A Clinical Case of ZMYND11-Associated Syndromic Intellectual Disability

Abstract

Various pathogenic or likely pathogenic variants have been identified in the ZMYND11 gene, located on the short arm of chromosome 10, which encodes the synthesis of the ZMYND11 protein. As a result, reduced levels or reduced function of the ZMYND11 protein manifests in dysmorphic features, delayed neuropsychological development, behavioral disorders, hypotonia, and seizures.

We present a clinical case of a boy with related syndromic intellectual disability due to a pathogenic variant in the ZMYND11 gene.

Keywords: syndromic intellectual disability, behavioral disorders, pathogenic variant, ZMYND11

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Bibliography

  1. Kniffin CL. Intellectual developmental disorder, autosomal dominant 30, with speech delay and behavioral abnormalities; MRD30 [Internet]. 2022 Sep 1 [cited 2025 Aug 5]. Available from: https://omim.org/entry/616083
  2. Wen H, Li Y, Xi Y, et al. ZMYND11 links histone H3.3 K36 trimethylation to transcription elongation and tumor suppression. Nature. 2014;508(7495):263–8. doi:10.1038/nature13045
  3. Oates S, Absoud M, Goyal S, et al. ZMYND11 variants are a novel cause of centrotemporal and generalised epilepsies with neurodevelopmental disorder. Clin Genet. 2021;100(4):412–29. doi:10.1111/cge.14023
  4. Rare Chromosome Disorder Support Group. ZMYND11-related syndromic intellectual disability (ID) [Internet]. ZMYND11 related syndromic intellectual disability QFN.pdf.
  5. Yates TM, Drucker M, Barnicoat A, Low K, Gerkes EH, Fry AE, Parker MJ, O’Driscoll M, Charles P, Cox H, et al. ZMYND11-related syndromic intellectual disability: 16 patients delineating and expanding the phenotypic spectrum. Hum Mutat. 2020;41(5):1042–50.
  6. Indelicato E, Zech M, Amprosi M, et al. Untangling neurodevelopmental disorders in adulthood: a movement disorder is the clue. Orphanet J Rare Dis. 2022;17:55. doi:10.1186/s13023-022-02218-8
  7. Bodetko A, Chrzanowska J, et al. Further delineation of clinical phenotype of ZMYND11 variants in patients with neurodevelopmental dysmorphic syndrome. Genes (Basel). 2024;15(2):256. doi:10.3390/genes15020256
  8. National Center for Biotechnology Information. ClinVar; [VCV000208648.47] [Internet]. [cited 2025 Aug 5]. Available from: https://www.ncbi.nlm.nih.gov/clinvar/variation/VCV000208648.47
  9. Iossifov I, Ronemus M, et al. De novo gene disruptions in children on the autistic spectrum. Neuron. 2012;74:285–99.
  10. Cobben JM, Weiss M, et al. A de novo mutation in ZMYND11, a candidate gene for 10p15.3 deletion syndrome, is associated with syndromic intellectual disability. Eur J Med Genet. 2014;57:636–8.
  11. Moskowitz AM, Belnap N, et al. A de novo missense mutation in ZMYND11 is associated with global developmental delay, seizures, and hypotonia. Cold Spring Harb Mol Case Stud. 2016;2(5):a000851. doi:10.1101/mcs.a000851
  12. García-Gutiérrez P, García-Domínguez M. BETting on a transcriptional deficit as the main cause for Cornelia de Lange syndrome. Front Mol Biosci. 2021;8:709232.

Address for correspondence:

M. Bogdanova

Department of Clinical Genetics of the SBALDB “Prof. Ivan Mitev”, Sofia
e-mail: bogdanovamagdalena1@gmail.com