Evidence map›Paper›PMID 27195816›Full record

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

The phenotypic spectrum of Schaaf-Yang syndrome: 18 new affected individuals from 14 families.

Michael D Fountain, Emmelien Aten, Megan T Cho, Jane Juusola, Magdalena A Walkiewicz, Joseph W Ray, Fan Xia, Yaping Yang, Brett H Graham, Carlos A Bacino and 29 more

Erratum issuedOpen 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. An erratum has been issued. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
15.0field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Management of Childhood Obesity.International journal of molecular sciences · 2026
    Review
  7. Two siblings with Schaaf-Yang syndrome treated with growth hormone.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. MAGEL2 (patho-)physiology and Schaaf-Yang syndrome.Developmental medicine and child neurology · 2025
    Review
  13. Article
  14. Article
  15. Molecular signatures of cortical expansion in the human fetal brain.bioRxiv : the preprint server for biology · 2024
    Article
  16. Review
  17. Morbidity and mortality in Schaaf-Yang syndrome.Annals of translational medicine · 2023
    Article
  18. Article
  19. Review
  20. Article

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors at 17 institutions in 5 countries.

Michael D FountainInterdepartmental Program in Translational Biology and Molecular Medicine, Baylor College of Medicine, Houston, Texas, USA.
Emmelien AtenDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Megan T ChoGeneDX, Gaithersburg, Maryland, USA.
Jane JuusolaGeneDX, Gaithersburg, Maryland, USA.ORCID 0000-0002-4476-1309
Magdalena A WalkiewiczDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.
Joseph W RayDivision of Medical Genetics, University of Texas Medical Branch, Galveston, Texas, USA.
Fan XiaDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.
Yaping YangDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.
Brett H GrahamDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0001-8451-8154
Carlos A BacinoDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-4342-5012
Lorraine PotockiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.
Arie van HaeringenDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Claudia A L RuivenkampDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Pedro ManciasDepartment of Pediatrics, The University of Texas Medical School at Houston, Houston, Texas, USA.
Hope NorthrupDepartment of Pediatrics, The University of Texas Medical School at Houston, Houston, Texas, USA.
Mary K KukolichGenetic Services, Cook Children's Health Care System, Fort Worth, Texas, USA.ORCID 0000-0002-1184-6226
Marjan M WeissClinical Genetics, VU University Medical Center, Amsterdam, The Netherlands.
Conny M A van Ravenswaaij-ArtsDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Inge B MathijssenDepartment of Clinical Genetics, Academic Medical Center, Amsterdam, The Netherlands.
Sebastien LevesqueDépartement de pédiatrie, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.ORCID 0000-0002-0009-7952
Naomi MeeksChildren's Hospital Colorado, Aurora, Colorado, USA.ORCID 0000-0001-5355-3811
Jill A RosenfeldDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0001-5664-7987
Danielle LemkeChildren's Hospital Colorado, Aurora, Colorado, USA.
Ada HamoshMcKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Suzanne K LewisDepartment of Medical Genetics, BC Children's and Women's Health Center of British Columbia, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-6300-5381
Simone RaceDepartment of Medical Genetics, BC Children's and Women's Health Center of British Columbia, The University of British Columbia, Vancouver, British Columbia, Canada.
Laura L StewartDepartment of Pediatrics, BC Children's and Women's Health Center of British Columbia, The University of British Columbia, Vancouver, British Columbia, Canada.
Beverly HayDivision of Genetics, UMass Memorial Children's Medical Center, University of Massachusetts Medical School, Worcester, Massachusetts, USA.ORCID 0000-0001-8294-0087
Andrea M LewisDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-1116-4276
Rita L GuerreiroDepartment of Molecular Neuroscience, University College London Institute of Neurology, London, UK.
Jose T BrasDepartment of Molecular Neuroscience, University College London Institute of Neurology, London, UK.ORCID 0000-0001-8186-0333
Marcia P MartinsCentro Hospitalar de Trás-os-Montes e Alto Douro, Unidade Hospital de Vila Real, Vila Real, Portugal.
Gerarda Derksen-LubsenDepartment of Pediatrics, Juliana Children's Hospital-Haga Teaching Hospital, The Hague, The Netherlands.
Els PeetersDepartment of Child Neurology, Juliana Children's Hospital-Haga Teaching Hospital, The Hague, The Netherlands.
Connie StumpelDepartment of Clinical Genetics and School for Oncology and Developmental Biology, Maastricht UMC+, Maastricht, The Netherlands.
Sander StegmannDepartment of Clinical Genetics and School for Oncology and Developmental Biology, Maastricht UMC+, Maastricht, The Netherlands.
Levinus A BokDepartment of Pediatrics, Máxima Medical Center, Veldhoven, The Netherlands.
Gijs W E SantenDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Christian P SchaafInterdepartmental Program in Translational Biology and Molecular Medicine, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-2148-7490
Baylor College of Medicine · USLeiden University Medical Center · NLUniversity of British Columbia · CAChildren's Hospital Colorado · USHaga Hospital · NLMaastricht University Medical Centre · NLUniversity College London · GBAmsterdam UMC Location University of Amsterdam · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLCentre Hospitalier Universitaire de Sherbrooke · CAChildren's Medical Center · USCook Children's Health Care System · USJohns Hopkins University · USRadboud University Nijmegen · NLThe University of Texas Medical Branch at Galveston · USUnidade Local de Saúde de Trás-os-Montes e Alto Douro · PTUniversity Medical Center Groningen · NL

Funding

UNDERSTANDING FXTAS AMONG MALES WITH THE FMR1 PREMUTATIONP30HD024064 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI TOLIAS, KIMBERLY R · 1988 to 2013
$29.4M
Steps towards a paternal gene activation therapy for Angelman syndromeU54HD083092 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI NELSON, DAVID LOREN, SAMACO, RODNEY C · 2014 to 2019
$7.8M
NICHD NIH HHS P30 HD024064NICHD NIH HHS U54 HD083092
6 · The paper itself

Abstract

purposeTruncating mutations in the maternally imprinted, paternally expressed gene MAGEL2, which is located in the Prader-Willi critical region 15q11-13, have recently been reported to cause Schaaf-Yang syndrome, a Prader-Willi-like disease that manifests as developmental delay/intellectual disability, hypotonia, feeding difficulties, and autism spectrum disorder. The causality of the reported variants in the context of the patients' phenotypes was questioned, as MAGEL2 whole-gene deletions seem to cause little or no clinical phenotype.

methodsHere we report a total of 18 newly identified individuals with Schaaf-Yang syndrome from 14 families, including 1 family with 3 individuals found to be affected with a truncating variant of MAGEL2, 11 individuals who are clinically affected but were not tested molecularly, and a presymptomatic fetal sibling carrying the pathogenic MAGEL2 variant.

resultsAll cases harbor truncating mutations of MAGEL2, and nucleotides c.1990-1996 arise as a mutational hotspot, with 10 individuals and 1 fetus harboring a c.1996dupC (p.Q666fs) mutation and 2 fetuses harboring a c.1996delC (p.Q666fs) mutation. The phenotypic spectrum of Schaaf-Yang syndrome ranges from fetal akinesia to neurobehavioral disease and contractures of the small finger joints.

conclusionThis study provides strong evidence for the pathogenicity of truncating mutations of the paternal allele of MAGEL2, refines the associated clinical phenotypes, and highlights implications for genetic counseling for affected families.Genet Med 19 1, 45-52.

Indexed as

AdolescentAdultAutism Spectrum DisorderChildChild, PreschoolChromosomes, Human, Pair 15Developmental DisabilitiesFemaleGene ExpressionGenomic ImprintingHumansInfantInfant, NewbornIntellectual DisabilityIntracellular Signaling Peptides and ProteinsIntrinsically Disordered ProteinsIntracellular Signaling Peptides and ProteinsIntrinsically Disordered ProteinsMAGEL2 protein, humanProteins

Identifiers

PMID27195816
PMCPMC5116288
OpenAlexW2403173295

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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.