Evidence map›Paper›PMID 31222966›Full record

ArticleAmerican journal of medical genetics. Part A2019

Costello syndrome: Clinical phenotype, genotype, and management guidelines.

Karen W Gripp, Lindsey A Morse, Marni Axelrad, Kathryn C Chatfield, Aaron Chidekel, William Dobyns, Daniel Doyle, Bronwyn Kerr, Angela E Lin, David D Schwartz and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Cancer risk in adults with pathogenic germline variants in RAS/MAPK genes using genomic ascertainment.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  6. Article
  7. Review
  8. Wide Ranging Neurobehavioral Phenotype in Individuals With Costello Syndrome.American journal of medical genetics. Part A · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Adult syndromology: challenges, opportunities and perspectives:Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2024
    Article
  20. 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

18 authors at 14 institutions in 4 countries.

Karen W GrippDivision of Medical Genetics, Department of Pediatrics, A.I. duPont Hospital for Children, Wilmington, Delaware.
Lindsey A MorseFerre Institute, Binghamton, New York, New York.
Marni AxelradPsychology Section, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Kathryn C ChatfieldSection of Cardiology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado.
Aaron ChidekelDivision of Pulmonology, Department of Pediatrics, A.I. duPont Hospital for Children, Wilmington, Delaware.
William DobynsDivision of Medical Genetics, Seattle Children's Hospital, Seattle, Washington.ORCID 0000-0002-7681-2844
Daniel DoyleDivision of Endocrinology, A.I. duPont Hospital for Children, Wilmington, Delaware.
Bronwyn KerrManchester Center for Genomic Medicine, University of Manchester, Manchester, UK.
Angela E LinMedical Genetics Unit, Department of Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts.
David D SchwartzPsychology Section, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Barbara J SibblesDivision of Pediatrics, Erasmus MC-Sophia Children's Hospital, Rotterdam, the Netherlands.
Dawn SiegelDepartment of Dermatology, Medical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0000-0002-8209-122X
Suma P ShankarDivision of Genomic Medicine, Department of Pediatrics, University of California Davis, Sacramento, California.
David A StevensonDivision of Medical Genetic, Department of Pediatrics, Stanford University, Palo Alto, California.ORCID 0000-0001-8601-0020
Mihir M ThackerDepartment of Orthopedic Surgery, Nemoirs-Alfred I. duPont Hospital for Children, Wilmington, Delaware.
K Nicole WeaverDivision of Human Genetics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Sue M WhiteVictorian Clinical Genetics Services, Royal Children's Hospital, Victoria, Australia.
Katherine A RauenDivision of Genomic Medicine, Department of Pediatrics, University of California Davis, Sacramento, California.ORCID 0000-0003-1719-7228
Community Health Systems - Dupont Hospital · USBaylor College of Medicine · USUniversity of California Davis Medical Center · USAlfred I. duPont Hospital for Children · USCincinnati Children's Hospital Medical Center · USErasmus MC - Sophia Children’s Hospital · NLFerre Institute · USMassachusetts General Hospital · USMedical College of Wisconsin · USPalo Alto University · USRoyal Children's Hospital · AUSeattle Children's Hospital · USUniversity of Colorado Denver · USUniversity of Manchester · GB

Funding

Megalencephaly and segmental brain overgrowth in humansR01NS092772 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI MILLEN, KATHLEEN JOYCE · 2015 to 2019
$3.3M
The Role of Germline Mutations of the Ras/MAPK Pathway on Skeletal MyogenesisR01AR062165 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAUEN, KATHERINE ANNA · 2012 to 2017
$2.1M
Childrens Miracle NetworkNIAMS NIH HHS R01 AR062165
6 · The paper itself

Abstract

Costello syndrome (CS) is a RASopathy caused by activating germline mutations in HRAS. Due to ubiquitous HRAS gene expression, CS affects multiple organ systems and individuals are predisposed to cancer. Individuals with CS may have distinctive craniofacial features, cardiac anomalies, growth and developmental delays, as well as dermatological, orthopedic, ocular, and neurological issues; however, considerable overlap with other RASopathies exists. Medical evaluation requires an understanding of the multifaceted phenotype. Subspecialists may have limited experience in caring for these individuals because of the rarity of CS. Furthermore, the phenotypic presentation may vary with the underlying genotype. These guidelines were developed by an interdisciplinary team of experts in order to encourage timely health care practices and provide medical management guidelines for the primary and specialty care provider, as well as for the families and affected individuals across their lifespan. These guidelines are based on expert opinion and do not represent evidence-based guidelines due to the lack of data for this rare condition.

Indexed as

Abnormalities, MultipleCostello SyndromeDevelopmental DisabilitiesDisease ManagementFaceGene Expression RegulationGenotypeGerm-Line MutationGuidelines as TopicHeartHeart Defects, CongenitalHumansPhenotypeProto-Oncogene Proteins p21(ras)HRAS protein, humanProto-Oncogene Proteins p21(ras)Costello syndromeHRAS mutationmanagement guidelinesRAS/MAPKRASopathy

Identifiers

PMID31222966
PMCPMC8238015
OpenAlexW2953365112

What OpenQuestion holds

Textmetadata
LicenceTDM
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.