via more than 20 single-gene disorders. Among these, the most common mechanism is central nervous system dysregulation of food intake and satiety, often accompanied by neurodevelopmental delay (NDD) and autism spectrum disorder. In a family with syndromic obesity, we identified a monoallelic truncating variant in POU3F2 (alias BRN2) encoding a neural transcription factor  ...[more]

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