Pathogenic variants in SLF2 and SMC5 cause segmented chromosomes and mosaic variegated hyperploidy

Abstract

Embryonic development is dictated by tight regulation of DNA replication, cell division and differentiation. Mutations in DNA repair and replication genes disrupt this equilibrium, giving rise to neurodevelopmental disease characterized by microcephaly, short stature and chromosomal breakage. Here, we identify biallelic variants in two components of the RAD18-SLF1/2-SMC5/6 genome stability pathway, SLF2 and SMC5, in 11 patients with microcephaly, short stature, cardiac abnormalities and anemia. Patient-derived cells exhibit a unique chromosomal instability phenotype consisting of segmented and dicentric chromosomes with mosaic variegated hyperploidy. To signify the importance of these segmented chromosomes, we have named this disorder Atelís (meaning - incomplete) Syndrome. Analysis of Atelís Syndrome cells reveals elevated levels of replication stress, partly due to a reduced ability to replicate through G-quadruplex DNA structures, and also loss of sister chromatid cohesion. Together, these data strengthen the functional link between SLF2 and the SMC5/6 complex, highlighting a distinct role for this pathway in maintaining genome stability.

Publication DOI: https://doi.org/10.1038/s41467-022-34349-8
Divisions: College of Health & Life Sciences > School of Biosciences
College of Health & Life Sciences
Additional Information: Copyright © The Author(s), 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
Uncontrolled Keywords: Humans,Cell Cycle Proteins/genetics,Microcephaly/genetics,DNA Repair/genetics,Chromosomes/metabolism,Genomic Instability,DNA-Binding Proteins/metabolism,Ubiquitin-Protein Ligases/metabolism,Chromosomal Proteins, Non-Histone/metabolism
Publication ISSN: 2041-1723
Last Modified: 02 May 2024 07:22
Date Deposited: 20 Jun 2023 14:58
Full Text Link:
Related URLs: https://www.nat ... 467-022-34349-8 (Publisher URL)
PURE Output Type: Article
Published Date: 2022-11-04
Accepted Date: 2022-10-21
Authors: Grange, Laura J
Reynolds, John J (ORCID Profile 0000-0001-8690-5828)
Ullah, Farid
Isidor, Bertrand
Shearer, Robert F
Latypova, Xenia
Baxley, Ryan M
Oliver, Antony W
Ganesh, Anil
Cooke, Sophie L
Jhujh, Satpal S
McNee, Gavin S
Hollingworth, Robert
Higgs, Martin R
Natsume, Toyoaki
Khan, Tahir
Martos-Moreno, Gabriel Á.
Chupp, Sharon
Mathew, Christopher G.
Parry, David
Simpson, Michael A.
Nahavandi, Nahid
Yüksel, Zafer
Drasdo, Mojgan
Kron, Anja
Vogt, Petra
Jonasson, Annemarie
Seth, Saad Ahmed
Gonzaga-Jauregui, Claudia
Brigatti, Karlla W
Stegmann, Alexander P A
Kanemaki, Masato
Josifova, Dragana
Uchiyama, Yuri
Oh, Yukiko
Morimoto, Akira
Osaka, Hitoshi
Ammous, Zineb
Argente, Jesús
Matsumoto, Naomichi
Stumpel, Constance T.R.M.
Taylor, Alexander M.R.
Jackson, Andrew P.
Bielinsky, Anja-Katrin
Mailand, Niels
Le Caignec, Cedric
Davis, Erica E.
Stewart, Grant S.

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