BPTF

protein-coding

bromodomain PHD finger transcription factor, the group of PHD finger proteins|Bromodomain containing|NURF complex

Gene summary

This gene was identified by the reactivity of its encoded protein to a monoclonal antibody prepared against brain homogenates from patients with Alzheimer's disease. Analysis of the original protein (fetal Alz-50 reactive clone 1, or FAC1), identified as an 810 aa protein containing a DNA-binding domain and a zinc finger motif, suggested it might play a role in the regulation of transcription. High levels of FAC1 were detected in fetal brain and in patients with neurodegenerative diseases. The protein encoded by this gene is actually much larger than originally thought, and it also contains a C-terminal bromodomain characteristic of proteins that regulate transcription during proliferation. The encoded protein is highly similar to the largest subunit of the Drosophila NURF (nucleosome remodeling factor) complex. In Drosophila, the NURF complex, which catalyzes nucleosome sliding on DNA and interacts with sequence-specific transcription factors, is necessary for the chromatin remodeling required for transcription. Two alternative transcripts encoding different isoforms have been described completely. [provided by RefSeq, Jul 2008]

Previous symbols:
  • FALZ

MANE transcript

NM_182641.4

Inheritance

AD

ClinVar variants

P:94U:724B:306

Top phenotype

Kaposi sarcoma, susceptibility to

gnomAD constraint

pLI —, LoF o/e 0.05

Max pathogenic AF

—

Genomic locus

chr17:67,825,503-67,984,378

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~158.9 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

neurodevelopmental disorder with dysmorphic facies and distal limb anomaliesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0060596

Submitter: Labcorp Genetics (formerly Invitae)

neurodevelopmental disorder with dysmorphic facies and distal limb anomaliesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0060596

Submitter: PanelApp Australia

neurodevelopmental disorder with dysmorphic facies and distal limb anomaliesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0060596

Submitter: G2P

syndromic intellectual disabilityDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0000508

Submitter: ClinGen

*BPTF* was first reported in relation to autosomal dominant syndromic intellectual disability in 2017 (Stankiewicz et al., PMID: 28942966). *BPTF* encodes the largest subunit of the nucleosome remodeling complex (NURF), a highly conserved chromatin remodeling complex involved in regulation of transcription. Individuals with variants in *BPTF* are reported to present with a phenotypic spectrum including developmental delay/intellectual disability, speech/language delay, motor delay, hypotonia, microcephaly, dysmorphic features, and variable distal limb anomalies including fifth digit clinodactyly and sandal gap. *BPTF* has been noted to be associated with the following disease entities: neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (OMIM:617755), and non-specific syndromic intellectual disability (ORPHA:528084). Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in molecular mechanism, inheritance pattern, and phenotypic variability. Therefore, the above disease entities have been lumped into one disease entity, syndromic intellectual disability (MONDO:0000508), given that this term captures the neurodevelopmental and syndromic findings reported in the literature to date. Evidence supporting this gene-disease relationship includes case-level data and experimental data. Seven variants (e.g., frameshift, nonsense, missense) reported in 8 probands (PMIDs: 28942966, 33522091) are included in this curation. More evidence is available in the literature, but the maximum score for genetic evidence (12 points) has been reached. The mechanism of pathogenicity appears to be loss of function. This gene-disease relationship is also supported by both non-mammalian and mammalian model systems (PMIDs: 28942966, 35604347). In summary, there is definitive evidence to support the relationship between *BPTF* and autosomal dominant syndromic intellectual disability. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time. This classification was approved by the Intellectual Disability and Autism Gene Curation Expert Panel on 7/6/2022 (SOP Version 9).

syndromic intellectual disabilitySTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0000508

Submitter: Illumina

Clinical Genomic Database (CGD)

Kaposi sarcoma, susceptibility toAD

Manifestation: Craniofacial; Musculoskeletal; Neurologic; Oncologic; Ophthalmologic

Intervention: Oncologic

Rationale: Individuals have been described as susceptible to Kaposi sarcoma, and awareness may enable prompt diagnosis and management

Refs: 28942966; 33522091; 38380509Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to BPTF variants in ClinVar

19 Conditions Cataloged
not providedTotal: 851
Inborn genetic diseasesTotal: 352
Neurodevelopmental disorder with dysmorphic facies and distal limb anomaliesTotal: 143
BPTF-related disorderTotal: 82
not specifiedTotal: 77
Secondary microcephalyTotal: 8
Syndromic intellectual disabilityTotal: 8
Expressive language delayTotal: 8

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_182641.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
7
clinvar
168
clinvar
15
clinvar
190
missense
15
clinvar
701
clinvar
111
clinvar
12
clinvar
839
nonsense
8
clinvar
13
clinvar
5
clinvar
26
start loss
2
clinvar
2
frameshift
33
clinvar
21
clinvar
3
clinvar
57
splice donor/acceptor (+/-2bp)
1
clinvar
3
clinvar
6
clinvar
10
Total4252724279271124

Highest pathogenic variant AF is 0.00051948754

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 69 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_182641.4RefSeqNP_872579.228MANE Select
ENST00000306378.11EnsemblENSP00000307208.628MANE Select
NM_001439139.1RefSeqNP_001426068.129Standard
NM_001439140.1RefSeqNP_001426069.131Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
bptfDanio rerio

Structure: spinal cord neural keel

Quality: decreased size

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Endoderm Differentiation

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • embryonic placenta development
  • chromatin remodeling
  • regulation of transcription by RNA polymerase II
  • brain development

Molecular Function

  • protein binding
  • DNA-dependent ATPase activity
  • transcription factor binding
  • methylated histone binding
  • sequence-specific DNA binding

Cellular Component

  • nuclear chromatin
  • nucleus
  • nucleoplasm
  • cytoplasm
  • NURF complex

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000306378
Coding exons
28
Length
158855
Individuals with no LoFs
125733
Homozygous LoFs
0
Heterozygous LoFs
13
Defined
125746
p
0.0000517
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense3.7110671.47e+30.7270.000076419141
Missense (PolyPhen)373663.190.562438494
Synonymous-0.4795475331.030.00002845675
Loss of Function10.171330.05270.000007661571

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.000220.00017rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000280.000026rare
South Asian0.0000980.000098rare
Other0.000170.00016rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Histone-binding component of NURF (nucleosome-remodeling factor), a complex which catalyzes ATP-dependent nucleosome sliding and facilitates transcription of chromatin. Specifically recognizes H3 tails trimethylated on 'Lys-4' (H3K4me3), which mark transcription start sites of virtually all active genes. May also regulate transcription through direct binding to DNA or transcription factors.;
Disease
DISEASE: Neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL) [MIM:617755]: An autosomal dominant neurodevelopmental disorder characterized by variable degrees of developmental delay, intellectual disability, speech delay, postnatal microcephaly, dysmorphic features, and mild abnormalities of the hands and feet. {ECO:0000269|PubMed:28942966}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.131

Intolerance Scores

LoFtool
0.278
RVIS EVS
-2.55
RVIS percentile EVS
0.86

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
S
Essential (gene trap)
E
Indispensability pred.
E
Indispensability score
0.860

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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