Evidence map›Paper›PMID 30245513›Full record

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

KAT6A Syndrome: genotype-phenotype correlation in 76 patients with pathogenic KAT6A variants.

Joanna Kennedy, David Goudie, Edward Blair, Kate Chandler, Shelagh Joss, Victoria McKay, Andrew Green, Ruth Armstrong, Melissa Lees, Benjamin Kamien and 46 more

Erratum issuedOpen 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. An erratum has been issued. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Opportunities and pitfalls of social media research in rare genetic diseases: a systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Pooled it
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  18. Early onset Arboleda-Tham syndrome due toFrontiers in genetics · 2025
    Article
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

56 authors at 20 institutions in 9 countries.

Joanna KennedyClinical Genetics, University Hospitals Bristol, Southwell St, Bristol, UK.
David GoudieClinical Genetics, Ninewells Hospital & Medical School, Dundee, UK.
Edward BlairOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Kate ChandlerManchester Centre for Genomic Medicine, St. Mary's Hospital, Central Manchester Foundation NHS Trust, Manchester Academic Health Science Centre (MAHSC), Manchester, UK.
Shelagh JossWest of Scotland Genetics Service, Queen Elizabeth University Hospital, Glasgow, UK.
Victoria McKayCheshire & Merseyside Regional Genetics Service, Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool, UK.
Andrew GreenDepartment of Clinical Genetics, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
Ruth ArmstrongEast Anglian Medical Genetics Service, Addenbrooke's Hospital, Cambridge, UK.
Melissa LeesClinical Genetics, Great Ormond Street Hospital NHS Trust, London, UK.
Benjamin KamienHunter Genetics, Newcastle, Australia.
Bruce HopperHunter Genetics, Newcastle, Australia.
Tiong Yang TanVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Patrick YapVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Zornitza StarkVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Nobuhiko OkamotoDepartment of Medical Genetics, Osaka Medical Center, Osaka, Japan.
Noriko MiyakeDepartment of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Naomichi MatsumotoDepartment of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Ellen MacnamaraNational Human Genome Research Institute, NIH, Bethesda, MD, USA.
Jennifer L MurphyNational Human Genome Research Institute, NIH, Bethesda, MD, USA.
Elizabeth McCormickDivision of Human Genetics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Hakon HakonarsonCenter for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Marni J FalkDivision of Human Genetics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Dong LiCenter for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Patrick BlackburnCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Eric KleeCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Dusica Babovic-VuksanovicCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Susan SchelleyDivision of Medical Genetics, Department of Pediatrics, Stanford University, Stanford, CA, USA.
Louanne HudginsDivision of Medical Genetics, Department of Pediatrics, Stanford University, Stanford, CA, USA.
Sarina KantDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Bertrand IsidorService de Génétique Médicale, CHU Nantes, Nantes, France.
Benjamin CogneService de Génétique Médicale, CHU Nantes, Nantes, France.
Kimberley BradburyClinical Genetics Guys and St Thomas' NHS Foundation Trust, Guys Hospital, London, UK.
Mark WilliamsMolecular Diagnostics, Mater Group, South Brisbane, Queensland, Australia.
Chirag PatelGenetic Health Queensland, Herston, Brisbane, Queensland, Australia.
Helen HeusslerChild Development Service, Lady Cilento Children's Hospital, Brisbane, Queensland, Australia.
Celia Duff-FarrierBristol Genetics Laboratory, Southmead Hospital, Bristol, UK.
Phillis LakemanAcademic Medical Center, Department of Clinical Genetics, Amsterdam, The Netherlands.
Ingrid ScurrClinical Genetics, University Hospitals Bristol, Southwell St, Bristol, UK.
Usha KiniOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Mariet EltingKlinisch Geneticus, VU Medisch centrum, Amsterdam, The Netherlands.
Margot ReijndersRadboud University Medical Center, Department of Human Genetics, Nijmegen, The Netherlands.
Janneke Schuurs-HoeijmakersRadboud University Medical Center, Department of Human Genetics, Nijmegen, The Netherlands.
Mohamed WafikOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Anne BlomhoffDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Claudia A L RuivenkampKlinische Genetica, Leiden University, Leiden, The Netherlands.
Esther NibbelingDepartment of Genetics, University of Groningen, Groningen, The Netherlands.
Alexander J M DingemansRadboud University Medical Center, Department of Human Genetics, Nijmegen, The Netherlands.
Emilie D DouineDepartment of Human Genetics, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
Stanley F NelsonDepartment of Human Genetics, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
DDD Study,
Maja HempelInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Tatjana BierhalsInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Davor LesselInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Jessika JohannsenDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Valerie A ArboledaDepartment of Human Genetics, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA. varboleda@mednet.ucla.edu.
Ruth Newbury-EcobClinical Genetics, University Hospitals Bristol, Southwell St, Bristol, UK. Ruth.Newbury-Ecob@UHBristol.nhs.uk.
Children's Hospital of Philadelphia · USUniversity of California, Los Angeles · USChurchill Hospital · GBGénétique Médicale & Génomique Fonctionelle · FRHunter Genetics · AUMayo Clinic · USNational Human Genome Research Institute · USRadboud University Nijmegen · NLStanford University · USUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Bristol · GBVictorian Clinical Genetics Services · AUYokohama City University · JPAcademic Medical Center · NLAddenbrooke's Hospital · GBGuy's and St Thomas' NHS Foundation Trust · GBLeiden University · NLLeiden University Medical Center · NLLiverpool Womens NHS Foundation Trust · GB

Funding

The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI ROBERTS, TIMOTHY P · 2016 to 2020
$6.3M
Unraveling correlations between Mendelian and common disease using functional genomicsDP5OD024579 · OD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARBOLEDA, VALERIE A · 2017 to 2021
$1.9M
Department of HealthNICHD NIH HHS U54 HD086984NIH HHS DP5 OD024579Wellcome TrustWellcome Trust WT098051
6 · The paper itself

Abstract

purposePathogenic variants in KAT6A have recently been identified as a cause of syndromic developmental delay. Within 2 years, the number of patients identified with pathogenic KAT6A variants has rapidly expanded and the full extent and variability of the clinical phenotype has not been reported.

methodsWe obtained data for patients with KAT6A pathogenic variants through three sources: treating clinicians, an online family survey distributed through social media, and a literature review.

resultsWe identified 52 unreported cases, bringing the total number of published cases to 76. Our results expand the genotypic spectrum of pathogenic variants to include missense and splicing mutations. We functionally validated a pathogenic splice-site variant and identified a likely hotspot location for de novo missense variants. The majority of clinical features in KAT6A syndrome have highly variable penetrance. For core features such as intellectual disability, speech delay, microcephaly, cardiac anomalies, and gastrointestinal complications, genotype- phenotype correlations show that late-truncating pathogenic variants (exons 16-17) are significantly more prevalent. We highlight novel associations, including an increased risk of gastrointestinal obstruction.

conclusionOur data expand the genotypic and phenotypic spectrum for individuals with genetic pathogenic variants in KAT6A and we outline appropriate clinical management.

Indexed as

AdolescentAdultChildChild, PreschoolChromosome DeletionDevelopmental DisabilitiesExomeFemaleGenetic Association StudiesGenotypeHistone AcetyltransferasesHumansInfantIntellectual DisabilityMaleMicrocephalyHistone AcetyltransferasesKAT6A protein, humanProtein Isoformsgenetic diagnosisKAT6A syndrome; chromatin modifiers; intellectual disabilityphenotypic spectrum

Identifiers

PMID30245513
PMCPMC6634310
OpenAlexW2890142544

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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.