Human Gene Module / Chromosome 12 / RNU4-2

RNU4-2RNA, U4 small nuclear 2 

SFARI Gene Score
1S
High Confidence, Syndromic Criteria 1.1, Syndromic
Autism Reports / Total Reports
0 / 6
Rare Variants / Common Variants
18 / 0
Aliases
-
Associated Syndromes
-
Chromosome Band
12q24.23
Associated Disorders
-
Relevance to Autism

Greene et al., 2024 performed a genetic association analysis comparing the burden of rare variants in 41,132 noncoding genes between 5,529 unrelated cases with intellectual disability and 46,401 unrelated controls and identified RNU4-2 as the most strongly associated gene with de novo variants among 47 cases in two regions of RNU4-2 (n.62–70 and n.73–79) in the etiology of a syndrome characterized by intellectual disability, microcephaly, short stature, hypotonia, seizures and motor delay; n.64_65insT was the most common RNU4-2 variant and was observed as a de novo mutation in 33 different families. Chen et al., 2024 subsequently identified an 18 bp region of RNU4-2 that was severely depleted of variation in the general population but in which heterozygous variants in 115 individuals with neurodevelopmental disorders were identified; most of these individuals (77.4%) had the same highly current single base insertion (n.64_65insT), and in 54 individuals where it could be determined, de novo variants were all on the maternal allele. Furthermore, characterization of detailed phenotypic information for a subset of 49 individuals (42 with the n.64_65insT variant) in this report demonstrated that RNU4-2 was responsible for a neurodevelopmental syndrome characterized by global developmental delay, intellectual disability, dysmorphic features, short stature, microcephaly, hypotonia, seizures, structural brain abnormalities detected by brain MRI, and behavioral abnormalities, including autism spectrum disorder in 21/44 individuals (48%).

Molecular Function

RNU4-2 encodes the U4 small nuclear RNA (snRNA) component of the small nuclear ribonuculeoprotein (snRNP) U4, which is one of the five snRNPs of the major spliceosome.

SFARI Genomic Platforms
Reports related to RNU4-2 (6 Reports)
# Type Title Author, Year Autism Report Associated Disorders
1 Recent recommendation - Daniel Greene et al. (2024) No Epilepsy/seizures
2 Support - Rachel Schot et al. (2024) No -
3 Primary - Yuyang Chen et al. (2024) No ASD, epilepsy/seizures
4 Support - Irene Valenzuela et al. (2024) No Autistic behavior, epilepsy/seizures, stereotypy
5 Support - Kristen Barbour et al. (2024) No ASD, ID, stereotypy
6 Support - Jessica Rosenblum et al. (2025) No ASD or autistic features, epilepsy/seizures
Rare Variants   (18)
Status Allele Change Residue Change Variant Type Inheritance Pattern Parental Transmission Family Type PubMed ID Author, Year
n.64_65insT - non_coding_transcript_variant De novo - - 38991538 Yuyang Chen et al. (2024)
n.77_78insT - non_coding_transcript_variant De novo - - 38991538 Yuyang Chen et al. (2024)
n.69C>T - non_coding_transcript_variant De novo - - 39369315 Irene Valenzuela et al. (2024)
n.64dup - non_coding_transcript_variant De novo - Simplex 38991538 Yuyang Chen et al. (2024)
n.65A>G - non_coding_transcript_variant De novo - Simplex 38991538 Yuyang Chen et al. (2024)
n.68dup - non_coding_transcript_variant De novo - Simplex 38991538 Yuyang Chen et al. (2024)
n.69C>T - non_coding_transcript_variant De novo - Simplex 38991538 Yuyang Chen et al. (2024)
n.76C>T - non_coding_transcript_variant De novo - Simplex 38991538 Yuyang Chen et al. (2024)
n.64_65insT - non_coding_transcript_variant De novo - - 39423747 Kristen Barbour et al. (2024)
n.64_65insT - non_coding_transcript_variant De novo - - 39369315 Irene Valenzuela et al. (2024)
n.64_65insT - non_coding_transcript_variant De novo - - 39434505 Jessica Rosenblum et al. (2025)
n.64_65insT - non_coding_transcript_variant De novo - Simplex 38991538 Yuyang Chen et al. (2024)
n.64_65insT - non_coding_transcript_variant Unknown - Simplex 38991538 Yuyang Chen et al. (2024)
n.64_65insT - non_coding_transcript_variant De novo - Unknown 38991538 Yuyang Chen et al. (2024)
n.64_65insT - non_coding_transcript_variant De novo - Simplex 38859706 Rachel Schot et al. (2024)
n.70T>C - non_coding_transcript_variant De novo - Simplex 39434505 Jessica Rosenblum et al. (2025)
n.64_65insT - non_coding_transcript_variant De novo - Simplex 39369315 Irene Valenzuela et al. (2024)
n.64_65insT - non_coding_transcript_variant Unknown Not maternal Simplex 38991538 Yuyang Chen et al. (2024)
Common Variants  

No common variants reported.

SFARI Gene score
1S

High Confidence, Syndromic

1

High Confidence

See all Category 1 Genes

We 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."

10/1/2024
1S

Initial score established: 1S

Krishnan Probability Score

Score 0.44333900998265

Ranking 16755/25841 scored genes


[Show Scoring Methodology]
Krishnan and colleagues generated probability scores genome-wide by using a machine learning approach on a human brain-specific gene network. The method was first presented in Nat Neurosci 19, 1454-1462 (2016), and scores for more than 25,000 RefSeq genes can be accessed in column G of supplementary table 3 (see: http://www.nature.com/neuro/journal/v19/n11/extref/nn.4353-S5.xlsx). A searchable browser, with the ability to view networks of associated ASD risk genes, can be found at asd.princeton.edu.
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