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David Sweetser

M.D., Ph.D.

Chief of Medical Genetics and Metabolism, Massachusetts General Hospital

Co-Director Pitt Hopkins Syndrome Clinic, MGH

MGH Site Director, Undiagnosed Diseases Network

Assistant Professor of Pediatrics, Harvard Medical School

Dr. Sweetser graduated with Honors from Stanford University, then completed his MD/PhD at Washington University School of Medicine in St. Louis, and Pediatric Residency training at St. Louis Children's Hosp. He did his Medical Genetics Fellowship training at the Washington University School of Medicine in St. Louis and the University of Washington in Seattle along with a Biochemical Genetics Fellowship. He completed a Post-Doctoral Fellowship in the laboratory of Dr. Richard Palmiter. He subsequently completed a Fellowship in Pediatric Hematology/Oncology at the University of Washington. in Seattle. He is Board Certified in Clinical Genetics and Genomics, Clinical Biochemical Genetics, and Pediatric Hematology-Oncology.

Since 2003 Dr. Sweetser has been at Massachusetts General Hospital and sees patients in Medical Genetics and Metabolism as well as Pediatric Hematology/Oncology. He specializes in children and adults with metabolic disease, neurodevelopment disorders, complex undiagnosed disorders as well as those with inherited hematological disorders and children with genetic disorders predisposing to malignancies. In 2011 he was appointed as Chief of Medical Genetics and Metabolism at Massachusetts General Hospital and in 2017 was awarded the Lewis and Leslie Holmes Endowed Chair in Genetics and Teratology. The Medical Genetics program at MGH includes 11 geneticists and has over 4000 patient encounters a year and provides services to three major hospitals in the Boson area. Under his leadership the Genetics Program has markedly expanded with specialty clinics in Turner Syndrome, Williams Syndrome, Stickler Syndrome, del22q Syndrome, Hereditary Hemorrhagic Telangiectasia, CHARGE syndrome, Klinefelter syndrome, and a multidisciplinary Sensorineural Hearing Loss Clinic at the MEEI, an Autism Genetics Clinic at the Lurie Center, Pediatric Cancer Predisposition Clinic, Pitt Hopkins Syndrome, as well as a world renown Down Syndrome clinic. Dr Sweetser teaches a graduate course, “Genetics in Medicine” in the Biological and Biomedical Sciences program at Harvard and is the MGH Site Director of the Harvard Medical School Genetics Training program.

Dr. Sweetser also runs a research lab in the Center for Genomic Medicine and MGH Cancer Center investigating several genetic disorders including Pitt Hopkins Syndrome, IQSEC2 -related disorder, and leukemia. Together with Dr. Stephen Haggarty he has systematically generated and characterized patient derived induced pluripotent stem cell (iPSC) models of several inherited monogenic causes of intellectual disability and neurodevelopmental disorders developing phenotypic assays amenable to drug screening to precision targeted therapeutics. Dr. Sweetser has been a leader in the application of whole exome sequencing to clinical diagnostics and expanding clinical genetics applications throughout MGH. Dr. Sweetser is also the MGH site director for the NIH sponsored Undiagnosed Diseases Network linking 11 medical centers around the country to accelerate discovery and innovation in the way we diagnose and treat patients with previously undiagnosed diseases.

David Sweetser

M.D., Ph.D.

Chief of Medical Genetics and Metabolism, Massachusetts General Hospital

Co-Director Pitt Hopkins Syndrome Clinic, MGH

MGH Site Director, Undiagnosed Diseases Network

Assistant Professor of Pediatrics, Harvard Medical School

Dr. Sweetser graduated with Honors from Stanford University, then completed his MD/PhD at Washington University School of Medicine in St. Louis, and Pediatric Residency training at St. Louis Children's Hosp. He did his Medical Genetics Fellowship training at the Washington University School of Medicine in St. Louis and the University of Washington in Seattle along with a Biochemical Genetics Fellowship. He completed a Post-Doctoral Fellowship in the laboratory of Dr. Richard Palmiter. He subsequently completed a Fellowship in Pediatric Hematology/Oncology at the University of Washington. in Seattle. He is Board Certified in Clinical Genetics and Genomics, Clinical Biochemical Genetics, and Pediatric Hematology-Oncology.

Since 2003 Dr. Sweetser has been at Massachusetts General Hospital and sees patients in Medical Genetics and Metabolism as well as Pediatric Hematology/Oncology. He specializes in children and adults with metabolic disease, neurodevelopment disorders, complex undiagnosed disorders as well as those with inherited hematological disorders and children with genetic disorders predisposing to malignancies. In 2011 he was appointed as Chief of Medical Genetics and Metabolism at Massachusetts General Hospital and in 2017 was awarded the Lewis and Leslie Holmes Endowed Chair in Genetics and Teratology. The Medical Genetics program at MGH includes 11 geneticists and has over 4000 patient encounters a year and provides services to three major hospitals in the Boson area. Under his leadership the Genetics Program has markedly expanded with specialty clinics in Turner Syndrome, Williams Syndrome, Stickler Syndrome, del22q Syndrome, Hereditary Hemorrhagic Telangiectasia, CHARGE syndrome, Klinefelter syndrome, and a multidisciplinary Sensorineural Hearing Loss Clinic at the MEEI, an Autism Genetics Clinic at the Lurie Center, Pediatric Cancer Predisposition Clinic, Pitt Hopkins Syndrome, as well as a world renown Down Syndrome clinic. Dr Sweetser teaches a graduate course, “Genetics in Medicine” in the Biological and Biomedical Sciences program at Harvard and is the MGH Site Director of the Harvard Medical School Genetics Training program.

Dr. Sweetser also runs a research lab in the Center for Genomic Medicine and MGH Cancer Center investigating several genetic disorders including Pitt Hopkins Syndrome, IQSEC2 -related disorder, and leukemia. Together with Dr. Stephen Haggarty he has systematically generated and characterized patient derived induced pluripotent stem cell (iPSC) models of several inherited monogenic causes of intellectual disability and neurodevelopmental disorders developing phenotypic assays amenable to drug screening to precision targeted therapeutics. Dr. Sweetser has been a leader in the application of whole exome sequencing to clinical diagnostics and expanding clinical genetics applications throughout MGH. Dr. Sweetser is also the MGH site director for the NIH sponsored Undiagnosed Diseases Network linking 11 medical centers around the country to accelerate discovery and innovation in the way we diagnose and treat patients with previously undiagnosed diseases.

Recent Publications

Racial and socioeconomic disparities in genetic evaluation and testing in the adult patient population

Published On 2025 Dec 20

Journal article

Genetic information directs clinical management and leads to improved health outcomes. However, there are scant data regarding the role of race or social determinants of health (SDOH) on access to genetics evaluation or outcomes of genetic testing in the general adult population. Here, we present the results of a retrospective study of 14,669 individuals seen over a 5-year period within the University of Pennsylvania and the Mass General Brigham Health Systems' Adult Genetics Clinics. We...


Phenotypic Variability and Paternal Inheritance of a CHD8 Variant Causing Intellectual Developmental Disorder With Autism and Macrocephaly Confirmed by Epigenetic and Structural Analyses

Published On 2025 Dec 17

Journal article

CONCLUSION: We describe the case of IDDAM caused by a paternally inherited CHD8 variant. Our findings highlight the importance of considering parental inheritance in IDDAM diagnoses and suggest epigenetic and structural biology analyses as valuable tools for reclassifying VUS when variant pathogenicity remains uncertain.