Evidence map›Paper›PMID 32730804›Full record

ArticleAmerican journal of human genetics2020

Variants in SCAF4 Cause a Neurodevelopmental Disorder and Are Associated with Impaired mRNA Processing.

Anna Fliedner, Philipp Kirchner, Antje Wiesener, Irma van de Beek, Quinten Waisfisz, Mieke van Haelst, Daryl A Scott, Seema R Lalani, Jill A Rosenfeld, Mahshid S Azamian and 26 more

Open access · bronzeAbstract read
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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Expanding the phenotypic spectrum associated with ZIC1 variants: A neurodevelopmental disorder with and without craniosynostosis.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  2. Article
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  5. PTAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  6. Functional assays inGenome research · 2025
    Review
  7. Further delineation of the SCAF4-associated neurodevelopmental disorder.European journal of human genetics : EJHG · 2025
    Article
  8. Article
  9. Review
  10. A novel nonsense mutation inFrontiers in genetics · 2025
    Article
  11. Article
  12. Article
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  15. Article
  16. Review
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

36 authors at 16 institutions in 4 countries.

Anna FliednerInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Philipp KirchnerInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Antje WiesenerInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Irma van de BeekDepartment of Clinical Genetics, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, the Netherlands.
Quinten WaisfiszDepartment of Clinical Genetics, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, the Netherlands.
Mieke van HaelstDepartment of Clinical Genetics, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, the Netherlands.
Daryl A ScottDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, TX 77030, USA.
Seema R LalaniDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.
Jill A RosenfeldDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Baylor Genetics Laboratories, Houston, TX 77021, USA.
Mahshid S AzamianDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.
Fan XiaDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Baylor Genetics Laboratories, Houston, TX 77021, USA.
Marina Dutra-ClarkeDivision of Medical Genetics, Department of Pediatrics, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA.
Julian A Martinez-AgostoDivision of Medical Genetics, Department of Pediatrics, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA; Department of Human Genetics, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA.
Hane LeeDepartment of Human Genetics, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA; Department of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA.
UCLA Clinical Genomics Center
Grace J NohDepartment of Genetics, Southern California Permanente Medical Group, Fontana, CA 92335, USA.
Natalie LippaInstitute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY 10019, USA.
Anna AlkelaiInstitute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY 10019, USA.
Vimla AggarwalInstitute for Genomic Medicine and Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY 10019, USA.
Katherine E AgreDepartment of Clinical Genomics, Mayo Clinic, Rochester, MN 55905, USA.
Ralitza GavrilovaDepartment of Clinical Genomics, Mayo Clinic, Rochester, MN 55905, USA; Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Ghayda M MirzaaCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA 98195, USA; Department of Pediatrics, University of Washington, Seattle, WA 98195, USA; Brotman Baty Institute for Precision Medicine, Seattle, WA 98195, USA.
Rachel StraussbergNeurogenetics Clinic, Neurology Unit, Schneider Children's Medical Center, Petah Tikva 49202, Israel; Sackler School of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel.
Rony CohenSackler School of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel; Neurology Institute and Epilepsy Center, Schneider Children's Medical Center, Petah Tikva 49202, Israel.
Brooke HoristPediatrics and Genetics, Alpharetta, GA 30005, USA.
Vidya KrishnamurthyPediatrics and Genetics, Alpharetta, GA 30005, USA.
Kirsty McWalterClinical Genomics, GeneDx, Gaithersburg, MD 20877, USA.
Jane JuusolaClinical Genomics, GeneDx, Gaithersburg, MD 20877, USA.
Laura Davis-KeppenUniversity of South Dakota, Sanford School of Medicine, Sioux Falls, SD 57105, USA.
Lisa OhdenUniversity of South Dakota, Sanford School of Medicine, Sioux Falls, SD 57105, USA.
Marjon van SlegtenhorstDepartment of Clinical Genetics, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, the Netherlands.
Stella A de ManDepartment of Pediatrics, Amphia Hospital, 4818 CK Breda, the Netherlands.
Arif B EkiciInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Anne GregorInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Ingrid van de LaarDepartment of Clinical Genetics, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, the Netherlands.
Christiane ZweierInstitute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany. Electronic address: christiane.zweier@uk-erlangen.de.
University of California, Los Angeles · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DEBaylor College of Medicine · USErasmus MC · NLPediatrics and Genetics · USAmsterdam University Medical Centers · NLUniversity of South Dakota · USAmphia Ziekenhuis · NLMayo Clinic · USTel Aviv University · ILBrotman Baty Institute · USColumbia University · USColumbia University Irving Medical Center · USKaiser Permanente Fontana Medical Center · USMayo Clinic in Florida · USUniversity of Washington · US

Funding

Resource Component: Acquisition, maintenance and distribution of Drosophila stocksP40OD018537 · OD · TRUSTEES OF INDIANA UNIVERSITY · PI Annette L. Parks · 2014 to 2026
$13.5M
Genes and pathways underlying brain overgrowth and focal cortical malformationsK08NS092898 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI MIRZAA, GHAYDA · 2015 to 2019
$930k
NIH HHS P40 OD018537NINDS NIH HHS K08 NS092898
6 · The paper itself

Abstract

RNA polymerase II interacts with various other complexes and factors to ensure correct initiation, elongation, and termination of mRNA transcription. One of these proteins is SR-related CTD-associated factor 4 (SCAF4), which is important for correct usage of polyA sites for mRNA termination. Using exome sequencing and international matchmaking, we identified nine likely pathogenic germline variants in SCAF4 including two splice-site and seven truncating variants, all residing in the N-terminal two thirds of the protein. Eight of these variants occurred de novo, and one was inherited. Affected individuals demonstrated a variable neurodevelopmental disorder characterized by mild intellectual disability, seizures, behavioral abnormalities, and various skeletal and structural anomalies. Paired-end RNA sequencing on blood lymphocytes of SCAF4-deficient individuals revealed a broad deregulation of more than 9,000 genes and significant differential splicing of more than 2,900 genes, indicating an important role of SCAF4 in mRNA processing. Knockdown of the SCAF4 ortholog CG4266 in the model organism Drosophila melanogaster resulted in impaired locomotor function, learning, and short-term memory. Furthermore, we observed an increased number of active zones in larval neuromuscular junctions, representing large glutamatergic synapses. These observations indicate a role of CG4266 in nervous system development and function and support the implication of SCAF4 in neurodevelopmental phenotypes. In summary, our data show that heterozygous, likely gene-disrupting variants in SCAF4 are causative for a variable neurodevelopmental disorder associated with impaired mRNA processing.

Indexed as

AnimalsChildDrosophila melanogasterExome SequencingFemaleGene Knockdown TechniquesGenetic VariationHeterozygoteHumansIntellectual DisabilityLocomotionMaleMutationNeurodevelopmental DisordersRNA, MessengerRNA Polymerase IIRNA, MessengerRNA Polymerase IISCAF4 protein, humanSerine-Arginine Splicing Factorsepilepsyintellectual disabilitymRNA processingneurodevelopmental disorderSCAF4seizures

Identifiers

PMID32730804
PMCPMC7477272
OpenAlexW3045621188

What OpenQuestion holds

Textmetadata
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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.