Evidence map›Paper›PMID 31353024›Full record

ArticleAmerican journal of human genetics2019

Haploinsufficiency of the Notch Ligand DLL1 Causes Variable Neurodevelopmental Disorders.

Björn Fischer-Zirnsak, Lara Segebrecht, Max Schubach, Perrine Charles, Emily Alderman, Kathleen Brown, Maxime Cadieux-Dion, Tracy Cartwright, Yanmin Chen, Carrie Costin and 28 more

Abstract 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. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–field-weighted citation impact
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

47 citing papers in PubMed.

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  14. UtilizingJournal of developmental biology · 2025
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  16. Frontiers in genetics · 2025
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  17. Deficiency ofProceedings of the National Academy of Sciences of the United States of America · 2024
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  18. Temporal and Spatial Variations in ZebrafishInternational journal of molecular sciences · 2024
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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

38 authors.

Björn Fischer-ZirnsakCharité - Universitätsmedizin Berlin, Berlin 13353, Germany.
Lara SegebrechtCharité - Universitätsmedizin Berlin, Berlin 13353, Germany; Berlin Institute of Health (BIH), Berlin 10117, Germany.
Max SchubachCharité - Universitätsmedizin Berlin, Berlin 13353, Germany; Berlin Institute of Health (BIH), Berlin 10117, Germany.
Perrine CharlesDepartment of Genetics, Assistance Publique - Hôpitaux de Paris, Hôpital Pitié-Salpêtrière, Paris 75013, France.
Emily AldermanDepartment of Medical Genetics, University of British Columbia, Vancouver, BC V6H 3N1, Canada.
Kathleen BrownDepartment of Pediatrics, The Children's Hospital, University of Colorado School of Medicine, Aurora, CO 80045, USA.
Maxime Cadieux-DionCenter for Pediatric Genomic Medicine, Children's Mercy Hospital, Kansas City, MO 64108, USA; Department of Pathology and Laboratory Medicine, Children's Mercy Hospitals, Kansas City, MO 64108, USA.
Tracy CartwrightNeuroscape Center, Departments of Neurology, Pediatrics, Physiology, Radiology, and Psychiatry, University of California, San Francisco, CA 94158, USA.
Yanmin ChenGeneDx, Gaithersburg, MD 20877, USA.
Carrie CostinAkron Children's Hospital, Akron, OH 44302, USA.
Sarah FehrPraxis für Humangenetik Tübingen, Tübingen 72076, Germany.
Keely M FitzgeraldDivision of Child Neurology, Department of Pediatrics, Children's Mercy Hospital & Clinics, Kansas City, MO 64108, USA; University of Missouri-Kansas City School of Medicine, Kansas City, MO 64108, USA.
Emily FlemingDivision of Clinical Genetics, Children's Mercy Hospital & Clinics, Kansas City, MO 64108, USA.
Kimberly FossDivision of Genetic Medicine, Seattle Children's Hospital, Seattle, WA 98105, USA.
Thoa HaDivision of Genetics, Department Pediatrics, University of California, San Francisco, CA 94143-2711, USA.
Gabriele HildebrandCharité - Universitätsmedizin Berlin, Berlin 13353, Germany.
Denise HornCharité - Universitätsmedizin Berlin, Berlin 13353, Germany.
Shuxi LiuGeneDx, Gaithersburg, MD 20877, USA.
Elysa J MarcoCortica Healthcare, San Rafael, CA 94903, USA.
Marie McDonaldDepartment of Pediatrics, Division of Medical Genetics, Duke University Medical Center, Durham, NC 27710, USA.
Kirsty McWalterGeneDx, Gaithersburg, MD 20877, USA.
Simone RaceDivision of Biochemical Genetics, Department of Pediatrics, University of British Columbia, BC Children's Hospital, Vancouver, BC V6H 3N1, Canada.
Eric T RushDivision of Clinical Genetics, Children's Mercy Hospital & Clinics, Kansas City, MO 64108, USA.
Yue SiGeneDx, Gaithersburg, MD 20877, USA.
Carol SaundersCenter for Pediatric Genomic Medicine, Children's Mercy Hospital, Kansas City, MO 64108, USA; Department of Pathology and Laboratory Medicine, Children's Mercy Hospitals, Kansas City, MO 64108, USA; University of Missouri-Kansas City School of Medicine, Kansas City, MO 64108, USA.
Anne SlavotinekDivision of Genetics, Department Pediatrics, University of California, San Francisco, CA 94143-2711, USA.
Sylvia Stockler-IpsirogluDivision of Biochemical Genetics, Department of Pediatrics, University of British Columbia, BC Children's Hospital, Vancouver, BC V6H 3N1, Canada.
Aida TelegrafiGeneDx, Gaithersburg, MD 20877, USA.
Isabelle ThiffaultCenter for Pediatric Genomic Medicine, Children's Mercy Hospital, Kansas City, MO 64108, USA; Department of Pathology and Laboratory Medicine, Children's Mercy Hospitals, Kansas City, MO 64108, USA; University of Missouri-Kansas City School of Medicine, Kansas City, MO 64108, USA.
Erin TortiGeneDx, Gaithersburg, MD 20877, USA.
Anne Chun-Hui TsaiDepartment of Pediatrics, The Children's Hospital, University of Colorado School of Medicine, Aurora, CO 80045, USA; Section of Genetics, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Xin WangGeneDx, Gaithersburg, MD 20877, USA.
Muhammad ZafarDepartment of Pediatrics, Division of Medical Genetics, Duke University Medical Center, Durham, NC 27710, USA.
Boris KerenDepartment of Genetics, Assistance Publique - Hôpitaux de Paris, Hôpital Pitié-Salpêtrière, Paris 75013, France.
Uwe KornakCharité - Universitätsmedizin Berlin, Berlin 13353, Germany.
Cornelius F BoerkoelDepartment of Medical Genetics, University of British Columbia, Vancouver, BC V6H 3N1, Canada.
Ghayda MirzaaCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA 98101, USA; Department of Pediatrics, University of Washington, Seattle, WA 98195, USA.
Nadja EhmkeCharité - Universitätsmedizin Berlin, Berlin 13353, Germany. Electronic address: nadja.ehmke@charite.de.

Funding

Genes and pathways underlying brain overgrowth and focal cortical malformationsK08NS092898 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI MIRZAA, GHAYDA · 2015 to 2019
$930k
NINDS NIH HHS K08 NS092898
6 · The paper itself

Abstract

Notch signaling is an established developmental pathway for brain morphogenesis. Given that Delta-like 1 (DLL1) is a ligand for the Notch receptor and that a few individuals with developmental delay, intellectual disability, and brain malformations have microdeletions encompassing DLL1, we hypothesized that insufficiency of DLL1 causes a human neurodevelopmental disorder. We performed exome sequencing in individuals with neurodevelopmental disorders. The cohort was identified using known Matchmaker Exchange nodes such as GeneMatcher. This method identified 15 individuals from 12 unrelated families with heterozygous pathogenic DLL1 variants (nonsense, missense, splice site, and one whole gene deletion). The most common features in our cohort were intellectual disability, autism spectrum disorder, seizures, variable brain malformations, muscular hypotonia, and scoliosis. We did not identify an obvious genotype-phenotype correlation. Analysis of one splice site variant showed an in-frame insertion of 12 bp. In conclusion, heterozygous DLL1 pathogenic variants cause a variable neurodevelopmental phenotype and multi-systemic features. The clinical and molecular data support haploinsufficiency as a mechanism for the pathogenesis of this DLL1-related disorder and affirm the importance of DLL1 in human brain development.

Indexed as

HaploinsufficiencyCalcium-Binding ProteinsCohort StudiesExome SequencingFemaleHumansLigandsMaleMembrane ProteinsNeurodevelopmental DisordersPedigreeCalcium-Binding ProteinsDLK1 protein, humanLigandsMembrane Proteinsautismbrain malformationdevelopmental delayDLL1intellectual disabilityNotch signalingvertebral segmentation defects

Identifiers

PMID31353024
PMCPMC6731356

What OpenQuestion holds

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Registered trials

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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.