Evidence map›Paper›PMID 33350591›Full record

ArticleMolecular genetics & genomic medicine2021

Missense variants in CTNNB1 can be associated with vitreoretinopathy-Seven new cases of CTNNB1-associated neurodevelopmental disorder including a previously unreported retinal phenotype.

Linda Z Rossetti, Mir Reza Bekheirnia, Andrea M Lewis, Heather C Mefford, Katie Golden-Grant, Kristina Tarczy-Hornoch, Lauren C Briere, David A Sweetser, Melissa A Walker, Elijah Kravets and 8 more

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02450851 (Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
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.

NCT02450851 recruitingnot on this map

Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2015 to 2028Enrolled20,000ConditionsGenetic Disease
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  8. Case report: Discovery of novelFrontiers in genetics · 2025
    Article
  9. Article
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  11. Frontiers in pediatrics · 2023
    Article
  12. Genomic and phenotypic characterization of 404 individuals with neurodevelopmental disorders caused by CTNNB1 variants.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Article
  13. Article
  14. Article
  15. The extended clinical and genetic spectrum ofFrontiers in pediatrics · 2022
    Article
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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

18 authors at 7 institutions in 1 country.

Linda Z RossettiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-8953-3246
Mir Reza BekheirniaDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Andrea M LewisDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Heather C MeffordDivision of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA.
Katie Golden-GrantDivision of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA.
Kristina Tarczy-HornochDepartment of Ophthalmology, University of Washington, Seattle, WA, USA.
Lauren C BriereDivision of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
David A SweetserDivision of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Melissa A WalkerDepartment of Neurology, Division of Neurogenetics, Child Neurology, Massachusetts General Hospital, Boston, MA, USA.
Elijah KravetsDivision of Medical Genetics, Department of Pediatrics, Stanford University, Stanford, CA, USA.
David A StevensonDivision of Medical Genetics, Department of Pediatrics, Stanford University, Stanford, CA, USA.
Georgette BruennerDivision of Medical Genetics, Department of Pediatrics, Cohen Children's Medical Center, Queens, NY, USA.
Jessica SebastianDivision of Medical Genetics, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Julia KnapoDivision of Medical Genetics, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Jill A RosenfeldDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Paul C MarcoglieseDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Undiagnosed Diseases Network
Michael F WanglerDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Baylor College of Medicine · USUniversity of Washington · USChildren's Hospital of Pittsburgh · USHarvard University · USStanford University · USCohen Children's Medical Center · USMassachusetts General Hospital · US

Funding

Center for Integrated Approaches to Undiagnosed DiseasesU01HG007690 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSCALZO, JOSEPH · 2014 to 2022
$10.4M
Clinical Sequencing Core Facility for the Undiagnosed Diseases Network (UDN)U01HG007942 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI ENG, CHRISTINE · 2014 to 2021
$10.2M
NHGRI NIH HHS U01 HG007690NHGRI NIH HHS U01 HG007942
6 · The paper itself

Abstract

backgroundCTNNB1 (MIM 116806) encodes beta-catenin, an adherens junction protein that supports the integrity between layers of epithelial tissue and mediates intercellular signaling. Recently, various heterozygous germline variants in CTNNB1 have been associated with human disease, including neurodevelopmental disorder with spastic diplegia and visual defects (MIM 615075) as well as isolated familial exudative vitreoretinopathy without developmental delays or other organ system involvement (MIM 617572). From over 40 previously reported patients with CTNNB1-related neurodevelopmental disorder, many have had ocular anomalies including strabismus, hyperopia, and astigmatism. More recently, multiple reports indicate that these abnormalities are associated with the presence of vitreoretinopathy.

methodsWe gathered a cohort of three patients with CTNNB1-related neurodevelopmental disorder, recruited from both our own clinic and referred from outside providers. We then searched for a clinical database comprised of over 12,000 exome sequencing studies to identify and recruit four additional patients.

resultsHere, we report seven new cases of CTNNB1-related neurodevelopmental disorder, all harboring de novo variants, six of which were previously unreported. All patients but one presented with a spectrum of ocular abnormalities and one patient, who was found to carry a missense variant in CTNNB1, had notable vitreoretinopathy.

conclusionsOur findings suggest ophthalmologic screening should be performed in all patients with CTNNB1 variants.

Indexed as

beta CateninChildChild, PreschoolDevelopmental DisabilitiesFamilial Exudative VitreoretinopathiesFemaleHumansInfantMaleMutation, MissensePhenotypeRetinabeta CateninCTNNB1 protein, humanCTNNB1developmental delayfamilial exudative vitreoretinopathyneurodevelopmental disorder with spastic diplegia and visual defectsvisual defects

Identifiers

PMID33350591
PMCPMC7963417
OpenAlexW3113386841

What OpenQuestion holds

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Registered trials

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.