T
Tjitske Kleefstra
Researcher at Radboud University Nijmegen Medical Centre
Publications - 37
Citations - 4023
Tjitske Kleefstra is an academic researcher from Radboud University Nijmegen Medical Centre. The author has contributed to research in topics: Kleefstra Syndrome & Haploinsufficiency. The author has an hindex of 26, co-authored 37 publications receiving 3606 citations.
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Journal ArticleDOI
Diagnostic Exome Sequencing in Persons with Severe Intellectual Disability
Joep de Ligt,Marjolein H. Willemsen,Bregje W.M. van Bon,Tjitske Kleefstra,Helger G. Yntema,Thessa Kroes,Anneke T. Vulto-van Silfhout,David A. Koolen,Petra de Vries,Christian Gilissen,Marisol del Rosario,Alexander Hoischen,Hans Scheffer,Bert B.A. de Vries,Han G. Brunner,Joris A. Veltman,Lisenka E.L.M. Vissers +16 more
TL;DR: De novo mutations represent an important cause of intellectual disability; exome sequencing was used as an effective diagnostic strategy for their detection.
Journal ArticleDOI
Loss-of-function mutations in euchromatin histone methyl transferase 1 (EHMT1) cause the 9q34 subtelomeric deletion syndrome.
Tjitske Kleefstra,Han G. Brunner,Jeanne Amiel,Astrid R. Oudakker,Willy M. Nillesen,Alex Magee,David Geneviève,Valérie Cormier-Daire,Hilde Van Esch,Jean Pierre Fryns,Ben C.J. Hamel,Erik A. Sistermans,Bert B.A. de Vries,Hans van Bokhoven +13 more
TL;DR: Two de novo mutations--a nonsense mutation and a frameshift mutation--in the EHMT1 gene in patients with a typical 9q- phenotype are identified, establishing that haploinsufficiency of EH MT1 is causative for 9q subtelomeric deletion syndrome.
Journal ArticleDOI
Diagnostic Exome Sequencing in Persons With Severe Intellectual Disability
Joep de Ligt,Marjolein H. Willemsen,Bregje W.M. van Bon,Tjitske Kleefstra,Helger G. Yntema,Thessa Kroes,Anneke T. Vulto-van Silfhout,David A. Koolen,Petra de Vries,Christian Gilissen,Marisol del Rosario,Alexander Hoischen,Hans Scheffer,Bert B.A. de Vries,Han G. Brunner,Joris A. Veltman,Lisenka E.L.M. Vissers +16 more
TL;DR: In this article, the coding regions of more than 21,000 genes obtained from 100 patients with an IQ below 50 and their unaffected parents were sequenced and a data-analysis procedure was developed to identify and classify de novo, autosomal recessive, and X-linked mutations.
Journal ArticleDOI
Disruption of an EHMT1-Associated Chromatin- Modification Module Causes Intellectual Disability
Tjitske Kleefstra,Jamie M. Kramer,Kornelia Neveling,Marjolein H. Willemsen,Tom S. Koemans,Lisenka E.L.M. Vissers,Willemijn M. Wissink-Lindhout,Michaela Fenckova,Willem M.R. van den Akker,Nael Nadif Kasri,Willy M. Nillesen,Trine Prescott,Robin D. Clark,Koenraad Devriendt,Jeroen van Reeuwijk,Arjan P.M. de Brouwer,Christian Gilissen,Huiqing Zhou,Huiqing Zhou,Han G. Brunner,Joris A. Veltman,Annette Schenck,Hans van Bokhoven +22 more
TL;DR: A chromatin-modification module that underlies a recognizable form of ID, the Kleefstra syndrome phenotypic spectrum (KSS), is identified and a highly conserved epigenetic network that underlie cognition in health and disease is proposed.
Journal ArticleDOI
Further clinical and molecular delineation of the 9q Subtelomeric Deletion Syndrome supports a major contribution of EHMT1 haploinsufficiency to the core phenotype
Tjitske Kleefstra,W.A.G. van Zelst-Stams,Willy M. Nillesen,Valérie Cormier-Daire,Gunnar Houge,Nicola Foulds,M. F. van Dooren,Marjolein H. Willemsen,R. Pfundt,Anne M. Turner,Meredith Wilson,Julie McGaughran,Anita Rauch,Martin Zenker,Margaret P Adam,M Innes,C Davies,A González-Meneses López,R Casalone,Achim Weber,Louise Brueton,A Delicado Navarro,M Palomares Bralo,Hanka Venselaar,S P A Stegmann,Helger G. Yntema,H Van Bokhoven,Han G. Brunner +27 more
TL;DR: The authors confirm the EHMT1 gene to be the major determinant of the 9qSTDS phenotype and Interestingly, five of six patients who had reached adulthood had developed severe psychiatric pathology, which may indicate that EH MT1 haploinsufficiency is associated with neurodegeneration in addition to neurodevelopmental defect.