Pleiotropic effects of MORC2 derive from its epigenetic signature

Fatemeh Peymani1,2, Tomohiro Ebihara2, Dmitrii Smirnov1,2

  • 1Institute of Human Genetics, School of Medicine and Health, Technical University of Munich, Munich 81675, Germany.

PubMed

Insights

Pathogenic variants in MORC2 cause a DNA methylation signature, leading to gene repression and varied symptoms in patients. This epigenetic change explains the diverse clinical outcomes in MORC2-related disorders.

Area of Science:

  • Genetics
  • Epigenetics
  • Molecular Biology

Background:

  • Heterozygous missense mutations in MORC2 are linked to diverse clinical conditions, from early neurodevelopmental issues to late-onset neuropathies.
  • The underlying mechanisms for the wide range of symptoms and pleiotropic effects of MORC2 mutations remain unclear.

Purpose of the Study:

  • To investigate the molecular mechanisms behind the phenotypic heterogeneity in MORC2-related disorders.
  • To identify a potential epigenetic link explaining the pleiotropic effects of MORC2 mutations.

Main Methods:

  • Analysis of DNA methylation, transcriptomes, proteomes, and clinical phenotypes in 53 patients with MORC2 mutations.
  • Utilized multi-omics data to correlate molecular changes with clinical manifestations.

Main Results:

  • Identified a universal MORC2-specific DNA methylation episignature across all phenotypes and tissues.
  • Observed DNA hypermethylation in promoter regions, leading to transcriptional repression and a distinct RNA signature.
  • Downregulation of ERCC8, NDUFAF2, and FKTN correlated with specific clinical features like Leigh syndrome and dysmorphic features.

Conclusions:

  • Pathogenic MORC2 variants induce a specific DNA methylation episignature, explaining the pleiotropy and phenotypic heterogeneity.
  • Epigenetic variations, particularly DNA methylation changes, are proposed as a key mechanism for pleiotropy in MORC2 disorders and potentially other Mendelian conditions.

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