Evidence map›Paper›PMID 25730767›Full record

ArticleNature genetics2015

Germline gain-of-function mutations in AFF4 cause a developmental syndrome functionally linking the super elongation complex and cohesin.

Kosuke Izumi, Ryuichiro Nakato, Zhe Zhang, Andrew C Edmondson, Sarah Noon, Matthew C Dulik, Ramakrishnan Rajagopalan, Charles P Venditti, Karen Gripp, Joy Samanich and 12 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Nature genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

87 citing papers in PubMed, 146 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Non-Classic Cornelia de Lange Syndrome Due toChildren (Basel, Switzerland) · 2025
    Review
  11. Review
  12. Identification of a novelIntractable & rare diseases research · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Exploring Cohesin-Related Multiomics Information in the Web Browser.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  18. A new pipeline SPICE identifies novel JUN-IKZF1 composite elements.bioRxiv : the preprint server for biology · 2024
    Article
  19. Article
  20. Article

27 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

22 authors at 7 institutions in 2 countries.

Kosuke Izumi1] Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. [2] Research Center for Epigenetic Disease, Institute for Molecular and Cellular Biosciences, The University of Tokyo, Tokyo, Japan.
Ryuichiro NakatoResearch Center for Epigenetic Disease, Institute for Molecular and Cellular Biosciences, The University of Tokyo, Tokyo, Japan.
Zhe ZhangCenter for Biomedical Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Andrew C EdmondsonDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Sarah NoonDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Matthew C DulikDepartment of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Ramakrishnan RajagopalanDepartment of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Charles P VendittiNational Human Genome Research Institute (NHGRI), US National Institutes of Health, Bethesda, Maryland, USA.
Karen GrippDivision of Medical Genetics, A.I. duPont Hospital for Children, Wilmington, Delaware, USA.ORCID 0000000182001733
Joy SamanichDepartment of Pediatrics, Division of Genetics, Montefiore Medical Center, Bronx, New York, USA.
Elaine H Zackai1] Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. [2] The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Matthew A Deardorff1] Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. [2] The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Dinah ClarkDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Julian L Allen1] The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA. [2] Division of Pulmonary Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Dale DorsettDepartment of Biochemistry and Molecular Biology, St. Louis University School of Medicine, St. Louis, Missouri, USA.
Ziva MisulovinDepartment of Biochemistry and Molecular Biology, St. Louis University School of Medicine, St. Louis, Missouri, USA.
Makiko KomataResearch Center for Epigenetic Disease, Institute for Molecular and Cellular Biosciences, The University of Tokyo, Tokyo, Japan.
Masashige BandoResearch Center for Epigenetic Disease, Institute for Molecular and Cellular Biosciences, The University of Tokyo, Tokyo, Japan.
Maninder KaurDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Yuki KatouResearch Center for Epigenetic Disease, Institute for Molecular and Cellular Biosciences, The University of Tokyo, Tokyo, Japan.
Katsuhiko Shirahige1] Research Center for Epigenetic Disease, Institute for Molecular and Cellular Biosciences, The University of Tokyo, Tokyo, Japan. [2] Core Research for Evolutional Science and Technology (CREST), Japan Science and Technology Agency, Kawaguchi, Japan.
Ian D Krantz1] Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. [2] The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Children's Hospital of Philadelphia · USThe University of Tokyo · JPSaint Louis University · USCommunity Health Systems - Dupont Hospital · USJapan Science and Technology Agency · JPMontefiore Medical Center · USNational Institutes of Health · US

Funding

Investigations of Methylmalonic Acidemia and Related DisordersZIAHG200318 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI VENDITTI, CHARLES P · 2009 to 2025
$29.7M
VERTEBRATE ANIMAL MODELS OF CORNELIA DE LANGE SYNDROMEP01HD052860 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI KRANTZ, IAN D. · 2006 to 2015
$11.2M
MEDICAL GENETICS RESEARCH TRAINING GRANTT32GM008638 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca Ganetzky · 1997 to 2026
$8.7M
NICHD NIH HHS P01 HD052860NIGMS NIH HHS T32 GM008638
6 · The paper itself

Abstract

Transcriptional elongation is critical for gene expression regulation during embryogenesis. The super elongation complex (SEC) governs this process by mobilizing paused RNA polymerase II (RNAP2). Using exome sequencing, we discovered missense mutations in AFF4, a core component of the SEC, in three unrelated probands with a new syndrome that phenotypically overlaps Cornelia de Lange syndrome (CdLS) that we have named CHOPS syndrome (C for cognitive impairment and coarse facies, H for heart defects, O for obesity, P for pulmonary involvement and S for short stature and skeletal dysplasia). Transcriptome and chromatin immunoprecipitation sequencing (ChIP-seq) analyses demonstrated similar alterations of genome-wide binding of AFF4, cohesin and RNAP2 in CdLS and CHOPS syndrome. Direct molecular interaction of the SEC, cohesin and RNAP2 was demonstrated. These data support a common molecular pathogenesis for CHOPS syndrome and CdLS caused by disturbance of transcriptional elongation due to alterations in genome-wide binding of AFF4 and cohesin.

Indexed as

Germ-Line MutationAmino Acid SequenceCell Cycle ProteinsChildChromosomal Proteins, Non-HistoneCohesinsDe Lange SyndromeDNA-Directed RNA PolymerasesFemaleGenetic Predisposition to DiseaseHEK293 CellsHeLa CellsHumansMaleMultiprotein ComplexesMutation, MissenseAFF4 protein, humanCell Cycle ProteinsChromosomal Proteins, Non-HistoneCohesinsDNA-Directed RNA PolymerasesMultiprotein ComplexesRepressor ProteinsRNA polymerase alpha subunitTranscriptional Elongation Factors

Identifiers

PMID25730767
PMCPMC4380798
OpenAlexW1974321945

What OpenQuestion holds

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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.