ARID2-related disorder: further delineation of the clinical phenotype of 27 novel individuals and description of an epigenetic signature
Rare genetic variants in ARID2 are responsible for a recently described neurodevelopmental condition called ARID2-related disorder (ARID2-RD). ARID2 belongs to PBAF, a unit of the SWI/SNF complex, which is a chromatin remodeling complex. This work aims to further delineate the phenotypic spectrum of ARID2-RD, providing clinicians with additional data for better care and aid in the future diagnosis of this condition. We obtained the genotypes and phenotypes of 27 previously unreported individuals with ARID2-RD and compared this series with findings in the literature. We also assessed peripheral blood DNA methylation profiles in individuals with ARID2-RD compared to episignatures of controls, unresolved cases, and other neurodevelopmental disorders. The main clinical features of ARID2-RD are developmental delay, speech disorders, intellectual disability (ID), behavior problems, short stature, and various dysmorphic and ectodermal features. Genome-wide differential methylation analysis revealed a global hypermethylated profile in ARID2-RD that could aid in reclassifying variants of uncertain significance. Our study doubles the number of reported individuals with ARID2 pathogenic variants to 53. It confirms loss-of-function as a pathomechanism and shows the absence of a clear genotype-phenotype correlation. We provide evidence for a unique DNA methylation episignature for ARID2-RD and further delineate the ARID2-associated phenotype.
Authors
- Valérie Cormier‐Daire (ORCID: https://orcid.org/0000-0002-2839-9856)
- Gijs W.E. Santen (ORCID: https://orcid.org/0000-0003-1959-3267)
- Boris Keren (ORCID: https://orcid.org/0000-0001-6172-8247)
- Adeline Jacquinet (ORCID: https://orcid.org/0000-0002-8342-0427)
- Christel Thauvin‐Robinet (ORCID: https://orcid.org/0000-0002-4155-139X)
- Giulia Barcia (ORCID: https://orcid.org/0000-0001-6657-5040)
- Frédéric Tran Mau‐Them (ORCID: https://orcid.org/0000-0002-3795-9456)
- Tanguy Demaret (ORCID: https://orcid.org/0000-0001-7605-9031)
- Alice Goldenberg (ORCID: https://orcid.org/0000-0002-5864-9182)
- Beatrice Oneda
- Sandra Whalen (ORCID: https://orcid.org/0000-0001-9156-5047)
- Jennifer Schleit
- Daniela Buhaş (ORCID: https://orcid.org/0000-0002-9688-4677)
- Laurent Pasquier (ORCID: https://orcid.org/0000-0003-3985-1286)
- Mélanie Fradin (ORCID: https://orcid.org/0000-0002-2535-2198)
- Estelle Colin (ORCID: https://orcid.org/0000-0001-7913-3938)
- Christophe Philippe (ORCID: https://orcid.org/0000-0001-7098-6520)
- Sophie Rondeau (ORCID: https://orcid.org/0000-0001-5962-7033)
- Katharina Steindl (ORCID: https://orcid.org/0000-0002-4425-3072)
- Mathilde Nizon (ORCID: https://orcid.org/0000-0003-2170-4210)
- Anita M. Rauch (ORCID: https://orcid.org/0000-0003-2930-3163)
- Detlef Trost
- Marie Bournez (ORCID: https://orcid.org/0000-0001-9666-0350)
- Antoine Bonnevalle
- Mariëlle Alders (ORCID: https://orcid.org/0000-0002-7386-4868)
- Rebecca Procopio
- Louis Legoff (ORCID: https://orcid.org/0000-0003-2864-1654)
- Christèle Dubourg (ORCID: https://orcid.org/0000-0003-1345-4522)
- Raissa Relator (ORCID: https://orcid.org/0000-0002-8153-2222)
- Anaïs Begemann (ORCID: https://orcid.org/0000-0001-6762-0819)
- Clément Prouteau (ORCID: https://orcid.org/0000-0002-2986-5599)
- Antonio Vitobello (ORCID: https://orcid.org/0000-0003-3717-8374)
- Ange‐Line Bruel (ORCID: https://orcid.org/0000-0002-0526-465X)
- Pleuntje J. van der Sluijs (ORCID: https://orcid.org/0000-0002-1174-2806)
- Karen W. Gripp (ORCID: https://orcid.org/0000-0001-8200-1733)
- Liselot van der Laan (ORCID: https://orcid.org/0000-0002-7800-8665)
- Himanshu Goel (ORCID: https://orcid.org/0000-0001-6448-6618)
- Arthur Sorlin (ORCID: https://orcid.org/0000-0001-8008-9145)
- Floriane Carallis
- Marine Tessarech (ORCID: https://orcid.org/0000-0003-2496-005X)
- Thomas Rambaud (ORCID: https://orcid.org/0000-0003-1677-0838)
- Anne Guimier (ORCID: https://orcid.org/0000-0002-4759-0621)
- Angela Bahr (ORCID: https://orcid.org/0000-0001-9759-2599)
- Céline Bris (ORCID: https://orcid.org/0000-0003-2425-4446)
- Marie Vincent (ORCID: https://orcid.org/0000-0003-1010-5618)
- Bryce A. Mendelsohn (ORCID: https://orcid.org/0000-0001-8174-5116)
- Dominique Bonneau (ORCID: https://orcid.org/0000-0002-6886-0969)
- Bekim Sadiković (ORCID: https://orcid.org/0000-0001-6363-0016)
- Cyril Mignot (ORCID: https://orcid.org/0000-0002-3462-3463)
- Anne‐Sophie Denommé‐Pichon (ORCID: https://orcid.org/0000-0002-8986-8222)
- Michael A. Levy (ORCID: https://orcid.org/0000-0002-4188-2527)
- David Geneviève (ORCID: https://orcid.org/0000-0001-6928-6287)
- Julie Désir (ORCID: https://orcid.org/0000-0002-1998-0761)
- Aïcha Boughalem (ORCID: https://orcid.org/0000-0002-3937-5040)
- Matthew L. Tedder (ORCID: https://orcid.org/0000-0003-0613-6702)
- Kathleen Rooney (ORCID: https://orcid.org/0000-0002-7871-8982)
- Clarisse Battault
- Clara Houdayer (ORCID: https://orcid.org/0000-0001-9010-7722)
- Haley McConkey
- Vincent Procaccio
- Vincent Milon (ORCID: https://orcid.org/0009-0000-9979-1575)
- Bertrand Isidor
- Benjamin Cogné (ORCID: https://orcid.org/0000-0002-5503-6292)
- Julian Delanne
- Agnès Guichet
- Olivier Patat (ORCID: https://orcid.org/0000-0001-5759-1540)
- Alice Bourges
Institutions
- Western University (CA)
- Hôpital Necker-Enfants Malades (FR)
- Centre National de la Recherche Scientifique (FR)
- DuPont (United States) (US)
- Inserm (FR)
- University of Liège (BE)
- Université de Bourgogne (FR)
- Université Fédérale de Toulouse Midi-Pyrénées (FR)
- Université de Montpellier (FR)
- University of Zurich (CH)
- Université Paris Cité (FR)
- Leiden University Medical Center (NL)
- London Health Sciences Centre (CA)
- Community Health Systems - Dupont Hospital (US)
- McGill University Health Centre (CA)
- Kaiser Permanente Oakland Medical Center (US)
- Centre Hospitalier Universitaire de Nantes (FR)
- Sorbonne Université (FR)
- Hôpital Armand-Trousseau (FR)
- Assistance Publique – Hôpitaux de Paris (FR)
- Hunter Genetics (AU)
- Institute of Pathology and Genetics (BE)
- Centre Hospitalier Universitaire d'Angers (FR)
- CHU Dijon Bourgogne (FR)
- Centre d'Épidémiologie sur les Causes Médicales de Décès (FR)
- Institut du Thorax (FR)
- Greenwood Genetic Center (US)
- Amsterdam University Medical Centers (NL)
- Centre Hospitalier Universitaire de Rennes (FR)
- ERN ITHACA (FR)
- Université d'Angers (FR)
- McGill University (CA)
- Virbac (France) (FR)
- Université de Rouen Normandie (FR)
- Quest Diagnostics (United States) (US)
- University of Amsterdam (NL)
- Nantes Université (FR)
Publication Details
- Journal
- European Journal of Human Genetics
- Published
- 2025-03-05
- DOI
- https://doi.org/10.1038/s41431-025-01798-w
- Citations
- 4
- Primary Topic
- Chromatin Remodeling and Cancer
- Type
- article
- Field-Weighted Citation Impact
- 3.22
Funders
- McGill University
- Genome Canada
- Ontario Genomics
- McGill University Health Centre
- Quest Diagnostics
- Institut des maladies génétiques Imagine
- Government of Canada
- Ontario Genomics Institute
- Institut National de la Santé et de la Recherche Médicale
- Universiteit Leiden
- Université de Bourgogne
- Centre National de la Recherche Scientifique
- Leids Universitair Medisch Centrum
- Universität Zürich
- Centre Hospitalier Universitaire de Nantes
- Assistance publique-Hôpitaux de Paris
- Normandie Université
- Sorbonne Université