Evidence map›Paper›PMID 26544806›Full record

ArticleAmerican journal of human genetics2015

Association between Rare Variants in AP4E1, a Component of Intracellular Trafficking, and Persistent Stuttering.

M Hashim Raza, Rafael Mattera, Robert Morell, Eduardo Sainz, Rachel Rahn, Joanne Gutierrez, Emily Paris, Jessica Root, Beth Solomon, Carmen Brewer and 6 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in American journal of human genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.8field-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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Developmental stuttering with common and complex phenotypes.Developmental medicine and child neurology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Unraveling Stuttering Through a Multi-Omics Lens.Life (Basel, Switzerland) · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Stuttering as a spectrum disorder: A hypothesis.Current research in neurobiology · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

16 authors at 4 institutions in 2 countries.

M Hashim RazaNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Rafael MatteraCell Biology and Metabolism Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda, MD 20892, USA.
Robert MorellNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Eduardo SainzNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Rachel RahnNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Joanne GutierrezNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Emily ParisNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Jessica RootNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Beth SolomonClinical Center Speech Language Pathology Service, NIH, Bethesda, MD 20892, USA.
Carmen BrewerNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
M Asim Raza BasraInstitute of Chemistry, University of the Punjab, Lahore 54590, Pakistan.
Shaheen KhanCentre of Excellence in Molecular Biology, University of the Punjab, Lahore 53700, Pakistan.
Sheikh RiazuddinAlama Iqbal Medical Research Center, Lahore 54550, Pakistan.
Allen BraunNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Juan S BonifacinoCell Biology and Metabolism Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda, MD 20892, USA.
Dennis DraynaNational Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA. Electronic address: drayna@nidcd.nih.gov.
National Institute on Deafness and Other Communication Disorders · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USUniversity of the Punjab · PKAllama Iqbal Medical College · PK

Funding

Protein Trafficking In The Endosomal-Lysosomal SystemZIAHD001607 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI BONIFACINO, JUAN · 2009 to 2025
$48.3M
Clinical Analysis Of Disorders Of Hearing And BalanceZIADC000064 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI HERTZANO, RONNA · 2009 to 2025
$25.2M
Genetic Studies of Human Communications DisordersZIADC000046 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI DRAYNA, DENNIS · 2009 to 2019
$21.1M
Functional Neuroimaging Studies in HumansZIADC000031 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI BRAUN, ALLEN · 2009 to 2016
$11.9M
COMPARATIVE AND EVOLUTIONARY BIOLOGY OF HEARINGT32DC000046 · NIDCD · UNIV OF MARYLAND, COLLEGE PARK · PI Catherine Emily Carr, Matthew J. Goupell · 1994 to 2026
$7.5M
Identification of Genes Causing Syndromic And Nonsyndromic Hearing ImpairmentZ01DC000039 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI FRIEDMAN, THOMAS BAER · 1997 to 2008
$7.2M
REGULATION OF THE FATE OF NEWLY SYNTHESIZED PROTEINSZ01HD001607 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI BONIFACINO, JUAN · 1991 to 2008
$4.4M
Linkage/Positional Cloning In Communication DisordersZ01DC000046 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI DRAYNA, DENNIS · 1998 to 2008
$3.3M
SPEECH AND HEARING SCIENCEST32DC000039 · NIDCD · CUNY GRADUATE SCH AND UNIV CTR · PI SCHWARTZ, RICHARD G · 1992 to 2002
$429k
Intramural NIH HHS Z01 DC000039Intramural NIH HHS Z01 DC000046Intramural NIH HHS Z01 HD001607NICHD NIH HHS Z1A HD001607NIDCD NIH HHS T32 DC000039NIDCD NIH HHS T32 DC000046NIDCD NIH HHS Z1A DC 000039-15NIDCD NIH HHS Z1A-DC000046-15
6 · The paper itself

Abstract

Stuttering is a common, highly heritable neurodevelopmental disorder characterized by deficits in the volitional control of speech. Whole-exome sequencing identified two heterozygous AP4E1 coding variants, c.1549G>A (p.Val517Ile) and c.2401G>A (p.Glu801Lys), that co-segregate with persistent developmental stuttering in a large Cameroonian family, and we observed the same two variants in unrelated Cameroonians with persistent stuttering. We found 23 other rare variants, including predicted loss-of-function variants, in AP4E1 in unrelated stuttering individuals in Cameroon, Pakistan, and North America. The rate of rare variants in AP4E1 was significantly higher in unrelated Pakistani and Cameroonian stuttering individuals than in population-matched control individuals, and coding variants in this gene are exceptionally rare in the general sub-Saharan West African, South Asian, and North American populations. Clinical examination of the Cameroonian family members failed to identify any symptoms previously reported in rare individuals carrying homozygous loss-of-function mutations in this gene. AP4E1 encodes the ε subunit of the heterotetrameric (ε-β4-μ4-σ4) AP-4 complex, involved in protein sorting at the trans-Golgi network. We found that the μ4 subunit of AP-4 interacts with NAGPA, an enzyme involved in the synthesis of the mannose 6-phosphate signal that targets acid hydrolases to the lysosome and the product of a gene previously associated with stuttering. These findings implicate deficits in intracellular trafficking in persistent stuttering.

Indexed as

Genetic Predisposition to DiseaseAdaptor Protein Complex 4Asian PeopleCase-Control StudiesFemaleFollow-Up StudiesGenetic LociHeterozygoteHumansMaleMutationPedigreePhosphoric Diester HydrolasesPrognosisProtein TransportStutteringAdaptor Protein Complex 4N-acetylglucosamine-1-phosphodiester alpha-N-acetylglucosaminidasePhosphoric Diester Hydrolases

Identifiers

PMID26544806
PMCPMC4667129
OpenAlexW2127550032

What OpenQuestion holds

Textmetadata
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.