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Aberrant phase separation and nucleolar dysfunction in rare genetic diseases

Nature, vol. 614, pp. 564–571

Abstract

Abstract Thousands of genetic variants in protein-coding genes have been linked to disease. However, the functional impact of most variants is unknown as they occur within intrinsically disordered protein regions that have poorly defined functions 1–3 . Intrinsically disordered regions can mediate phase separation and the formation of biomolecular condensates, such as the nucleolus 4,5 . This suggests that mutations in disordered proteins may alter condensate properties and function 6–8 . Here we show that a subset of disease-associated variants in disordered regions alter phase separation, cause mispartitioning into the nucleolus and disrupt nucleolar function. We discover de novo frameshift variants in HMGB1 that cause brachyphalangy, polydactyly and tibial aplasia syndrome, a rare complex malformation syndrome. The frameshifts replace the intrinsically disordered acidic tail of HMGB1 with an arginine-rich basic tail. The mutant tail alters HMGB1 phase separation, enhances its partitioning into the nucleolus and causes nucleolar dysfunction. We built a catalogue of more than 200,000 variants in disordered carboxy-terminal tails and identified more than 600 frameshifts that create arginine-rich basic tails in transcription factors and other proteins. For 12 out of the 13 disease-associated variants tested, the mutation enhanced partitioning into the nucleolus, and several variants altered rRNA biogenesis. These data identify the cause of a rare complex syndrome and suggest that a large number of genetic variants may dysregulate nucleoli and other biomolecular condensates in humans.

Authors 40

  1. Humboldt-Universität zu Berlin · Berlin Institute of Health at Charité - Universitätsmedizin Berlin · Max Planck Institute for Molecular Genetics · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    BIH Biomedical Innovation Academy, Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany

    Institute of Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

    RG Development and Disease, Max Planck Institute for Molecular Genetics, Berlin, Germany

    Institute of Medical Genetics and Human Genetics, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

  2. Max Planck Institute for Molecular Genetics

    Affiliation as printed

    Department of Genome Regulation, Max Planck Institute for Molecular Genetics, Berlin, Germany

  3. Max Planck Institute for Molecular Genetics

    Affiliation as printed

    Department of Genome Regulation, Max Planck Institute for Molecular Genetics, Berlin, Germany

  4. Max Planck Institute for Molecular Genetics

    Affiliation as printed

    Department of Genome Regulation, Max Planck Institute for Molecular Genetics, Berlin, Germany

  5. Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein · Berlin Institute of Health at Charité - Universitätsmedizin Berlin · University of Lübeck

    Affiliation as printed

    Exploratory Diagnostic Sciences, Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany

    Institute of Human Genetics, University Hospitals Schleswig-Holstein, University of Lübeck and Kiel University, Lübeck, Kiel, Germany

    Exploratory Diagnostic Sciences, Berlin Institute of Health at Charité–Universitätsmedizin Berlin, Berlin, Germany

  6. Humboldt-Universität zu Berlin · Berlin Institute of Health at Charité - Universitätsmedizin Berlin · Max Planck Institute for Molecular Genetics · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    BIH Biomedical Innovation Academy, Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany

    Institute of Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

    RG Development and Disease, Max Planck Institute for Molecular Genetics, Berlin, Germany

    Institute of Medical Genetics and Human Genetics, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

  7. Humboldt-Universität zu Berlin · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Institute of Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

    Institute of Medical Genetics and Human Genetics, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

  8. Humboldt-Universität zu Berlin · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Institute of Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

    Institute of Medical Genetics and Human Genetics, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

  9. University Medical Center Hamburg-Eppendorf

    Affiliation as printed

    Institute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

  10. CeGaT (Germany)

    Affiliation as printed

    Center for Genomics and Transcriptomics (CeGaT), Tübingen, Germany

  11. University of Hong Kong

    Affiliation as printed

    Department of Pediatrics and Adolescent Medicine, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong

  12. Carl von Ossietzky Universität Oldenburg · University Hospital Schleswig-Holstein

    Affiliation as printed

    Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Kiel, Germany

    Department of Medical Genetics, Carl von Ossietzky University, Oldenburg, Germany

  13. University Hospital Schleswig-Holstein

    Affiliation as printed

    Department of Obstetrics and Gynecology, University Hospital Schleswig-Holstein, Kiel, Germany

  14. Carl von Ossietzky Universität Oldenburg · University Hospital Schleswig-Holstein

    Affiliation as printed

    Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Kiel, Germany

    Department of Medical Genetics, Carl von Ossietzky University, Oldenburg, Germany

  15. Radboud University Nijmegen · Radboud University Medical Center · Radboud Institute for Molecular Life Sciences

    Affiliation as printed

    Department of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands

    Department of Internal Medicine, Radboud Institute for Molecular Life Sciences, Radboud Expertise Center for Immunodeficiency and Autoinflammation and Radboud Center for Infectious Disease (RCI), Radboud University Medical Center, Nijmegen, The Netherlands

  16. University Hospital Schleswig-Holstein

    Affiliation as printed

    Department of Pediatrics, Pediatric Endocrinology and Diabetes, University Hospital Schleswig-Holstein, Schleswig-Holstein, Germany

  17. Katholisches Kinderkrankenhaus Wilhelmstift

    Affiliation as printed

    Handchirurgie, Katholisches Kinderkrankenhaus Wilhelmstift, Hamburg, Germany

  18. University of Social Welfare and Rehabilitation Sciences

    Affiliation as printed

    Genetics Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

  19. Max Planck Institute for Molecular Genetics

    Affiliation as printed

    RG Development and Disease, Max Planck Institute for Molecular Genetics, Berlin, Germany

  20. Queen Mary Hospital

    Affiliation as printed

    Department of Obstetrics and Gynaecology, Queen Mary Hospital, Pok Fu Lam, Hong Kong

  21. Friedrich-Alexander-Universität Erlangen-Nürnberg · Universitätsklinikum Erlangen

    Affiliation as printed

    Institute of Human Genetics, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany

  22. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Institute for Human Genetics and Genomic Medicine, Medical Faculty, RWTH Aachen University Hospital, Aachen, Germany

  23. Humboldt-Universität zu Berlin · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Department of Pediatric Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

    Department of Pediatric Neurology, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

  24. University Hospital Schleswig-Holstein

    Affiliation as printed

    Department of Pediatrics, University Hospital Center Schleswig-Holstein, Kiel, Germany

    Department of Pediatrics, University Hospital Center Schleswig‐Holstein, Kiel, Germany

  25. University Hospital Schleswig-Holstein

    Affiliation as printed

    Department of Radiology and Neuroradiology, Pediatric Radiology, University Hospital Schleswig-Holstein, Kiel, Germany

  26. University of Social Welfare and Rehabilitation Sciences

    Affiliation as printed

    Genetics Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

  27. Humboldt-Universität zu Berlin · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Institute of Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

    Institute of Medical Genetics and Human Genetics, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

  28. Radboud University Medical Center

    Affiliation as printed

    Department of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands

  29. University of Freiburg · University Medical Center Freiburg

    Affiliation as printed

    Institute of Human Genetics, Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

  30. Helios Hospital Schwerin

    Affiliation as printed

    Zentrum für Kinder-und Jugendmedizin, Helios Kliniken Schwerin, Schwerin, Germany

  31. University Hospital Magdeburg · Otto-von-Guericke-Universität Magdeburg

    Affiliation as printed

    Institute of Human Genetics, University Hospital, Otto-von-Guericke University, Magdeburg, Germany

  32. Institute for Research in Biomedicine · Barcelona Institute of Science and Technology

    Affiliation as printed

    Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona, Spain

  33. Max Planck Institute for Molecular Genetics

    Affiliation as printed

    Microscopy Core Facility, Max Planck Institute for Molecular Genetics, Berlin, Germany

  34. Institució Catalana de Recerca i Estudis Avançats · Institute for Research in Biomedicine · Barcelona Institute of Science and Technology

    Affiliation as printed

    ICREA, Passeig Lluís Companys 23, Barcelona, Spain

    Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona, Spain

  35. Max Planck Institute for Molecular Genetics

    Affiliation as printed

    Department of Genome Regulation, Max Planck Institute for Molecular Genetics, Berlin, Germany

  36. Humboldt-Universität zu Berlin · Berlin-Brandenburger Centrum für Regenerative Therapien · Berlin Institute of Health at Charité - Universitätsmedizin Berlin · Max Planck Institute for Molecular Genetics · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    BCRT-Berlin Institute of Health Center for Regenerative Therapies, Berlin, Germany

    BIH Biomedical Innovation Academy, Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany

    Institute of Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

    RG Development and Disease, Max Planck Institute for Molecular Genetics, Berlin, Germany

  37. Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein · University of Lübeck

    Affiliation as printed

    Institute of Human Genetics, University Hospitals Schleswig-Holstein, University of Lübeck and Kiel University, Lübeck, Kiel, Germany

  38. Malte Spielmann corresponding

    Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein · German Centre for Cardiovascular Research · Max Planck Institute for Molecular Genetics · University of Lübeck

    Affiliation as printed

    DZHK (German Centre for Cardiovascular Research), partner site Hamburg, Lübeck, Kiel, Lübeck, Germany. Malte.Spielmann@uksh.de

    Institute of Human Genetics, University Hospitals Schleswig-Holstein, University of Lübeck and Kiel University, Lübeck, Kiel, Germany. Malte.Spielmann@uksh.de

    RG Development and Disease, Max Planck Institute for Molecular Genetics, Berlin, Germany. Malte.Spielmann@uksh.de

    Institute of Human Genetics, University Hospitals Schleswig-Holstein, University of Lübeck and Kiel University, Lübeck, Kiel, Germany

  39. Denise Horn corresponding

    Humboldt-Universität zu Berlin · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Institute of Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany. Denise.Horn@charite.de

    Institute of Medical Genetics and Human Genetics, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany

  40. Denes Hnisz corresponding

    Max Planck Institute for Molecular Genetics

    Affiliation as printed

    Department of Genome Regulation, Max Planck Institute for Molecular Genetics, Berlin, Germany. hnisz@molgen.mpg.de

    Department of Genome Regulation, Max Planck Institute for Molecular Genetics, Berlin, Germany

Cited by 168 stored of 168

References 86