KMT2D Gene: Structure, Function, and Clinical Significance

A comprehensive overview of the KMT2D gene, its protein product, associated diseases, expression patterns, and mutation landscape.

Gene Information Card

Symbol KMT2D
Full Name lysine methyltransferase 2D
Gene Type protein coding
Chromosomal Location 12q13.12
NCBI Gene ID 8085 ncbi.nlm.nih.gov/gene/8085
Ensembl ID ENSG00000167548
UniProt ID O14686
OMIM ID 602113
HGNC ID 7133
Aliases MLL2, ALR, CAGL114, KABUK1, TNRC21

Description

KMT2D (lysine methyltransferase 2D), also known as MLL2, encodes a large histone-lysine N-methyltransferase that specifically methylates histone H3 at lysine 4 (H3K4). This methylation mark is associated with active gene transcription. KMT2D is a key regulator of gene expression during development and differentiation. Mutations in KMT2D are a major cause of Kabuki syndrome and are frequently found in various cancers, including lymphomas and medulloblastoma. The protein contains multiple domains, including a SET domain responsible for methyltransferase activity, PHD fingers, and a LXXLL motif, and it functions as part of a large complex (COMPASS-like) that regulates transcriptional activation.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Kabuki syndrome 1 Heterozygous loss-of-function mutations (nonsense, frameshift, splice site) lead to haploinsufficiency, disrupting H3K4 methylation and gene expression during development. OMIM #147920; ClinVar; multiple studies
Multiple cancers (e.g., lymphomas, medulloblastoma, lung, breast) Somatic mutations, often loss-of-function, contribute to tumorigenesis by altering gene expression programs that control cell proliferation and differentiation. COSMIC; ClinVar; literature
Neurodevelopmental disorders De novo mutations in KMT2D are associated with intellectual disability and developmental delay, often overlapping with Kabuki syndrome features. ClinVar; literature

Expression Profile

Tissue Expression
Tissue nTPM level
Brain High RNA-seq data from GTEx and Human Protein Atlas
Lung Medium RNA-seq data
Liver Medium RNA-seq data
Kidney Medium RNA-seq data
Testis High RNA-seq data
Cell Line Expression
Cell Line nTPM Notes
K562 (leukemia) High Cancer cell line with high expression
HeLa (cervical cancer) Medium Moderate expression
A549 (lung cancer) Medium Moderate expression
MCF7 (breast cancer) Low Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
p.Arg5045Ter Nonsense Rare in Kabuki syndrome Loss of function, truncation
p.Gln4475Ter Nonsense Rare in Kabuki syndrome Loss of function, truncation
p.Arg5436Gln Missense Somatic in cancer Likely loss of function, altered catalytic activity
p.Ser4744Leu Missense Somatic in cancer Uncertain, possibly loss of function
Mutation functional classification

Loss of Function (LOF)

Most KMT2D mutations in Kabuki syndrome and cancer are loss-of-function, leading to reduced H3K4 methylation and altered gene expression.

Gain of Function (GOF)

Gain-of-function mutations are rare and not well characterized; some missense variants may increase activity but evidence is limited.

Dominant Negative (DN)

Dominant-negative effects are not commonly reported; haploinsufficiency is the primary mechanism.

Gene Ontology (GO)

• histone-lysine N-methyltransferase activity • methyltransferase activity
• metal ion binding • zinc ion binding
• chromatin binding • nucleus
• regulation of transcription • DNA-templated
• chromatin organization • cell differentiation

Pathways

• Histone modification
• Transcriptional regulation by KMT2D
• COMPASS-like complex pathway

Protein Summary

The KMT2D protein is a large (approximately 590 kDa) histone methyltransferase that catalyzes mono-, di-, and tri-methylation of histone H3 at lysine 4 (H3K4me1/2/3). It is a component of the COMPASS-like complex, which is involved in transcriptional activation. KMT2D plays critical roles in embryonic development, hematopoiesis, and neurogenesis. Its activity is regulated by interactions with other proteins and post-translational modifications. Loss of KMT2D function leads to developmental disorders and cancer.

Related Products

Product name Cat.No. Species Gene ID
KMT2D Knockout HEK293 Cell Line EDJ-KQ3122 Human 8085 Details Get a Quote
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