Gene
KMT2D
lysine methyltransferase 2D
- HGNC 7133↗(opens in a new tab)
- Ensembl gene ENSG00000167548↗(opens in a new tab)
- NCBI Gene 8085↗(opens in a new tab)
Summary
- Cytogenetic location
- 12q13.12
- Coordinates
- Chromosome 12: 49,018,978–49,060,794 (GRCh38)
- Exons
- 55 exons across 41.8 kb
- Protein
- 5,537 amino acids
- Also known as
- ALR, MLL4, CAGL114
- Previous symbols
- TNRC21, MLL2
- MANE Select transcript
- ENST00000301067.12NM_003482.4
- Locus type
- gene with protein product
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Kabuki Syndrome
A multi-system condition caused by KMT2D (type 1) or KDM6A (type 2) variants, with characteristic facial features, short stature and intellectual disability, and sometimes heart, kidney and immune problems or low blood sugar.
- ClinGen rates the link definitive
- 6 GenCC submitters rate it definitive or strong
What knowing changes
Diagnosis guides screening for heart, kidney, hearing, immune and blood sugar problems.
How KMT2D is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 20.6 kb of the gene's 41.8 kb; 16,614 of those bases code for the protein.
How a genome test reads KMT2D
679
positions in KMT2D where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 41.8 kb of KMT2D, introns included, not only the 20.6 kb of exons.
Genes linked to the same conditions
Traits linked to KMT2D
The Human Phenotype Ontology lists these as features of the rare conditions KMT2D can cause. Each trait's page lists the other genes linked to it.
Abnormality of head or neck
- Blockage of the rear opening of the nasal cavity
- Blocked tear duct
- Corners of eye widely separated
- Decreased volume of lip
- Deformity of the skull
- Dimple chin
- Downward slanting of the opening between the eyelids
- Failure of development of more than six teeth
Show 63 more traits
- Full lower lip
- High, narrow palate
- Limited hair on end of eyebrow
- Midface retrusion
- Nasal tip, upturned
- Receding chin
- Short nose
- Smooth philtrum
- Tented mouth
- Wide nose
- Broad opening between the eyelids
- Eversion of lateral third of lower eyelids
- High palate
- Highly arched eyebrow
- Long eyelashes
- Short columella
- Wide nasal bridge
- Abnormal dentition
- Abnormality of dental shape
- Abnormally small head
- Bifid uvula
- Bilateral blockage of the rear opening of the nasal cavity
- Branchial sinus
- Central cleft upper lip
- Cleft lip
- Cleft of the mouth
- Cleft palate
- Decreased size of tooth
- Delayed loss of baby teeth
- Depressed nasal bridge
- Depressed nasal tip
- Failure of development of between one and six teeth
- Flat nose
- High forehead
- Little lower jaw
- Pit in front of the ear
- Proboscis
- Sparse eyebrow
- Thin red part of the upper lip
- Underdeveloped tissue around nostril
- Widely spaced teeth
- Absent tear duct
- Bad bite
- Bell's palsy
- Born with teeth
- Branchial cyst
- Broad philtrum
- Bulbous nose
- Dental cavities
- Downturned corners of mouth
- Eye folds
- Eyelids stay open
- Facial asymmetry
- Lip pit
- Long, narrow head
- Low hairline at back of neck
- Low hanging columella
- Narrow face
- Narrowing of the rear opening of the nasal cavity
- Prominent forehead
- Skin tag in front of the ear
- Tongue tied
- Prominent eyelashes
Abnormality of the ear
- Large earlobe
- Prominent ear
- Sensorineural hearing impairment
- Small ears
- Abnormality of the outer ear
- Large ears
- Aplasia of the semicircular canal
- Chronic infections of the middle ear
Show 13 more traits
- Conductive deafness
- Cupped ear
- Hearing impairment
- Low-set ears
- Recurrent middle ear infection
- Absent ear canal
- Bilateral conductive hearing impairment
- Cholesteatoma
- Ears rotated toward back of head
- Mixed hearing impairment
- Overfolded ears
- Progressive sensorineural hearing impairment
- Severe sensorineural hearing impairment
Abnormality of the nervous system
- Bilateral tonic-clonic seizure with focal onset
- Difficulty articulating speech
- Focal impaired awareness seizure
- Lateral ventricle dilatation
- Lobar holoprosencephaly
- Delayed speech and language development
- Global developmental delay
- Intellectual disability
Show 11 more traits
Abnormality of the cardiovascular system
- Abnormal cardiac septum morphology
- Abnormality of the heart
- An opening in the wall separating the top two chambers of the heart
- Increased blood pressure in blood vessels of lungs
- Narrowing of aorta
- Absent thymus
- Aortic valve has two leaflets rather than three
- Hole in heart wall separating two lower heart chambers
Abnormality of limbs
- Curvature of finger
- Short 5th finger
- Short fingers or toes
- Short middle bone of finger
- Curvature of little finger
- Prominent fingertip pads
- Single transverse palmar crease
- Broad big toe
Show 4 more traits
Abnormality of the musculoskeletal system
- Abnormal formation of the hip
- Butterfly vertebrae
- Thoracic scoliosis
- Abnormal vertebral body morphology
- Missing part of vertebrae
- Vertebral clefting
- Decreased muscle tone in infant
- Double-Jointed
Show 4 more traits
Abnormality of the integument
- Abnormal fingerprints
- Spinal dimple
- Excessive hair growth
- Poor nail formation
- Small nail
- Sparse hair
- Pilomatrixoma
- Birthmark
Show 1 more trait
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). KMT2D gene: lysine methyltransferase 2D. Retrieved 16 October 2026, from https://dantelabs.com/genes/kmt2d
Dante Labs. KMT2D gene: lysine methyltransferase 2D [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/kmt2d
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