ZMYM2

protein-coding

zinc finger MYM-type containing 2, the group of Zinc fingers MYM-type

Gene summary

The protein encoded by this gene is a zinc finger protein that may act as a transcription factor. The encoded protein may be part of a BHC histone deacetylase complex. Translocation of this gene with the fibroblast growth factor receptor-1 gene (FGFR1) results in a fusion gene, which may be a cause of stem cell leukemia lymphoma syndrome (SCLL). Several transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, Jul 2010]

Previous symbols:
  • ZNF198

MANE transcript

NM_197968.4

Inheritance

AD

ClinVar variants

P:115U:298B:39

Top phenotype

Neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalities

gnomAD constraint

pLI —, LoF o/e 0.22

Max pathogenic AF

—

Genomic locus

chr13:19,958,677-20,091,829

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~133.2 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

congenital anomaly of kidney and urinary tractMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0019719

Submitter: Ambry Genetics

congenital anomaly of kidney and urinary tractSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0019719

Submitter: Franklin by Genoox

Total 14 different heterozygous loss-of-function mutations in ZMYM2 gene in 15 unrelated Congenital anomalies of the kidney and urinary tract affected families were identified. These findings establish that loss-of-function mutations of ZMYM2 gene may cause of human CAKUT.

neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalitiesDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0859190

Submitter: Ambry Genetics

neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalitiesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0859190

Submitter: PanelApp Australia

syndromic complex neurodevelopmental disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0800439

Submitter: ClinGen

*ZMYM2* was first reported in association with syndromic urinary tract malformations in 2020 (Connaughton et al. PMID: 32891193). Phenotypic features include congenital malformations of the kidney and urinary tract, cardiac defects, dysmorphic features, global developmental delay, variable intellectual disability, and autism spectrum disorder. Less common findings include hypotonia, microcephaly, and seizures. All individuals reported with renal malformations also had neurologic features. Some individuals have isolated neurodevelopmental features without congenital malformations. This curation includes 10 heterozygous loss of function variants (6 nonsense, 3 frameshift, 1 splice site) that are reported in 10 individuals with phenotypic similarity (PMIDs: 32891193, 37383123). Of these 10 variants, 2 have functional data to support a loss of function effect. All distinct variants available in the literature in association with congenital malformations of the kidney and urinary tract with neurodevelopmental delays are scored. Additional probands are reported in the literature, but as the maximum score for genetic evidence (12 points) has already been reached, those individuals were not included in this curation. There are also additional probands reported in the literature harboring heterozygous putative loss of function variants in association with cerebral palsy and schizophrenia. These were not scored. In summary, there is definitive evidence supporting the relationship between *ZMYM2* and autosomal dominant syndromic complex neurodevelopmental disorder. This has been repeatedly demonstrated in the clinical diagnostic setting, and has been upheld over time. This classification was approved by the ClinGen Intellectual Disability and Autism Gene Curation Expert Panel on the meeting date May 22, 2025 (SOP Version 10).

neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalitiesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0859190

Submitter: G2P

neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalitiesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0859190

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalitiesAD

Manifestation: Cardiovascular; Craniofacial; Genitourinary; Musculoskeletal; Neurologic; Renal

Intervention: Cardiovascular; Renal

Rationale: Among other findings, individuals may have congenital cardiovascular and renal anomalies, which may lead to sequelae, and awareness may allow prompt diagnosis and medical or surgical management

Refs: 32891193Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to ZMYM2 variants in ClinVar

15 Conditions Cataloged
not providedTotal: 198
Inborn genetic diseasesTotal: 150
Neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalitiesTotal: 77
ZMYM2-related disorderTotal: 51
not specifiedTotal: 32
Congenital anomaly of kidney and urinary tractTotal: 15
Neurodevelopmental disorderTotal: 4
See casesTotal: 3

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_197968.4. 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
3
clinvar
22
clinvar
5
clinvar
30
missense
261
clinvar
11
clinvar
1
clinvar
273
nonsense
16
clinvar
27
clinvar
7
clinvar
50
start loss
0
frameshift
29
clinvar
28
clinvar
18
clinvar
75
splice donor/acceptor (+/-2bp)
2
clinvar
13
clinvar
9
clinvar
24
Total4768298336452

Highest pathogenic variant AF is 0.00008718806

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 93 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_197968.4RefSeqNP_932072.123MANE Select
ENST00000610343.5EnsemblENSP00000479904.123MANE Select
NM_001190964.4RefSeqNP_001177893.123Standard
NM_001190965.4RefSeqNP_001177894.123Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Disease
  • Signaling by FGFR in disease
  • Signaling by cytosolic FGFR1 fusion mutants
  • FGFR1 mutant receptor activation
  • Signaling by FGFR1 in disease

Biological Process

  • regulation of transcription by RNA polymerase II
  • biological_process
  • peptidyl-tyrosine phosphorylation
  • regulation of cell morphogenesis

Molecular Function

  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • protein tyrosine kinase activity
  • protein binding
  • zinc ion binding
  • ubiquitin conjugating enzyme binding

Cellular Component

  • nucleus
  • cytosol
  • PML body

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000382869
Coding exons
23
Length
133159
Individuals with no LoFs
125671
Homozygous LoFs
0
Heterozygous LoFs
25
Defined
125696
p
0.0000995
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense3.014516710.6720.00003249073
Missense (PolyPhen)109257.930.42263605
Synonymous1.172112340.9030.00001192483
Loss of Function6.061569.50.2160.00000395895

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000130.00012rare
Latino/Admixed American0.000170.00014rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish0.0000470.000046rare
European (Non-Finnish)0.000150.00015rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: May function as a transcription factor.;
Disease
DISEASE: Note=A chromosomal aberration involving ZMYM2 may be a cause of stem cell leukemia lymphoma syndrome (SCLL). Translocation t(8;13)(p11;q12) with FGFR1. SCLL usually presents as lymphoblastic lymphoma in association with a myeloproliferative disorder, often accompanied by pronounced peripheral eosinophilia and/or prominent eosinophilic infiltrates in the affected bone marrow. {ECO:0000269|PubMed:9716603}.;

Recessive Scores

pRec
0.210

Intolerance Scores

LoFtool
0.773
RVIS EVS
-1.28
RVIS percentile EVS
5.11

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.951

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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