Evidence map›Paper›PMID 35300924›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2022

Expanding the phenotypic spectrum of ARCN1-related syndrome.

Alyssa L Ritter, Jessica Gold, Hiroshi Hayashi, Amanda M Ackermann, Stephanie Hanke, Cara Skraban, Sanmati Cuddapah, Elizabeth Bhoj, Dong Li, Yukiko Kuroda and 32 more

Open access · greenAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Identification of a Fetal De Novo Splice Variant inMaternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. The Radiological and Histological Phenotype of Skeletal Abnormalities in FetalPediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
    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

42 authors at 14 institutions in 6 countries.

Alyssa L RitterDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Jessica GoldDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Hiroshi HayashiDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Amanda M AckermannDivision of Endocrinology and Diabetes, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Stephanie HankeDivision of Endocrinology and Diabetes, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Cara SkrabanDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Sanmati CuddapahDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Elizabeth BhojDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Dong LiCenter for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Yukiko KurodaDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Jessica WenDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Ryojun TakedaDivision of Genetics, Nagano Children's Hospital, Nagano, Japan.
Audrey BibbDepartment of Human Genetics, Emory University School of Medicine, Emory University, Atlanta, GA.
Salima El ChehadehService de Génétique Médicale, Institut de Génétique Médicale d'Alsace (IGMA), Hôpitaux Universitaires de Strasbourg, Strasbourg, France; Laboratoire de Génétique Médicale, UMR_S1112, Institut de Génétique Médicale d'Alsace (IGMA), Université de Strasbourg et INSERM, Strasbourg, France.
Amélie PitonDepartment of Translational Medicine and Neurogenetics, Institut Génétique Biologie Moléculaire Cellulaire, IGBMC - CNRS UMR 7104 - Inserm U 1258, Illkirch, France; Laboratoire de Diagnostic Génétique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Jeanine OhlService d'assistance Médicale à la Procréation, Centre médico-chirurgical et obstétrical (CMCO), Schiltigheim, France.
Mary K KukolichDepartment of Genetics, Cook Children's Medical Center, Cook Children's Health Care System, Fort Worth, TX.
Keisuke NagasakiDepartment of Pediatrics, Niigata University Medical & Dental Hospital, Niigata, Japan.
Kohji KatoDepartment of Genetics, Research Institute of Environmental Medicine, Nagoya University, Nagoya, Japan.
Tomoo OgiDepartment of Genetics, Research Institute of Environmental Medicine, Nagoya University, Nagoya, Japan.
Tricia BhattiDivision of Anatomic Pathology, The Children's Hospital of Philadelphia, Philadelphia, PA.
Pierre RussoDivision of Anatomic Pathology, The Children's Hospital of Philadelphia, Philadelphia, PA.
Bryan KrockDivision of Genomic Diagnostics, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.
Jill R MurrellDivision of Genomic Diagnostics, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.
Jennifer A SullivanDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Duke University School of Medicine, Durham, NC.
Vandana ShashiDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Duke University School of Medicine, Durham, NC.
Nicholas StongInstitute for Genomic Medicine, Columbia University, New York, NY.
Hakon HakonarsonCenter for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Kentaro SawanoDepartment of Pediatrics, Niigata University Medical & Dental Hospital, Niigata, Japan.
Erin TortiGeneDx, Gaithersburg, MD.
Rebecca WillaertGeneDx, Gaithersburg, MD.
Yue SiGeneDx, Gaithersburg, MD.
William Ross WilcoxDepartment of Human Genetics, Emory University School of Medicine, Emory University, Atlanta, GA.
Katrine Verena WirgenesDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Kristian ThomassenDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Katherine CarlottiGenomic Medicine Institute, Cleveland Clinic Foundation, Cleveland, OH.
Angelika ErwinGenomic Medicine Institute, Cleveland Clinic Foundation, Cleveland, OH.
Joanna LazierDepartment of Medical Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Thorsten MarquardtDepartment of Pediatrics, University Hospital of Muenster, Muenster, Germany.
Miao HeMetabolic and Advanced Diagnostics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Andrew C EdmondsonDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Kosuke IzumiDivision of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address: izumik1@chop.edu.
Children's Hospital of Philadelphia · USCleveland Clinic · USDuke Medical Center · USEmory University · USNagoya University · JPNiigata University Medical and Dental Hospital · JPOslo University Hospital · NOCentre National de la Recherche Scientifique · FRChildren's Hospital of Eastern Ontario · CAColumbia University · USCook Children's Medical Center · USInserm · FRNagano Children's Hospital · JPUniversity Hospital Münster · DE

Funding

MEDICAL GENETICS RESEARCH TRAINING GRANTT32GM008638 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca Ganetzky · 1997 to 2026
$8.7M
Pilot and Feasibility CoreU54NS115198 · NINDS · MAYO CLINIC ROCHESTER · PI MORAVA-KOZICZ, EVA · 2019 to 2023
$8.2M
NIGMS NIH HHS T32 GM008638NINDS NIH HHS U54 NS115198
6 · The paper itself

Abstract

purposeThis study aimed to describe the phenotypic and molecular characteristics of ARCN1-related syndrome.

methodsPatients with ARCN1 variants were identified, and clinician researchers were connected using GeneMatcher and physician referrals. Clinical histories were collected from each patient.

resultsIn total, we identified 14 cases of ARCN1-related syndrome, (9 pediatrics, and 5 fetal cases from 3 families). The clinical features these newly identified cases were compared to 6 previously reported cases for a total of 20 cases. Intrauterine growth restriction, micrognathia, and short stature were present in all patients. Other common features included prematurity (11/15, 73.3%), developmental delay (10/14, 71.4%), genitourinary malformations in males (6/8, 75%), and microcephaly (12/15, 80%). Novel features of ARCN1-related syndrome included transient liver dysfunction and specific glycosylation abnormalities during illness, giant cell hepatitis, hepatoblastoma, cataracts, and lethal skeletal manifestations. Developmental delay was seen in 73% of patients, but only 3 patients had intellectual disability, which is less common than previously reported.

conclusionARCN1-related syndrome presents with a wide clinical spectrum ranging from a severe embryonic lethal syndrome to a mild syndrome with intrauterine growth restriction, micrognathia, and short stature without intellectual disability. Patients with ARCN1-related syndrome should be monitored for liver dysfunction during illness, cataracts, and hepatoblastoma. Additional research to further define the phenotypic spectrum and possible genotype-phenotype correlations are required.

Indexed as

CataractDwarfismHepatoblastomaIntellectual DisabilityLiver NeoplasmsMicrognathismChildFemaleFetal Growth RetardationHumansMalePhenotypeSyndromeARCN1COPIMicrognathia

Identifiers

PMID35300924
PMCPMC9923403
OpenAlexW4220679930

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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.