Evidence map›Paper›PMID 30827498›Full record

ArticleAmerican journal of human genetics2019

De Novo Variants Disrupting the HX Repeat Motif of ATN1 Cause a Recognizable Non-Progressive Neurocognitive Syndrome.

Elizabeth E Palmer, Seungbeom Hong, Fatema Al Zahrani, Mais O Hashem, Fajr A Aleisa, Heba M Jalal Ahmed, Tejaswi Kandula, Rebecca Macintosh, Andre E Minoche, Clare Puttick and 33 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in American journal of human 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Further Delineation of the AUTS2 HX Repeat Domain-Related Phenotype.American journal of medical genetics. Part A · 2025
    Article
  5. Article
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  10. Spinocerebellar ataxia clinical trials: opportunities and challenges.Annals of clinical and translational neurology · 2021
    Review
  11. Review
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

43 authors at 14 institutions in 5 countries.

Elizabeth E PalmerSydney Children's Hospital, Randwick, NSW 2031, Australia; School of Women's and Children's Health, University of New South Wales, Randwick, NSW 2031, Australia; The Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW 2010, Australia; Genetics of Learning Disability Service, Hunter Genetics, Waratah, NSW 2298, Australia.
Seungbeom HongKing Abdullah University of Science and Technology (KAUST), Computational Bioscience Research Center (CBRC), Division of Biological and Environmental Sciences and Engineering (BESE), Thuwal 23955-6900, Saudi Arabia.
Fatema Al ZahraniDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia.
Mais O HashemDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia.
Fajr A AleisaKing Abdullah University of Science and Technology (KAUST), Computational Bioscience Research Center (CBRC), Division of Biological and Environmental Sciences and Engineering (BESE), Thuwal 23955-6900, Saudi Arabia.
Heba M Jalal AhmedKing Abdullah University of Science and Technology (KAUST), Computational Bioscience Research Center (CBRC), Division of Biological and Environmental Sciences and Engineering (BESE), Thuwal 23955-6900, Saudi Arabia.
Tejaswi KandulaSydney Children's Hospital, Randwick, NSW 2031, Australia; School of Women's and Children's Health, University of New South Wales, Randwick, NSW 2031, Australia.
Rebecca MacintoshSydney Children's Hospital, Randwick, NSW 2031, Australia.
Andre E MinocheThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW 2010, Australia.
Clare PuttickThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW 2010, Australia.
Velimir GayevskiyThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW 2010, Australia.
Alexander P DrewThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW 2010, Australia.
Mark J CowleyThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW 2010, Australia; St. Vincent's Clinical School, University of New South Wales, Darlinghurst, NSW 2010, Australia.
Marcel DingerThe Kinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Darlinghurst, NSW 2010, Australia; St. Vincent's Clinical School, University of New South Wales, Darlinghurst, NSW 2010, Australia.
Jill A RosenfeldDepartment 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; Baylor Genetics, Houston, Texas 77021, USA.
Megan T ChoGeneDx, Gaithersburg, Maryland 20877, USA.
Suliat F YakubuKing Abdullah University of Science and Technology (KAUST), Computational Bioscience Research Center (CBRC), Division of Biological and Environmental Sciences and Engineering (BESE), Thuwal 23955-6900, Saudi Arabia.
Lindsay B HendersonGeneDx, Gaithersburg, Maryland 20877, USA.
Maria J Guillen SacotoGeneDx, Gaithersburg, Maryland 20877, USA.
Amber BegtrupGeneDx, Gaithersburg, Maryland 20877, USA.
Muddathir HamadKing Khalid University Hospital, King Saud University, Riyadh 11472, Saudi Arabia.
Marwan ShinawiDepartment of Pediatrics, Division of Genetics and Genomic Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Marisa V AndrewsDepartment of Pediatrics, Division of Genetics and Genomic Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Marilyn C JonesDivision of Genetics, Department of Pediatrics, University of California, San Diego and Rady Children's Hospital, San Diego, California 92123, USA.
Kristin LindstromDivision of Genetics and Metabolism, Phoenix Children's Hospital, Phoenix, Arizona 85016, USA.
Ruth E BristolDivision of Pediatric Neurosurgery, Phoenix Children's Hospital, Phoenix, AZ 85016, USA.
Saima KayaniUniversity of Texas Southwestern Medical Center, Dallas, Texas 75390, USA.
Molly SnyderDepartment of Neurology, Children's Health, Dallas, Texas 75235, USA.
María Mercedes VillanuevaFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia, Montañeses, Buenos Aires 2325, Argentina.
Angeles SchteinschnaiderFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia, Montañeses, Buenos Aires 2325, Argentina.
Laurence FaivreInserm U1231, Lipides, Nutrition, Cancer UMR 1231 Génétique des Anomalies du Développement, Burgundy University, Dijon 21079, France; Reference Center for Developmental Anomalies, Department of Medical Genetics, Dijon University Hospital, Dijon 21079, France.
Christel ThauvinInserm U1231, Lipides, Nutrition, Cancer UMR 1231 Génétique des Anomalies du Développement, Burgundy University, Dijon 21079, France.
Antonio VitobelloInserm U1231, Lipides, Nutrition, Cancer UMR 1231 Génétique des Anomalies du Développement, Burgundy University, Dijon 21079, France.
Tony RoscioliSydney Children's Hospital, Randwick, NSW 2031, Australia; New South Wales Health Pathology Genomic Laboratory, Prince of Wales Hospital, Randwick 2031, Australia; Neuroscience Research Australia, University of New South Wales 2031, Australia.
Edwin P KirkSydney Children's Hospital, Randwick, NSW 2031, Australia; School of Women's and Children's Health, University of New South Wales, Randwick, NSW 2031, Australia; New South Wales Health Pathology Genomic Laboratory, Prince of Wales Hospital, Randwick 2031, Australia.
Ann ByeSydney Children's Hospital, Randwick, NSW 2031, Australia; School of Women's and Children's Health, University of New South Wales, Randwick, NSW 2031, Australia.
Jasmeen MerzabanKing Abdullah University of Science and Technology, Division of Biological and Environmental Sciences and Engineering, Thuwal 23955-6900, Saudi Arabia.
Łukasz JaremkoKing Abdullah University of Science and Technology (KAUST), Computational Bioscience Research Center (CBRC), Division of Biological and Environmental Sciences and Engineering (BESE), Thuwal 23955-6900, Saudi Arabia.
Mariusz JaremkoKing Abdullah University of Science and Technology, Division of Biological and Environmental Sciences and Engineering, Thuwal 23955-6900, Saudi Arabia.
Rani K SachdevSydney Children's Hospital, Randwick, NSW 2031, Australia; School of Women's and Children's Health, University of New South Wales, Randwick, NSW 2031, Australia.
Fowzan S AlkurayaDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia; Saudi Human Genome Program, King Abdulaziz City for Science and Technology, Riyadh 11442, Saudi Arabia. Electronic address: falkuraya@kfshrc.edu.sa.
Stefan T AroldKing Abdullah University of Science and Technology (KAUST), Computational Bioscience Research Center (CBRC), Division of Biological and Environmental Sciences and Engineering (BESE), Thuwal 23955-6900, Saudi Arabia. Electronic address: stefan.arold@kaust.edu.sa.
King Abdullah University of Science and Technology · SAGarvan Institute of Medical Research · AUUNSW Sydney · AUInserm · FRBaylor College of Medicine · USFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia · ARKing Faisal Specialist Hospital & Research Centre · SAPhoenix Children's Hospital · USWashington University in St. Louis · USKing Abdulaziz City for Science and Technology · SAKing Saud University · SASydney Children's Hospital · AUThe University of Texas Southwestern Medical Center · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polyglutamine expansions in the transcriptional co-repressor Atrophin-1, encoded by ATN1, cause the neurodegenerative condition dentatorubral-pallidoluysian atrophy (DRPLA) via a proposed novel toxic gain of function. We present detailed phenotypic information on eight unrelated individuals who have de novo missense and insertion variants within a conserved 16-amino-acid "HX repeat" motif of ATN1. Each of the affected individuals has severe cognitive impairment and hypotonia, a recognizable facial gestalt, and variable congenital anomalies. However, they lack the progressive symptoms typical of DRPLA neurodegeneration. To distinguish this subset of affected individuals from the DRPLA diagnosis, we suggest using the term CHEDDA (congenital hypotonia, epilepsy, developmental delay, digit abnormalities) to classify the condition. CHEDDA-related variants alter the particular structural features of the HX repeat motif, suggesting that CHEDDA results from perturbation of the structural and functional integrity of the HX repeat. We found several non-homologous human genes containing similar motifs of eight to 10 HX repeat sequences, including RERE, where disruptive variants in this motif have also been linked to a separate condition that causes neurocognitive and congenital anomalies. These findings suggest that perturbation of the HX motif might explain other Mendelian human conditions.

Indexed as

Genetic VariationRepetitive Sequences, Nucleic AcidAmino Acid MotifsChildChild, PreschoolFemaleHumansInfantMaleNerve Tissue ProteinsNeurocognitive DisordersPhenotypePrognosisSyndromeatrophin-1Nerve Tissue Proteinsallelic disordersdevelopmental delaydysmorphicHX repeatintellectual disability

Identifiers

PMID30827498
PMCPMC6407605
OpenAlexW2919590712

What OpenQuestion holds

Textmetadata
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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.