Evidence map›Paper›PMID 34003604›Full record

ArticleAmerican journal of medical genetics. Part A2021

De novo variants in TCF7L2 are associated with a syndromic neurodevelopmental disorder.

Caroline Dias, Rolph Pfundt, Tjitske Kleefstra, Janneke Shuurs-Hoeijmakers, Elles M J Boon, Johanna M van Hagen, Petra Zwijnenburg, Marjan M Weiss, Boris Keren, Cyril Mignot and 19 more

Open access · greenAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. D-Fructose Exposure Impairs Neuronal Development in Mouse Neural Stem Cells.International journal of molecular sciences · 2026
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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

29 authors at 15 institutions in 7 countries.

Caroline DiasDivision of Developmental Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Rolph PfundtDonders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands.
Tjitske KleefstraDonders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands.
Janneke Shuurs-HoeijmakersDepartment of Human Genetics, Radboud University Medical Centre, Nijmegen, Netherlands.
Elles M J BoonDepartment of Clinical Genetics, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Johanna M van HagenDepartment of Clinical Genetics, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Petra ZwijnenburgDepartment of Clinical Genetics, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Marjan M WeissDepartment of Human Genetics, Radboud University Medical Centre, Nijmegen, Netherlands.
Boris KerenDépartement de Génétique, hôpital Pitié-Salpêtrière, APHP.Sorbonne Université, Paris, France.
Cyril MignotDépartement de Génétique, hôpital Pitié-Salpêtrière, APHP.Sorbonne Université, Paris, France.
Arnaud IsapofService de Neurologie Pédiatrique, Hôpital Armand Trousseau, APHP, Sorbonne Université, Paris, France.
Karin WeissGenetics Institute, Rambam Health Care Center, Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Tova HershkovitzGenetics Institute, Rambam Health Care Center, Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Maria IasconeLaboratorio di Genetica Medica, ASST Papa Giovanni XXIII, Bergamo, Italy.
Silvia MaitzClinical Pediatric Genetic Unit, Pediatric Clinic, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.
René G FeichtingerUniversity Children's Hospital, Salzburger Landeskliniken (SALK) and Paracelsus Medical University (PMU) Salzburg, Salzburg, Austria.
Dieter KotzotUniversity Children's Hospital, Salzburger Landeskliniken (SALK) and Paracelsus Medical University (PMU) Salzburg, Salzburg, Austria.
Johannes A MayrUniversity Children's Hospital, Salzburger Landeskliniken (SALK) and Paracelsus Medical University (PMU) Salzburg, Salzburg, Austria.
Tawfeg Ben-OmranDepartment of Pediatrics, Sidra Medicine, Department of Medical Genetics, Hamad Medical Corporation, Weill Cornell Medical College, Doha, Qatar.ORCID 0000-0001-8522-7738
Laila MahmoudDepartment of Pediatrics, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Lynn S PaisBroad Center for Mendelian Genomics, Program in Medical and Population Genetics, Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, Massachusetts, USA.
Christopher A WalshDivision of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-0156-2238
Vandana ShashiDepartment of Pediatrics, Division of Medical Genetics, Duke University Medical Center, Durham, North Carolina, USA.
Jennifer A SullivanDepartment of Pediatrics, Division of Medical Genetics, Duke University Medical Center, Durham, North Carolina, USA.ORCID 0000-0002-8782-2183
Nicholas StongInstitute for Genomic Medicine, Columbia University, New York, New York, USA.
Francois LecoquierreDepartment of Genetics and Reference Center for Developmental Disorders, Normandy Center for Genomic and Personalized Medicine, Rouen University Hospital, Normandie Univ, UNIROUEN, Inserm U1245, Rouen, France.ORCID 0000-0002-9110-1856
Anne-Marie GuerrotDepartment of Genetics and Reference Center for Developmental Disorders, Normandy Center for Genomic and Personalized Medicine, Rouen University Hospital, Normandie Univ, UNIROUEN, Inserm U1245, Rouen, France.
Aude CharollaisReference Centre for Learning Disorders, Rouen University Hospital, F-76031 Rouen Cedex, Rouen, France.
Lance H RodanDivision of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-2392-6688
Radboud University Nijmegen · NLAmsterdam University Medical Centers · NLBoston Children's Hospital · USParacelsus Medical University · ATSorbonne Université · FRDuke Medical Center · USInserm · FRTechnion – Israel Institute of Technology · ILAzienda Ospedaliera San Gerardo · ITBroad Institute · USNew York Genome Center · USOspedale Papa Giovanni XXIII · ITSouthern Illinois University School of Medicine · USUniversité de Rouen Normandie · FRWeill Cornell Medical College in Qatar · QA

Funding

Toward better characterization and clinical trial readiness for targeting neuropsychiatric manifestations in PTEN pathogenic variantsU54NS092090 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI Joseph D. Buxbaum · 2014 to 2026
$20.1M
Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
HUMAN EPILEPSY GENETICS--NEURONAL MIGRATION DISORDERSR01NS035129 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI WALSH, CHRISTOPHER A. · 1997 to 2023
$9.5M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Hisashi Umemori · 2021 to 2026
$9.4M
Human Epilepsy Genetics Neuronal Migration DisordersR37NS035129 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI Christopher A. Walsh · 2002 to 2026
$6.5M
A powerful web-based discovery platform for rare disease geneticsR01HG009141 · NHGRI · BROAD INSTITUTE, INC. · PI QUINLAN, AARON R, REHM, HEIDI L · 2017 to 2020
$2.9M
Translational Post-doctoral Training in NeurodevelopmentT32MH112510 · NIMH · BOSTON CHILDREN'S HOSPITAL · PI DAVID C GLAHN, CHARLES Alexander NELSON · 2017 to 2026
$2.6M
National Human Genome Research Institute grant HG009141National Institute of Mental Health (Translational Post-doctoral Training in Neurodevelopment) T32MH112510NHGRI NIH HHS R01 HG009141NHGRI NIH HHS UM1 HG008900NICHD NIH HHS P50 HD105351NIMH NIH HHS T32 MH112510NINDS NIH HHS NS035129NINDS NIH HHS R01 NS035129NINDS NIH HHS R37 NS035129NINDS NIH HHS U54 NS092090
6 · The paper itself

Abstract

TCF7L2 encodes transcription factor 7-like 2 (OMIM 602228), a key mediator of the evolutionary conserved canonical Wnt signaling pathway. Although several large-scale sequencing studies have implicated TCF7L2 in intellectual disability and autism, both the genetic mechanism and clinical phenotype have remained incompletely characterized. We present here a comprehensive genetic and phenotypic description of 11 individuals who have been identified to carry de novo variants in TCF7L2, both truncating and missense. Missense variation is clustered in or near a high mobility group box domain, involving this region in these variants' pathogenicity. All affected individuals present with developmental delays in childhood, but most ultimately achieved normal intelligence or had only mild intellectual disability. Myopia was present in approximately half of the individuals, and some individuals also possessed dysmorphic craniofacial features, orthopedic abnormalities, or neuropsychiatric comorbidities including autism and attention-deficit/hyperactivity disorder (ADHD). We thus present an initial clinical and genotypic spectrum associated with variation in TCF7L2, which will be important in informing both medical management and future research.

Indexed as

Genetic Association StudiesGenetic Predisposition to DiseaseGenetic VariationAdolescentAllelesChildChild, PreschoolFemaleHumansMaleMutation, MissenseNeurodevelopmental DisordersOpen Reading FramesPhenotypeSyndromeTranscription Factor 7-Like 2 ProteinTCF7L2 protein, humanTranscription Factor 7-Like 2 Proteinautismintellectual disabilitymyopianeurodevelopmental disorderTCF7L2

Identifiers

PMID34003604
PMCPMC8815108
OpenAlexW3162232297

What OpenQuestion holds

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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.