Evidence map›Paper›PMID 26763883›Full record

ArticleJournal of human genetics2016

Variable expressivity of the phenotype in two families with brachydactyly type E, craniofacial dysmorphism, short stature and delayed bone age caused by novel heterozygous mutations in the PTHLH gene.

Aleksander Jamsheer, Anna Sowińska-Seidler, Ewelina M Olech, Magdalena Socha, Kazimierz Kozłowski, Antoni Pyrkosz, Tomasz Trzeciak, Anna Materna-Kiryluk, Anna Latos-Bieleńska

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Article in Journal of human genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Article
  2. Review
  3. Case Report: A novelFrontiers in endocrinology · 2026
    Review
  4. Article
  5. Article
  6. A novel mutation inBone reports · 2023
    Article
  7. Novel Pathogenetic Variants in PTHLH and TRPS1 Genes Causing Syndromic Brachydactyly.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
  8. Article
  9. Shortened Fingers and Toes: GNAS Abnormalities are Not the Only Cause.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2020
    Article
  10. Article
  11. A Heterozygous Splice-Site Mutation in PTHLH Causes Autosomal Dominant Shortening of Metacarpals and Metatarsals.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019
    Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Aleksander JamsheerDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Anna Sowińska-SeidlerDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Ewelina M OlechDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Magdalena SochaDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Kazimierz KozłowskiDepartment of Medical Imaging, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Antoni PyrkoszDepartment of General and Molecular Biology and Genetics, Medical University of Silesia, Katowice, Poland.
Tomasz TrzeciakDepartment of Orthopedics and Traumatology, Poznan University of Medical Sciences, Poznan, Poland.
Anna Materna-KirylukDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Anna Latos-BieleńskaDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Poznan University of Medical Sciences · PLChildren's Hospital at Westmead · AUMedical University of Silesia · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brachydactyly refers to shortening of digits due to hypoplasia or aplasia of bones forming the hands and/or feet. Isolated brachydactyly type E (BDE), which is characterized by shortened metacarpals and/or metatarsals, results in a small proportion of patients from HOXD13 or PTHLH mutations, although in the majority of cases molecular lesion remains unknown. BDE, like other brachydactylies, shows clinical heterogeneity with highly variable intrafamilial and interindividual expressivity. In this study, we investigated two Polish cases (one familial and one sporadic) presenting with BDE and additional symptoms due to novel PTHLH mutations. Apart from BDE, the affected family showed short stature, mild craniofacial dysmorphism and delayed bone age. Sanger sequencing of PTHLH revealed a novel heterozygous frameshift mutation c.258delC(p.N87Tfs*18) in two affected individuals and one relative manifesting mild brachydactyly. The sporadic patient, in addition to BDE, presented with craniofacial dysmorphism, normal stature and bone age, and was demonstrated to carry a de novo heterozygous c.166C>T(p.R56*) mutation. Our paper reports on the two novel truncating PTHLH variants, resulting in variable combination of BDE and other symptoms. Data shown here expand the knowledge on the phenotypic presentation of PTHLH mutations, highlighting significant clinical variability and incomplete penetrance of the PTHLH-related symptoms.

Indexed as

HeterozygoteMutationPhenotypeAdolescentBone and BonesBrachydactylyChildChild, PreschoolCraniofacial AbnormalitiesDNA Mutational AnalysisDwarfismFemaleHumansMaleMiddle AgedParathyroid Hormone-Related ProteinParathyroid Hormone-Related ProteinPTHLH protein, human

Identifiers

PMID26763883
OpenAlexW2233975806

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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.