Evidence map›Paper›PMID 24633898›Full record

ArticleHuman mutation2014

Molecular analysis, pathogenic mechanisms, and readthrough therapy on a large cohort of Kabuki syndrome patients.

Lucia Micale, Bartolomeo Augello, Claudia Maffeo, Angelo Selicorni, Federica Zucchetti, Carmela Fusco, Pasquelena De Nittis, Maria Teresa Pellico, Barbara Mandriani, Rita Fischetto and 29 more

Open access · hybridAbstract read
In one paragraph

Article in Human mutation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Increased risk for severe peripheral arterial disease in Kabuki syndrome.Journal of vascular surgery cases and innovative techniques · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Loss-of-function of the Zinc Finger Homeobox 4 (medRxiv : the preprint server for health sciences · 2024
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Statistical models of the genetic etiology of congenital heart disease.Current opinion in genetics & development · 2022
    Review
  18. NovelJournal of the Endocrine Society · 2022
    Article
  19. Article
  20. Review
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

39 authors at 20 institutions in 1 country.

Lucia MicaleMedical Genetics Unit, IRCCS Casa Sollievo Della Sofferenza Hospital, San Giovanni Rotondo, Italy.
Bartolomeo Augello
Claudia Maffeo
Angelo Selicorni
Federica Zucchetti
Carmela Fusco
Pasquelena De Nittis
Maria Teresa Pellico
Barbara Mandriani
Rita Fischetto
Loredana Boccone
Margherita Silengo
Elisa Biamino
Chiara Perria
Stefano Sotgiu
Gigliola Serra
Elisabetta Lapi
Marcella Neri
Alessandra Ferlini
Maria Luigia Cavaliere
Pietro Chiurazzi
Matteo Della Monica
Gioacchino Scarano
Francesca Faravelli
Paola Ferrari
Laura Mazzanti
Alba Pilotta
Maria Grazia Patricelli
Maria Francesca Bedeschi
Francesco Benedicenti
Paolo Prontera
Benedetta Toschi
Leonardo Salviati
Daniela Melis
Eliana Di Battista
Alessandra Vancini
Livia Garavelli
Leopoldo Zelante
Giuseppe Merla
Casa Sollievo della Sofferenza · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Sassari · ITAzienda Ospedaliera G.Rummo · ITUniversity of Ferrara · ITUniversity of Milano-Bicocca · ITUniversity of Turin · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCittà della Speranza Foundation · ITEnte Ospedaliero Ospedali Galliera · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITMeyer Children's Hospital · ITOspedale Antonio Cardarelli · ITOspedale di Bolzano · ITOspedale Maggiore Carlo Alberto Pizzardi · ITOspedale Microcitemico · ITOspedale Pediatrico Giovanni XXIII · ITSanta Maria Nuova Hospital · ITUniversità Cattolica del Sacro Cuore · IT

Funding

Telethon GGP13231
6 · The paper itself

Abstract

Kabuki syndrome (KS) is a multiple congenital anomalies syndrome characterized by characteristic facial features and varying degrees of mental retardation, caused by mutations in KMT2D/MLL2 and KDM6A/UTX genes. In this study, we performed a mutational screening on 303 Kabuki patients by direct sequencing, MLPA, and quantitative PCR identifying 133 KMT2D, 62 never described before, and four KDM6A mutations, three of them are novel. We found that a number of KMT2D truncating mutations result in mRNA degradation through the nonsense-mediated mRNA decay, contributing to protein haploinsufficiency. Furthermore, we demonstrated that the reduction of KMT2D protein level in patients' lymphoblastoid and skin fibroblast cell lines carrying KMT2D-truncating mutations affects the expression levels of known KMT2D target genes. Finally, we hypothesized that the KS patients may benefit from a readthrough therapy to restore physiological levels of KMT2D and KDM6A proteins. To assess this, we performed a proof-of-principle study on 14 KMT2D and two KDM6A nonsense mutations using specific compounds that mediate translational readthrough and thereby stimulate the re-expression of full-length functional proteins. Our experimental data showed that both KMT2D and KDM6A nonsense mutations displayed high levels of readthrough in response to gentamicin treatment, paving the way to further studies aimed at eventually treating some Kabuki patients with readthrough inducers.

Indexed as

Abnormalities, MultipleCell LineCodon, NonsenseCohort StudiesDNA-Binding ProteinsDNA Mutational AnalysisFaceGene ExpressionGene Expression RegulationGenetic Association StudiesGentamicinsHaploinsufficiencyHematologic DiseasesHistone DemethylasesHomeodomain ProteinsHumansCodon, NonsenseDNA-Binding ProteinsGentamicinsHistone DemethylasesHomeodomain ProteinsHOXC6 protein, humanKDM6A protein, humanKMT2D protein, humanNeoplasm ProteinsNuclear ProteinsRNA Splice SiteshaploinsufficiencyKabuki syndromeKDM6AKMT2Dreadthrough

Identifiers

PMID24633898
PMCPMC4234006
OpenAlexW2169479194

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.