Evidence map›Paper›PMID 33654309›Full record

ArticleEuropean journal of human genetics : EJHG2021

MCM complex members MCM3 and MCM7 are associated with a phenotypic spectrum from Meier-Gorlin syndrome to lipodystrophy and adrenal insufficiency.

Karen M Knapp, Danielle E Jenkins, Rosie Sullivan, Frederike L Harms, Leonie von Elsner, Charlotte W Ockeloen, Sonja de Munnik, Ernie M H F Bongers, Jennie Murray, Nicholas Pachter and 3 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in European journal of human genetics : EJHG, 2021. 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
1.5field-weighted citation impact, top 17% 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, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. A Meier-Gorlin syndrome mutation impairs the loading of the MCM2-7 complex during DNA replication initiation.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. The genetic basis of human height.Nature reviews. Genetics · 2025
    Review
  7. Article
  8. Comprehensive analysis ofTranslational andrology and urology · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Novel Compound Heterozygous Variants in theThe application of clinical genetics · 2022
    Article
  17. Review
  18. Clinical genetics-it's polygenic.European journal of human genetics : EJHG · 2021
    Article
  19. 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

13 authors at 5 institutions in 5 countries.

Karen M KnappDepartment of Pathology, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Danielle E JenkinsDepartment of Pathology, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Rosie SullivanDepartment of Pathology, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Frederike L HarmsInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Leonie von ElsnerInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Charlotte W OckeloenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands.
Sonja de MunnikDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands.
Ernie M H F BongersDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands.
Jennie MurrayMRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Nicholas PachterGenetic Services of Western Australia, King Edward Memorial Hospital, Perth, WA, Australia.
Jonas DeneckeDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Kerstin KutscheInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Louise S BicknellDepartment of Pathology, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand. louise.bicknell@otago.ac.nz.ORCID 0000-0001-6899-9322
Universität Hamburg · DEUniversity of Otago · NZRadboud University Nijmegen · NLNHS Lothian · GBThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The MCM2-7 helicase is a heterohexameric complex with essential roles as part of both the pre-replication and pre-initiation complexes in the early stages of DNA replication. Meier-Gorlin syndrome, a rare primordial dwarfism, is strongly associated with disruption to the pre-replication complex, including a single case described with variants in MCM5. Conversely, a biallelic pathogenic variant in MCM4 underlies immune deficiency with growth retardation, features also seen in individuals with pathogenic variants in other pre-initiation complex encoding genes such as GINS1, MCM10, and POLE. Through exome and chromium genome sequencing, supported by functional studies, we identify biallelic pathogenic variants in MCM7 and a strong candidate biallelic pathogenic variant in MCM3. We confirm variants in MCM7 are deleterious and through interfering with MCM complex formation, impact efficiency of S phase progression. The associated phenotypes are striking; one patient has typical Meier-Gorlin syndrome, whereas the second case has a multi-system disorder with neonatal progeroid appearance, lipodystrophy and adrenal insufficiency. We provide further insight into the developmental complexity of disrupted MCM function, highlighted by two patients with a similar variant profile in MCM7 but disparate clinical features. Our results build on other genetic findings linked to disruption of the pre-replication and pre-initiation complexes, and the replisome, and expand the complex clinical genetics landscape emerging due to disruption of DNA replication.

Indexed as

AdolescentAdrenal InsufficiencyAllelesAmino Acid SequenceCell CycleChildChild, PreschoolCongenital MicrotiaFaciesFemaleGenetic Association StudiesGenetic Predisposition to DiseaseGenetic VariationGenotypeGrowth DisordersHumansMCM3 protein, humanMCM7 protein, humanMinichromosome Maintenance Complex Component 3Minichromosome Maintenance Complex Component 7

Identifiers

PMID33654309
PMCPMC8298597
OpenAlexW3133586297

What OpenQuestion holds

Textmetadata
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.