Evidence map›Paper›PMID 30213969›Full record

ArticleScientific reports2018

DNA hypermethylation and differential gene expression associated with Klinefelter syndrome.

Anne Skakkebæk, Morten Muhlig Nielsen, Christian Trolle, Søren Vang, Henrik Hornshøj, Jakob Hedegaard, Mikkel Wallentin, Anders Bojesen, Jens Michael Hertz, Jens Fedder and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
9.0field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Increased MAP-1 and lectin complement activation capacity in Klinefelter syndrome.The Journal of clinical endocrinology and metabolism · 2026
    Article
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  14. Update on Physical, Psychological, and Quality of Life Management in Klinefelter Syndrome.The Journal of clinical endocrinology and metabolism · 2025
    Review
  15. Article
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  20. Gilles de la Tourette syndrome as a rare co-morbidity of Klinefelter syndrome.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article

6 more citing papers are in PubMed but not listed here.

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

13 authors at 3 institutions in 1 country.

Anne SkakkebækDepartment of Endocrinology and Internal Medicine and Medical Research Laboratories, Aarhus University Hospital, 8000, Aarhus, Denmark. asj@clin.au.dk.
Morten Muhlig NielsenDepartment of Molecular Medicine, Aarhus University Hospital, 8200, Aarhus N, Denmark.
Christian TrolleDepartment of Endocrinology and Internal Medicine and Medical Research Laboratories, Aarhus University Hospital, 8000, Aarhus, Denmark.
Søren VangDepartment of Molecular Medicine, Aarhus University Hospital, 8200, Aarhus N, Denmark.
Henrik HornshøjDepartment of Molecular Medicine, Aarhus University Hospital, 8200, Aarhus N, Denmark.
Jakob HedegaardDepartment of Molecular Medicine, Aarhus University Hospital, 8200, Aarhus N, Denmark.
Mikkel WallentinCenter of Functionally Integrative Neuroscience, Aarhus University Hospital, 8000, Aarhus, Denmark.
Anders BojesenDepartment of Clinical Genetics, Aarhus University Hospital, 8200, Aarhus N, Denmark.
Jens Michael HertzDepartment of Clinical Genetics, Odense University Hospital, 5000, Odense, Denmark.
Jens FedderCentre of Andrology and Fertility Clinic, Odense University Hospital, 5000, Odense, Denmark.
John Rosendahl ØstergaardCentre for Rare Diseases, Department of Pediatrics, Aarhus University Hospital, 8200, Aarhus N, Denmark.
Jakob Skou PedersenDepartment of Molecular Medicine, Aarhus University Hospital, 8200, Aarhus N, Denmark.ORCID 0000-0002-7236-4001
Claus Højbjerg GravholtDepartment of Endocrinology and Internal Medicine and Medical Research Laboratories, Aarhus University Hospital, 8000, Aarhus, Denmark.ORCID 0000-0001-5924-1720
Aarhus University Hospital · DKAarhus University · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Klinefelter syndrome (KS) has a prevalence ranging from 85 to 250 per 100.000 newborn boys making it the most frequent sex chromosome aneuploidy in the general population. The molecular basis for the phenotypic traits and morbidity in KS are not clarified. We performed genome-wide DNA methylation profiling of leucocytes from peripheral blood samples from 67 KS patients, 67 male controls and 33 female controls, in addition to genome-wide RNA-sequencing profiling in a subset of 9 KS patients, 9 control males and 13 female controls. Characterization of the methylome as well as the transcriptome of both coding and non-coding genes identified a unique epigenetic and genetic landscape of both autosomal chromosomes as well as the X chromosome in KS. A subset of genes show significant correlation between methylation values and expression values. Gene set enrichment analysis of differentially methylated positions yielded terms associated with well-known comorbidities seen in KS. In addition, differentially expressed genes revealed enrichment for genes involved in the immune system, wnt-signaling pathway and neuron development. Based on our data we point towards new candidate genes, which may be implicated in the phenotype and further point towards non-coding genes, which may be involved in X chromosome inactivation in KS.

Indexed as

AdultChromosomes, Human, XDNA MethylationFemaleGene Expression RegulationHumansInfant, NewbornKlinefelter SyndromeLeukocytesMaleMiddle AgedPhenotypeTranscriptomeX Chromosome Inactivation

Identifiers

PMID30213969
PMCPMC6137224
OpenAlexW2891852082

What OpenQuestion holds

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LicenceCC BY
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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.