Evidence map›Paper›PMID 29276004›Full record

ArticleAmerican journal of human genetics2018

Missense Variants in RHOBTB2 Cause a Developmental and Epileptic Encephalopathy in Humans, and Altered Levels Cause Neurological Defects in Drosophila.

Jonas Straub, Enrico D H Konrad, Johanna Grüner, Annick Toutain, Levinus A Bok, Megan T Cho, Heather P Crawford, Holly Dubbs, Ganka Douglas, Rebekah Jobling and 19 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Diseases (Basel, Switzerland) · 2026
    Review
  5. Review
  6. Genetic Diagnosis and Discovery Enabled by Large Language Models.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Variants inFrontiers in pediatrics · 2024
    Review
  18. Article
  19. Article
  20. Genotype-phenotype correlations in RHOBTB2-associated neurodevelopmental disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    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

29 authors at 13 institutions in 6 countries.

Jonas StraubInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Enrico D H KonradInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Johanna GrünerInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Annick ToutainService de Génétique, Centre Hospitalier Universitaire de Tours, 37044 Tours, France.
Levinus A BokDepartment of Pediatrics, Máxima Medical Center, 5504 DB Veldhoven, the Netherlands.
Megan T ChoGeneDx, Gaithersburg, MD 20877, USA.
Heather P CrawfordClinical and Metabolic Genetics, Cook Children's Medical Center, Fort Worth, TX 76102, USA.
Holly DubbsDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Ganka DouglasGeneDx, Gaithersburg, MD 20877, USA.
Rebekah JoblingDivision of Clinical and Metabolic Genetics, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1X8, Canada.
Diana JohnsonSheffield Children's Hospital, Sheffield S10 2TH, UK.
Bryan KrockDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Mohamad A MikatiDivision of Pediatric Neurology, Duke University Medical Center, Durham, NC 27710, USA.
Addie NesbittDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Joost NicolaiDepartment of Neurology, Maastricht University Medical Center, 6202 AZ Maastricht, the Netherlands.
Meredith PhillipsClinical and Metabolic Genetics, Cook Children's Medical Center, Fort Worth, TX 76102, USA.
Annapurna PoduriEpilepsy Genetics Program, Department of Neurology, Boston Children's Hospital, Boston, MA 02115, USA; Department of Neurology, Harvard Medical School, Boston, MA 02115, USA.
Xilma R Ortiz-GonzalezDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Pereleman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Zöe PowisAmbry Genetics, Aliso Viejo, CA 92656, USA.
Avni SantaniDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Lacey SmithEpilepsy Genetics Program, Department of Neurology, Boston Children's Hospital, Boston, MA 02115, USA.
Alexander P A StegmannDepartment of Clinical Genetics and School for Oncology & Developmental Biology, Maastricht University Medical Center, 6202 AZ Maastricht, the Netherlands.
Constance StumpelDepartment of Clinical Genetics and School for Oncology & Developmental Biology, Maastricht University Medical Center, 6202 AZ Maastricht, the Netherlands.
Maaike VreeburgDepartment of Clinical Genetics and School for Oncology & Developmental Biology, Maastricht University Medical Center, 6202 AZ Maastricht, the Netherlands.
Deciphering Developmental Disorders StudyWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge CB10 1SA, UK.
Anna FliednerInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Anne GregorInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Heinrich StichtInstitute of Biochemistry, Emil-Fischer Center, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Christiane ZweierInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany. Electronic address: christiane.zweier@uk-erlangen.de.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEChildren's Hospital of Philadelphia · USCook Children's Medical Center · USMaastricht University · NLUniversity Medical Center · USAmbry Genetics (United States) · USBoston Children's Hospital · USCentre Hospitalier Universitaire de Tours · FRDuke University Hospital · USHarvard University · USMáxima Medisch Centrum · NLSheffield Children's Hospital · GBUniversity of Toronto · CA

Funding

Resource Component: Acquisition, maintenance and distribution of Drosophila stocksP40OD018537 · OD · TRUSTEES OF INDIANA UNIVERSITY · PI Annette L. Parks · 2014 to 2026
$13.5M
Drosophila Transgenic RNAi Resource ProjectR01GM084947 · NIGMS · HARVARD MEDICAL SCHOOL · PI PERRIMON, NORBERT · 2008 to 2019
$9.8M
Training Program in Neurodevelopmental DisabilitiesT32NS007413 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI AMELIA J EISCH, ERIC D MARSH · 1998 to 2026
$8.9M
NIGMS NIH HHS R01 GM084947NIH HHS P40 OD018537NINDS NIH HHS T32 NS007413Wellcome Trust
6 · The paper itself

Abstract

Although the role of typical Rho GTPases and other Rho-linked proteins in synaptic plasticity and cognitive function and dysfunction is widely acknowledged, the role of atypical Rho GTPases (such as RHOBTB2) in neurodevelopment has barely been characterized. We have now identified de novo missense variants clustering in the BTB-domain-encoding region of RHOBTB2 in ten individuals with a similar phenotype, including early-onset epilepsy, severe intellectual disability, postnatal microcephaly, and movement disorders. Three of the variants were recurrent. Upon transfection of HEK293 cells, we found that mutant RHOBTB2 was more abundant than the wild-type, most likely because of impaired degradation in the proteasome. Similarly, elevated amounts of the Drosophila ortholog RhoBTB in vivo were associated with seizure susceptibility and severe locomotor defects. Knockdown of RhoBTB in the Drosophila dendritic arborization neurons resulted in a decreased number of dendrites, thus suggesting a role of RhoBTB in dendritic development. We have established missense variants in the BTB-domain-encoding region of RHOBTB2 as causative for a developmental and epileptic encephalopathy and have elucidated the role of atypical Rho GTPase RhoBTB in Drosophila neurological function and possibly dendrite development.

Indexed as

AdolescentAmino Acid SequenceAnimalsBehavior, AnimalChildChild, PreschoolDendritesDrosophila melanogasterDrosophila ProteinsEpilepsyFemaleGene DosageGTP-Binding ProteinsHEK293 CellsHumansMaleDrosophila ProteinsGTP-Binding ProteinsRHOBTB2 protein, humanRhoBTB protein, DrosophilaTumor Suppressor ProteinsDrosophila melanogasterepileptic Encephalopathyintellectual disabilityproteasomRHOBTB2ubiquitination

Identifiers

PMID29276004
PMCPMC5777381
OpenAlexW2777792070

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.