Evidence map›Paper›PMID 26729820›Full record

ArticleJournal of medical genetics2016

Deletions of 5' HOXC genes are associated with lower extremity malformations, including clubfoot and vertical talus.

David M Alvarado, Kevin McCall, Jacqueline T Hecht, Matthew B Dobbs, Christina A Gurnett

Open access · greenAbstract read
In one paragraph

Article in Journal of medical genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Heterozygous deletion ofJournal of medical genetics · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Diagnostic yield of exome sequencing in congenital vertical talus.European journal of medical genetics · 2022
    Article
  11. Article
  12. Rare andJournal of medical genetics · 2020
    Article
  13. Integrated Bioinformatics Analysis Reveals Potential Pathway Biomarkers and Their Interactions for Clubfoot.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  14. The genetics of isolated and syndromic clubfoot.Journal of children's orthopaedics · 2019
    Article
  15. Review
  16. Article
  17. Article
  18. Review
  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

5 authors at 1 institution in 1 country.

David M AlvaradoDepartment of Orthopedic Surgery, Washington University, St. Louis, Missouri, USA.
Kevin McCallDepartment of Orthopedic Surgery, Washington University, St. Louis, Missouri, USA.
Jacqueline T HechtDepartment of Pediatrics, University of Texas Medical School, Houston, Texas, USA.
Matthew B DobbsDepartment of Orthopedic Surgery, Washington University, St. Louis, Missouri, USA Shriners Hospital for Children, St Louis, Missouri, USA.
Christina A GurnettDepartment of Orthopedic Surgery, Washington University, St. Louis, Missouri, USA Department of Neurology, Washington University, St. Louis, Missouri, USA Department of Pediatrics, Washington University, St. Louis, Missouri, USA.
Washington University in St. Louis · US

Funding

Washington University Intellectual and Developmental Disabilities Research Center-Administrative Down Syndrome SupplementU54HD087011 · NICHD · WASHINGTON UNIVERSITY · PI CONSTANTINO, JOHN N. · 2015 to 2019
$7.1M
Pediatric Gastroenterology Research Training ProgramT32DK077653 · NIDDK · WASHINGTON UNIVERSITY · PI PHILLIP I TARR · 2007 to 2026
$5.8M
FAMILIAL VERTICAL TALUS EXOME SEQUENCINGR03HD068649 · NICHD · WASHINGTON UNIVERSITY · PI GURNETT, CHRISTINA · 2012 to 2013
$148k
NICHD NIH HHS R03 HD068649NICHD NIH HHS R03HD068649NICHD NIH HHS U54 HD087011NIDDK NIH HHS T32 DK077653
6 · The paper itself

Abstract

backgroundDeletions of the HOXC gene cluster result in variable phenotypes in mice, but have been rarely described in humans.

objectiveTo report chromosome 12q13.13 microdeletions ranging from 13 to 175 kb and involving the 5' HOXC genes in four families, segregating congenital lower limb malformations, including clubfoot, vertical talus and hip dysplasia.

methodsProbands (N=253) with clubfoot or vertical talus were screened for point mutations and copy number variants using multiplexed direct genomic selection, a pooled BAC targeted capture approach. SNP genotyping included 1178 probands with clubfoot or vertical talus and 1775 controls.

resultsThe microdeletions share a minimal non-coding region overlap upstream of HOXC13, with variable phenotypes depending upon HOXC13, HOXC12 or the HOTAIR lncRNA inclusion. SNP analysis revealed HOXC11 p.Ser191Phe segregating with clubfoot in a small family and enrichment of HOXC12 p.Asn176Lys in patients with clubfoot or vertical talus (rs189468720, p=0.0057, OR=3.8). Defects in limb morphogenesis include shortened and overlapping toes, as well as peroneus muscle hypoplasia. Finally, HOXC and HOXD gene expression is reduced in fibroblasts from a patient with a 5' HOXC deletion, consistent with previous studies demonstrating that dosage of lncRNAs alters expression of HOXD genes in trans.

conclusionsBecause HOXD10 has been implicated in the aetiology of congenital vertical talus, variation in its expression may contribute to the lower limb phenotypes occurring with 5' HOXC microdeletions. Identification of 5' HOXC microdeletions highlights the importance of transcriptional regulators in the aetiology of severe lower limb malformations and will improve their diagnosis and management.

Indexed as

AnimalsChromosomes, Human, Pair 12ClubfootExtremitiesFemaleFlatfootGene DeletionGenetic Association StudiesGenetic Predisposition to DiseaseGenotypeHomeodomain ProteinsHumansMaleMicePedigreePolymorphism, Single NucleotideHomeodomain ProteinsHOTAIR long untranslated RNA, humanHoxc12 protein, mouseHOXC13 protein, humanRNA, Long NoncodingClubfootCopy-numberVertical Talus

Identifiers

PMID26729820
PMCPMC4955942
OpenAlexW2228985436

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.