Evidence map›Paper›PMID 29740699›Full record

ArticleHuman genetics2018

De novo mutations in MED13, a component of the Mediator complex, are associated with a novel neurodevelopmental disorder.

Lot Snijders Blok, Susan M Hiatt, Kevin M Bowling, Jeremy W Prokop, Krysta L Engel, J Nicholas Cochran, E Martina Bebin, Emilia K Bijlsma, Claudia A L Ruivenkamp, Paulien Terhal and 22 more

Open access · hybridAbstract read
In one paragraph

Article in Human genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Case Report: A novelFrontiers in psychiatry · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Biallelic MED29 variants cause pontocerebellar hypoplasia with cataracts.European journal of human genetics : EJHG · 2025
    Article
  10. Review
  11. A novel frameshift variant in theFrontiers in pediatrics · 2025
    Article
  12. Article
  13. Novel insights into the phenotypic spectrum and pathogenesis of Hardikar syndrome.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  14. Article
  15. Article
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  18. Article
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  20. Review
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

32 authors at 13 institutions in 3 countries.

Lot Snijders BlokHuman Genetics Department, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-9825-3625
Susan M HiattHudsonAlpha Institute for Biotechnology, 601 Genome Way, Huntsville, AL, 35806, USA.
Kevin M BowlingHudsonAlpha Institute for Biotechnology, 601 Genome Way, Huntsville, AL, 35806, USA.
Jeremy W ProkopHudsonAlpha Institute for Biotechnology, 601 Genome Way, Huntsville, AL, 35806, USA.
Krysta L EngelHudsonAlpha Institute for Biotechnology, 601 Genome Way, Huntsville, AL, 35806, USA.
J Nicholas CochranHudsonAlpha Institute for Biotechnology, 601 Genome Way, Huntsville, AL, 35806, USA.
E Martina BebinUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Emilia K BijlsmaDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Claudia A L RuivenkampDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Paulien TerhalDepartment of Genetics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Marleen E H SimonDepartment of Genetics, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Rosemarie SmithDivision of Genetics, Department of Pediatrics, Maine Medical Center, Portland, ME, USA.
Jane A HurstGreat Ormond Street Hospital for Children, London, UK.
DDD study
Heather McLaughlinGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Richard PersonGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Amy CrunkGeneDx, 207 Perry Parkway, Gaithersburg, MD, 20877, USA.
Michael F WanglerDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Haley StreffDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Joseph D SymondsPaediatric Neurosciences Research Group, University of Glasgow and Royal Hospital for Children, Glasgow, G51 4TF, UK.
Sameer M ZuberiPaediatric Neurosciences Research Group, University of Glasgow and Royal Hospital for Children, Glasgow, G51 4TF, UK.
Katherine S ElliottWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Victoria R SandersAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Abigail MasungaDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Robert J HopkinDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Holly A DubbsDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Xilma R Ortiz-GonzalezDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Rolph PfundtHuman Genetics Department, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Han G BrunnerHuman Genetics Department, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Simon E FisherLanguage and Genetics Department, Max Planck Institute for Psycholinguistics, Nijmegen, The Netherlands.
Tjitske KleefstraHuman Genetics Department, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. tjitske.kleefstra@radboudumc.nl.
Gregory M CooperHudsonAlpha Institute for Biotechnology, 601 Genome Way, Huntsville, AL, 35806, USA. gcooper@hudsonalpha.org.
Radboud University Nijmegen · NLHudsonAlpha Institute for Biotechnology · USBaylor College of Medicine · USCincinnati Children's Hospital Medical Center · USChildren's Hospital of Philadelphia · USLeiden University Medical Center · NLMaine Medical Center · USUtrecht University · NLCentre for Human Genetics · GBGreat Ormond Street Hospital · GBLurie Children's Hospital · USRoyal Hospital for Children · GBUniversity of Alabama at Birmingham · US

Funding

South-seq: DNA sequencing for newborn nurseries in the SouthU01HG007301 · NHGRI · HUDSON-ALPHA INSTITUTE FOR BIOTECHNOLOGY · PI BARSH, GREGORY STEFAN, COOPER, GREGORY MICHAEL · 2017 to 2021
$11.9M
Genomic Diagnosis in Children with Developmental DelayUM1HG007301 · NHGRI · HUDSON-ALPHA INSTITUTE FOR BIOTECHNOLOGY · PI COOPER, GREGORY MICHAEL, MYERS, RICHARD M · 2013 to 2016
$7.5M
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
Using a Sequence-to-Structure-to-Function Approach to Functionally Characterize Protein Coding Missense Mutations in the Human and Rat GenomesK01ES025435 · NIEHS · MICHIGAN STATE UNIVERSITY · PI PROKOP, JEREMY WILLIAM · 2014 to 2018
$489k
NHGRI NIH HHS R01 HG011795NHGRI NIH HHS U01 HG007301NHGRI NIH HHS UM1 HG007301NHGRI NIH HHS UM1HG007301NIEHS NIH HHS K01 ES025435Wellcome TrustWellcome Trust WT098051
6 · The paper itself

Abstract

Many genetic causes of developmental delay and/or intellectual disability (DD/ID) are extremely rare, and robust discovery of these requires both large-scale DNA sequencing and data sharing. Here we describe a GeneMatcher collaboration which led to a cohort of 13 affected individuals harboring protein-altering variants, 11 of which are de novo, in MED13; the only inherited variant was transmitted to an affected child from an affected mother. All patients had intellectual disability and/or developmental delays, including speech delays or disorders. Other features that were reported in two or more patients include autism spectrum disorder, attention deficit hyperactivity disorder, optic nerve abnormalities, Duane anomaly, hypotonia, mild congenital heart abnormalities, and dysmorphisms. Six affected individuals had mutations that are predicted to truncate the MED13 protein, six had missense mutations, and one had an in-frame-deletion of one amino acid. Out of the seven non-truncating mutations, six clustered in two specific locations of the MED13 protein: an N-terminal and C-terminal region. The four N-terminal clustering mutations affect two adjacent amino acids that are known to be involved in MED13 ubiquitination and degradation, p.Thr326 and p.Pro327. MED13 is a component of the CDK8-kinase module that can reversibly bind Mediator, a multi-protein complex that is required for Polymerase II transcription initiation. Mutations in several other genes encoding subunits of Mediator have been previously shown to associate with DD/ID, including MED13L, a paralog of MED13. Thus, our findings add MED13 to the group of CDK8-kinase module-associated disease genes.

Indexed as

Amino Acid SequenceMutation, MissenseSequence DeletionAdultChildChild, PreschoolCyclin-Dependent Kinase 8FemaleHumansMaleMediator ComplexNeurodevelopmental DisordersTranscription Initiation, GeneticUbiquitinationUnited KingdomCDK8 protein, humanCyclin-Dependent Kinase 8MED13L protein, humanMED13 protein, humanMediator Complex

Identifiers

PMID29740699
PMCPMC5973976
OpenAlexW2800384860

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.