Evidence map›Paper›PMID 33076953›Full record

ArticleOrphanet journal of rare diseases2020

The adult phenotype of Schaaf-Yang syndrome.

Felix Marbach, Magdeldin Elgizouli, Megan Rech, Jasmin Beygo, Florian Erger, Clara Velmans, Constance T R M Stumpel, Alexander P A Stegmann, Stefanie Beck-Wödl, Gabriele Gillessen-Kaesbach and 3 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.2field-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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Two siblings with Schaaf-Yang syndrome treated with growth hormone.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Article
  5. Article
  6. MAGEL2 (patho-)physiology and Schaaf-Yang syndrome.Developmental medicine and child neurology · 2025
    Review
  7. Article
  8. Etiology of Borderline Intellectual Functioning.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
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  17. Review
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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 9 institutions in 4 countries.

Felix MarbachInstitute of Human Genetics, Heidelberg University, Heidelberg, Germany.
Magdeldin ElgizouliInstitute of Human Genetics, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Megan RechDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Jasmin BeygoInstitute of Human Genetics, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Florian ErgerFaculty of Medicine, University of Cologne, 50931, Cologne, Germany.
Clara VelmansFaculty of Medicine, University of Cologne, 50931, Cologne, Germany.
Constance T R M StumpelDepartment of Clinical Genetics and GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center, 6202AZ, Maastricht, The Netherlands.
Alexander P A StegmannDepartment of Clinical Genetics and GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center, 6202AZ, Maastricht, The Netherlands.
Stefanie Beck-WödlInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Gabriele Gillessen-KaesbachInstitute of Human Genetics, University of Lübeck, Lübeck, Germany.
Bernhard HorsthemkeInstitute of Human Genetics, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Christian P SchaafInstitute of Human Genetics, Heidelberg University, Heidelberg, Germany.
Alma KuechlerInstitute of Human Genetics, University Hospital Essen, University Duisburg-Essen, Essen, Germany. alma.kuechler@uk-essen.de.
University of Duisburg-Essen · DEBaylor College of Medicine · USMaastricht University · NLHeidelberg University · DEUniversity Hospital Cologne · DEUniversity of Cologne · DEUniversity of Lübeck · DEUniversity of Tübingen · DEUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMAGEL2-associated Schaaf-Yang syndrome (SHFYNG, OMIM #615547, ORPHA: 398069), which was identified in 2013, is a rare disorder caused by truncating variants of the paternal copy of MAGEL2, which is localized in the imprinted region on 15q11.2q13. The phenotype of SHFYNG in childhood partially overlaps with that of the well-established Prader-Willi syndrome (PWS, OMIM #176270). While larger numbers of younger individuals with SHFYNG have been recently published, the phenotype in adulthood is not well established. We recruited 7 adult individuals (aged 18 to 36) with molecularly confirmed SHFYNG and collected data regarding the clinical profile including eating habits, sleep, behavior, personal autonomy, psychiatric abnormalities and other medical conditions, as well as information about the respective phenotypes in childhood.

resultsWithin our small cohort, we identified a range of common features, such as disturbed sleep, hypoactivity, social withdrawal and anxiety, but also noted considerable differences at the level of personal autonomy and skills. Behavioral problems were frequent, and a majority of individuals displayed weight gain and food-seeking behavior, along with mild intellectual disability or borderline intellectual function. Classical symptoms of SHFYNG in childhood were reported for most individuals.

conclusionOur findings indicate a high variability of the functional abilities and social participation of adults with SHFYNG. A high prevalence of obesity within our cohort was notable, and uncontrollable food intake was a major concern for some caregivers. The phenotypes of PWS and SHFYNG in adulthood might be more difficult to discern than the phenotypes in childhood. Molecular genetic testing for SHFYNG should therefore be considered in adults with the suspected diagnosis of PWS, if testing for PWS has been negative.

Indexed as

ArthrogryposisIntellectual DisabilityPrader-Willi SyndromeAdultHumansIntracellular Signaling Peptides and ProteinsIntrinsically Disordered ProteinsPhenotypeProteinsIntracellular Signaling Peptides and ProteinsIntrinsically Disordered ProteinsMAGEL2 protein, humanProteinsAdult phenotypeMAGEL2Prader–Willi syndromeSchaaf-Yang syndrome

Identifiers

PMID33076953
PMCPMC7574436
OpenAlexW3092996263

What OpenQuestion holds

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LicenceCC BY
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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.