Abstract
Cornelia de Lange syndrome (CdLS) is a multiple malformation disorder characterized by dysmorphic facial features, mental retardation, growth delay and limb reduction defects1,2. We indentified and characterized a new gene, NIPBL, that is mutated in individuals with CdLS and determined its structure and the structures of mouse, rat and zebrafish homologs. We named its protein product delangin. Vertebrate delangins have substantial homology to orthologs in flies, worms, plants and fungi, including Scc2-type sister chromatid cohesion proteins, and D. melanogaster Nipped-B. We propose that perturbed delangin function may inappropriately activate DLX genes, thereby contributing to the proximodistal limb patterning defects in CdLS. Genome analyses typically identify individual delangin or Nipped-B-like orthologs in diploid animal and plant genomes. The evolution of an ancestral sister chromatid cohesion protein to acquire an additional role in developmental gene regulation suggests that there are parallels between CdLS and Roberts syndrome.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout




Similar content being viewed by others
References
Jackson, L., Kline, A.D., Barr, M.A. & Koch, S. de Lange syndrome: a clinical review of 310 individuals. Am. J. Med. Genet. 47, 940–946 (1993).
Ireland, M., Donnai, D. & Burn, J. Brachmann-de Lange syndrome Delineation of the clinical phenotype. Am. J. Med. Genet. 47, 959–964 (1993).
Tonkin, E.T. et al. A giant novel gene undergoing extensive alternative processing is severed by a Cornelia de Lange-associated translocation breakpoint at 3q26.3. Hum. Genet. (in the press).
Ireland, M., English, C., Cross, I., Houlsby, W.T. & Burn, J. A de novo translocation t(3;17)(q26.3;q23.1) in a child with Cornelia de Lange syndrome. J. Med. Genet. 28, 639–640 (1991).
Wilson, W.G., Kennaugh, J.M., Kugler, J.P. & Wyandt, H.E. Reciprocal translocation 14q;21q in a patient with the Brachmann-de Lange syndrome. J. Med. Genet. 20, 469–471 (1983).
Steinbach, P. et al. The dup(3q) syndrome: report of eight cases and review of the literature. Am. J. Med. Genet. 10, 159–177 (1981).
Wilson, G.N., Dasouki, M. & Barr, M. Jr. Further delineation of the dup(3q) syndrome. Am. J. Med. Genet. 22, 117–123 (1985).
Krajewska-Walasek, M., Chrzanowska, K., Tylki-Szymanska, A. & Bialecka, M. A further report of Brachmann-de Lange syndrome in two sibs with normal parents. Clin. Genet. 47, 324–327 (1995).
Ciosk, R. et al. Cohesin's binding to chromosomes depends on a separate complex consisting of Scc2 and Scc4 proteins. Mol. Cell 5, 243–254 (2000).
Furuya, K., Takahashi, K. & Yanagida, M. Faithful anaphase is ensured by Mis4, a sister chromatid cohesion molecule required in S phase and not destroyed in G1 phase. Genes Dev. 12, 3408–3418 (1998).
Seitz, L.C., Tang, K., Cummings, W.J. & Zolan, M.E. The rad9 gene of Coprinus cinereus encodes a proline-rich protein required for meiotic chromosome condensation and synapsis. Genetics 142, 1105–1117 (1996).
Rollins, R.A., Morcillo, P. & Dorsett, D. Nipped-B, a Drosophila homologue of chromosomal adherins, participates in activation by remote enhancers in the cut and Ultrabithorax genes. Genetics 152, 577–593 (1999).
Dorsett, D. Distant liaisons: long-range enhancer-promoter interactions in Drosophila. Curr. Opin. Genet. Dev. 9, 505–514 (1999).
Fougerousse, F. et al. Human-mouse differences in the embryonic expression patterns of developmental control genes and disease genes. Hum. Mol. Genet. 9, 165–173 (2000).
Luzzani, S., Macchini, F., Valade, A., Milani, D. & Selicorni, A. Gastroesophageal reflux and Cornelia de Lange syndrome: typical and atypical syndromes. Am. J. Med. Genet. 119A, 283–287 (2003).
Mehta, A.V. & Ambalavanan, S.K. Occurrence of congenital heart disease in children with Brachmann-de Lange syndrome. Am. J. Med. Genet. 71, 434–435 (1997).
Sataloff, R.T., Spiegel, J.R., Hawkshaw, M., Epstein, J.M. & Jackson, L. Cornelia de Lange syndrome. Otolaryngologic manifestations. Arch. Otolaryngol. Head Neck Surg. 116, 1044–1046 (1990).
Yamaguchi, K. & Ishitobi, F. Brain dysgenesis in Cornelia de Lange syndrome. Clin. Neuropathol. 18, 99–105 (1999).
Vuilleumier, N. et al. Neuropathological analysis of an adult case of the Cornelia de Lange syndrome. Acta Neuropathol. (Berl.) 104, 327–332 (2002).
Gebelein, B., Culi, J., Ryoo, H.D., Zhang, W. & Mann, R.S. Specificity of Distalless repression and limb primordia development by abdominal Hox proteins. Dev. Cell 3, 487–498 (2002).
Panganiban, G. & Rubinstein, J.L.R. Developmental functions of the Distal-less/Dlx homeobox genes. Development 129, 4371–4386 (2002).
Iulianella, A., Vanden Heuvel, G. & Trainor, P. Dynamic expression of murine Cux2 in craniofacial, limb, urogenital and neuronal primordia. Gene Expr. Patterns 3, 571–577 (2003).
Ellis, T. et al. The transcriptional repressor CDP (Cutl1) is essential for epithelial cell differentiation of the lung and the hair follicle. Genes Dev. 15, 2307–2319 (2001).
Rollins, R.A., Korom, M., Aulner, N., Martens, A. & Dorsett, D. Drosophila Nipped-B protein supports sister chromatid cohesion and opposes the Stromalin/Scc3 Cohesion factor to facilitate long-range activation of the cut gene. Mol. Cell. Biol. 24, 3100–3111 (2004).
Rooney D.E. (ed.) Human Cytogenetics: Constitutional Analysis. A Practical Approach. 3rd. edn. (Oxford University Press, Oxford, 2001).
Russell, K.L. et al. Dominant paternal transmission of Cornelia de Lange syndrome: a new case and review of 25 previously reported familial recurrences. Am. J. Med. Genet. 104, 267–276 (2001).
Breitschopf, H., Suchanek, G., Gould, R.M., Colman, D.R. & Lassmann, H. In situ hybridization with digoxigenin-labeled probes: sensitive and reliable detection method applied to myelinating rat brain. Acta Neuropathol., 84, 581–587 (1992).
Lako, M. et al. A novel mammalian Wnt gene, WNT8B, shows brain-restricted expression in early development, with sharply delimited expression boundaries in the developing forebrain. Hum. Mol. Genet. 7, 813–822 (1998).
Van Allen, M.I. et al. Clinical variability within Brachmann-de Lange syndrome: a proposed classification system. Am. J. Med. Genet. 47, 947–958 (1993).
Allanson, J.E., Hennekam, R.C. & Ireland, M. De Lange syndrome: subjective and objective comparison of the classical and mild phenotypes. J. Med. Genet. 34, 645–650 (1997).
Acknowledgements
This paper is dedicated to the memory of F. Strachan (1921–2004). We thank many of our current Newcastle colleagues, especially S. Zwolinsky and J. Wolstenholme, for discussions, carrying out chromosome-banding analyses and conducting the premature centromere separation assay; H. Peters and D. Henderson for contributions to analysis of our expression data; S. Humphray for supplying fosmid clones; L. Jackson for facilitating the collaboration between M.B. and the Newcastle group; I. Krantz for discussions; A. Peaford and colleagues for their support; M. Walasek, M. Ireland and many other clinical geneticists for providing blood samples from individuals with CdLS and access to phenotype data; many individuals with CdLS and their families for their generosity; and previous members of the Newcastle CdLS research team, notably M. Smith, P. J. A. Eichhorn and B. Imamwerdi, for their earlier contributions. We thank the UK Community Fund and previously Action Research for providing funding for this project and the MRC-Wellcome Human Developmental Biology Resource for supplying human embryonic tissue samples.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Supplementary information
Rights and permissions
About this article
Cite this article
Tonkin, E., Wang, TJ., Lisgo, S. et al. NIPBL, encoding a homolog of fungal Scc2-type sister chromatid cohesion proteins and fly Nipped-B, is mutated in Cornelia de Lange syndrome. Nat Genet 36, 636–641 (2004). https://doi.org/10.1038/ng1363
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/ng1363


