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Peymani, F. ; Ebihara, T. ; Smirnov, D. ; Kopajtich, R. ; Ando, M.* ; Bertini, E.* ; Carrozzo, R.* ; Diodato, D.* ; Distelmaier, F.* ; Fang, F.* ; Ghezzi, D.* ; Hempel, M.* ; Iwanicka-Pronicka, K.* ; Klopstock, T.* ; Stenton, S. ; Lamperti, C.* ; Liu, Z.* ; Murtazina, A.* ; Okamoto, Y.* ; Okazaki, Y.* ; Piekutowska-Abramczuk, D.* ; Rötig, A.* ; Ryzhkova, O.* ; Schlein, C.* ; Shagina, O.* ; Takashima, H.* ; Tsygankova, P.G.* ; Zech, M. ; Meitinger, T.* ; Shimura, M. ; Murayama, K.* ; Prokisch, H.

Pleiotropic effects of MORC2 derive from its epigenetic signature.

Brain:awaf159 (2025)
Postprint DOI PMC
Open Access Green
Heterozygous missense mutations in MORC2 have been implicated in various clinical entities, ranging from early-onset neurodevelopmental disorders to late-onset neuropathies. The mechanism underlying the phenotypic heterogeneity and pleiotropic effects of MORC2 has remained elusive. Here, we analyzed blood and fibroblast DNA methylation, transcriptomes, proteomes, and phenotypes of 53 MORC2 patients. We identified a MORC2-specific DNA methylation episignature that is universal across all MORC2-associated phenotypes and conserved across different tissues. The MORC2 episignature consists mainly of DNA hypermethylation in promoter regions, leading to transcriptional repression of target genes resulting in a MORC2-specific RNA signature. Concomitant downregulation of three disease-associated genes -ERCC8, NDUFAF2, and FKTN- at different levels mirrors the variable biochemical defects and clinical manifestations observed in MORC2 patients. Silencing of NDUFAF2 accounts for the Leigh syndrome manifestation, whereas dysmorphic features are due to the repression of ERCC8. Overall, we showed that pathogenic MORC2 variants cause specific episignature, whereby methylation level variability and its repression impact on target genes explains the pleiotropy and predicts phenotypic heterogeneity in MORC2-related disorders. We predict that epigenetic variation may underlie pleiotropy in other Mendelian disorders.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Cmt ; Leigh Syndrome ; Morc2 ; Episignature ; Multi-omics ; Pleiotropy
Language english
Publication Year 2025
HGF-reported in Year 2025
ISSN (print) / ISBN 0006-8950
e-ISSN 1460-2156
Quellenangaben Volume: , Issue: , Pages: , Article Number: awaf159 Supplement: ,
Publisher Oxford University Press
Reviewing status Peer reviewed
POF-Topic(s) 30205 - Bioengineering and Digital Health
Research field(s) Genetics and Epidemiology
PSP Element(s) G-503292-001
G-503200-001
PubMed ID 40302207
Erfassungsdatum 2025-05-11