Evidence map›Paper›PMID 30158690›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Clinical exome sequencing reveals locus heterogeneity and phenotypic variability of cohesinopathies.

Bo Yuan, Juanita Neira, Davut Pehlivan, Teresa Santiago-Sim, Xiaofei Song, Jill Rosenfeld, Jennifer E Posey, Vipulkumar Patel, Weihong Jin, Margaret P Adam and 37 more

Open access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Genes · 2026
    Article
  4. Novel variants inExperimental and therapeutic medicine · 2026
    Article
  5. Clinical,medRxiv : the preprint server for health sciences · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Neurological Disease Syndrome Caused by a STAG1 Gene Variant: A Case Report and Literature Review.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2025
    Review
  16. Review
  17. Diagnostics (Basel, Switzerland) · 2025
    Article
  18. A novel frameshiftFrontiers in pediatrics · 2025
    Article
  19. Article
  20. A Novel De NovoGenes · 2024
    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

47 authors at 18 institutions in 5 countries.

Bo YuanDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Juanita NeiraDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Davut PehlivanDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Teresa Santiago-SimDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Xiaofei SongDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Jill RosenfeldDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Jennifer E PoseyDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Vipulkumar PatelBaylor Genetics, Houston, Texas, 77021, USA.
Weihong JinBaylor Genetics, Houston, Texas, 77021, USA.
Margaret P AdamSeattle Children's Hospital, Seattle, Washington, 98105, USA.
Emma L BapleUniversity of Exeter Medical School, RILD Wellcome Wolfson Centre, Royal Devon & Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK.
John DeanClinical Genetics Service, NHS Grampian, Aberdeen, AB25 2ZA, Scotland.
Chin-To FongDepartment of Pediatrics, University of Rochester Medical Center, Rochester, New York, 14642, USA.
Scott E HickeyDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, 43205, USA.
Louanne HudginsDivision of Medical Genetics, Stanford University, Stanford, California, 94305, USA.
Eyby LeonRare Disease Institute, Children's National Health System, Washington, DC, 20010, USA.
Suneeta Madan-KhetarpalChildren's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, 15224, USA.
Lettie RawlinsUniversity of Exeter Medical School, RILD Wellcome Wolfson Centre, Royal Devon & Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK.
Cecilie F RustadDepartment of Medical Genetics, Oslo University Hospital, 0424, Oslo, Norway.
Asbjørg Stray-PedersenNorwegian National Unit for Newborn Screening, Division of Pediatric and Adolescent Medicine, Oslo University Hospital, 0424, Oslo, Norway.
Kristian TvetenDepartment of Medical Genetics, Telemark Hospital Trust, 3710, Skien, Norway.
Olivia WengerNew Leaf Center, Clinic for Special Children, Mt. Eaton, Ohio, 44659, USA.
Jullianne DiazRare Disease Institute, Children's National Health System, Washington, DC, 20010, USA.
Laura JenkinsChildren's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, 15224, USA.
Laura MartinDepartment of Pediatrics, University of Rochester Medical Center, Rochester, New York, 14642, USA.
Marianne McGuireDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Marguerite PietrygaDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Linda RamsdellSeattle Children's Hospital, Seattle, Washington, 98105, USA.
Leah SlatteryDivision of Medical Genetics, Stanford University, Stanford, California, 94305, USA.
DDD Study
Farida AbidDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Alison A BertuchDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Dorothy GrangeDivision of Genetics and Genomic Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, 63110, USA.
LaDonna ImmkenDell Children's Medical Center of Central Texas, Austin, Texas, 78723, USA.
Christian P SchaafDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Hilde Van EschCenter for Human Genetics, Department of Human Genetics, KU Leuven, 3000, Leuven, Belgium.
Weimin BiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Sau Wai CheungDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Amy M BremanDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Janice L SmithDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Chad ShawDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Andrew H CrosbyUniversity of Exeter Medical School, RILD Wellcome Wolfson Centre, Royal Devon & Exeter NHS Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK.
Christine EngDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Yaping YangDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
James R LupskiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Rui XiaoDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA.
Pengfei LiuDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, 77030, USA. pengfei.liu@bcm.edu.
Baylor College of Medicine · USBaylor Genetics · USTexas Children's Hospital · USChildren's Hospital of Pittsburgh · USChildren's National · USOslo University Hospital · NOStanford University · USUniversity of Exeter · GBUniversity of Rochester Medical Center · USUniversity of Washington · USClinic for Special Children · USDell Children's Medical Center of Central Texas · USKU Leuven · BENationwide Children's Hospital · USNHS Grampian · GBRoyal Devon and Exeter Hospital · GBTelemark Hospital · NOWashington University in St. Louis · US

Funding

Baylor-Johns Hopkins Center for Mendelian GeneticsUM1HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2016 to 2020
$14.5M
STRUCTURAL VARIATION IN NEUROLOGICAL DISEASER35NS105078 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI LUPSKI, JAMES R. · 2018 to 2025
$6.0M
Nonrecurrent rearrangements, genome architecture and neurodegenerative disease.R01NS058529 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI LUPSKI, JAMES R. · 2009 to 2017
$5.0M
Individual genomic analyses to discover the molecular basis and mechanisms contributing to adult-onset diseaseK08HG008986 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI POSEY, JENNIFER ELLEN · 2017 to 2021
$831k
Department of HealthMedical Research Council G1001931NHGRI NIH HHS K08 HG008986NHGRI NIH HHS UM1 HG006542NINDS NIH HHS R01 NS058529NINDS NIH HHS R35 NS105078Wellcome TrustWellcome Trust WT098051
6 · The paper itself

Abstract

purposeDefects in the cohesin pathway are associated with cohesinopathies, notably Cornelia de Lange syndrome (CdLS). We aimed to delineate pathogenic variants in known and candidate cohesinopathy genes from a clinical exome perspective.

methodsWe retrospectively studied patients referred for clinical exome sequencing (CES, N = 10,698). Patients with causative variants in novel or recently described cohesinopathy genes were enrolled for phenotypic characterization.

resultsPathogenic or likely pathogenic single-nucleotide and insertion/deletion variants (SNVs/indels) were identified in established disease genes including NIPBL (N = 5), SMC1A (N = 14), SMC3 (N = 4), RAD21 (N = 2), and HDAC8 (N = 8). The phenotypes in this genetically defined cohort skew towards the mild end of CdLS spectrum as compared with phenotype-driven cohorts. Candidate or recently reported cohesinopathy genes were supported by de novo SNVs/indels in STAG1 (N = 3), STAG2 (N = 5), PDS5A (N = 1), and WAPL (N = 1), and one inherited SNV in PDS5A. We also identified copy-number deletions affecting STAG1 (two de novo, one of unknown inheritance) and STAG2 (one of unknown inheritance). Patients with STAG1 and STAG2 variants presented with overlapping features yet without characteristic facial features of CdLS.

conclusionCES effectively identified disease-causing alleles at the mild end of the cohensinopathy spectrum and enabled characterization of candidate disease genes.

Indexed as

AdolescentAllelesAntigens, NuclearBiological Variation, PopulationCarrier ProteinsCell Cycle ProteinsChildChild, PreschoolChromosomal Proteins, Non-HistoneCohesinsCohort StudiesDe Lange SyndromeExomeExome SequencingFemaleGene FrequencyAntigens, NuclearCarrier ProteinsCell Cycle ProteinsChromosomal Proteins, Non-HistoneCohesinsNuclear ProteinsPDS5A protein, humanProto-Oncogene ProteinsSTAG1 protein, humanSTAG2 protein, humanWAPL protein, humanAtypical cohesinopathiesClinical exome sequencing (CES)Cohesin pathwaySTAG1STAG2

Identifiers

PMID30158690
PMCPMC6395558
OpenAlexW2888867110

What OpenQuestion holds

Textmetadata
LicenceTDM
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.