Evidence map›Paper›PMID 21441262›Full record

ArticleJournal of medical genetics2011

The core FOXG1 syndrome phenotype consists of postnatal microcephaly, severe mental retardation, absent language, dyskinesia, and corpus callosum hypogenesis.

Fanny Kortüm, Soma Das, Max Flindt, Deborah J Morris-Rosendahl, Irina Stefanova, Amy Goldstein, Denise Horn, Eva Klopocki, Gerhard Kluger, Peter Martin and 8 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of medical genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
11.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 246 citations in OpenAlex.

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  12. Images: Pharmacological treatment of pediatric insomnia: a successful trial of doxepin.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  13. PLP1-Targeting Antisense Oligonucleotides Improve FOXG1 Syndrome Mice.International journal of molecular sciences · 2024
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  18. Developmental trajectories of GABAergic cortical interneurons are sequentially modulated by dynamicProceedings of the National Academy of Sciences of the United States of America · 2024
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  19. Review
  20. Conditional Deletion ofInternational journal of molecular sciences · 2023
    Article

60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 17 institutions in 3 countries.

Fanny KortümInstitut für Humangenetik, Universitätsklinikum Hamburg-Eppendorf, Campus Forschung, Martinistraße 52, 20246 Hamburg, Germany.
Soma Das
Max Flindt
Deborah J Morris-Rosendahl
Irina Stefanova
Amy Goldstein
Denise Horn
Eva Klopocki
Gerhard Kluger
Peter Martin
Anita Rauch
Agathe Roumer
Sulagna Saitta
Laurence E Walsh
Dagmar Wieczorek
Gökhan Uyanik
Kerstin Kutsche
William B Dobyns
University Medical Center Hamburg-Eppendorf · DECenter for Children · USCharité - Universitätsmedizin Berlin · DEChildren's Hospital of Philadelphia · USChildren's Hospital of Pittsburgh · USDiakonie Kork · DEIndiana University – Purdue University Indianapolis · USInstitut für Medizinische Informatik, Biometrie und Epidemiologie · DEMax Planck Society · DESPZ Frankfurt Mitte · DEUniversität Hamburg · DEUniversitätsklinikum Erlangen · DEUniversity of Chicago · USUniversity of Freiburg · DEUniversity of Lübeck · DEUniversity of Regensburg · DEUniversity of Washington · US

Funding

De novo copy number variation and gene discovery in human brain malformationsR01NS058721 · NINDS · UNIVERSITY OF CHICAGO · PI ARGILLI, EMANUELA · 2008 to 2025
$10.9M
NINDS NIH HHS 1R01-NS058721NINDS NIH HHS R01 NS058721
6 · The paper itself

Abstract

backgroundSubmicroscopic deletions in 14q12 spanning FOXG1 or intragenic mutations have been reported in patients with a developmental disorder described as a congenital variant of Rett syndrome. This study aimed to further characterise and delineate the phenotype of FOXG1 mutation positive patients.

methodThe study mapped the breakpoints of a 2;14 translocation by fluorescence in situ hybridisation and analysed three chromosome rearrangements in 14q12 by cytogenetic analysis and/or array comparative genomic hybridisation. The FOXG1 gene was sequenced in 210 patients, including 129 patients with unexplained developmental disorders and 81 MECP2 mutation negative individuals.

resultsOne known mutation, seen in two patients, and nine novel mutations of FOXG1 including two deletions, two chromosome rearrangements disrupting or displacing putative cis-regulatory elements from FOXG1, and seven sequence changes, are reported. Analysis of 11 patients in this study, and a further 15 patients reported in the literature, demonstrates a complex constellation of features including mild postnatal growth deficiency, severe postnatal microcephaly, severe mental retardation with absent language development, deficient social reciprocity resembling autism, combined stereotypies and frank dyskinesias, epilepsy, poor sleep patterns, irritability in infancy, unexplained episodes of crying, recurrent aspiration, and gastro-oesophageal reflux. Brain imaging studies reveal simplified gyral pattern and reduced white matter volume in the frontal lobes, corpus callosum hypogenesis, and variable mild frontal pachgyria.

conclusionsThese findings have significantly expanded the number of FOXG1 mutations and identified two affecting possible cis-regulatory elements. While the phenotype of the patients overlaps both classic and congenital Rett syndrome, extensive clinical evaluation demonstrates a distinctive and clinically recognisable phenotype which the authors suggest designating as the FOXG1 syndrome.

Indexed as

Genetic Association StudiesBase SequenceChildChild, PreschoolChromosomes, Human, Pair 14Comparative Genomic HybridizationCorpus CallosumDyskinesiasFemaleForkhead Transcription FactorsGenotypeHumansIntellectual DisabilityMaleMethyl-CpG-Binding Protein 2MicrocephalyForkhead Transcription FactorsFOXG1 protein, humanMECP2 protein, humanMethyl-CpG-Binding Protein 2Nerve Tissue Proteins

Identifiers

PMID21441262
PMCPMC5522617
OpenAlexW2107029583

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.