Evidence map›Paper›PMID 28686853›Full record

ArticleAmerican journal of human genetics2017

WDR26 Haploinsufficiency Causes a Recognizable Syndrome of Intellectual Disability, Seizures, Abnormal Gait, and Distinctive Facial Features.

Cara M Skraban, Constance F Wells, Preetha Markose, Megan T Cho, Addie I Nesbitt, P Y Billie Au, Amber Begtrup, John A Bernat, Lynne M Bird, Kajia Cao and 30 more

Abstract read
In one paragraph

Article in American journal of human genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
11.5field-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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. NovelFrontiers in pediatrics · 2026
    Article
  6. Review
  7. The many faces of the GID/CTLH E3 ligase complex.Biochemical Society transactions · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Novel loss-of-function variants inFrontiers in pediatrics · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Structural and Functional Insights into GID/CTLH E3 Ligase Complexes.International journal of molecular sciences · 2022
    Review
  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

40 authors at 15 institutions in 7 countries.

Cara M SkrabanDivision of Genetics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Constance F WellsClinical Genetics Group, Department of Women's & Children's Health, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand.
Preetha MarkoseDivision of Genetics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Megan T ChoGeneDx, Gaithersburg, MD 20877, USA.
Addie I NesbittDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104 USA.
P Y Billie AuDepartment of Medical Genetics and Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada.
Amber BegtrupGeneDx, Gaithersburg, MD 20877, USA.
John A BernatDivision of Medical Genetics, Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA 52242, USA.
Lynne M BirdDepartment of Pediatrics, University of California, San Diego and Rady Children's Hospital, San Diego, CA 92123, USA.
Kajia CaoDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104 USA.
Arjan P M de BrouwerDepartment of Human Genetics, Radboud University Medical Centre, 6500 HB Nijmegen, the Netherlands; Donders Institute for Brain, Cognition, and Behaviour, Radboud University Medical Centre, 6500 HB Nijmegen, the Netherlands.
Elizabeth H DenenbergDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104 USA.
Ganka DouglasGeneDx, Gaithersburg, MD 20877, USA.
Kristin M GibsonDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104 USA.
Katheryn GrandDivision of Genetics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Alice GoldenbergService de Génétique, Centre Hospitalier Universitaire de Rouen, Centre Normand de Génomique Médicale et Médecine Personnalisée, 76031 Rouen, France.
A Micheil InnesDepartment of Medical Genetics and Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada.
Jane JuusolaGeneDx, Gaithersburg, MD 20877, USA.
Marlies KempersDepartment of Human Genetics, Radboud University Medical Centre, 6500 HB Nijmegen, the Netherlands.
Esther KinningWest of Scotland Genetics Service, Queen Elizabeth Hospitals, Glasgow, Scotland G51 4TF, UK.
David M MarkieDepartment of Pathology, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand.
Martina M OwensMolecular Genetics Department, Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter EX2 5DW, UK.
Katelyn PayneDivision of Child Neurology, Riley Hospital for Children, Indiana University Health Physicians, Indianapolis, IN 46202, USA.
Richard PersonGeneDx, Gaithersburg, MD 20877, USA.
Rolph PfundtDepartment of Human Genetics, Radboud University Medical Centre, 6500 HB Nijmegen, the Netherlands.
Amber StoccoINTEGRIS Baptist Child Neurology Clinic, Oklahoma City, OK 73112, USA.
Claire L S TurnerPeninsula Clinical Genetics Service, Royal Devon and Exeter Hospital, Exeter EX1 2ED, UK.
Nienke E VerbeekDepartment of Genetics, University Medical Center Utrecht, 3508 AB Utrecht, the Netherlands.
Laurence E WalshDivision of Child Neurology, Riley Hospital for Children, Indiana University Health Physicians, Indianapolis, IN 46202, USA.
Taylor C WarnerDivision of Medical Genetics, Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA 52242, USA.
Patricia G WheelerDivision of Genetics, Arnold Palmer Hospital, Orlando, FL 32806, USA.
Dagmar WieczorekInstitut für Humangenetik, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, 40225 Düsseldorf, Germany.
Alisha B WilkensDivision of Genetics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Division of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104 USA.
Evelien Zonneveld-HuijssoonDepartment of Genetics, University Medical Center Utrecht, 3508 AB Utrecht, the Netherlands.
Deciphering Developmental Disorders StudyWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge CB10 1SA, UK.
Tjitske KleefstraDepartment of Human Genetics, Radboud University Medical Centre, 6500 HB Nijmegen, the Netherlands; Donders Institute for Brain, Cognition, and Behaviour, Radboud University Medical Centre, 6500 HB Nijmegen, the Netherlands.
Stephen P RobertsonClinical Genetics Group, Department of Women's & Children's Health, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand.
Avni SantaniDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104 USA; Department of Pathology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104 USA.
Koen L I van GassenDepartment of Genetics, University Medical Center Utrecht, 3508 AB Utrecht, the Netherlands.
Matthew A DeardorffDivision of Genetics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Electronic address: deardorff@email.chop.edu.
Children's Hospital of Philadelphia · USRadboud University Nijmegen · NLUniversity Medical Center Utrecht · NLUniversity of Otago · NZIndiana University Health · USUniversity of Calgary · CAUniversity of Iowa · USArnold Palmer Hospital for Children · USCentre Hospitalier Universitaire de Rouen · FRDüsseldorf University Hospital · DEINTEGRIS Baptist Medical Center · USQueen Elizabeth Hospital · GBRoyal Devon and Exeter Hospital · GBRoyal Devon & Exeter NHS Foundation Trust · GBUniversity of California San Diego · US

Funding

Wellcome Trust
6 · The paper itself

Abstract

We report 15 individuals with de novo pathogenic variants in WDR26. Eleven of the individuals carry loss-of-function mutations, and four harbor missense substitutions. These 15 individuals comprise ten females and five males, and all have intellectual disability with delayed speech, a history of febrile and/or non-febrile seizures, and a wide-based, spastic, and/or stiff-legged gait. These subjects share a set of common facial features that include a prominent maxilla and upper lip that readily reveal the upper gingiva, widely spaced teeth, and a broad nasal tip. Together, these features comprise a recognizable facial phenotype. We compared these features with those of chromosome 1q41q42 microdeletion syndrome, which typically contains WDR26, and noted that clinical features are consistent between the two subsets, suggesting that haploinsufficiency of WDR26 contributes to the pathology of 1q41q42 microdeletion syndrome. Consistent with this, WDR26 loss-of-function single-nucleotide mutations identified in these subjects lead to nonsense-mediated decay with subsequent reduction of RNA expression and protein levels. We derived a structural model of WDR26 and note that missense variants identified in these individuals localize to highly conserved residues of this WD-40-repeat-containing protein. Given that WDR26 mutations have been identified in ∼1 in 2,000 of subjects in our clinical cohorts and that WDR26 might be poorly annotated in exome variant-interpretation pipelines, we would anticipate that this disorder could be more common than currently appreciated.

Indexed as

FaciesAdaptor Proteins, Signal TransducingAmino Acid SequenceBase SequenceChild, PreschoolChromosome DeletionFemaleGaitGrowth and DevelopmentHaploinsufficiencyHumansIntellectual DisabilityMaleMutationProteinsRNA StabilityAdaptor Proteins, Signal TransducingProteinsWDR26 protein, humanintellectual disabilityseizureWD-40WDR26WDR protein

Identifiers

PMID28686853
PMCPMC5501873
OpenAlexW2733092557

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.