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ResearchIn-Press PreviewDevelopmentGenetics Open Access | 10.1172/JCI199043

HER2 deficiency causes a developmental disorder with growth retardation and craniofacial malformations

Huaxiang Zhao,1 Pan Wang,2 Yuhua Jiao,1 Huimei Huang,3 Min Yu,4 Qing He,5 Chengkai Pan,5 Shuang Guo,6 Wenbin Huang,7 Yunfei Jia,1 Qianying Kong,8 Huifang Peng,8 Yandong Han,1 Yuxia Hou,1 Zhanping Ren,1 Yongwei Tao,1 Fei Huang,9 Hongwei Jiang,8 Shan Sun,10 Yanying Dong,11 Jiuxiang Lin,12 Chunyan Yin,6 Xuechen Zhu,13 Feng Chen,14 and Yi Ding11

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Zhao, H. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Wang, P. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Jiao, Y. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Huang, H. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Yu, M. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by He, Q. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Pan, C. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Guo, S. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Huang, W. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Jia, Y. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Kong, Q. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Peng, H. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Han, Y. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Hou, Y. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Ren, Z. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Tao, Y. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Huang, F. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Jiang, H. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Sun, S. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Dong, Y. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Lin, J. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Yin, C. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Zhu, X. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Chen, F. in: PubMed | Google Scholar

1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Rese, College of Stomatology, Xi’an Jiaotong University, Xi'an, China

2Research Center for Industries of the Future, Westlake University, Zhejiang, China

3Department of Nephrology, Xi'an Children’s Hospital, The Affiliated Children's Hospital, Xi’an Jiaotong University, Xi'an, China

4Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China

5Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Health Science Center, Xi’an Jiaotong University, Xi'an, China

6Department of Pediatrics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

7Department of Orthodontics, Stomatological Center, Peking University Shenzhen Hospital, Guangdong, China

8Henan Key Laboratory of Rare Diseases, Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Henan, China

9Central Laboratory, Fujian Key Laboratory of Precision Medicine for Cancer,, The First Affiliated Hospital, Fujian Medical University, Fujian, China

10State Key Laboratory of Membrane Biology, Beijing Frontier Research Center, School of Life Sciences, Tsinghua University, Beijing, China

11Department of Transfusion Medicine, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China

12Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China

13State Key Laboratory of Female Fertility Promotion, Department of Human Ana, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China

14Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China

Find articles by Ding, Y. in: PubMed | Google Scholar

Published April 30, 2026 - More info

J Clin Invest. https://doi.org/10.1172/JCI199043.
Copyright © 2026, Zhao et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published April 30, 2026 - Version history
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Abstract

The human epidermal growth factor receptor 2 (HER2) is a major therapeutic target in cancer. While the oncogenic effects of HER2 hyperactivation are well-characterized, the biological consequences of its deficiency remain poorly defined. Here, through exome sequencing analyses of a cohort of 720 families affected by isolated or syndromic orofacial clefts, we unexpectedly identified five distinct rare germline HER2 variants in five unrelated families with growth deficits, orofacial clefts, and other craniofacial, skeletal, and auditory anomalies. In Xenopus embryos, these variants failed to recapitulate the developmental effects of wild-type HER2. In cultured cells, they disrupted HER2 protein stability, membrane localization, or site-specific phosphorylation, resulting in diminished ERK signaling. Strikingly, knock-in mice expressing a patient-derived HER2 variant and mice maternally exposed to Tucatinib, a recently approved anti-HER2 drug, both replicated patient phenotypes: retarded growth and diverse craniofacial abnormalities, including ocular dysgenesis, short jaws, and cleft palate. Collectively, our findings define a developmental disorder that we designate GRACE syndrome (Growth Retardation and Craniofacial Malformations Caused by HER2 Deficiency), establish HER2’s essential role in human growth and craniofacial morphogenesis, and reveal that HER2-targeted therapies during pregnancy can induce craniofacial defects and lifelong growth impairment in fetuses. 5

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Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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