Evidence map›Paper›PMID 34113007›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

Heterozygous loss-of-function variants significantly expand the phenotypes associated with loss of GDF11.

Thomas A Ravenscroft, Jennifer B Phillips, Elizabeth Fieg, Sameer S Bajikar, Judy Peirce, Jeremy Wegner, Alia A Luna, Eric J Fox, Yi-Lin Yan, Jill A Rosenfeld and 22 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 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.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.6field-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.

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, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Loss-of-function in RBBP5 results in a syndromic neurodevelopmental disorder associated with microcephaly.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  7. Article
  8. Review
  9. GDF11 and aging biology - controversies resolved and pending.The journal of cardiovascular aging · 2023
    Article
  10. GDF-11 as a Potential Cardiac Pro-Angiogenic Factor.JACC. Basic to translational science · 2023
    Article
  11. Article
  12. MeCP2 regulateseLife · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

32 authors at 20 institutions in 4 countries.

Thomas A RavenscroftDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Jennifer B PhillipsInstitute of Neuroscience, University of Oregon, Eugene, OR, USA.
Elizabeth FiegBrigham and Women's Hospital, Boston, MA, USA.
Sameer S BajikarDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Judy PeirceInstitute of Neuroscience, University of Oregon, Eugene, OR, USA.
Jeremy WegnerInstitute of Neuroscience, University of Oregon, Eugene, OR, USA.
Alia A LunaInstitute of Neuroscience, University of Oregon, Eugene, OR, USA.
Eric J FoxInstitute of Neuroscience, University of Oregon, Eugene, OR, USA.
Yi-Lin YanInstitute of Neuroscience, University of Oregon, Eugene, OR, USA.
Jill A RosenfeldDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Jonathan ZirinDepartment of Genetics, Harvard Medical School, Boston, MA, USA.
Oguz KancaDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Undiagnosed Diseases Network
Paul J BenkeJoe DiMaggio Children's Hospital, Hollywood, FL, USA.
Eric S CameronJoe DiMaggio Children's Hospital, Hollywood, FL, USA.
Vincent StrehlowInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Konrad PlatzerInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Rami Abou JamraInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Chiara KlöcknerInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Matthew OsmondChildren's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Thomas LicataChildren's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Samantha RojasChildren's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
David DymentChildren's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Josephine S C ChongThe Chinese University of Hong Kong-Baylor College of Medicine Joint Center of Medical Genetics, Hong Kong Special Administrative Region, The People's Republic of China.
Sharyn LincolnBoston Children's Hospital, Boston, MA, USA.
Joan M StolerBoston Children's Hospital, Boston, MA, USA.
John H PostlethwaitInstitute of Neuroscience, University of Oregon, Eugene, OR, USA.
Michael F WanglerDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Shinya YamamotoDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Joel KrierBrigham and Women's Hospital, Boston, MA, USA.
Monte WesterfieldInstitute of Neuroscience, University of Oregon, Eugene, OR, USA.
Hugo J BellenDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA. hbellen@bcm.edu.
National Institutes of Health · USBaylor College of Medicine · USUniversity of California, Los Angeles · USStanford University · USUniversity of Miami · USSeattle Children's Hospital · USUniversity of Washington · USUniversity of Utah · USBrigham and Women's Hospital · USVanderbilt University · USUniversity of Oregon · USBoston Children's Hospital · USDuke University · USMassachusetts General Hospital · USWashington University in St. Louis · USChildren's Hospital of Philadelphia · USMayo Clinic in Florida · USThe Coordinating Center · USChildren's Hospital of Eastern Ontario · CAHarvard University · 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
Zebrafish CoreU54NS093793 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI BELLEN, HUGO J · 2015 to 2022
$7.5M
Expansion and characterization of the Drosophila Toolkit to study SARS-CoV-2R24OD022005 · OD · BAYLOR COLLEGE OF MEDICINE · PI BELLEN, HUGO J · 2016 to 2023
$7.4M
Functional genomics resources for the Drosophila - TR&D3P41GM132087 · NIGMS · HARVARD MEDICAL SCHOOL · PI ZIRIN, JONATHAN D · 2019 to 2023
$6.8M
A Comprehensive Resource for Manipulating the Drosophila GenomeR24OD031447 · OD · BAYLOR COLLEGE OF MEDICINE · PI HUGO J BELLEN, Oguz Kanca · 2021 to 2026
$5.2M
A Single-Cell Transcriptome Atlas for Zebrafish DevelopmentR24OD026591 · OD · UNIVERSITY OF OREGON · PI KIMMEL, CHARLES B, MILLER, ADAM C · 2019 to 2022
$3.0M
Investigating the role of Growth-differentiation factor 11 in neurodevelopmental and MECP2-related disordersF32HD100048 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI BAJIKAR, SAMEER · 2019 to 2021
$168k
NHGRI NIH HHS U01 HG007690NHGRI NIH HHS U01 HG007942NICHD NIH HHS F32 HD100048NIGMS NIH HHS P41 GM132087NIH HHS R24 OD022005NIH HHS R24 OD026591NIH HHS R24 OD031447NINDS NIH HHS U54 NS093793
6 · The paper itself

Abstract

purposeGrowth differentiation factor 11 (GDF11) is a key signaling protein required for proper development of many organ systems. Only one prior study has associated an inherited GDF11 variant with a dominant human disease in a family with variable craniofacial and vertebral abnormalities. Here, we expand the phenotypic spectrum associated with GDF11 variants and document the nature of the variants.

methodsWe present a cohort of six probands with de novo and inherited nonsense/frameshift (4/6 patients) and missense (2/6) variants in GDF11. We generated gdf11 mutant zebrafish to model loss of gdf11 phenotypes and used an overexpression screen in Drosophila to test variant functionality.

resultsPatients with variants in GDF11 presented with craniofacial (5/6), vertebral (5/6), neurological (6/6), visual (4/6), cardiac (3/6), auditory (3/6), and connective tissue abnormalities (3/6). gdf11 mutant zebrafish show craniofacial abnormalities and body segmentation defects that match some patient phenotypes. Expression of the patients' variants in the fly showed that one nonsense variant in GDF11 is a severe loss-of-function (LOF) allele whereas the missense variants in our cohort are partial LOF variants.

conclusionGDF11 is needed for human development, particularly neuronal development, and LOF GDF11 alleles can affect the development of numerous organs and tissues.

Indexed as

Bone Morphogenetic ProteinsGrowth Differentiation FactorsAnimalsCraniofacial AbnormalitiesHumansMutation, MissensePhenotypeSpineZebrafishBone Morphogenetic ProteinsGDF11 protein, humanGrowth Differentiation Factors

Identifiers

PMID34113007
PMCPMC8487929
OpenAlexW3167087036

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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.