Evidence map›Paper›PMID 31883643›Full record

ArticleAmerican journal of human genetics2020

Loss-of-Function Variants in PPP1R12A: From Isolated Sex Reversal to Holoprosencephaly Spectrum and Urogenital Malformations.

Joel J Hughes, Ebba Alkhunaizi, Paul Kruszka, Louise C Pyle, Dorothy K Grange, Seth I Berger, Katelyn K Payne, Diane Masser-Frye, Tommy Hu, Michelle R Christie and 20 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in American journal of human genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

33 citing papers in PubMed, 48 citations in OpenAlex.

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  10. [46,XY disorder of sex development caused byZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
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  11. Translational pediatrics · 2025
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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

30 authors at 16 institutions in 3 countries.

Joel J HughesMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Ebba AlkhunaiziThe Prenatal Diagnosis and Medical Genetics Program, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, M5G 1X5, Canada; Division of Clinical and Metabolic Genetics, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, M5G 1X8, Canada.
Paul KruszkaMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA. Electronic address: paul.kruszka@nih.gov.
Louise C PyleDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Dorothy K GrangeDepartment of Pediatrics, Division of Genetics and Genomic Medicine, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Seth I BergerMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA; Center for Genetic Medicine Research, Children's National Hospital, Washington, DC 20010, USA; Department of Genomics and Precision Medicine, George Washington University, Washington, DC 20037, USA.
Katelyn K PayneDivision of Child Neurology, Riley Hospital for Children, Indianapolis, Indiana, 46202, USA.
Diane Masser-FryeDepartment of Pediatrics, Division of Genetics, University of California San Diego-Rady Children's Hospital, San Diego, CA 92123, USA.
Tommy HuMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Michelle R ChristieTexas Scottish Rite Hospital for Children, Dallas, TX 75219, USA.
Nancy J CleggTexas Scottish Rite Hospital for Children, Dallas, TX 75219, USA.
Joshua L EversonDepartment of Comparative Biosciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI 53706, USA; Molecular and Environmental Toxicology Center, University of Wisconsin-Madison, Madison, WI 53706, USA.
Ariel F MartinezMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Laurence E WalshDivision of Child Neurology, Riley Hospital for Children, Indianapolis, Indiana, 46202, USA.
Emma BedoukianDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Marilyn C JonesDepartment of Pediatrics, Division of Genetics, University of California San Diego-Rady Children's Hospital, San Diego, CA 92123, USA.
Catharine Jean HarrisDepartment of Pediatric Genetics, University of Missouri Medical Center, Columbia, MO 65212, USA.
Korbinian M RiedhammerInstitute of Human Genetics, Klinikum rechts der Isar, Technical University of Munich, Munich, 4JQ2+9Q, Germany; Department of Nephrology, Klinikum rechts der Isar, Technical University of Munich, Munich, 4JQ2+9Q, Germany.
Daniela ChoukairDivision of Paediatric Endocrinology and Diabetology, University Children's Hospital, 69120 Heidelberg, Germany.
Patricia Y FechnerDivision of Pediatric Endocrinology, Seattle Children's Hospital, University of Washington, Seattle, WA 98105, USA.
Meilan M RutterDivision of Endocrinology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.
Sophia B HufnagelRare Disease Institute, Children's National Hospital, Washington, DC 20010, USA.
Maian RoifmanThe Prenatal Diagnosis and Medical Genetics Program, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, M5G 1X5, Canada; Division of Clinical and Metabolic Genetics, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, M5G 1X8, Canada.
Gad B KletterPediatric Endocrinology, Mary Bridge Children's Hospital, Tacoma, WA 98404, USA.
Emmanuele DelotCenter for Genetic Medicine Research, Children's National Hospital, Washington, DC 20010, USA; Department of Genomics and Precision Medicine, George Washington University, Washington, DC 20037, USA.
Eric VilainCenter for Genetic Medicine Research, Children's National Hospital, Washington, DC 20010, USA; Department of Genomics and Precision Medicine, George Washington University, Washington, DC 20037, USA.
Robert J LipinskiDepartment of Comparative Biosciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI 53706, USA; Molecular and Environmental Toxicology Center, University of Wisconsin-Madison, Madison, WI 53706, USA.
Chad M VezinaDepartment of Comparative Biosciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI 53706, USA; Molecular and Environmental Toxicology Center, University of Wisconsin-Madison, Madison, WI 53706, USA.
Maximilian MuenkeMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA.
David ChitayatThe Prenatal Diagnosis and Medical Genetics Program, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, M5G 1X5, Canada; Division of Clinical and Metabolic Genetics, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, M5G 1X8, Canada.
National Institutes of Health · USMount Sinai Hospital · CAUniversity of Wisconsin–Madison · USChildren's Hospital of Philadelphia · USGeorge Washington University Hospital · USRiley Hospital for Children · USTexas Scottish Rite Hospital for Children · USUniversity of California San Diego · USChildren's National · USCincinnati Children's Hospital Medical Center · USHeidelberg University · DEMary Bridge Children's Health Center · USSeattle Children's Hospital · USTUM Klinikum · DEUniversity of Missouri · USWashington University in St. Louis · US

Funding

Institutional Clinical and Translational Science AwardKL2TR001879 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$13.7M
Molecular & Environmental Toxicology Pre-& Postdoctoral Training ProgramT32ES007015 · NIEHS · UNIVERSITY OF WISCONSIN-MADISON · PI CHRISTOPHER A BRADFIELD · 1985 to 2026
$11.5M
MEDICAL GENETICS RESEARCH TRAINING GRANTT32GM008638 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca Ganetzky · 1997 to 2026
$8.7M
Research_ProjectU54HD090257 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI HOFFMAN, ERIC P. · 2016 to 2020
$5.9M
Disorders/Differences of Sex Development (DSD) - Translational Research NetworkR01HD093450 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SANDBERG, DAVID ERIC, VILAIN, ERIC J. · 2018 to 2022
$3.9M
Developmental toxicity of pesticide synergist/Hedgehog inhibitor PBOR01ES026819 · NIEHS · UNIVERSITY OF WISCONSIN-MADISON · PI LIPINSKI, ROBERT · 2018 to 2022
$1.8M
Molecular and fate maps of prostatic stromaU01DK110807 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI VEZINA, CHAD M. · 2016 to 2020
$1.6M
Imaging and mechanistic analyses of face-brain dysmorphology in a CLP modelR00DE022101 · NIDCR · UNIVERSITY OF WISCONSIN-MADISON · PI LIPINSKI, ROBERT · 2013 to 2015
$725k
Imaging and mechanistic analyses of face-brain dysmorphology in a CLP modelK99DE022101 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIPINSKI, ROBERT · 2012 to 2012
$80k
NCATS NIH HHS KL2 TR001879NICHD NIH HHS R01 HD093450NICHD NIH HHS U54 HD090257NIDCR NIH HHS K99 DE022101NIDCR NIH HHS R00 DE022101NIDDK NIH HHS U01 DK110807NIEHS NIH HHS R01 ES026819NIEHS NIH HHS T32 ES007015NIGMS NIH HHS T32 GM008638
6 · The paper itself

Abstract

In two independent ongoing next-generation sequencing projects for individuals with holoprosencephaly and individuals with disorders of sex development, and through international research collaboration, we identified twelve individuals with de novo loss-of-function (LoF) variants in protein phosphatase 1, regulatory subunit 12a (PPP1R12A), an important developmental gene involved in cell migration, adhesion, and morphogenesis. This gene has not been previously reported in association with human disease, and it has intolerance to LoF as illustrated by a very low observed-to-expected ratio of LoF variants in gnomAD. Of the twelve individuals, midline brain malformations were found in five, urogenital anomalies in nine, and a combination of both phenotypes in two. Other congenital anomalies identified included omphalocele, jejunal, and ileal atresia with aberrant mesenteric blood supply, and syndactyly. Six individuals had stop gain variants, five had a deletion or duplication resulting in a frameshift, and one had a canonical splice acceptor site loss. Murine and human in situ hybridization and immunostaining revealed PPP1R12A expression in the prosencephalic neural folds and protein localization in the lower urinary tract at critical periods for forebrain division and urogenital development. Based on these clinical and molecular findings, we propose the association of PPP1R12A pathogenic variants with a congenital malformations syndrome affecting the embryogenesis of the brain and genitourinary systems and including disorders of sex development.

Indexed as

MutationAbnormalities, MultipleAdolescentChildChild, PreschoolDisorders of Sex DevelopmentFemaleGestational AgeHoloprosencephalyHumansMaleMyosin-Light-Chain PhosphatasePhenotypePregnancyUrogenital AbnormalitiesMyosin-Light-Chain PhosphatasePPP1R12A protein, humandisorders of sex developmentembryogenesisencephalocelefacial dysmorphismforebrainholoprosencephalyhypospadiasMYPT1omphalocelePPP1R12A

Identifiers

PMID31883643
PMCPMC7042489
OpenAlexW2998407409

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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.