Evidence map›Paper›PMID 27195815›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2017

Molecular characterization of NRXN1 deletions from 19,263 clinical microarray cases identifies exons important for neurodevelopmental disease expression.

Chelsea Lowther, Marsha Speevak, Christine M Armour, Elaine S Goh, Gail E Graham, Chumei Li, Susan Zeesman, Malgorzata J M Nowaczyk, Lee-Anne Schultz, Antonella Morra and 22 more

Open access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
7.8field-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

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
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  13. Autoantibodies and Inflammation in Schizophrenia.Psychiatry and clinical neurosciences · 2025
    Review
  14. Distinct Synaptic Mechanisms DrivebioRxiv : the preprint server for biology · 2025
    Article
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  18. International journal of molecular sciences · 2024
    Article
  19. Landscape ofJournal of clinical medicine · 2024
    Review
  20. Article

3 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

32 authors at 15 institutions in 2 countries.

Chelsea LowtherInstitute of Medical Science, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-6723-1899
Marsha SpeevakTrillium Health Partners Credit Valley Site, Toronto, Ontario, Canada.
Christine M ArmourRegional Genetics Program, Children's Hospital of Eastern Ontario, Toronto, ON, Canada.
Elaine S GohTrillium Health Partners Credit Valley Site, Toronto, Ontario, Canada.
Gail E GrahamDepartment of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.
Chumei LiDepartment of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.
Susan ZeesmanMcMaster Children's Hospital, Department of Pediatrics and Clinical Genetics Program, Hamilton, Ontario, Canada.
Malgorzata J M NowaczykMcMaster Children's Hospital, Department of Pediatrics and Clinical Genetics Program, Hamilton, Ontario, Canada.
Lee-Anne SchultzMcMaster Children's Hospital, Department of Pediatrics and Clinical Genetics Program, Hamilton, Ontario, Canada.ORCID 0000-0003-2825-9762
Antonella MorraTrillium Health Partners Credit Valley Site, Toronto, Ontario, Canada.ORCID 0000-0003-2375-4393
Rob NicolsonDepartment of Psychiatry, Western University, London, Ontario, Canada.ORCID 0000-0001-7086-7038
Peter BikangagaWilliam Osler Health Centre, Brampton, Ontario, Canada.
Dawa SamdupHotel Dieu Hospital, Child Development Centre, Kingston, Ontario, Canada.
Mostafa ZaazouTrillium Health Partners Credit Valley Site, Toronto, Ontario, Canada.
Kerry BoydDepartment of Psychiatry, McMaster University, Hamilton, Ontario, Canada.
Jack H JungLondon Health Sciences Centre, Children's Hospital of Western Ontario, London, Ontario, Canada.ORCID 0000-0001-8499-5727
Victoria SiuDepartment of Pediatrics, Schulich School of Medicine and Dentistry, London, Ontario, Canada.
Manjulata RajguruCambridge Memorial Hospital, Cambridge, Ontario, Canada.
Sharan GoobieDepartment of Pediatrics, Schulich School of Medicine and Dentistry, London, Ontario, Canada.ORCID 0000-0001-8807-4714
Mark A TarnopolskyDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-0312-3746
Chitra PrasadDepartment of Pediatrics, Schulich School of Medicine and Dentistry, London, Ontario, Canada.ORCID 0000-0001-6007-7251
Paul T DickGrey Bruce Health Services, Owen Sound, Ontario, Canada.
Asmaa S HussainLondon Health Sciences Centre, Children's Hospital of Western Ontario, London, Ontario, Canada.
Margreet WalingaVanboeijen, Assen, The Netherlands.ORCID 0000-0003-3045-4233
Renske G ReijengaIpse de Bruggen, Zwammerdam, The Netherlands.ORCID 0000-0002-3667-7721
Matthew GazzelloneThe Centre for Applied Genomics, the Hospital for Sick Children, Toronto, Ontario, Canada.
Anath C LionelThe Centre for Applied Genomics, the Hospital for Sick Children, Toronto, Ontario, Canada.
Christian R MarshallThe Centre for Applied Genomics, the Hospital for Sick Children, Toronto, Ontario, Canada.
Stephen W SchererThe Centre for Applied Genomics, the Hospital for Sick Children, Toronto, Ontario, Canada.
Dimitri J StavropoulosCytogenetics Laboratory, Department of Pediatric Laboratory Medicine, the Hospital for Sick Children, Toronto, Ontario, Canada.
Elizabeth McCreadyDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.
Anne S BassettInstitute of Medical Science, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0099-9945
Hospital for Sick Children · CATrillium Health Centre · CAWestern University · CAMcMaster Children's Hospital · CAMcMaster University · CAUniversity of Toronto · CALondon Health Sciences Centre · CAUniversity of Ottawa · CACambridge Memorial Hospital · CAChildren's Hospital of Eastern Ontario · CAHotel Dieu Hospital · CAIpse de Bruggen · NLSouth Bruce Grey Health Centre · CAVanboeijen · NLWilliam Osler Health System · CA

Funding

CIHR 103582-1CIHR 111238-1CIHR 89066-1
6 · The paper itself

Abstract

purposeThe purpose of the current study was to assess the penetrance of NRXN1 deletions.

methodsWe compared the prevalence and genomic extent of NRXN1 deletions identified among 19,263 clinically referred cases to that of 15,264 controls. The burden of additional clinically relevant copy-number variations (CNVs) was used as a proxy to estimate the relative penetrance of NRXN1 deletions.

resultsWe identified 41 (0.21%) previously unreported exonic NRXN1 deletions ascertained for developmental delay/intellectual disability that were significantly greater than in controls (odds ratio (OR) = 8.14; 95% confidence interval (CI): 2.91-22.72; P < 0.0001). Ten (22.7%) of these had a second clinically relevant CNV. Subjects with a deletion near the 3' end of NRXN1 were significantly more likely to have a second rare CNV than subjects with a 5' NRXN1 deletion (OR = 7.47; 95% CI: 2.36-23.61; P = 0.0006). The prevalence of intronic NRXN1 deletions was not statistically different between cases and controls (P = 0.618). The majority (63.2%) of intronic NRXN1 deletion cases had a second rare CNV at a prevalence twice as high as that for exonic NRXN1 deletion cases (P = 0.0035).

conclusionsThe results support the importance of exons near the 5' end of NRXN1 in the expression of neurodevelopmental disorders. Intronic NRXN1 deletions do not appear to substantially increase the risk for clinical phenotypes.Genet Med 19 1, 53-61.

Indexed as

Genetic Predisposition to DiseaseCalcium-Binding ProteinsCell Adhesion Molecules, NeuronalChildDNA Copy Number VariationsExonsFemaleGenotypeHumansIntronsMaleMicroarray AnalysisNerve Tissue ProteinsNeural Cell Adhesion MoleculesNeurodevelopmental DisordersPenetranceCalcium-Binding ProteinsCell Adhesion Molecules, NeuronalNerve Tissue ProteinsNeural Cell Adhesion MoleculesNRXN1 protein, human

Identifiers

PMID27195815
PMCPMC4980119
OpenAlexW2402942859

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Registered trials

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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.