Evidence map›Paper›PMID 34740919›Full record

ArticleJournal of medical genetics2023

Bi-allelic loss-of-function variants in

Ruth J Falb, Amelie J Müller, Wolfram Klein, Mona Grimmel, Ute Grasshoff, Stephanie Spranger, Petra Stöbe, Darja Gauck, Alma Kuechler, Nicola Dikow and 31 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Identification of biallelic loss-of-functionJournal of medical genetics · 2026
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  5. Review
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  7. Journal of medical genetics · 2025
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  11. Molecular syndromology · 2024
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  13. Sequence Variants in theMolecular syndromology · 2023
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  14. Article
  15. Article
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  17. Article
  18. Sequence Variants inMolecular syndromology · 2023
    Article
  19. Article
  20. 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

41 authors at 10 institutions in 1 country.

Ruth J Falb *Institute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Amelie J Müller *Institute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany Amelie.Mueller@med.uni-tuebingen.de.
Wolfram Kleingenetikum Stuttgart, Stuttgart, Germany.
Mona GrimmelInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Ute GrasshoffInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Stephanie SprangerPractice of Human Genetics, Bremen, Germany.
Petra StöbeInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Darja GauckInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Alma KuechlerInstitute of Human Genetics, University Hospital Essen, Essen, Germany.
Nicola DikowInstitute of Human Genetics, Heidelberg University, Heidelberg, Germany.
Eva M C SchwaiboldInstitute of Human Genetics, Heidelberg University, Heidelberg, Germany.
Christoph Schmidtgenetikum Neu-Ulm, Neu-Ulm, Germany.
Luisa AverdunkDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, Heinrich-Heine-University Dusseldorf, Dusseldorf, Germany.
Rebecca BuchertInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Tilman HeinrichInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Natalia ProdanDepartment of Women's Health, University Women's Hospital, Tuebingen, Germany.
Joohyun ParkInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.ORCID 0000-0001-7996-5283
Martin KehrerInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Marc SturmInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Olga KelemenInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Silke Hartmanngenetikum Neu-Ulm, Neu-Ulm, Germany.
Denise HornInstitute of Medical and Human Genetics, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Dirk EmmerichPractice for Ultrasound and Prenatal Medicine, Freiburg, Germany.
Nina HirtInstitute of Human Genetics, University Medical Center Freiburg, Freiburg, Germany.
Armin NeumannPractice for Prenatal Medicine, Bremen, Germany.
Glen KristiansenInstitute of Pathology, Center for Integrated Oncology, University of Bonn, Bonn, Germany.
Ulrich GembruchDepartment of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.
Susanne HaenInstitute of Pathology and Neuropathology, University of Tuebingen, Tuebingen, Germany.
Reiner SiebertInstitute of Human Genetics, Ulm University and Ulm University Medical Center, Ulm, Germany.
Sabine HentzePractice for Human Genetics, Heidelberg, Germany.
Markus HoopmannDepartment of Women's Health, University Women's Hospital, Tuebingen, Germany.
Stephan OssowskiInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Stephan WaldmüllerInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Stefanie Beck-WödlInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Dieter Gläsergenetikum Neu-Ulm, Neu-Ulm, Germany.
Ismail TekesinPrenatal Medicine Stuttgart, Stuttgart, Germany.
Felix DistelmaierDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, Heinrich-Heine-University Dusseldorf, Dusseldorf, Germany.ORCID 0000-0003-4304-7848
Olaf RiessInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Karl-Oliver KaganDepartment of Women's Health, University Women's Hospital, Tuebingen, Germany.
Andreas DufkeInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.
Tobias B HaackInstitute of Medical Genetics and Applied Genomics, University of Tuebingen, Tuebingen, Germany.ORCID 0000-0001-6033-4836
University of Tübingen · DEGenetikum · DEHeidelberg University · DEHeinrich Heine University Düsseldorf · DECharité - Universitätsmedizin Berlin · DEEssen University Hospital · DEUniversität Ulm · DEUniversity Hospital Bonn · DEUniversity Medical Center Freiburg · DEUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFetal akinesia (FA) results in variable clinical presentations and has been associated with more than 166 different disease loci. However, the underlying molecular cause remains unclear in many individuals. We aimed to further define the set of genes involved.

methodsWe performed in-depth clinical characterisation and exome sequencing on a cohort of 23 FA index cases sharing arthrogryposis as a common feature.

resultsWe identified likely pathogenic or pathogenic variants in 12 different established disease genes explaining the disease phenotype in 13 index cases and report 12 novel variants. In the unsolved families, a search for recessive-type variants affecting the same gene was performed; and in five affected fetuses of two unrelated families, a homozygous loss-of-function variant in the

conclusionOur study underlines the broad locus heterogeneity of FA with well-established and atypical genotype-phenotype associations. We describe

Indexed as

ArthrogryposisAnimalsFetusHumansKinesinsLoss of HeterozygosityMutationPedigreePhenotypeSwineKIF21A protein, humanKinesinsnervous system diseasesneuromuscular diseases

Identifiers

PMID34740919
PMCPMC9811090
OpenAlexW3209757015

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.