Evidence map›Paper›PMID 30376817›Full record

ArticleBMC medical genetics2018

Novel MEF2C point mutations in Chinese patients with Rett (-like) syndrome or non-syndromic intellectual disability: insights into genotype-phenotype correlation.

Jiaping Wang, Qingping Zhang, Yan Chen, Shujie Yu, Xiru Wu, Xinhua Bao, Yongxin Wen

Open access · goldAbstract read
In one paragraph

Article in BMC medical genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  9. Identification of aFrontiers in molecular neuroscience · 2022
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  17. Genetic Landscape of Rett Syndrome Spectrum: Improvements and Challenges.International journal of molecular sciences · 2019
    Review
  18. Review
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

7 authors at 1 institution in 1 country.

Jiaping WangDepartment of Pediatrics, Peking University First Hospital, No 1, Xi'anmen Street, Xicheng District, Beijing, 100034, China.
Qingping ZhangDepartment of Pediatrics, Peking University First Hospital, No 1, Xi'anmen Street, Xicheng District, Beijing, 100034, China.
Yan ChenDepartment of Pediatrics, Peking University First Hospital, No 1, Xi'anmen Street, Xicheng District, Beijing, 100034, China.
Shujie YuDepartment of neurology, Harbin children's hospital, Harbin, 150010, Heilongjiang Province, China.
Xiru WuDepartment of Pediatrics, Peking University First Hospital, No 1, Xi'anmen Street, Xicheng District, Beijing, 100034, China.
Xinhua BaoDepartment of Pediatrics, Peking University First Hospital, No 1, Xi'anmen Street, Xicheng District, Beijing, 100034, China. zwhang@pku.eud.cn.ORCID 0000-0003-3670-159X
Yongxin WenDepartment of Pediatrics, Peking University First Hospital, No 1, Xi'anmen Street, Xicheng District, Beijing, 100034, China.
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMEF2C (Myocyte-specific enhancer factor 2C) has been associated with neurodevelopmental disorders. This study aimed at delineating the clinical profiles of MEF2C gene mutations.

methodsIn total, 112 Chinese patients with intellectual disability (ID) were recruited, including 44 patients presented with Rett syndrome (RTT) or RTT-like syndrome, and 68 patients with non-syndromic ID. Targeted next-generation sequencing (NGS) was performed. Detailed clinical information was collected.

resultsFive heterozygous MEF2C gene mutations were identified, of which three were novel. The MEF2C mutant rate was 4.5% (5/112) in total, and 6.8% (3/44) in the RTT (-like) cohort. All patients with MEF2C gene mutation presented with cognitive impairment, gross motor delay, speech disorder and autistic features. Four patients had epilepsy, which responded well to antiepileptic drugs. One female was diagnosed with classical RTT, two females with RTT-like syndrome, and two males with non-syndromic ID. Generally, the phenotype of two males with relatively downstream mutations (c.565C > T, p.Arg 189*; c.766C > T, p.Arg 256*) was milder than that of three females with upstream mutations (c.48C > G, p.Asn16Lys; c.334G > T, p.Glu112* and c.403-1G > T).

conclusionsOur findings expanded the current understanding of the consequences of MEF2C dysfunctions, especially MEF2C point mutations. MEF2C mutations are associated with a broad clinical spectrum, ranged from classical RTT to non-syndromic ID. Through our study, it can be inferred that there is correlation between the phenotype and MEF2C-genotype, the mutation site. Overall, the MEF2C gene mutational analysis should be performed in ID cohort, especially in patients with features overlapped with RTT.

Indexed as

Genetic Association StudiesPoint MutationAdolescentAsian PeopleChildChild, PreschoolCohort StudiesDNA Mutational AnalysisFemaleGene ExpressionGenotypeHeterozygoteHumansInfantIntellectual DisabilityMaleMEF2C protein, humanMEF2 Transcription FactorsGenotype-phenotype correlationMEF2CNon-syndromic intellectual disabilityRett (−like) syndrome

Identifiers

PMID30376817
PMCPMC6208086
OpenAlexW2898732585

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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.