Evidence map›Paper›PMID 30976111›Full record

ArticleEuropean journal of human genetics : EJHG2019

Variants in DOCK3 cause developmental delay and hypotonia.

Kimberly Wiltrout, Alejandro Ferrer, Ingrid van de Laar, Kazuhiko Namekata, Takayuki Harada, Eric W Klee, Michael T Zimmerman, Margot A Cousin, Jennifer L Kempainen, Dusica Babovic-Vuksanovic and 5 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in European journal of human genetics : EJHG, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Genes · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Impact of integrated translational research on clinical exome sequencing.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  12. Article
  13. 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

15 authors at 7 institutions in 3 countries.

Kimberly WiltroutDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Alejandro FerrerCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Ingrid van de LaarErasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Kazuhiko NamekataVisual Research Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Takayuki HaradaVisual Research Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Eric W KleeCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Michael T ZimmermanGenomics Sciences & Precision Medicine Center, Medical College of Wisconsin, Milwaukee, WI, USA.
Margot A CousinCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Jennifer L KempainenDepartment of Clinical Genomics, Mayo Clinic, Rochester, MN, USA.
Dusica Babovic-VuksanovicDepartment of Clinical Genomics, Mayo Clinic, Rochester, MN, USA.
Marjon A van SlegtenhorstErasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Coranne D Aarts-TesselaarDepartment of Pediatrics, Amphia Hospital, Breda, The Netherlands.
Rhonda E SchnurGeneDx, Gaithersburg, MD, USA.
Marisa AndrewsDivision of Genetics and Genomic Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Marwan ShinawiDivision of Genetics and Genomic Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA. mshinawi@wustl.edu.ORCID 0000-0003-1329-4100
Mayo Clinic · USWashington University in St. Louis · USErasmus MC · NLMayo Clinic in Florida · USTokyo Metropolitan Institute of Medical Science · JPAmphia Ziekenhuis · NLMedical College of Wisconsin · US

Funding

MEXT | Japan Society for the Promotion of Science (JSPS) JP15H04999MEXT | Japan Society for the Promotion of Science (JSPS) JP16K08635
6 · The paper itself

Abstract

The DOCK3 gene encodes the Dedicator of cytokinesis 3 (DOCK3) protein, which belongs to the family of guanine nucleotide exchange factors and is expressed almost exclusively in the brain and spinal cord. We used whole exome sequencing (WES) to investigate the molecular cause of developmental delay and hypotonia in three unrelated probands. WES identified truncating and splice site variants in Patient 1 and compound heterozygous and homozygous missense variants in Patients 2 and 3, respectively. We studied the effect of the three missense variants in vitro by using site-directed mutagenesis and pull-down assay and show that the induction of Rac1 activation was significantly lower in DOCK3 mutant cells compared with wild type human DOCK3 (P < 0.05). We generated a protein model to further examine the effect of the two missense variants within or adjacent to the DHR-2 domain in DOCK3 and this model supports pathogenicity. Our results support a loss of function mechanism but the data on the patients with missense variants should be cautiously interpreted because of the variability of the phenotypes and limited number of cases. Prior studies have described DOCK3 bi-allelic loss of function variants in two families with ataxia, hypotonia, and developmental delay. Here, we report on three patients with DOCK3-related developmental delay, wide-based or uncoordinated gait, and hypotonia, further supporting DOCK3's role in a neurodevelopmental syndrome and expanding the spectrum of phenotypic and genotypic variability.

Indexed as

Loss of Function MutationChildChild, PreschoolDevelopmental DisabilitiesExome SequencingFemaleGenetic Predisposition to DiseaseGenotypeGuanine Nucleotide Exchange FactorsHumansInfantIntellectual DisabilityMaleMuscle HypotoniaNerve Tissue ProteinsPhenotypeDOCK3 protein, humanGuanine Nucleotide Exchange FactorsNerve Tissue Proteins

Identifiers

PMID30976111
PMCPMC6777627
OpenAlexW2936667766

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.