RT Journal Article SR Electronic T1 Mutations In PIK3C2A Cause Syndromic Short Stature, Skeletal Abnormalities, and Cataracts Associated With Ciliary Dysfunction JF bioRxiv FD Cold Spring Harbor Laboratory SP 488411 DO 10.1101/488411 A1 Dov Tiosano A1 Hagit Baris Feldman A1 Anlu Chen A1 Marrit M. Hitzert A1 Markus Schueler A1 Federico Gulluni A1 Antje Wiesener A1 Antonio Bergua A1 Adi Mory A1 Brett Copeland A1 Joseph G. Gleeson A1 Patrick Rump A1 Hester van Meer A1 Deborah A. Sival A1 Volker Haucke A1 Josh Kriwinsky A1 Karl X. Knaup A1 André Reis A1 Nadine N. Hauer A1 Emilio Hirsch A1 Ronald Roepman A1 Rolph Pfundt A1 Christian T. Thiel A1 Michael S. Wiesener A1 Mariam G. Aslanyan A1 David A. Buchner YR 2018 UL http://biorxiv.org/content/early/2018/12/07/488411.abstract AB PIK3C2A is a class II member of the phosphoinositide 3-kinase (PI3K) family that catalyzes the phosphorylation of phosphatidylinositol (PI) into PI(3)P and the phosphorylation of PI(4)P into PI(3,4)P2. We identified homozygous loss-of-function mutations in PIK3C2A in children from three independent consanguineous families with short stature, coarse facial features, cataracts with secondary glaucoma, multiple skeletal abnormalities, neurological manifestations, among other findings. Cellular studies of patient-derived fibroblasts found that they lacked PIK3C2A protein, had impaired cilia formation and function, and demonstrated reduced proliferative capacity. Collectively, the genetic and molecular data implicate mutations in PIK3C2A in a new Mendelian disorder of PI metabolism, thereby shedding light on the critical role of a class II PI3K in growth, vision, skeletal formation and neurological development. This discovery expands what is known about disorders of PI metabolism and helps unravel the role of PIK3C2A and class II PI3Ks in health and disease.