Evidence map›Paper›PMID 32054688›Full record

ArticleJournal of medical genetics2020

Phenotype of genetically confirmed Silver-Russell syndrome beyond childhood.

Oluwakemi Lokulo-Sodipe, Lisa Ballard, Jenny Child, Hazel M Inskip, Christopher D Byrne, Miho Ishida, Gudrun E Moore, Emma L Wakeling, Angela Fenwick, Deborah J G Mackay and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Approach to the Patient With Suspected Silver-Russell Syndrome.The Journal of clinical endocrinology and metabolism · 2024
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Imprinting disorders.Nature reviews. Disease primers · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Cells · 2022
    Review
  19. Article
  20. 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

12 authors at 6 institutions in 1 country.

Oluwakemi Lokulo-SodipeHuman Development and Health, Faculty of Medicine University of Southampton, Southampton, UK.ORCID 0000-0002-8169-3384
Lisa BallardCancer Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
Jenny ChildChild Growth Foundation, Sutton Coldfield, Birmingham, UK.
Hazel M InskipMRC Epidemiology Unit, University of Southampton Faculty of Medicine, Southampton, UK.
Christopher D ByrneHuman Development and Health, Faculty of Medicine University of Southampton, Southampton, UK.
Miho IshidaGreat Ormond Street Institute of Child Health, University College London, London, UK.
Gudrun E MooreGreat Ormond Street Institute of Child Health, University College London, London, UK.
Emma L WakelingGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Angela FenwickClinical Ethics and Law at Southampton (CELS), Faculty of Medicine University of Southampton, Southampton, UK.
Deborah J G MackayHuman Development and Health, Faculty of Medicine University of Southampton, Southampton, UK.
Justin Huw DaviesHuman Development and Health, Faculty of Medicine University of Southampton, Southampton, UK.
I Karen TempleHuman Development and Health, Faculty of Medicine University of Southampton, Southampton, UK ikt@soton.ac.uk.ORCID 0000-0002-6045-1781
University Hospital Southampton NHS Foundation Trust · GBGreat Ormond Street Hospital · GBUniversity of Southampton · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBMRC Epidemiology Unit · GBWessex Regional Genetics Laboratory · GB

Funding

Department of Health PB-PG-1111-26003Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/4Wellcome Trust
6 · The paper itself

Abstract

backgroundSilver-Russell syndrome is an imprinting disorder that restricts growth, resulting in short adult stature that may be ameliorated by treatment. Approximately 50% of patients have loss of methylation of the imprinting control region (H19/IGF2:IG-DMR) on 11p15.5 and 5%-10% have maternal uniparental disomy of chromosome 7. Most published research focuses on the childhood phenotype. Our aim was to describe the phenotypic characteristics of older patients with SRS.

methodsA retrospective cohort of 33 individuals with a confirmed molecular diagnosis of SRS aged 13 years or above were carefully phenotyped.

resultsThe median age of the cohort was 29.6 years; 60.6% had a height SD score (SDS) ≤-2 SDS despite 70% having received growth hormone treatment. Relative macrocephaly, feeding difficulties and a facial appearance typical of children with SRS were no longer discriminatory diagnostic features. In those aged ≥18 years, impaired glucose tolerance in 25%, hypertension in 33% and hypercholesterolaemia in 52% were noted. While 9/33 accessed special education support, university degrees were completed in 40.0% (>21 years). There was no significant correlation between quality of life and height SDS. 9/25 were parents and none of the 17 offsprings had SRS.

conclusionHistorical treatment regimens for SRS were not sufficient for normal adult growth and further research to optimise treatment is justified. Clinical childhood diagnostic scoring systems are not applicable to patients presenting in adulthood and SRS diagnosis requires molecular confirmation. Metabolic ill-health warrants further investigation but SRS is compatible with a normal quality of life including normal fertility in many cases.

Indexed as

AdolescentAdultAgedDNA MethylationEpigenesis, GeneticFemaleGenomic ImprintingHumansInsulin-Like Growth Factor IIMaleMiddle AgedPhenotypeQuality of LifeRNA, Long NoncodingSilver-Russell SyndromeUniparental DisomyH19 long non-coding RNAIGF2 protein, humanInsulin-Like Growth Factor IIRNA, Long Noncodingimprintingshort statureSilver Russell syndromeuniparental disomy

Identifiers

PMID32054688
PMCPMC7525777
OpenAlexW3006054174

What OpenQuestion holds

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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.