Evidence map›Paper›PMID 31840946›Full record

ArticleBirth defects research2020

Smith-Lemli-Opitz syndrome - Fetal phenotypes with special reference to the syndrome-specific internal malformation pattern.

Katharina Schoner, Martina Witsch-Baumgartner, Jana Behunova, Robert Petrovic, Rainer Bald, Susanne G Kircher, Annette Ramaswamy, Britta Kluge, Matthias Meyer-Wittkopf, Ralf Schmitz and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Birth defects research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
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

14 authors at 7 institutions in 3 countries.

Katharina SchonerInstitute of Pathology, Philipps-University Marburg, Marburg, Germany.
Martina Witsch-BaumgartnerInstitute of Human Genetics, Medical University Innsbruck, Innsbruck, Austria.
Jana BehunovaInstitute of Medical Genetics, Medical University Vienna, Vienna, Austria.
Robert PetrovicInstitute of Medical Biology, Comenius University Bratislava, Bratislava, Slovakia.
Rainer BaldClinic of Gynecology and Obstetrics, Klinikum Leverkusen, Leverkusen, Germany.
Susanne G KircherInstitute of Medical Genetics, Medical University Vienna, Vienna, Austria.
Annette RamaswamyInstitute of Pathology, Philipps-University Marburg, Marburg, Germany.
Britta KlugeInstitute of Medical Genetics, Medical University Vienna, Vienna, Austria.
Matthias Meyer-WittkopfClinic of Gynecology and Obstetrics, University Clinic Oldenburg, Oldenburg, Germany.
Ralf SchmitzClinic of Gynecology and Obstetrics, University Clinic Muenster, Münster, Germany.
Barbara FritzInstitute of Human Genetics, Philipps-University Marburg, Marburg, Germany.
Johannes ZschockeInstitute of Human Genetics, Medical University Innsbruck, Innsbruck, Austria.
Franco LacconeInstitute of Medical Genetics, Medical University Vienna, Vienna, Austria.
Helga RehderInstitute of Pathology, Philipps-University Marburg, Marburg, Germany.ORCID 0000-0002-5215-623X
Medical University of Vienna · ATPhilipps University of Marburg · DEInnsbruck Medical University · ATCarl von Ossietzky Universität Oldenburg · DEComenius University Bratislava · SKKlinikum Leverkusen · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutosomal-recessive SLOS is caused by mutations in the DHCR7 gene. It is defined as a highly variable complex of microcephaly with intellectual disability, characteristic facies, hypospadias, and polysyndactyly. Syndrome diagnosis is often missed at prenatal ultrasound and fetal autopsy

methodsWe performed autopsies and DHCR7 gene analyses in eight fetuses suspected of having SLOS and measured cholesterol values in long-term formalin-fixed tissues of an additional museum exhibit

resultsFive of the nine fetuses presented classical features of SLOS, including four cases with atrial/atrioventricular septal defects and renal anomalies, and one with additional bilateral renal agenesis and a Dandy-Walker cyst. These cases allowed for diagnosis at autopsy and subsequent SLOS diagnosis in two siblings. Two fetuses were mildly affected and two fetuses showed additional holoprosencephaly. These four cases and the exhibit had escaped diagnosis at autopsy. The case with bilateral renal agenesis presented a novel combination of a null allele and a putative C-terminus missense mutation in the DHCR7 gene

conclusionsIn view of the discrepancy between the prevalence of SLOS among newborns and the carrier frequency of a heterozygous DHCR7 gene mutation, the syndrome-specific internal malformation pattern may be helpful not to miss SLOS diagnosis in fetuses at prenatal ultrasound and fetal autopsy.

Indexed as

Abnormalities, MultipleAutopsyDandy-Walker SyndromeFemaleFetusHeart Septal DefectsHumansMutationMutation, MissenseOxidoreductases Acting on CH-CH Group DonorsPhenotypePregnancySmith-Lemli-Opitz Syndrome7-dehydrocholesterol reductaseOxidoreductases Acting on CH-CH Group Donorsatrioventricular septal defectbilateral renal agenesisDHCR7 gene mutationsfetal Smith-Lemli-Opitz syndromeholoprosencephaly

Identifiers

PMID31840946
PMCPMC7432161
OpenAlexW2995556694

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.