Evidence map›Paper›PMID 34172899›Full record

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

Biallelic variants in KARS1 are associated with neurodevelopmental disorders and hearing loss recapitulated by the knockout zebrafish.

Sheng-Jia Lin, Barbara Vona, Patricia G Barbalho, Rauan Kaiyrzhanov, Reza Maroofian, Cassidy Petree, Mariasavina Severino, Valentina Stanley, Pratishtha Varshney, Paulina Bahena and 43 more

Open 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. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Hyperkinetic Movement Disorder inNeurology international · 2025
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  8. Modeling of Charcot-Marie-Tooth disease in zebrafish.Frontiers in molecular neuroscience · 2025
    Review
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  11. Article
  12. Article
  13. Article
  14. Article
  15. Loss of symmetric cell division of apical neural progenitors drivesmedRxiv : the preprint server for health sciences · 2024
    Article
  16. Article
  17. Clinical, neuroradiological, and molecular characterization of mitochondrial threonyl-tRNA-synthetase (TARS2)-related disorder.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    Article
  18. Review
  19. Article
  20. A homozygous MED11 C-terminal variant causes a lethal neurodegenerative disease.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Article
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

53 authors at 20 institutions in 11 countries.

Sheng-Jia Lin *Genes & Human Disease Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Barbara Vona *Department of Otolaryngology-Head & Neck Surgery, Tübingen Hearing Research Centre, Eberhard Karls University of Tübingen, Tübingen, Germany.
Patricia G Barbalho *Genes & Human Disease Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Rauan KaiyrzhanovDepartment of Neuromuscular Disorders, Queen Square Institute of Neurology, University College London, London, UK.
Reza MaroofianDepartment of Neuromuscular Disorders, Queen Square Institute of Neurology, University College London, London, UK.
Cassidy PetreeGenes & Human Disease Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Mariasavina SeverinoNeuroradiology Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Valentina StanleyDepartment of Neurosciences, Rady Children's Institute for Genomic Medicine, University of California San Diego, La Jolla, CA, USA.
Pratishtha VarshneyGenes & Human Disease Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Paulina BahenaInstitute of Human Genetics, Julius Maximilians University Würzburg, Würzburg, Germany.
Fatema AlzahraniDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Amal AlhashemDepartment of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Alistair T PagnamentaNIHR Biomedical Research Centre, Wellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Gudrun AubertinDivision of Medical Genetics, Department of Pathology and Lab Medicine, Island Health, Victoria General Hospital, Victoria, BC, Canada.
Juvianee I Estrada-VerasHenry M Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA.
Héctor Adrián Díaz HernándezDepartment of Gastrointestinal Endoscopy, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico.
Neda MazaheriDepartment of Genetics, Faculty of Science, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
Andrea OzaOtolaryngology and Communication Enhancement, Boston Children's Hospital, and Dept. of Otolaryngology, Harvard medical School, Boston, USA.
Jenny ThiesDepartment of Biochemical Genetics, Seattle Children's Hospital, Seattle, WA, USA.
Deborah L RenaudDepartments of Neurology and Pediatrics, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Sanmati DugadBioinformatics Centre, S. P. Pune University, Pune, India.
Jennifer McEvoyDepartment of Neurosciences, Rady Children's Institute for Genomic Medicine, University of California San Diego, La Jolla, CA, USA.
Tipu SultanDepartment of Pediatric Neurology, Children's Hospital and Institute of Child Health, Lahore, Pakistan.
Lynn S PaisBroad Center for Mendelian Genomics, Program in Medical and Population Genetics, Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA, USA.
Brahim TabarkiDepartment of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Daniel Villalobos-RamirezDepartment of Bioinformatics, Biocenter, University of Würzburg, Würzburg, Germany.
Aboulfazl RadDepartment of Otolaryngology-Head & Neck Surgery, Tübingen Hearing Research Centre, Eberhard Karls University of Tübingen, Tübingen, Germany.
Genomics England Research Consortium
Hamid GalehdariDepartment of Gastrointestinal Endoscopy, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico.
Farah AshrafzadehDepartment of Pediatric Diseases, Mashhad University of Medical Sciences, Mashhad, Iran.
Afsaneh SahebzamaniPediatric and Genetic Counselling Center, Kerman Welfare Organization, Kerman, Iran.
Kolsoum SaeidiNeuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.
Erin TortiGeneDx, 207 Perry Parkway Gaithersburg, Gaithersburg, MD, USA.
Houda Z ElloumiGeneDx, 207 Perry Parkway Gaithersburg, Gaithersburg, MD, USA.
Sara MoraGeneDx, 207 Perry Parkway Gaithersburg, Gaithersburg, MD, USA.
Timothy B PalculictGeneDx, 207 Perry Parkway Gaithersburg, Gaithersburg, MD, USA.
Hui YangGeneDx, 207 Perry Parkway Gaithersburg, Gaithersburg, MD, USA.
Jonathan D WrenGenes & Human Disease Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Ben FowlerImaging core facility, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Manali JoshiBioinformatics Centre, S. P. Pune University, Pune, India.
Martine BehraDepartment of Neurobiology, University of Puerto Rico, San Juan, PR, USA.
Shawn M BurgessTranslational & Functional Genomics Branch, National Human Genome Research Institute, NIH, Bethesda, MD, USA.
Swapan K NathArthritis & Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Michael G HannaDepartment of Neuromuscular Disorders, Queen Square Institute of Neurology, University College London, London, UK.
Margaret KennaOtolaryngology and Communication Enhancement, Boston Children's Hospital, and Dept. of Otolaryngology, Harvard medical School, Boston, USA.
J Lawrence MerrittDepartment of Pediatrics, Biochemical Genetics, University of Washington, Seattle, WA, USA.
Henry HouldenDepartment of Neuromuscular Disorders, Queen Square Institute of Neurology, University College London, London, UK.
Ehsan Ghayoor KarimianiMolecular and Clinical Sciences Institute, St. George's, University of London, Cranmer Terrace London, London, UK.
Maha S ZakiClinical Genetics Department, Human Genetics and Genome Research Division, National Research Centre, Cairo, Egypt.
Thomas HaafInstitute of Human Genetics, Julius Maximilians University Würzburg, Würzburg, Germany.
Fowzan S AlkurayaDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Joseph G GleesonDepartment of Neurosciences, Rady Children's Institute for Genomic Medicine, University of California San Diego, La Jolla, CA, USA.
Gaurav K VarshneyGenes & Human Disease Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA. gaurav-varshney@omrf.org.ORCID 0000-0002-0429-1904
Genomics England · GBQueen Mary University of London · GBOklahoma Medical Research Foundation · USNational Hospital for Neurology and Neurosurgery · GBUniversity of Würzburg · DEChildren’s Institute · USRiyadh Armed Forces Hospital · SABoston Children's Hospital · USInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXKerman University of Medical Sciences · IRSavitribai Phule Pune University · INBroad Institute · USCentre for Human Genetics · GBHenry M. Jackson Foundation · USIsland Health · CAIstituto Giannina Gaslini · ITKing Faisal Specialist Hospital & Research Centre · SAMashhad University of Medical Sciences · IRMayo Clinic · USNational Human Genome Research Institute · US

Funding

Understanding connective tissue development and disease with PDGFR-driven..... P20GM103636 · NIGMS · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI THOMPSON, LINDA F · 2013 to 2023
$26.9M
Zebrafish targeted mutagenesis and functional genomicsZIAHG000183 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BURGESS, SHAWN M · 2009 to 2025
$16.7M
Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
Yale Center for Mendelian DisordersU54HG006504 · NHGRI · YALE UNIVERSITY · PI GERSTEIN, MARK BENDER, GUNEL, MURAT · 2012 to 2015
$11.0M
Molecular Characterization of Joubert SyndromeR01NS048453 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLEESON, JOSEPH G · 2004 to 2020
$6.0M
Jouberin and Nephrocystin in Joubert SyndromeR01NS052455 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLEESON, JOSEPH G · 2007 to 2015
$3.0M
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
Medical Research Council MC_EX_MR/M009203/1Medical Research Council MC_PC_14089Medical Research Council MR/M009203/1NHGRI NIH HHS R01 HG009141NHGRI NIH HHS U54 HG006504NHGRI NIH HHS UM1 HG008900NIGMS NIH HHS P20 GM103636NINDS NIH HHS R01 NS048453NINDS NIH HHS R01 NS052455
6 · The paper itself

Abstract

purposePathogenic variants in Lysyl-tRNA synthetase 1 (KARS1) have increasingly been recognized as a cause of early-onset complex neurological phenotypes. To advance the timely diagnosis of KARS1-related disorders, we sought to delineate its phenotype and generate a disease model to understand its function in vivo.

methodsThrough international collaboration, we identified 22 affected individuals from 16 unrelated families harboring biallelic likely pathogenic or pathogenic in KARS1 variants. Sequencing approaches ranged from disease-specific panels to genome sequencing. We generated loss-of-function alleles in zebrafish.

resultsWe identify ten new and four known biallelic missense variants in KARS1 presenting with a moderate-to-severe developmental delay, progressive neurological and neurosensory abnormalities, and variable white matter involvement. We describe novel KARS1-associated signs such as autism, hyperactive behavior, pontine hypoplasia, and cerebellar atrophy with prevalent vermian involvement. Loss of kars1 leads to upregulation of p53, tissue-specific apoptosis, and downregulation of neurodevelopmental related genes, recapitulating key tissue-specific disease phenotypes of patients. Inhibition of p53 rescued several defects of kars1

conclusionOur work delineates the clinical spectrum associated with KARS1 defects and provides a novel animal model for KARS1-related human diseases revealing p53 signaling components as potential therapeutic targets.

Indexed as

Hearing LossNeurodevelopmental DisordersAllelesAnimalsDisease Models, AnimalHumansLysine-tRNA LigasePhenotypeZebrafishLysine-tRNA Ligase

Identifiers

PMID34172899
PMCPMC8956360
OpenAlexW3174279811

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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.