Evidence map›Paper›PMID 30293988›Full record

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

De novo missense variants in RAC3 cause a novel neurodevelopmental syndrome.

Gregory Costain, Bert Callewaert, Heinz Gabriel, Tiong Y Tan, Susan Walker, John Christodoulou, Tamas Lazar, Björn Menten, Julia Orkin, Simon Sadedin and 11 more

Open access · bronzeAbstract read
PubMed Publisher
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 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Review
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  4. Disrupted diencephalon development and neuropeptidergic pathways in zebrafish with autism-risk mutations.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  5. Article
  6. Article
  7. An unusual presentation of de novo RAC3 variation in prenatal diagnosis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  8. Article
  9. Article
  10. Dispensable role of Rac1 and Rac3 after cochlear hair cell specification.Journal of molecular medicine (Berlin, Germany) · 2023
    Article
  11. Review
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  13. Article
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  16. Article
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  18. Editorial: Neuronal cytoskeleton and GTPases in health and diseases.Frontiers in cell and developmental biology · 2022
    Article
  19. Review
  20. 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

21 authors at 11 institutions in 5 countries.

Gregory CostainDivision of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada. gregory.costain@sickkids.ca.
Bert CallewaertCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Heinz GabrielCenter for Genomics and Transcriptomics, Eberhard Karls University of Tübingen, Tübingen, Germany.
Tiong Y TanVictorian Clinical Genetics Services, Murdoch Children's Research Institute, & Department of Paediatrics, University of Melbourne, Melbourne, Australia.
Susan WalkerThe Centre for Applied Genomics, The Hospital for Sick Children, Toronto, ON, Canada.
John ChristodoulouVictorian Clinical Genetics Services, Murdoch Children's Research Institute, & Department of Paediatrics, University of Melbourne, Melbourne, Australia.
Tamas LazarVIB-VUB Structural Biology Research Center, Brussels, Belgium.
Björn MentenCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Julia OrkinDepartment of Paediatrics, University of Toronto, Toronto, ON, Canada.
Simon SadedinVictorian Clinical Genetics Services, Murdoch Children's Research Institute, & Department of Paediatrics, University of Melbourne, Melbourne, Australia.
Meaghan SnellDivision of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada.
Arnaud VanlanderDepartment of Pediatrics, Ghent University, Ghent, Belgium.
Sarah VergultCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Susan M WhiteVictorian Clinical Genetics Services, Murdoch Children's Research Institute, & Department of Paediatrics, University of Melbourne, Melbourne, Australia.
Stephen W SchererThe Centre for Applied Genomics, The Hospital for Sick Children, Toronto, ON, Canada.
Robin Z HayeemsChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Susan BlaserDepartment of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada.
Shoshana J WodakVIB-VUB Structural Biology Research Center, Brussels, Belgium.
David ChitayatDivision of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada.
Christian R MarshallThe Centre for Applied Genomics, The Hospital for Sick Children, Toronto, ON, Canada. crm@sickkids.ca.
M Stephen MeynDivision of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada. stephen.meyn@wisc.edu.
Ghent University Hospital · BEHospital for Sick Children · CAMurdoch Children's Research Institute · AUSickKids Foundation · CAUniversity of Melbourne · AUVIB-VUB Center for Structural Biology · BEInstitute for Clinical Evaluative Sciences · CAMount Sinai Hospital · CAUniversity of Toronto · CAUniversity of Tübingen · DEUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRAC3 is an underexamined member of the Rho GTPase gene family that is expressed in the developing brain and linked to key cellular functions. De novo missense variants in the homolog RAC1 were recently associated with developmental disorders. In the RAC subfamily, transforming missense changes at certain shared residues have been observed in human cancers and previously characterized in experimental studies. The purpose of this study was to determine whether constitutional dysregulation of RAC3 is associated with human disease.

methodsWe discovered a RAC3 variant in the index case using genome sequencing, and searched for additional variants using international data-sharing initiatives. Functional effects of the variants were assessed using a multifaceted approach generalizable to most clinical laboratory settings.

resultsWe rapidly identified five individuals with de novo monoallelic missense variants in RAC3, including one recurrent change. Every participant had severe intellectual disability and brain malformations. In silico protein modeling, and prior in vivo and in situ experiments, supported a transforming effect for each of the three different RAC3 variants. All variants were observed in databases of somatic variation in cancer.

conclusionsMissense variants in RAC3 cause a novel brain disorder, likely through a mechanism of constitutive protein activation.

Indexed as

Genetic Predisposition to DiseaseAdultChild, PreschoolGTP PhosphohydrolasesHumansInfant, NewbornIntellectual DisabilityMutation, MissenseNeurodevelopmental DisordersPhenotyperac GTP-Binding ProteinsWhole Genome SequencingGTP PhosphohydrolasesRAC3 protein, humanrac GTP-Binding ProteinsexomegenomeGTPaseneurodevelopmentRho signaling

Identifiers

PMID30293988
OpenAlexW2894633937

What OpenQuestion holds

Textmetadata
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.