NSD2nuclear receptor binding SET domain protein 2
Autism Reports / Total Reports
5 / 14Rare Variants / Common Variants
38 / 0Aliases
NSD2, KMT3F, KMT3G, MMSET, REIIBP, TRX5, WHS, WHSC1Associated Syndromes
Wolf-Hirschhorn syndrome, Rauch-Steindl syndromeChromosome Band
4p16.3Associated Disorders
DD/NDD, ID, ASDRelevance to Autism
De novo likely gene-disruptive (dnLGD) variants in the NSD2 gene have been identified in an ASD proband from the Autism Sequencing Consortium (De Rubeis et al., 2014), an ASD proband from the SPARK cohort (Wang et al., 2020), and three probands from the Deciphering Developmental Disorders study in 2017, while de novo missense variants in this gene have been observed in an ASD proband from a multiplex family from the AGRE cohort (Yuen et al., 2017) and a proband with intellectual disability (Lelieveld et al., 2016). Single-molecular molecular inversion probe (smMIP) sequencing of 3,363 probands from cohorts with a primary diagnosis of ASD in Wang et al., 2020 identified three ASD-associated likely-gene disruptive variants and five ASD-associated missense variants with CADD scores 30 in the NSD2 gene. NSD2 is located with the critical region of Wolf-Hirschhorn syndrome (WHS), and numerous studies have reported that de novo truncating variants in this gene recapitulate many WHS-associated phenotypes (Boczek et al., 2018; Derar et al., 2019; Barrie et al., 2019; Jiang et al., 2019). Zanoni et al., 2021 reported 18 previously unpublished individuals from 16 families with ultrarare pathogenic or likely pathogenic variants in NSD2 that presented with a core phenotype characterized by mostly mild developmental delay, prenatal-onset growth retardation, low body mass index, and characteristic facial features distinct from those observed in individuals with Wolf-Hirschhorn syndrome; seven of these individuals presented with either a diagnosis of autism spectrum disorder or autistic features, and both individuals diagnosed with autism spectrum disorder in this report had de novo missense variants that were experimentally shown to reduce methylation activity and fail to reconstitute H3K36me2 levels in NSD2 knockout cells.
Molecular Function
This gene encodes a protein that contains four domains present in other developmental proteins: a PWWP domain, an HMG box, a SET domain, and a PHD-type zinc finger. It is expressed ubiquitously in early development. Wolf-Hirschhorn syndrome (WHS) is a malformation syndrome associated with a hemizygous deletion of the distal short arm of chromosome 4. This gene maps to the 165 kb WHS critical region and has also been involved in the chromosomal translocation t(4;14)(p16.3;q32.3) in multiple myelomas.
External Links
SFARI Genomic Platforms
Reports related to NSD2 (14 Reports)
# | Type | Title | Author, Year | Autism Report | Associated Disorders |
---|---|---|---|---|---|
1 | Support | Synaptic, transcriptional and chromatin genes disrupted in autism | De Rubeis S , et al. (2014) | Yes | - |
2 | Support | Meta-analysis of 2,104 trios provides support for 10 new genes for intellectual disability | Lelieveld SH et al. (2016) | No | - |
3 | Support | Prevalence and architecture of de novo mutations in developmental disorders | et al. (2017) | No | - |
4 | Support | Whole genome sequencing resource identifies 18 new candidate genes for autism spectrum disorder | C Yuen RK et al. (2017) | Yes | - |
5 | Support | De novo truncating variants in WHSC1 recapitulate the Wolf-Hirschhorn (4p16.3 microdeletion) syndrome phenotype | Derar N et al. (2019) | No | - |
6 | Support | Developmental delay and failure to thrive associated with a loss-of-function variant in WHSC1 (NSD2) | Boczek NJ et al. (2018) | No | - |
7 | Support | De novo loss-of-function variants in NSD2 ( WHSC1) associate with a subset of Wolf-Hirschhorn syndrome | Barrie ES et al. (2019) | No | - |
8 | Support | De novo truncating variant in NSD2gene leading to atypical Wolf-Hirschhorn syndrome phenotype | Jiang Y et al. (2019) | No | - |
9 | Primary | Large-scale targeted sequencing identifies risk genes for neurodevelopmental disorders | Wang T et al. (2020) | Yes | DD |
10 | Recent Recommendation | - | Zanoni P et al. (2021) | No | ASD or autistic features, ID |
11 | Support | - | N.Y.) (07/2) | Yes | - |
12 | Support | - | Zhou X et al. (2022) | Yes | - |
13 | Support | - | Shiori Kinoshita et al. (2024) | No | - |
14 | Support | - | Shenglan Li et al. (2024) | No | - |
Rare Variants (38)
Status | Allele Change | Residue Change | Variant Type | Inheritance Pattern | Parental Transmission | Family Type | PubMed ID | Author, Year |
---|---|---|---|---|---|---|---|---|
c.*9_*11del | - | stop_lost | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.1881+6del | - | stop_lost | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
- | - | copy_number_loss | Unknown | - | - | 38593811 | Shenglan Li et al. (2024) | |
c.1486G>T | p.Glu496Ter | stop_gained | De novo | - | - | 28135719 | et al. (2017) | |
c.3575G>A | p.Arg1192Gln | missense_variant | De novo | - | - | 35901164 | N.Y.) (07/2) | |
c.1348C>T | p.Arg450Ter | stop_gained | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.3412C>T | p.Arg1138Ter | stop_gained | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.2593G>A | p.Gly865Ser | missense_variant | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.2792C>T | p.Thr931Met | missense_variant | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.3518C>G | p.Thr1173Arg | missense_variant | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.3566C>T | p.Thr1189Met | missense_variant | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.3955G>A | p.Gly1319Arg | missense_variant | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.3530_3531del | p.Phe1177Ter | frameshift_variant | De novo | - | - | 28135719 | et al. (2017) | |
c.3881C>A | p.Ser1294Ter | stop_gained | De novo | - | Simplex | 35982159 | Zhou X et al. (2022) | |
c.1798C>T | p.Arg600Ter | stop_gained | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.2160T>A | p.Cys720Ter | stop_gained | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.2263C>T | p.Arg755Ter | stop_gained | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.253C>T | p.Arg85Trp | missense_variant | Unknown | - | Simplex | 33004838 | Wang T et al. (2020) | |
c.769_770del | p.Lys257GlufsTer12 | frameshift_variant | De novo | - | - | 28135719 | et al. (2017) | |
c.3410C>T | p.Ser1137Phe | missense_variant | De novo | - | - | 27479843 | Lelieveld SH et al. (2016) | |
c.2606G>A | p.Cys869Tyr | missense_variant | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.3974A>G | p.Glu1325Gly | missense_variant | Familial | Paternal | - | 33004838 | Wang T et al. (2020) | |
c.3380dup | p.Ile1128AsnfsTer22 | frameshift_variant | De novo | - | - | 33004838 | Wang T et al. (2020) | |
c.3056A>G | p.Lys1019Arg | missense_variant | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.3271G>A | p.Glu1091Lys | missense_variant | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.3410C>T | p.Ser1137Phe | missense_variant | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.3301_3302delinsTG | p.Glu1101Trp | missense_variant | Unknown | - | - | 33004838 | Wang T et al. (2020) | |
c.3992C>T | p.Ala1331Val | missense_variant | De novo | - | Multiplex | 28263302 | C Yuen RK et al. (2017) | |
c.1370del | p.Ala457AspfsTer16 | frameshift_variant | De novo | - | - | 25363760 | De Rubeis S , et al. (2014) | |
c.1569dup | p.Lys524GlufsTer17 | frameshift_variant | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.4028del | p.Pro1343GlnfsTer49 | frameshift_variant | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.4028delC | p.Pro1343GlnfsTer49 | frameshift_variant | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.2684C>T | p.Pro895Leu | missense_variant | Familial | Maternal | Multiplex | 33941880 | Zanoni P et al. (2021) | |
c.1103_1104del | p.Glu368ValfsTer13 | frameshift_variant | De novo | - | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.1588_1589dup | p.Ile532GlyfsTer67 | frameshift_variant | Unknown | - | Unknown | 33941880 | Zanoni P et al. (2021) | |
c.3547del | p.Cys1183ValfsTer146 | frameshift_variant | Unknown | Not maternal | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.3223_3226dup | p.Gly1076ValfsTer16 | frameshift_variant | Unknown | Not maternal | Simplex | 33941880 | Zanoni P et al. (2021) | |
c.3472dup | p.Asp1158GlyfsTer11 | frameshift_variant | Familial | Paternal | Extended multiplex | 33941880 | Zanoni P et al. (2021) |
Common Variants
No common variants reported.
SFARI Gene score
Strong Candidate, Syndromic


Score Delta: Score remained at 2S
criteria met
See SFARI Gene'scoring criteriaWe considered a rigorous statistical comparison between cases and controls, yielding genome-wide statistical significance, with independent replication, to be the strongest possible evidence for a gene. These criteria were relaxed slightly for category 2.
The syndromic category includes mutations that are associated with a substantial degree of increased risk and consistently linked to additional characteristics not required for an ASD diagnosis. If there is independent evidence implicating a gene in idiopathic ASD, it will be listed as "#S" (e.g., 2S, 3S, etc.). If there is no such independent evidence, the gene will be listed simply as "S."
4/1/2022
