Evidence map›Paper›PMID 30040876›Full record

ArticleHuman mutation2018

Disruption of TWIST1 translation by 5' UTR variants in Saethre-Chotzen syndrome.

Yan Zhou, Nils Koelling, Aimée L Fenwick, Simon J McGowan, Eduardo Calpena, Steven A Wall, Sarah F Smithson, Andrew O M Wilkie, Stephen R F Twigg

Open access · hybridAbstract read
In one paragraph

Article in Human mutation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Loss of Twist1 leads to disruption of ciliary length, endocytic vesicle dynamics, and cell-cell junctions during neural tube formation.Developmental dynamics : an official publication of the American Association of Anatomists · 2026
    Article
  3. Exploring the role ofFrontiers in physiology · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. The role of untranslated region variants in Mendelian disease: a review.European journal of human genetics : EJHG · 2025
    Review
  9. Journal of pediatric genetics · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. 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

9 authors at 3 institutions in 1 country.

Yan ZhouClinical Genetics Group, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Nils KoellingClinical Genetics Group, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Aimée L FenwickClinical Genetics Group, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Simon J McGowanAnalysis, Visualisation and Informatics Group, MRC WIMM Centre for Computational Biology, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Eduardo CalpenaClinical Genetics Group, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Steven A WallCraniofacial Unit, Department of Plastic and Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Sarah F SmithsonDepartment of Clinical Genetics, St Michaels Hospital & School of Clinical Sciences, University of Bristol, Bristol, UK.
Andrew O M WilkieClinical Genetics Group, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Stephen R F TwiggClinical Genetics Group, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.ORCID 0000-0001-5024-049X
University of Oxford · GBJohn Radcliffe Hospital · GBUniversity of Bristol · GB

Funding

Medical Research Council G0902418Medical Research Council MC_UU_12025Wellcome Trust 102731Wellcome Trust 102731/Z/13/Z
6 · The paper itself

Abstract

Saethre-Chotzen syndrome (SCS), one of the most common forms of syndromic craniosynostosis (premature fusion of the cranial sutures), results from haploinsufficiency of TWIST1, caused by deletions of the entire gene or loss-of-function variants within the coding region. To determine whether non-coding variants also contribute to SCS, we screened 14 genetically undiagnosed SCS patients using targeted capture sequencing, and identified novel single nucleotide variants (SNVs) in the 5' untranslated region (UTR) of TWIST1 in two unrelated SCS cases. We show experimentally that these variants, which create translation start sites in the TWIST1 leader sequence, reduce translation from the main open reading frame (mORF). This is the first demonstration that non-coding SNVs of TWIST1 can cause SCS, and highlights the importance of screening the 5' UTR in clinically diagnosed SCS patients without a coding mutation. Similar 5' UTR variants, particularly of haploinsufficient genes, may represent an under-ascertained cause of monogenic disease.

Indexed as

5' Untranslated RegionsGenetic VariationProtein BiosynthesisAcrocephalosyndactyliaAllelesBase SequenceDatabases, GeneticDNA Mutational AnalysisFemaleGenetic Association StudiesGenotypeHaploinsufficiencyHumansMaleMutationNuclear Proteins5' Untranslated RegionsNuclear ProteinsTWIST1 protein, humanTwist-Related Protein 1haploinsufficiencySaethre-Chotzen syndrome (SCS)TWIST1upstream AUG (uAUG)upstream open reading frame (uORF)

Identifiers

PMID30040876
PMCPMC6175480
OpenAlexW2884271123

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.