Document Type

Article

Publication Date

3-30-2026

Identifier

DOI: 10.1038/s41467-026-71177-6; PMCID: PMC13035837

Abstract

The role of the cohesin complex depends on the cohesin loader proteins NIPBL and MAU2. While NIPBL variants are a major cause of Cornelia de Lange Syndrome (CdLS), the role of MAU2 in disease is unclear. We describe 18 individuals carrying 15 heterozygous MAU2 variants and demonstrate pathogenicity through functional analyses. In-frame MAU2 variants predominantly impair NIPBL-MAU2 interaction, whereas truncating variants cause MAU2 haploinsufficiency and lead to NIPBL reduction. Most individuals exhibit a DNA methylation profile compatible with the CdLS episignature. We also describe two MAU2-specific episignatures that reflect variant-dependent molecular consequences. Affected individuals display a wide range of phenotypes, from classic CdLS to milder presentations, with short stature and microcephaly as major features. A heterozygous Mau2 knockout mouse model recapitulates these traits, confirming the causal role of MAU2 disruption in vivo. Our study establishes MAU2 as a CdLS-associated gene and delineates a MAU2-related chromatinopathy with variable expressivity.

Journal Title

Nat Commun

Volume

17

Issue

1

MeSH Keywords

De Lange Syndrome; Humans; Animals; Cell Cycle Proteins; Male; Female; Cohesins; Mice; Mice, Knockout; Haploinsufficiency; Chromosomal Proteins, Non-Histone; DNA Methylation; Child; Phenotype; Heterozygote; Adolescent; Child, Preschool; Pedigree

PubMed ID

41912533

Keywords

De Lange Syndrome; Cell Cycle Proteins; Cohesins; Knockout Mice; Haploinsufficiency; Non-Histone Chromosomal Proteins; DNA Methylation; Phenotype; Heterozygote; Pedigree

Comments

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Publisher's Link: https://www.nature.com/articles/s41467-026-71177-6

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