Evidence map›Paper›PMID 31504653›Full record

ArticleThe Journal of clinical endocrinology and metabolism2019

Mutations in MAGEL2 and L1CAM Are Associated With Congenital Hypopituitarism and Arthrogryposis.

Louise C Gregory, Pratik Shah, Juliane R F Sanner, Monica Arancibia, Jane Hurst, Wendy D Jones, Helen Spoudeas, Polona Le Quesne Stabej, Hywel J Williams, Louise A Ocaka and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

19 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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  7. Strabismus in Genetic Syndromes: A Review.Clinical & experimental ophthalmology · 2025
    Review
  8. Article
  9. MAGEL2 (patho-)physiology and Schaaf-Yang syndrome.Developmental medicine and child neurology · 2025
    Review
  10. Macrocephaly and Finger Changes: A Narrative Review.International journal of molecular sciences · 2024
    Review
  11. Review
  12. Article
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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

13 authors at 2 institutions in 2 countries.

Louise C GregoryGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Pratik ShahGreat Ormond Street Hospital, London, United Kingdom.
Juliane R F SannerGreat Ormond Street Hospital, London, United Kingdom.
Monica ArancibiaDivision de Pediatria, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Jane HurstNE Thames Genetics Service, Great Ormond Street Hospital, London, United Kingdom.
Wendy D JonesNE Thames Genetics Service, Great Ormond Street Hospital, London, United Kingdom.
Helen SpoudeasGreat Ormond Street Hospital, London, United Kingdom.
Polona Le Quesne StabejGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Hywel J WilliamsGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Louise A OcakaGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Carolina LoureiroDivision de Pediatria, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Alejandro Martinez-AguayoDivision de Pediatria, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Mehul T DattaniGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Great Ormond Street Hospital · GBPontificia Universidad Católica de Chile · CL

Funding

Medical Research Council MR/R006237/1MRF_ MRF-099-0002-RG-UCLIC
6 · The paper itself

Abstract

contextCongenital hypopituitarism (CH) is rarely observed in combination with severe joint contractures (arthrogryposis). Schaaf-Yang syndrome (SHFYNG) phenotypically overlaps with Prader-Willi syndrome, with patients also manifesting arthrogryposis. L1 syndrome, a group of X-linked disorders that include hydrocephalus and lower limb spasticity, also rarely presents with arthrogryposis.

objectiveWe investigated the molecular basis underlying the combination of CH and arthrogryposis in five patients. PATIENTS: The heterozygous p.Q666fs*47 mutation in the maternally imprinted MAGEL2 gene, previously described in multiple patients with SHFYNG, was identified in patients 1 to 4, all of whom manifested growth hormone deficiency and variable SHFYNG features, including dysmorphism, developmental delay, sleep apnea, and visual problems. Nonidentical twins (patients 2 and 3) had diabetes insipidus and macrocephaly, and patient 4 presented with ACTH insufficiency. The hemizygous L1CAM variant p.G452R, previously implicated in patients with L1 syndrome, was identified in patient 5, who presented with antenatal hydrocephalus.

resultsHuman embryonic expression analysis revealed MAGEL2 transcripts in the developing hypothalamus and ventral diencephalon at Carnegie stages (CSs) 19, 20, and 23 and in the Rathke pouch at CS20 and CS23. L1CAM was expressed in the developing hypothalamus, ventral diencephalon, and hindbrain (CS19, CS20, CS23), but not in the Rathke pouch.

conclusionWe report MAGEL2 and L1CAM mutations in four pedigrees with variable CH and arthrogryposis. Patients presenting early in life with this combined phenotype should be examined for features of SHFYNG and/or L1 syndrome. This study highlights the association of hypothalamo-pituitary disease with MAGEL2 and L1CAM mutations.

Indexed as

ArthrogryposisChildChild, PreschoolDiencephalonExome SequencingFemaleGenetic Diseases, X-LinkedHumansHypopituitarismHypothalamusInfantInfant, NewbornIntracellular Signaling Peptides and ProteinsIntrinsically Disordered ProteinsMaleMutationIntracellular Signaling Peptides and ProteinsIntrinsically Disordered ProteinsL1CAM protein, humanMAGEL2 protein, humanNeural Cell Adhesion Molecule L1Proteins

Identifiers

PMID31504653
PMCPMC6916815
OpenAlexW2906062121

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.