2026 ASXL Research Symposium

Thursday, June 25 - Friday, June 26, 2026
Sheraton Ann Arbor
Ann Arbor, Michigan, U.S.A.

The annual ASXL Research Symposium brings together innovative scientists, clinicians and industry leaders from around the world to drive ASXL research forward. This highly collaborative and interactive meeting establishes the critical foundation upon which therapeutic treatments and standards of care will be developed for ASXL-related disorders. By fostering new collaborations and facilitating the sharing of data, knowledge, reagents, and resources, this meeting unites our scientific community and accelerates our efforts to improve the quality of life of everyone living with an ASXL-related disorder.

This portion of the meeting is for scientists, doctors, and research professionals. ASXL Family Conference programming begins the evening of Friday, June 26.

Program

2026 ASXL Research Symposium — Program
Pre-Symposium
Wednesday, June 24, 2026
Optional evening events ahead of the Research Symposium
5:30 PM
Invited Speakers Dinner
Cocktail hour: 5:30 PM  ·  Dinner: 6:00 PM
By invitation only
📍 Sheraton Ann Arbor — Michigan IV/V
5:30 PM
Young Investigator / Trainee Meet Up
5:30–6:30 PM
Enjoy one complimentary drink on the ARRE Foundation
📍 Sheraton Ann Arbor — Hotel bar
Day 1
Thursday, June 25, 2026
8:00 AM
Registration / Check-in
Coffee available
📍 Michigan Foyer
8:30 AM
Welcome and Introduction
Opening
📍 Grande I/II
Karen Ho
Karen Ho, PhD
ARRE Foundation
Welcoming remarks
Bianca Russell
Bianca Russell, MD
University of California, Los Angeles
Overview of clinical phenotypes
Stephanie Bielas
Stephanie Bielas, PhD
University of Michigan
Overview of ASXL genes and function
9:15 AM
Session I: Molecular Mechanisms I
Basic Science
📍 Grande I/II
Michiel Vermeulen
Michiel Vermeulen, PhD
Radboud University Nijmegen and Netherlands Cancer Institute
Investigating gene expression regulation using proximity biotinylation

Our lab is using state-of-the-art quantitative mass-spectrometry based (interaction) proteomics and next generation DNA sequencing technology to decipher (epi)genetic regulation of gene expression in (differentiated) stem cells. In recent years, our lab has implemented and developed various proximity biotinylation workflows to characterize the proximal proteome for various chromatin associated protein complexes and epigenetic modifications. In this talk, Dr. Vermeulen will provide an update of these approaches and the results they have generated.

Beat Fierz
Beat Fierz, PhD
École Polytechnique Fédérale de Lausanne
A molecular and dynamic view on polycomb function

We study how Polycomb group proteins modify chromatin. In particular, we recently revealed how Polycomb repressive complex 1 (PRC1), a ubiquitin ligase, searches, binds, and modifies chromatin to regulate gene expression. Using multi-color single-molecule imaging and FRET, we directly observe PRC1’s binding modes and dynamics in real time as it carries out ubiquitylation in a concerted reaction. This approach reveals individual reaction steps, enzymatic mechanisms, and the structural changes PRC1 induces in chromatin. Overall, our results show how chromatin modifications control chromatin structure and thus gene expression programs, providing mechanistic insights into chromatin regulatory processes.

Emma Doyle
Emma Doyle, PhD
University College Dublin
Divergent pathogenic PR-DUB complex variants converge functionally via PRC2 displacement from chromatin

PR-DUB erases the repressive histone modification, H2AK119ub1, and comprises the enzymatic subunit, BAP1, and one of three paralogs, ASXL1-3. Somatic and germline variants in these subunits lead to cancer and developmental syndromes respectively. We have generated an isogenic mouse embryonic stem cell model system to determine the impacts of PR-DUB loss- vs gain-of-function variants in parallel. Both share a common mechanism in epigenomic disruption via the eviction of PRC2 from its target genes, impacting H3K27me3 levels. Variant ASXL1 causes genome-wide reductions in H2AK119ub1. The resulting reduction at Polycomb target promoters disrupts the PRC2.2-H2AK119ub1 recruitment axis, causing the convergent phenotypes of divergent PR-DUB variants and the disruption of transcriptional control at these genes. This gain-of-function appears to be caused by a major increase in the stability of the truncated protein, adjusting the balance of complex activity. These mechanisms contribute to our understanding of the role of H2AK119ub1 and PR-DUB across several human diseases and may shape the search for targeted treatments for patients.

Eric Conway
Eric Conway, PhD Moderator
University College Dublin
Q&A
10:30 AM
Break
📍 Michigan I/II
11:00 AM
Session 2: Molecular Mechanisms 2
Basic Science
📍 Grande I/II
Tatiana Kutateladze
Tatiana Kutateladze, PhD
University of Colorado School of Medicine
ASXL1-BRD4-MLL3/4 axis

Epigenetic marks regulate chromatin structure and function, alter local chromatin environment, affect DNA accessibility and accelerate or impede DNA templated processes. Histone posttranslational modifications (PTMs) alter direct interactions between histones and DNA and serve as docking sites for the histone-binding domains or “readers”. This talk details the molecular mechanisms and biological roles of the readers and their complexes, comparing specificities and highlighting the significance of crosstalk between PTMs and the consequence of combinatorial readout for the recruitment of these complexes to chromatin. Novel functions of the ASXL proteins, methyltransferases MLL4 and MLL3, and BRD4 will be discussed.

Lluis Morey
Lluis Morey, PhD
Sylvester Comprehensive Cancer Center, University of Miami
PRC1 complexes in neurodevelopmental disorders

This talk will discuss recent progress in understanding the mechanisms mediated by mutations in PRC1 proteins and newly developed model systems. These advancements aim to shed light on how disruptions in PRC1 complexes interfere with neurodevelopmental programs.

Chao Lu
Chao Lu, PhD
Columbia University
Regulation and function of histone H2A ubiquitination

Dysregulation of histone H2AK119 mono-ubiquitination (H2AK119Ub) is implicated in a variety of human diseases including cancers and neurodevelopmental disorders. The molecular mechanisms underlying the regulation of H2AK119Ub dynamics, as well as its crosstalk with other chromatin modifications, remain incompletely understood. This talk covers recent work on the interplay between H2AK119Ub and DNA methylation and the identification of an H2AK119Ub regulatory network. Together, these studies provide insights into the pathogenesis and therapeutic targeting of H2AK119Ub-dysregulated human diseases.

Val Arboleda
Val Arboleda, MD, PhD Moderator
University of California, Los Angeles
Q&A
12:15 PM
Lunch and Posters
📍 Michigan I/II
1:45 PM
Session 3: Developmental Models I
Basic Science
📍 Grande I/II
Stephanie Bielas
Stephanie Bielas, PhD
University of Michigan
Modeling the functional consequences of ASXL3 exon 11 variants in neural development

We created a mouse model harboring ASXL3 exon 11 frameshift variants that exhibits a dose-dependent increase in H2AK119ub1 and asynchronous neural differentiation, reinforcing a role for H2AK119ub1 regulation in cortical neuron fate specification.

Sally A. Camper
Sally A. Camper, PhD
University of Michigan
Genetically engineered mice with mutations in Asxl1 have abnormalities of the pituitary gland and midline

Mice homozygous for loss of function mutations in Asxl1 exhibit embryonic lethality and have multiple developmental abnormalities including anophthalmia, microcephaly, cleft palate, and mandibular malformation. Asxl1 mutant mice also have anterior pituitary hypoplasia and dysmorphology, and absent posterior pituitary lobe. Conditional deletion of Asxl1 in the developing anterior pituitary had no effect on pituitary hormone gene expression, indicating that Asxl1 has important roles in anterior and posterior pituitary development prior to formation of the pituitary primordia. Ongoing studies will examine the role of ASXL1 in the developing posterior lobe of the pituitary gland.

Shigeki Iwase
Shigeki Iwase, PhD
Department of Human Genetics, University of Michigan
Disregulation of histone 3 lysine 4 methylation in neurodevelopmental disorders

Histone 3 Lysine 4 Methylation (H3K4me) is one of the best characterized histone modifications. Loss of function mutations in most writer and eraser enzymes of H3K4me causes neurodevelopmental disorders, yet the mechanisms underlying the pathogenesis remain incompletely understood. This talk provides an update on efforts to understand the roles of H3K4me enzymes in neurodevelopment and potential therapeutic strategies.

Rob Illingworth
Rob Illingworth, PhD Moderator
University of Edinburgh
Q&A
3:00 PM
Group Photo & Break
📍 Michigan I/II
3:30 PM
Session 4: Developmental Models 2
Basic Science
📍 Grande I/II
Fides Zenk
Fides Zenk, PhD
École Polytechnique Fédérale de Lausanne
From genes to brain cells: understanding neurodevelopment through epigenetics

How do genetically identical cells give rise to the remarkable diversity of cell types in the human brain? This process is driven by a tightly controlled sequence of fate restrictions from pluripotent progenitors and is governed by epigenetic mechanisms that regulate gene activity and associated regulatory elements. However, resolving these mechanisms during early human brain development has remained challenging.

In our lab, we develop single-cell technologies to map epigenetic modifications and resolve cell fate decisions at high resolution. Using these approaches, we profiled histone modifications (H3K27ac, H3K27me3, and H3K4me3) in human central nervous system organoids across a developmental time course and reconstructed the epigenomic trajectories underlying cell identity acquisition from human pluripotency.

We analyzed transitions from pluripotency to neuronal and glial terminal states, as well as differentiation from progenitors to retinal and brain regional identities through the neuroepithelium. We found that cell fate decisions were accompanied by dynamic switching between repressive and activating epigenetic modifications at regulatory elements.

Furthermore, we established a temporal census of regulatory elements and transcription factors and integrated them into gene regulatory networks governing human cerebral cell-fate acquisition.

Together, this work provides a single-cell, genome-wide atlas of histone modification dynamics during human brain organoid development and offers a framework to study the regulatory logic of cell fate decisions in both normal development and neurodevelopmental disorders.

Val Arboleda
Val Arboleda, MD, PhD
University of California, Los Angeles
Models of ASXL1: insights beyond chromatin biology

Mutations in the ASXL genes cause a group of related developmental syndromes — including Bohring-Opitz, Shashi-Pena, and Bainbridge-Ropers syndromes — that share features such as intellectual disability, delayed development, and distinctive physical characteristics. While these genes have long been known to regulate how DNA is packaged and read in cells, this talk shows that they also play an important role in how cells produce and use energy. Using cells donated by individuals with these syndromes, as well as laboratory cell models, loss of ASXL protein function was found to cause cells to shift toward a less efficient form of energy production and impair the function of mitochondria, the powerhouses of the cell. These findings reveal a new dimension to how ASXL mutations affect the body and suggest that energy metabolism may contribute to the developmental and neurological features seen in affected individuals. This work opens new directions for research into potential therapies that target metabolic pathways in ASXL-associated syndromes.

Rob Illingworth
Rob Illingworth, PhD
University of Edinburgh
Epigenetic cross-talk in development and disease: understanding the mechanisms of H2AK119ub-associated chromatinopathies

Brain development depends on tight control of H2AK119ub, a chromatin mark that supports correct spatiotemporal gene expression patterns. The levels and distribution of this mark are regulated by two opposing protein complexes: PRC1, which adds H2AK119ub, and PR-DUB, which removes it. Pathogenic variants in genes encoding PRC1 and PR-DUB subunits cause rare, and often phenotypically overlapping, monogenic neurodevelopmental disorders (NDDs). Work from this lab and others has demonstrated that neural precursor cells that cannot maintain normal H2AK119ub levels display gene mis-regulation and an ectopic developmental programme. This talk presents recent research that looks at how disruption of H2AK119ub regulators reshapes the epigenome and explores shared mechanisms that could be targeted therapeutically in H2AK119ub-associated NDDs.

Stephanie Bielas
Stephanie Bielas, PhD Moderator
University of Michigan
Q&A
4:45 PM
Travel Grant Recipient Recognition
Daniel Ordower, ARRE Foundation Board of Directors
📍 Grande I/II
5:00 PM
Posters Lightning Round
ARRE Foundation travel grant recipients present their research
📍 Grande I/II
Naomi Akhidenor Travel grant recipient
Kennedy Krieger Institute
Characterizing development in ASXL-related disorders: initial evidence from the Developmental Profile, Fourth Edition
Rachel Bracewell, BS Travel grant recipient
University of Utah
A study of the phenotype of Bohring-Opitz syndrome through survey formulation and qualitative data analysis
Sarah Buggle Travel grant recipient
University College Dublin
Breaking DEUBAD: ASXL1 allosteric stimulation is not the key driver of gain-of-function in Bohring-Opitz syndrome
Lucy Doyle, PhD Travel grant recipient
University of Edinburgh
Mapping the interaction landscape of ASXL and Polycomb Group Proteins in mouse embryonic stem and neural precursor cells
Kamila I. Musialik, MSc, MPhil Travel grant recipient
University of Edinburgh
Defining the molecular and developmental basis of Bainbridge-Ropers syndrome
Rachel Northrup, BA Travel grant recipient
Kennedy Krieger Institute
Characterizing adaptive functioning in ASXL-related disorders
Neerja Vashist, PhD Travel grant recipient
UCLA
Truncated ASXL1 protein has increased stability compared to the full length protein causing gain-of-function effects
Sereen Wong, BS Travel grant recipient
Harvard Medical School
Motor and autism symptoms in ASXL-related disorders
5:30 PM
Poster Presentations
Posters and reception — additional research presented throughout the evening
📍 Michigan I/II
David Kastner, MD, PhD
UCSF
Large-scale multidimensional behavioral phenotyping in rats
Brian McGrath, PhD
Northwestern University
Polycomb dysregulation impairs neurogenic tempo and deep layer neuron specification in Asxl3 mouse model
Eleanor Mills
University of Pennsylvania School of Medicine
Directed areal specification in human cortical organoids
Emily Peirent, BS
University of Michigan
Functional profiling of ASXL3- and H2AK119ub1-linked pathology connects chromatin biology to neurodevelopmental disorders
Samantha Regan, PhD
University of Michigan
Allelic and phenotypic heterogeneity in eight mouse models with Asxl3 variants
Jason Sheingold, MS
University of Michigan
Pathogenic variants in RNF2 associated with Luo-Schoch-Yamamoto syndrome impair H2A monoubiquitination and alter cell fate specification during embryonic brain development
Hazel Stewart, PhD
University of Cambridge
The ASXL1 and ASXL2 TransFrame proteins: unstudied potential contributors to ASXL pathologies
Ruihong Wang, PhD
National Cancer Institute
ASXL3 loss disrupts DNA replication dynamics and suppresses SCLC tumor formation
Jie Zhang, MD
University of Michigan / Peking University First Hospital
H2A monoubiquitination signatures of pathogenic ASXL3 variants
Day 2
Friday, June 26, 2026
8:00 AM
Registration / Check-in
Coffee available
📍 Michigan Foyer
8:30 AM
Opening Remarks
Opening
📍 Grande I/II
Amanda Johnson
Amanda Johnson
ARRE Foundation
Welcoming remarks: what's next for the ARRE Foundation
Karen Ho
Karen Ho, PhD
ARRE Foundation
ARRE Foundation initiatives and scientific update
Val Arboleda
Val Arboleda, MD, PhD
University of California, Los Angeles
Utilizing the REACH Biobank
9:15 AM
Session I: Translational
Translational Research
📍 Grande I/II
Stuart Cobb
Stuart Cobb, PhD
University of Edinburgh and Neurogene Inc.
The path to gene therapy in neurodevelopmental disorders

Gene therapy has potential application in a range of neurodevelopmental disorders. This talk presents the translational path to developing a gene therapy from early proof of concept through to clinical development, highlighting critical steps in the process and giving examples of how patient and family foundations can support key aspects of the journey.

Gregory Newby
Gregory Newby, PhD
Johns Hopkins University, Department of Genetic Medicine
Emerging genome editing approaches to address monogenetic disorders

Base editing and prime editing technologies have enabled efficient in vivo correction of mouse models of disease. There are currently over a dozen clinical trials using these tools to address monogenetic disease. This talk presents the mechanisms of editing and preclinical data on the correction of liver and brain, discussing the current capabilities and limitations of existing technology.

Sarah Pierce
Sarah Pierce, PhD
Broad Institute, Harvard University
A disease-agnostic approach to therapeutic genome editing

Precise genome-editing technologies have the potential to correct many disease-causing mutations, but most approaches require the development of a unique therapeutic for each variant. This talk presents a more generalizable strategy for treating diseases caused by premature stop codons by using prime editing to permanently convert an endogenous transfer RNA (tRNA) into an engineered suppressor tRNA (sup-tRNA). Through iterative screening of thousands of human tRNA variants, optimized sup-tRNAs were identified that efficiently promote readthrough of premature stop codons without requiring toxic overexpression. Using this approach, termed prime editing-mediated readthrough of premature termination codons (PERT), protein expression was restored in cellular models of Batten disease, Tay-Sachs disease, and cystic fibrosis, and disease pathology was rescued in a mouse model of Hurler syndrome. Importantly, PERT did not induce detectable readthrough of natural stop codons or cause major transcriptomic or proteomic changes, highlighting its specificity and therapeutic potential as a disease-agnostic genome-editing platform.

Karen Ho
Karen Ho, PhD Moderator
ARRE Foundation
Q&A
10:30 AM
Break
📍 Michigan I/II
11:00 AM
Session 2: Clinical I
Clinical Research
📍 Grande I/II
Bianca Russell
Bianca Russell, MD
University of California, Los Angeles
Building infrastructure through the ASXL-Related Disorder Natural History Study and REACH Biobank

The UCLA ASXL-Related Disorders Natural History Study (ASXL NHS) and the Rare Epigenetic and Chromatin Disorders Biobank (REACH Biobank) are key pillars of the ASXL research ecosystem, supporting both clinical trial readiness and improvements in patient care. Since 2018, these efforts have expanded our understanding of the clinical and biological features of ASXL-related disorders and have contributed to numerous publications on biomarkers, disease mechanisms, and clinical outcomes. Together, the studies include more than 190 participants and nearly 90 biological samples, creating a robust foundation for translational research and therapeutic development. In this presentation, I will highlight key findings and accomplishments from these studies and discuss priorities and opportunities for future research.

Rujuta Wilson
Rujuta Wilson, MD
University of California, Los Angeles
Motor and neurological phenotyping in ASXL-related disorders

Motor impairments are highly prevalent across genetic neurodevelopmental conditions and can significantly impact communication, adaptive functioning, and independence. This presentation highlights the importance of motor function as a core domain of investigation in genetic neurodevelopmental disorders and discusses approaches for quantitatively characterizing motor phenotypes. It reviews the use of objective motor measures to enhance phenotypic assessment and examines how these tools can be applied in ASXL-related conditions to improve understanding of clinical presentation, variability, and natural history.

Jacqueline Harris
Jacqueline Harris, MD
Kennedy Krieger Institute / Johns Hopkins University
Clinical trial readiness in Mendelian disorders of the epigenetic machinery

Mendelian disorders of the epigenetic machinery (MDEMs) are a group of disorders that may be particularly amenable to therapeutic interventions. However, before therapies can be tested, robust outcome measures and biomarkers specific to the disease must be developed. This talk covers how the Harris lab has done this for several MDEMs and concludes with how this may be applicable to ASXL disorders.

Wen-Hann Tan
Wen-Hann Tan, BMBS Moderator
KK Women's and Children's Hospital Singapore / Boston Children's Hospital
Q&A
12:15 PM
Lunch and Posters
📍 Michigan I/II
1:15 PM
Session 3: Clinical II
Clinical Research
📍 Grande I/II
Jacqueline Kaufman
Jacqueline Kaufman, PhD
University of Michigan
Adapted cognitive assessments: a strength-based approach to testing cognition in the “untestable” patient

For children with severe developmental delays affecting cognition, movement and communication, cognitive testing is more complicated and not well served by typical neuropsychological assessment approaches. This presentation focuses on using “out of the box” techniques to access cognitive skills and strengths in children who are often described as “untestable patients”. The importance of establishing intact choice making capacity and the relative merits of cognitive neuroscience versus clinical strategies for assessment are discussed. With a focus on identifying and building on skills rather than focusing on deficits, adapted testing is discussed as an opportunity to facilitate cognitive growth in children with complex delays.

Mary Wojnaroski
Mary Wojnaroski, PhD
Nationwide Children's Hospital
The Inchstone Project: updates and emerging research findings

The Inchstone Project is focused on advancing neurodevelopmental measures for individuals with intellectual disability and severe neurological impairment. This talk covers two topics: current projects including the Parents Speak Survey 2, and the importance of small steps in development to quality of life.

John W. Wiley
John W. Wiley, MD
University of Michigan
Pathophysiology and management of cyclic vomiting syndrome (CVS): is there a connection to ASXL-related disorders?
  1. CVS has a complex multifactorial pathophysiology, including malfunction of cation membrane channels and mitochondrial dysfunction.
  2. Management is symptom-driven but solid evidence, i.e. randomized controlled trials (RCTs), is limited.
  3. ASXL-opathies: evidence suggests secondary neurogenic vomiting via chromatinopathy, distinct from idiopathic CVS.
  4. Unknown-unknowns: lack of biomarkers, modifiers, sequelae.
  5. Future directions: RCTs, functional genomics, CGRP trials.
Andres Jimenez-Gomez
Andres Jimenez-Gomez, MD Co-Moderator
Baylor College of Medicine / Texas Children's Hospital
Q&A
Natasha N. Ludwig
Natasha N. Ludwig, PhD Co-Moderator
Kennedy Krieger Institute / Johns Hopkins University
Q&A
2:30 PM
ARRE Foundation Honoree Recognition and Break
Honoree recognition presented by Karen Ho, PhD, ARRE Foundation
📍 Grande I/II
3:00 PM
Workshops
📍 Grande I/II
Topic 1 — ASXL protein function: in vitro assays
Topic 2 — ASXL protein function: in vivo assays
Topic 3 — Molecular biomarker development: biofluids
Topic 4 — Clinical biomarker development: EEG signatures, vocalization recordings, movements, and other digital data from wearables or sensors
Topic 5 — Protein detection: antibodies, nanobodies, chemical probes
4:45 PM
Closing Remarks
Closing
📍 Grande I/II
Karen Ho
Karen Ho, PhD
ARRE Foundation
Closing remarks
6:00 PM
🦸 ASXL Community Celebration Dinner
Join with ASXL families to celebrate all the superheroes in the ASXL community; additional registration required (sold out)
📍 Michigan I/II

Attendee testimonials

“[This is a] small meeting interactions with clinicians and scientists. The size and focus of the meeting makes interactions very easy and productive. There is an energy to the ARRE Foundation meetings that makes them very engaging. I have attended two and developed collaborations from both.”

“Both meetings I have attended have improved my technical knowledge of ASXL and PR-DUB, but also hearing from and meeting ASXL family members is very inspiring and provides huge motivation to focus research more directly on ASXL syndrome research and adjacent research questions.”

“[The ASXL Research Symposium] expanded my understanding and helped me identify ways to modify my current [clinical] practices.”

Past ASXL Research Symposia

Not just a scientific meeting

You can contribute to improving the lives of hundreds of families living with ASXL-related disorders by attending the ASXL Research Symposium. There are so many unanswered questions — and we need your help to answer them.

ASXL Research Symposium Program Committee

  • A young woman with shoulder-length dark hair, smiling and wearing a white medical coat, standing in front of a tiled wall with blue and white geometric patterns.

    Valerie Arboleda, MD, PhD

    UCLA

  • A smiling woman with blonde hair wearing clear glasses, a red top, and a black cardigan, outdoors with green blurred trees in the background.

    Stephanie Bielas, PhD

    University of Michigan

  • A smiling man with short brown hair and glasses, wearing a navy blazer and a blue shirt, standing outside with modern glass buildings, greenery, and parked cars in the background.

    Eric Conway, PhD

    University College Dublin

  • Rob Illingworth, PhD

    University of Edinburgh

  • A woman with long brown hair, glasses, and pearl earrings smiling at the camera, indoors with a blurred background.

    Natasha N. Ludwig, PhD

    Kennedy Krieger Institute and Johns Hopkins University School of Medicine

  • Cory Rillahan, MD, PhD

    Dana Farber Cancer Institute

  • A woman with blonde hair smiling, wearing a white lab coat, against a blue background.

    Bianca Russell, MD

    UCLA

  • Portrait of a man with glasses, wearing a white shirt, against a gray background.

    Wen-Hann Tan, BMBS

    Boston Children’s Hospital

Thank you to our event sponsors!