A syndrome that is characterized by delayed psychomotor development, severe intellectual disability with poor or absent speech, hypotonia, feeding difficulties, poor growth, and dysmorphic facial features and that has material basis in heterozygous mutation in the ASXL3 gene on chromosome 18q12. Srivastava et al. Bristol Rabbit Pain Scale (BRPS): clinical utility, validity and reliability. Quality of life and the functional consequences depends on the severity of the developmental delay and intellectual disability. component of our efforts to ensure long-term funding to provide you the All had delayed psychomotor development with moderate to profound intellectual disability and delayed walking. Mutations in this gene have been identified in human patients with Bainbridge-Ropers syndrome, which is characterized by feeding difficulties, developmental delay and other features. ASXL3-related syndrome is also known as Bainbridge-Ropers syndrome or BRPS. Bainbridge-Ropers Syndrome Awareness Day is February 5. Information provided in your contribution (including your email address) will be stocked in .CSV files that will be sent as an email to Orphanet's teams. Most also had autistic features and 11 were in a special needs school. Comorbid Psychiatric Aspects of Bainbridge-Ropers Syndrome. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. To get in touch with the Orphanet team, please contact. Changing lives of those with rare disease. ASXL3/Bainbridge-Ropers Syndrome For more information, visit GARD. [Full Text: https://doi.org/10.1093/hmg/ddv499]. Among their cohort, Balasubramanian et al. Millie McWilliams has Bainbridge-Ropers syndrome, in which she is missing two DNA bases in the ASXL3 gene. [PubMed: 26647312] Given the multisystemic involvement, multidisciplinary follow-up is needed and should include neurological follow up, developmental assessments, physiotherapy (particularly for joint laxity and musculoskeletal issues), feeding interventions for those with persistent feeding issues, and ophthalmologic follow up for patients with strabismus and/or refractive error. [Full Text: https://doi.org/10.1186/gm415], Balasubramanian, M., Willoughby, J., Fry, A. E., Weber, A., Firth, H. V., Deshpande, C., Berg, J. N., Chandler, K., Metcalfe, K. A., Lam, W., Pilz, D. T., Tomkins, S., DDD Study. Bainbridge-Ropers syndrome (BRS; OMIM 615485) is characterized by failure to thrive, feeding problems, global developmental delay, hypotonia, intellectual disability (ID) and delays in language acquisition ( 1 ). De novo dominant ASXL3 mutations alter H2A deubiquitination and transcription in Bainbridge-Ropers syndrome. A rare, genetic, syndromic intellectual disability disorder with a variable phenotypic presentation typically characterized by microcephaly, severe feeding difficulties, failure to thrive, severe global development delay that frequently results in absent/poor speech, moderate to severe intellectual disability and hypotonia. The petroleum ether extract of Brassica rapa L. induces apoptosis of lung adenocarcinoma cells via the mitochondria-dependent pathway. Orphanet: Affiliated tissues include brain, eye and smooth muscle, and related phenotypes are global developmental delay and feeding difficulties in infancy. 1. Tax ID: 82-3890665, 2023 ASXL Rare Research Endowment Foundation, Medical disclaimer Privacy policy Contact, Read more about what causes ASXL-related disorders, Bainbridge-Ropers Syndrome and ASXL3 Families support group. Using whole-exome and whole-genome sequencing, Bainbridge et al. Rozpowszechnienie: nieznane. Talk to a trusted doctor before choosing to participate in any clinical study. De novo truncating mutations in ASXL3 are associated with a novel clinical phenotype with similarities to Bohring-Opitz syndrome. offers rare disease gene variant annotations and links to rare disease gene literature. Copyright 2023 NORD National Organization for Rare Disorders, Inc. All rights reserved. Genome Med. Quincy, MA 02169 By continuing to use this website, you agree to the Terms of Service & Privacy Policy, A Podcast For The Rare Disease Community, Policy Statements & Letters to Policymakers. (2016) reported 3 unrelated patients with BRPS. De novo dominant ASXL3 mutations alter H2A deubiquitination and transcription in Bainbridge-Ropers syndrome. Wikipedia: I know it is some type of gene mutation and I found lots of information never could really decide the best code to be used. Its our mission to change that. De novo nonsense variant in ASXL3 in a Chinese girl causing Bainbridge-Ropers syndrome: A case report and review of literature. J. Med. No patient had the typical 'BOS posture' of elbow and wrist flexion, or of myopia or trigonocephaly. (It is often impossible to tell exactly when a de novo mutation happened.) It can resemble Bohring-Opitz syndrome but is not the same. Bainbridge-Ropers syndrome (BRPS) [OMIM#615485] is a neurodevelopmental disorder, characterized by delayed psychomotor development with generalized hypotonia, intellectual disability with poor or absent speech, feeding difficulties, growth failure, specific craniofacial and minor skeletal features. #615485 Authors Schaida Schirwani 1 2 , Emily Woods 2 , David A Koolen 3 . 2023-03-04. ORPHA: 352577; Three patients had a marfanoid habitus with arachnodactyly, tall stature, pes planus, and scoliosis. Orphanet doesn't provide personalised answers. Bainbridge, M. N., Hu, H., Muzny, D. M., Musante, L., Lupski, J. R., Graham, B. H., Chen, W., Gripp, K. W., Jenny, K., Wienker, T. F., Yang, Y., Sutton, V. R., Gibbs, R. A., Ropers, H. H. Clinical Features Donations are an important (2013) reported 4 individuals from 4 unrelated families with phenotypic features similar to those of Bohring-Opitz syndrome (605039) but with no specific recognizable syndromic diagnosis. 73 They build public awareness of the disease and are a driving force behind research to improve patients' lives. Clinical studies are medical research involving people as participants. Q79.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Skeletal abnormalities, such as a "barrel chest", extremely high arched palate, This page was last edited on 13 February 2023, at 07:14. De novo truncating mutations in ASXL3 are associated with a novel clinical phenotype with similarities to Bohring-Opitz syndrome. 54: 537-543, 2017. References/Resources Decoding the byssus fabrication by spatiotemporal secretome analysis of scallop foot. As germline mosaicism has been described, prenatal diagnosis may be considered where the pathogenic variant has previously been identified in a family member. A gene is a set of biochemical instructions that tell a cell how to manufacture a protein. Bainbridge-Ropers syndrome (BRPS) is a developmental disorder characterized by delayed psychomotor development, severe intellectual disability with poor or absent speech, hypotonia, feeding difficulties, poor growth, and dysmorphic facial features (summary by Srivastava et al., 2016). Objective:Bainbridge-Ropers syndrome (BRPS) is a neurodevelopmental genetic disorder associated with mutations in the additional sex combs-like ASXL3gene on chromosome 18q12.1. These 2023 ICD-10-CM codes are to be used for discharges occurring from October 1, 2022 through September 30, 2023 and for patient encounters occurring from October 1, 2022 through September 30, 2023. Large-scale discovery of novel genetic causes of developmental disorders. A syndrome characterized by psychomotor retardation, feeding problems, severe postnatal growth retardation in some patients, arched eyebrows, anteverted nares, and ulnar deviation of the hands. Brain imaging, performed in 2 patients, showed loss of white matter; 1 patient had a thin corpus callosum. Fax: 203-263-9938, Washington, DC Office Two patients were nonambulatory and 9 were nonverbal. I would love to see what help anyone can provide. We estimate that there are approximately 150-200 people diagnosed in the world. Bainbridge-Ropers syndrome - About the Disease - Genetic and Rare Diseases Information Center National Center for Advancing Translational Sciences Browse by Disease About GARD Contact Us We recently launched the new GARD website and are still developing specific pages. A syndrome which is characterized by symbrachydactyly and aplasia of the sternal head of pectoralis major. [citation needed], This condition was first described by Bainbridge et al in 2013.[2]. Familial Bainbridge-Ropers syndrome: Report of familial ASXL3 inheritance and a milder phenotype. They had variable dysmorphic features, including arched eyebrows, downslanting palpebral fissures, broad nasal bridge with short nose and anteverted nares, low-set ears, and small chin. BainbridgeRopers syndrome is a very rare genetic disorder characterized by abnormalities including severe psychomotor development, feeding problems, severe postnatal growth delays, intellectual disabilities, and skeletal abnormalities. It is characterized by failure to thrive, feeding problems, hypotonia, intellectual disability (ID), autism, postnatal growth retardation, abnormal facial features and delays in language acquisition. This is an informational website run by families with information about Bainbridge-Ropers Syndrome. [Full Text]. Genet. UniProtKB/Swiss-Prot: In 3 unrelated patients with BRPS, Srivastava et al. (2013) identified a de novo heterozygous 4-bp deletion in the ASXL3 gene resulting in frameshift and premature termination (g.31319343_31319346delACAG, Thr659FsTer41). BAP1/ASXL1 recruitment and activation for H2A deubiquitination. The Role of Additional Sex Combs-Like Proteins in Cancer. Consult doctors, other trusted medical professionals, and patient organizations. There are no ASXL-specific therapeutics or treatments to address the underlying cause of Bainbridge-Ropers Syndrome. NORD is a registered 501(c)(3) charity organization. The patients had common, if variable, dysmorphic features, including prominent forehead, narrow head, hypertelorism, down- or upslanting palpebral fissures, strabismus, high-arched eyebrows, long tubular nose, prominent nasal bridge, broad or bulbous nasal tip, low columella, open mouth with everted lower lip, high-arched palate, and crowded teeth. Code annotations containing back-references to, This is the American ICD-10-CM version of, Codes from this chapter are not for use on maternal records, Congenital absence of bilateral pectoral muscles, Congenital absence of left pectoral muscle, Congenital absence of right pectoral muscle, Congenital contracture of bilateral gastrocnemius, Congenital contracture of gastrocnemius muscle, Congenital contracture of left gastrocnemius, Congenital contracture of left gastrocnemius muscle, Congenital contracture of right gastrocnemius, Congenital contracture of right gastrocnemius muscle, Nail-patella syndrome, hereditary osteoonychodysplasia. Only comments seeking to improve the quality and accuracy of information on the Orphanet website are accepted. In 2013, Bainbridge-Ropers syndrome (MIM #615485) was described in patients with severe global developmental delay, postnatal microcephaly and feeding problems due to heterozygous loss of function variants in the ASXL3 gene. science writers and biocurators. [PubMed: 28100473] Expert reviewer(s): Dr Irene VALENZUELA PALAFOLL | ITHACA* - Last update: March 2021, Our Website does not host any form of advertising Interventions may include intensive therapy, surgeries, and medication (i.e. A rare, genetic, syndromic intellectual disability disorder with a variable phenotypic presentation typically characterized by microcephaly, severe feeding difficulties, failure to thrive, severe global development delay that frequently results in absent/poor speech, moderate to severe intellectual disability and hypotonia. Bainbridge-Ropers syndrome (BRPS) is a recently described developmental disorder caused by de novo truncating mutations in ASXL3 gene. Functional studies of the variants and studies of patient cells were not performed, but all were predicted to result in a loss of function. The entire sequence of an organism's genetic material is its genome. Online ahead of print. Donations are tax deductible to the fullest extent of the law. Common emerging features include severe intellectual disability, speech impairment, autistic traits, distinct face, hypotonia, and significant feeding difficulties. ASXL3 De Novo Variant-Related Neurodevelopmental Disorder Presenting as Dystonic Cerebral Palsy. 58 This by far is I find is one of the hardest things I have tried to find correct code for. Phone: 617-249-7300, Danbury, CT office A rare developmental disorder characterized by underdevelopment or absence of the pectoralis muscle in one side of the chest, usually associated with ipsilateral cutaneous syndactyly, and ipsilateral breast and nipple hypoplasia. Unfortunately, it is not free to produce. Dziedziczenie Przyczyn zespou mog by mutacje nonsensowne i missensowne genu ASXL3 zlokalizowanego na ramieniu dugim chromosomu 18 (18q12.1). 5. Disease Overview Summary Bohring-Opitz syndrome (BOS) is a rare, multiple anomaly syndrome that most often is evident at birth (congenital) and affects an individual's growth, development, and variable organ-systems. Bainbridge-Ropers syndrome is a very rare genetic disorder characterized by abnormalities including severe psychomotor development, feeding problems, severe postnatal growth delays, intellectual disabilities, and skeletal abnormalities. Many rare diseases have limited information. Disease Ontology: We also believe there are many people living undiagnosed. Select the true statements about Millie and her syndrome. [Bainbridge-Ropers syndrome with ASXL3 gene variation in a child and literature review]. Med Sci Sports. Table of Contents. Many collaborate with medical experts and researchers.Services of patient organizations differ, but may include: Clinical studies are part of clinical research and at the heart of all medical advances, including rare diseases. They all have Bainbridge-Ropers syndrome. Healthy volunteers may also participate to help others and to contribute to moving science forward. 11 (2017) identified 12 different de novo heterozygous nonsense or frameshift mutations in the ASXL3 gene (see, e.g., 615115.0006 and 615115.0008). Patient organizations are available to help find a specialist, or advocacy and support for this specific disease. Find resources for patients and caregivers that address the challenges of living with a rare disease. One copy of Millie's ASXL3 gene is missing two DNA bases, creating an inappropriate "stop" codon and shortening the encoded proteins. Bainbridge-Ropers Syndrome is caused by a de novo (new) mutation of the ASXL3 gene. The mutation happens randomly and is not usually inherited from parents. registered for member area and forum access. The fourth subject also had anteverted nares but had less severe psychomotor retardation and normal growth. Audiology; Speech-Language Pathology; ICD-10-CM Code Lists (updated October 1, 2022) Audiology and SLP related disorders have been culled from approximately 68,000 codes into manageable, discipline-specific lists. Corrigendum to "Childhood-onset generalized epilepsy in Bainbridge-Ropers syndrome" [Epilepsy Res. Note: Electronic Article. Bainbridge-Ropers syndrome (BRS; OMIM 615485) is characterized by failure to thrive, craniofacial defects, feeding problems, global developmental delay, hypotonia, intellectual disability and delays in language acquisition ( Bainbridge et al., 2013; Russell and Graham, 2013 ). Key role The ASXL3 gene plays a key role in development of the brain and the body. Clinical features include dysmorphic facies, developmental delay, intellectual disability, autistic traits, hypotonia, failure to thrive, seizures and hyperventilation. Distinctive craniofacial features include prominent forehead, high-arched, thin eyebrows, hypertelorism, downslanting palpebral fissures, long, tubular nose with broad tip and prominent nasal bridge and wide mouth with full, everted lower lip. A case of Bainbridge-Ropers syndrome with breath holding spells and intractable epilepsy: challenges in diagnosis and management. There is significant variability in the severity of symptoms of people who have Bainbridge-Ropers Syndrome and we dont yet have a good understanding of why that is. Mar 31, 2016. Participating in research helps researchers ultimately uncover better ways to treat, prevent, diagnose, and understand human diseases. Joint laxity and ulnar deviation of wrists are also frequently observed. Treatment of Self-Injury in Bainbridge-Ropers Syndrome: Replication and Extensions of Behavioral Assessments. Three patients had controlled seizures and several had sleep problems. Intellectual disability ranges from moderate to severe. Our mission is to inform the healthcare community about the diagnosis and management of rare diseases. 3. ICD-10 Basics Check out these videos to learn more about ICD-10. Individuals with this condition have intellectual disability, severe feeding problems, motor skill issues, and increased mortality. Expert curators 140 (2018) 166-170]. Genet. All had feeding difficulties necessitating a feeding tube, failure to thrive, hypotonia, and developmental delay with absent speech and poor or absent independent walking. OMIM: 57 Bainbridge-Ropers syndrome (BRPS) is a developmental disorder characterized by delayed psychomotor development, severe intellectual disability with poor or absent speech, hypotonia, feeding difficulties, poor growth, and dysmorphic facial features (summary by Srivastava et al., 2016). Differential diagnosis includes other syndromes with moderate-severe intellectual disability and poor language. [3], Mutations in the Additional Sex Combs Like 3 (ASXL3) gene on the long arm of chromosome 18 (18q12.1) have been associated with this condition. . (615485) (Updated 08-Dec-2022). This chromosomal change is sometimes written as 4p-. Only 1 subject had brain MRI, which showed global mild white matter volume loss, secondary brainstem hypoplasia, and bilateral hypoplasia/dysplasia of cerebellar tonsils. This patient had mild global hypotonia, normal growth, and global developmental delay with . Joint laxity and ulnar deviation of wrists are also frequently observed. Leos Lighthouse raises funds for research and hosts a family meetup. Familial Bainbridge-Ropers syndrome: Report of familial ASXL3 inheritance and a milder phenotype Am J Med Genet A. The patients were ascertained from the Deciphering Developmental Disorders (DDD) project, and the mutations were found by whole-exome sequencing and confirmed by Sanger sequencing. Box 4662Portland, ME 04112U.S.A.info@arrefoundation.org, We are recognized in the United States as a 501(c)3 nonprofit organization. We would like to hear your feedback as we continue to refine this new version of the GARD website. Please join your colleagues by making a Q87.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Participants with a disease may participate to help others, but also to possibly receive the newest treatment and additional care from clinical study staff. The disorder is autosomal dominant; however, no familial transmission has been observed so far. Genet. Other frequent gastrointestinal features include gastroesophageal reflux and constipation. Compound heterozygous mutation of the ASXL3 gene causes autosomal recessive congenital heart disease. The syndrome is named after Matthew Bainbridge and H. Hilger Ropers, two doctors who described the similar clinical characteristics of people with a variation on the ASXL3 gene in 2013. Ada Hamosh, MD, MPH A human homolog of Additional sex combs, ADDITIONAL SEX COMBS-LIKE 1, maps to chromosome 20q11. All Rights Reserved. There is no definitive antenatal diagnosis available, however ultrasound may show intrauterine growth retardation which should be investigated further. March 14, 2018 Autism, Autism Spectrum Disorder, Bainbridge-Ropers Syndrome, Dr. Robin Kochel, Genetics, Nicole Blanton, SPARK for autism. ICD-10-CM instructional notes specify that any underlying cause (e.g., complications following infusion and therapeutic injection [ T80.89 -], complications of transplanted organs and tissue [ T86.- ]) should be coded before using these new D89.83 - codes. For Patients & Caregivers For Organizations For Clinicians & Researchers Sign Up for NORD News National Organization for Rare Disorders (NORD) 1900 Crown Colony Drive Suite 310 Quincy, MA 02169 Phone: 617-249-7300 Other Locations: Danbury, CT office 55 Kenosia Avenue Note: Electronic Article. In other cases, the mutation occurs in the fertilized egg shortly after the egg and sperm cells unite. Stay Informed With NORDs Email Newsletter, Launching Registries & Natural History Studies, Severe feeding difficulties-failure to thrive-microcephaly due to ASXL3 deficiency syndrome. The core mission of Leo's Lighthouse is to find an effective therapy, and eventually a cure, for Bainbridge-Ropers Syndrome (BRS). ICD-10-CM Diagnosis Code S14.147D ; Search Results. This grassroots group now has over 1,110 members from around the world. Less than 100 cases have been reported in literature and databases to date. ICD-10 Games Learn codes with classic games like Flashcards and Hangman. (2016) identified 3 de novo heterozygous frameshift or nonsense mutations in the ASXL1 gene (615115.0005-615115.0007). How a US teen developed an app to help his sister talk Della has a rare genetic condition called Bainbridge-Ropers Syndrome which affects her ability to speak. Two forms have been identified: bardet-biedl syndrome 1 (bbs1) has no linkage to chromosome 16 bardet-biedl syndrome 2 (bbs2) is mapped to markers on chromosome 16. These cells showed significantly increased levels of H2AK119Ub1, indicating that this mutation disrupts the normal activity of the polycomb repressive deubiquitination (PR-DUB) complex, which functions to remove the monoubiquitin from lysine-119 of histone H2A (H2AK119Ub1), thus playing a role in chromatin remodeling and transcriptional regulation. DO: 0080893; Bainbridge, M. N., Hu, H., Muzny, D. M., Musante, L., Lupski, J. R., Graham, B. H., Chen, W., Gripp, K. W., Jenny, K., Wienker, T. F., Yang, Y., Sutton, V. R., Gibbs, R. A., Ropers, H. H. The only specialty specific source of rare disease education and information. National Center for Health Statistics - ICD-10-CM Fiscal Year: Select Fiscal Year: FY2023 - October 1, 2022 FY2022 - includes January 2022 Addenda FY2021 - includes January 2021 Addenda FY2020 - includes April 1, 2020 Addenda FY2019 - October 1, 2018 In this context, annotation back-references refer to codes that contain: "Present On Admission" is defined as present at the time the order for inpatient admission occurs conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA. When Della Calder was just one year old, Caitlin Calder noticed troubling issues with her daughter's early development. These findings highlighted a role for dynamic regulation of H2A ubiquitination in development and disease. Symptoms ASXL3-related syndrome can affect communication, social, and learning skills. Background Bainbridge-Ropers syndrome is caused by monoallelic ASXL3 variants on chromosome 18. This region lies between the N-terminal protein scaffolding functional domains of the gene and the C-terminal chromatin/DNA-targeting functional domain. Bainbridge-Ropers syndrome (BRPS) is a developmental disorder characterized by delayed psychomotor development, severe intellectual disability with poor or absent speech, hypotonia, feeding difficulties, poor growth, and dysmorphic facial features (summary by Srivastava et al., 2016 ). The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. Our Information Specialists are available to you by phone or by filling out our contact form. 0. About ; Statistics . He was diagnosed with Bainbridge-Ropers syndrome (BRS), a rare genetic motor planning disorder. JavaScript is disabled. 57 Laurence-moon syndrome is a separate entity. We dont know how many people have an accurate diagnosis. New and Revised ICD-10-CM Codes for 2023. Bainbridge-Ropers Syndrome, also known as severe feeding difficulties-failure to thrive-microcephaly due to asxl3 deficiency syndrome, is related to bohring-opitz syndrome and microcephaly. Were funding research grants and we support the ASXL Patient Registry and Biobank. Learn More Our Mission. Affected individuals may also display autistic features. About PURA syndrome. Clinical application of whole-exome sequencing across clinical indications. Novel de novo frameshift variant in the ASXL3 gene in a child with microcephaly and global developmental delay. The MalaCards human disease database index: See all MalaCards categories (disease lists), Congenital malformations, deformations and chromosomal abnormalities, Other specified congenital malformation syndromes affecting multiple systems, Congenital malformation syndromes predominantly affecting facial appearance, congenital hemidysplasia with ichthyosiform erythroderma and limb defects, contractures, pterygia, and spondylocarpotarsal fusion syndrome 1a, attention deficit-hyperactivity disorder 3, cerebellar atrophy, developmental delay, and seizures, epilepsy with generalized tonic-clonic seizures, core binding factor acute myeloid leukemia, congenital heart defects, dysmorphic facial features, and intellectual developmental disorder, cerebellar hypoplasia/atrophy, epilepsy, and global developmental delay, autosomal dominant intellectual developmental disorder, microcephaly 11, primary, autosomal recessive, microcephaly 5, primary, autosomal recessive, RUNX1 interacts with co-factors whose precise effect on RUNX1 targets is not known, abnormal cerebral white matter morphology, Clinical Registry for ASXL-Related Disorders and Disorders of Chromatin Remodeling, Activator Of Transcription And Developmental Regulator AUTS2, O-Linked N-Acetylglucosamine (GlcNAc) Transferase, Progesterone Immunomodulatory Binding Factor 1, NM_030632.3(ASXL3):c.1210C>T (p.Gln404Ter), NM_030632.3(ASXL3):c.1396C>T (p.Gln466Ter), NM_030632.3(ASXL3):c.1978_1981del (p.Asp660fs), NM_030632.3(ASXL3):c.1422dup (p.Glu475Ter), NM_030632.3(ASXL3):c.1192_1195del (p.Thr398fs), NM_030632.3(ASXL3):c.1682C>A (p.Ser561Ter), NM_030632.3(ASXL3):c.1961dup (p.Ser654_Ser655insTer), NM_030632.3(ASXL3):c.3106C>T (p.Arg1036Ter), NM_030632.3(ASXL3):c.3464C>A (p.Ser1155Ter), NM_030632.3(ASXL3):c.3364C>T (p.Gln1122Ter), NM_030632.3(ASXL3):c.4330C>T (p.Arg1444Ter), NM_030632.3(ASXL3):c.1448dup (p.Thr484fs), NM_030632.3(ASXL3):c.4144C>T (p.Gln1382Ter), NM_030632.3(ASXL3):c.1500del (p.Glu500fs), NM_030632.3(ASXL3):c.1351C>T (p.Gln451Ter), NM_030632.3(ASXL3):c.1849_1850del (p.Ser617fs), NM_030632.3(ASXL3):c.2471C>T (p.Pro824Leu), NM_030632.3(ASXL3):c.1884_1885del (p.Gly629fs), NM_030632.3(ASXL3):c.3330_3333dup (p.Ala1112fs), NM_030632.3(ASXL3):c.3494_3495del (p.Asn1164_Cys1165insTer), NM_030632.3(ASXL3):c.3827_3830dup (p.Asn1278fs), GRCh37/hg19 3p24.1-23(chr3:30863773-31433693)x1, NM_030632.3(ASXL3):c.4322C>G (p.Ser1441Ter), NM_030632.3(ASXL3):c.4164dup (p.Thr1389fs), NM_030632.3(ASXL3):c.1354del (p.Glu452fs), NM_030632.3(ASXL3):c.4211_4212del (p.Thr1404fs), NM_030632.3(ASXL3):c.1738G>T (p.Glu580Ter), NM_030632.3(ASXL3):c.4904dup (p.Gln1636fs), NM_030632.3(ASXL3):c.3964C>T (p.Gln1322Ter), NM_030632.3(ASXL3):c.4399C>T (p.Arg1467Ter), NM_030632.3(ASXL3):c.1535T>A (p.Leu512Ter), NM_030632.3(ASXL3):c.1189C>T (p.Gln397Ter), NM_030632.3(ASXL3):c.4219_4220del (p.Leu1407fs), NM_030632.3(ASXL3):c.4087_4088delinsG (p.Met1363fs), NM_030632.3(ASXL3):c.1821del (p.Ala606_Cys607insTer), NM_030632.3(ASXL3):c.4509_4513dup (p.Val1505fs), NM_030632.3(ASXL3):c.3621dup (p.Pro1208fs), NM_030632.3(ASXL3):c.1444del (p.Ser482fs), NM_030632.3(ASXL3):c.3049del (p.Ser1017fs), NM_030632.3(ASXL3):c.5819del (p.Gly1940fs), NM_030632.3(ASXL3):c.1479_1480del (p.Pro494fs), NM_030632.3(ASXL3):c.1939dup (p.Thr647fs), NM_030632.3(ASXL3):c.1207C>T (p.Gln403Ter), NM_030632.3(ASXL3):c.3315_3318del (p.Thr1106fs), NM_030632.3(ASXL3):c.3137_3144del (p.Gly1046fs), NM_030632.3(ASXL3):c.1269C>A (p.Cys423Ter), NM_030632.3(ASXL3):c.1864dup (p.Cys622fs), NM_030632.3(ASXL3):c.4899T>A (p.Tyr1633Ter), positive regulation of transcription by RNA polymerase II, peroxisome proliferator activated receptor binding.