Evidence map›Paper›PMID 29490693›Full record

ArticleHuman genomics2018

A hypomorphic inherited pathogenic variant in DDX3X causes male intellectual disability with additional neurodevelopmental and neurodegenerative features.

Georgios Kellaris, Kamal Khan, Shahid M Baig, I-Chun Tsai, Francisca Millan Zamora, Paul Ruggieri, Marvin R Natowicz, Nicholas Katsanis

Open access · goldAbstract read
In one paragraph

Article in Human genomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 71 citations in OpenAlex.

  1. Observational
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  16. Dandy-Walker Malformation in a Girl withMolecular syndromology · 2023
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  18. The impact of chromosomal sex on cardiometabolic health and disease.Trends in endocrinology and metabolism: TEM · 2023
    Review
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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

8 authors at 3 institutions in 3 countries.

Georgios KellarisCenter for Human Disease Modeling, Duke University, 300 North Duke Street, Durham, NC, 27701, USA.
Kamal KhanCenter for Human Disease Modeling, Duke University, 300 North Duke Street, Durham, NC, 27701, USA.
Shahid M BaigHuman Molecular Genetics Laboratory, Health Biotechnology Division, National Institute for Biotechnology and Genetic Engineering (NIBGE), Faisalabad, 38000, Pakistan.
I-Chun TsaiCenter for Human Disease Modeling, Duke University, 300 North Duke Street, Durham, NC, 27701, USA.
Francisca Millan ZamoraGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Paul RuggieriImaging Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Marvin R NatowiczPathology and Laboratory Medicine and Genomic Medicine Institutes, Cleveland Clinic, Cleveland, OH, 44195, USA.
Nicholas KatsanisCenter for Human Disease Modeling, Duke University, 300 North Duke Street, Durham, NC, 27701, USA. natowim@ccf.org.ORCID 0000-0002-2480-0171
Cleveland Clinic · USDuke University · USNational Institute for Biotechnology and Genetic Engineering · PK

Funding

The Role of Basal Bodies in Wnt SignalingR01GM121317 · NIGMS · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI DAVIS, ERICA ELLEN · 2016 to 2019
$1.7M
NIGMS NIH HHS R01 GM121317
6 · The paper itself

Abstract

backgroundIntellectual disability (ID) is a common condition with a population prevalence frequency of 1-3% and an enrichment for males, driven in part by the contribution of mutant alleles on the X-chromosome. Among the more than 500 genes associated with ID, DDX3X represents an outlier in sex specificity. Nearly all reported pathogenic variants of DDX3X are de novo, affect mostly females, and appear to be loss of function variants, consistent with the hypothesis that haploinsufficiency at this locus on the X-chromosome is likely to be lethal in males.

resultsWe evaluated two male siblings with syndromic features characterized by mild-to-moderate ID and progressive spasticity. Quad-based whole-exome sequencing revealed a maternally inherited missense variant encoding p.R79K in DDX3X in both siblings and no other apparent pathogenic variants. We assessed its possible relevance to their phenotype using an established functional assay for DDX3X activity in zebrafish embryos and found that this allele causes a partial loss of DDX3X function and thus represents a hypomorphic variant.

conclusionsOur genetic and functional data suggest that partial loss of function of DDX3X can cause syndromic ID. The p.R79K allele affects a region of the protein outside the critical RNA helicase domain, offering a credible explanation for the observed retention of partial function, viability in hemizygous males, and lack of pathology in females. These findings expand the gender spectrum of pathology of this locus and suggest that analysis for DDX3X variants should be considered relevant for both males and females.

Indexed as

AdolescentAdultAllelesChromosomes, Human, XDEAD-box RNA HelicasesExomeExome SequencingFemaleHumansIntellectual DisabilityMaleMutationNeurodegenerative DiseasesNeurodevelopmental DisordersPedigreeYoung AdultDDX3X protein, humanDEAD-box RNA Helicases

Identifiers

PMID29490693
PMCPMC5831694
OpenAlexW2791484361

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.