Evidence map›Paper›PMID 28933623›Full record

ArticleEpigenetics2017

The defining DNA methylation signature of Kabuki syndrome enables functional assessment of genetic variants of unknown clinical significance.

Erfan Aref-Eshghi, Laila C Schenkel, Hanxin Lin, Cindy Skinner, Peter Ainsworth, Guillaume Paré, David Rodenhiser, Charles Schwartz, Bekim Sadikovic

Open access · bronzeAbstract read
In one paragraph

Article in Epigenetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
7.9field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 104 citations in OpenAlex.

  1. Article
  2. Identification of an episignature for the MEF2C-associated syndrome.European journal of human genetics : EJHG · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Attention challenges in Kabuki syndrome.Journal of intellectual disability research : JIDR · 2024
    Article
  19. Article
  20. Article

1 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

9 authors at 5 institutions in 2 countries.

Erfan Aref-Eshghia Department of Pathology and Laboratory Medicine , Western University , London , ON , Canada.
Laila C Schenkela Department of Pathology and Laboratory Medicine , Western University , London , ON , Canada.
Hanxin Linb Molecular Genetics Laboratory, Molecular Diagnostics Division , London Health Sciences Centre , London , ON , Canada . Children's Health Research Institute , London , ON , Canada.
Cindy Skinnerc Greenwood Genetics Center , Greenwood , SC , USA.
Peter Ainsworthb Molecular Genetics Laboratory, Molecular Diagnostics Division , London Health Sciences Centre , London , ON , Canada . Children's Health Research Institute , London , ON , Canada.
Guillaume Paréd Department of Pathology and Molecular Medicine , McMaster University , Hamilton , ON , Canada.
David Rodenhisere Departments of Paediatrics, Biochemistry and Oncology , Western University , London , ON , Canada.
Charles Schwartzc Greenwood Genetics Center , Greenwood , SC , USA.
Bekim Sadikovica Department of Pathology and Laboratory Medicine , Western University , London , ON , Canada.
Western University · CAChildren’s Health Research Institute · CAGreenwood Genetic Center · USLondon Health Sciences Centre · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kabuki syndrome (KS) is caused by mutations in KMT2D, which is a histone methyltransferase involved in methylation of H3K4, a histone marker associated with DNA methylation. Analysis of >450,000 CpGs in 24 KS patients with pathogenic mutations in KMT2D and 216 controls, identified 24 genomic regions, along with 1,504 CpG sites with significant DNA methylation changes including a number of Hox genes and the MYO1F gene. Using the most differentiating and significant probes and regions we developed a "methylation variant pathogenicity (MVP) score," which enables 100% sensitive and specific identification of individuals with KS, which was confirmed using multiple public and internal patient DNA methylation databases. We also demonstrated the ability of the MVP score to accurately reclassify variants of unknown significance in subjects with apparent clinical features of KS, enabling its potential use in molecular diagnostics. These findings provide novel insights into the molecular etiology of KS and illustrate that DNA methylation patterns can be interpreted as 'epigenetic echoes' in certain clinical disorders.

Indexed as

DNA MethylationAbnormalities, MultipleAdolescentChildChild, PreschoolCpG IslandsDNA-Binding ProteinsFaceFemaleGenes, HomeoboxHematologic DiseasesHistone DemethylasesHumansInfantMaleMyosin Type IDNA-Binding ProteinsHistone DemethylasesKDM6A protein, humanKMT2D protein, humanMYO1F protein, humanMyosin Type INeoplasm ProteinsNuclear ProteinsDNA methylationKabuki syndromeKDM6AKMT2Dvariant classification

Identifiers

PMID28933623
PMCPMC5788422
OpenAlexW2760109555

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.