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Analysis of R-loop forming regions identifies RNU2-2 and RNU5B-1 as neurodevelopmental disorder genes

Abstract:
R-loops are DNA-RNA hybrid structures that may promote mutagenesis. However, their contribution to human Mendelian disorders is unexplored. Here we show excess de novo variants in genomic regions that form R-loops (henceforth, 'R-loop regions') and demonstrate enrichment of R-loop region variants (RRVs) in ribozyme, snoRNA and snRNA genes, specifically in rare disease cohorts. Using this insight, we report neurodevelopmental disorders (NDDs) caused by rare variants in two major spliceosomal RNA encoding genes, RNU2-2 and RNU5B-1. These, along with the recently described RNU4-2-related ReNU syndrome, provide a genetic explanation for a substantial proportion of individuals with NDDs.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41588-025-02209-y
Publication website:
https://eprints.whiterose.ac.uk/id/eprint/227716/1/s41588-025-02209-y.pdf

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Role:
Author
ORCID:
0000-0002-3674-3960
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Role:
Author
ORCID:
0009-0006-7025-8842
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Institution:
University of Oxford
Role:
Author
ORCID:
0000-0002-0260-7020
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Role:
Author
ORCID:
0000-0002-4223-0571
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Role:
Author
ORCID:
0000-0001-6043-807X


Publisher:
Nature Research
Journal:
Nature Genetics More from this journal
Volume:
57
Issue:
6
Pages:
1362-1366
Publication date:
2025-05-29
DOI:
EISSN:
1546-1718
ISSN:
1061-4036


Language:
English
Keywords:
Pubs id:
2429040
Local pid:
pubs:2429040
Source identifiers:
W4410867328
Deposit date:
2026-06-04
ARK identifier:
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