Evidence map›Paper›PMID 29726930›Full record

ArticleHuman molecular genetics2018

Functional variants in TBX2 are associated with a syndromic cardiovascular and skeletal developmental disorder.

Ning Liu, Kelly Schoch, Xi Luo, Loren D M Pena, Venkata Hemanjani Bhavana, Mary K Kukolich, Sarah Stringer, Zöe Powis, Kelly Radtke, Cameron Mroske and 16 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Human molecular genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02450851 (Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network), which is not on this map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
3.2field-weighted citation impact, top 7% 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.

NCT02450851 recruitingnot on this map

Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2015 to 2028Enrolled20,000ConditionsGenetic Disease
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 73 citations in OpenAlex.

  1. Cross-Modal Denoising and Integration of Spatial Multi-Omics Data with CANDIES.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  6. HeterozygousJournal of medical genetics · 2025
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  8. Thymic inborn errors of immunity.The Journal of allergy and clinical immunology · 2025
    Review
  9. Article
  10. Loss-of-function in RBBP5 results in a syndromic neurodevelopmental disorder associated with microcephaly.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  11. Article
  12. Review
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  14. Review
  15. Molecular Pathways and Animal Models of Ebstein's Anomaly.Advances in experimental medicine and biology · 2024
    Review
  16. Article
  17. Modeling human skeletal development using human pluripotent stem cells.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  18. Review
  19. Review
  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

26 authors at 10 institutions in 2 countries.

Ning LiuDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Kelly SchochDivision of Medical Genetics, Department of Pediatrics, Duke Health, Durham, NC, USA.
Xi LuoDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Loren D M PenaDivision of Medical Genetics, Department of Pediatrics, Duke Health, Durham, NC, USA.
Venkata Hemanjani BhavanaDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Mary K KukolichDepartment of Genetics, Cook Children's Hospital, Fort Worth, TX, USA.
Sarah StringerDepartment of Genetics, Cook Children's Hospital, Fort Worth, TX, USA.
Zöe PowisClinical Genomics, Ambry Genetics, Aliso Viejo, CA, USA.
Kelly RadtkeClinical Genomics, Ambry Genetics, Aliso Viejo, CA, USA.
Cameron MroskeClinical Genomics, Ambry Genetics, Aliso Viejo, CA, USA.
Kristen L DeakDepartment of Pathology, Duke University, Durham, NC, USA.
Marie T McDonaldDivision of Medical Genetics, Department of Pediatrics, Duke Health, Durham, NC, USA.
Allyn McConkie-RosellDivision of Medical Genetics, Department of Pediatrics, Duke Health, Durham, NC, USA.
M Louise MarkertDivision of Allergy and Immunology, Department of Pediatrics, Duke Health, Durham, NC, USA.
Peter G KranzDivision of Neuroradiology, Department of Radiology, Duke Health, Durham, NC, USA.
Nicholas StongInstitute for Genomic Medicine, Columbia University, New York, NY, USA.
Anna C NeedDivision of Brain Sciences, Department of Medicine, Imperial College London, London, UK.
David BickHudsonAlpha Institute for Biotechnology, Huntsville, AL, USA.
Michelle D AmaralHudsonAlpha Institute for Biotechnology, Huntsville, AL, USA.
Elizabeth A WortheyHudsonAlpha Institute for Biotechnology, Huntsville, AL, USA.
Shawn LevyHudsonAlpha Institute for Biotechnology, Huntsville, AL, USA.
Undiagnosed Diseases Network (UDN)
Michael F WanglerDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Hugo J BellenDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Vandana ShashiDivision of Medical Genetics, Department of Pediatrics, Duke Health, Durham, NC, USA.
Shinya YamamotoDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Baylor College of Medicine · USDuke Medical Center · USHudsonAlpha Institute for Biotechnology · USAmbry Genetics (United States) · USCook Children's Medical Center · USHoward Hughes Medical Institute · USColumbia University · USDuke University · USDuke University Health System · USImperial College London · GB

Funding

Transposon induced disruption of most Drosophila genesR01GM067858 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI BELLEN, HUGO J · 2003 to 2020
$15.7M
An integrated and diverse genomic medicine program for undiagnosed diseasesU01HG007672 · NHGRI · DUKE UNIVERSITY · PI SHASHI, VANDANA · 2014 to 2022
$13.4M
Steps towards a paternal gene activation therapy for Angelman syndromeU54HD083092 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI NELSON, DAVID LOREN, NEUL, JEFFREY L · 2014 to 2019
$7.8M
Zebrafish CoreU54NS093793 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI BELLEN, HUGO J · 2015 to 2022
$7.5M
Expansion and characterization of the Drosophila Toolkit to study SARS-CoV-2R24OD022005 · OD · BAYLOR COLLEGE OF MEDICINE · PI BELLEN, HUGO J · 2016 to 2023
$7.4M
Genomic medicine and gene function implementation for an underserved populationR01HG011795 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI BELLEN, HUGO J, WANGLER, MICHAEL FRANCIS · 2021 to 2025
$4.8M
Clinical Genome Wide Sequencing Core for the Undiagnosed Disease NetworkU01HG007943 · NHGRI · MEDICAL COLLEGE OF WISCONSIN · PI WORTHEY, ELIZABETH A · 2014 to 2017
$4.1M
Howard Hughes Medical InstituteNHGRI NIH HHS R01 HG011795NHGRI NIH HHS U01 HG007672NHGRI NIH HHS U01 HG007943NICHD NIH HHS U54 HD083092NIGMS NIH HHS R01 GM067858NIH HHS R24 OD022005NINDS NIH HHS U54 NS093793
6 · The paper itself

Abstract

The 17 genes of the T-box family are transcriptional regulators that are involved in all stages of embryonic development, including craniofacial, brain, heart, skeleton and immune system. Malformation syndromes have been linked to many of the T-box genes. For example, haploinsufficiency of TBX1 is responsible for many structural malformations in DiGeorge syndrome caused by a chromosome 22q11.2 deletion. We report four individuals with an overlapping spectrum of craniofacial dysmorphisms, cardiac anomalies, skeletal malformations, immune deficiency, endocrine abnormalities and developmental impairments, reminiscent of DiGeorge syndrome, who are heterozygotes for TBX2 variants. The p.R20Q variant is shared by three affected family members in an autosomal dominant manner; the fourth unrelated individual has a de novo p.R305H mutation. Bioinformatics analyses indicate that these variants are rare and predict them to be damaging. In vitro transcriptional assays in cultured cells show that both variants result in reduced transcriptional repressor activity of TBX2. We also show that the variants result in reduced protein levels of TBX2. Heterologous over-expression studies in Drosophila demonstrate that both p.R20Q and p.R305H function as partial loss-of-function alleles. Hence, these and other data suggest that TBX2 is a novel candidate gene for a new multisystem malformation disorder.

Indexed as

Genetic Predisposition to DiseaseAdultAnimalsCardiovascular AbnormalitiesCardiovascular SystemChildCraniofacial AbnormalitiesDevelopmental DisabilitiesDiGeorge SyndromeDisease Models, AnimalDrosophila melanogasterFemaleGene Expression Regulation, DevelopmentalHaploinsufficiencyHeart Defects, CongenitalHumansT-Box Domain Protein 2T-Box Domain Proteins

Identifiers

PMID29726930
PMCPMC6030957
OpenAlexW2801756276

What OpenQuestion holds

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Registered trials

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.