Evidence map›Paper›PMID 36293418›Full record

SynthesisInternational journal of molecular sciences2022

Correlation between Phenotype and Genotype in CTNNB1 Syndrome: A Systematic Review of the Literature.

Špela Miroševič, Shivang Khandelwal, Petra Sušjan, Nina Žakelj, David Gosar, Vida Forstnerič, Duško Lainšček, Roman Jerala, Damjan Osredkar

3 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07167732 recruitingnot on this mapstarted 2024, after this paper: background citation

Dragonfly Study: An International, Prospective, Longitudinal, Observational Natural History Study of Children and Adults Living With CTNNB1 Neurodevelopmental Syndrome

Typeobservational_patient_registrySponsorUniversity Medical Centre LjubljanaRan2024 to 2030Enrolled250ConditionsCTNNB1 Neurodevelopmental SyndromeArmsA General Medical and Neurological Assessment, World Health Organisation (WHO) Motor Milestones, Burke-Fahn-Marsden Dystonia Rating Scale, Spastic Paraplegia Rating Scale, 5. CTNNB1-Related Neurodevelopmental Disorder (NEDSDV) Cardiac Health Questionnaire
NCT07270549 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

GAIN-CTNNB1: A Phase I/II Open-Label Trial To Evaluate the Safety, Tolerability, and Preliminary Efficacy of Intracerebroventricular Administration of an AAV9 Based Gene Replacement Therapy in Paediatric Patients With CTNNB1 Neurodevelopmental Syndrome

TypeinterventionalSponsorCTNNB1 FoundationRan2025 to 2032Enrolled12ConditionsCTNNB1 Neurodevelopmental SyndromeArmsUrbagen gene addition therapy, Sirolimus, Methylprednisolone (Corticosteroid)
NCT07614126 narecruitingnot on this mapstarted 2026, after this paper: background citation

Prospective Pilot Study of L-dopa Treatment in Patients With a Neurodevelopmental Disorder Related to a Pathogenic Variant of the CTNNB1 Gene

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2026 to 2027Enrolled7ConditionsCTNNB1, L-DOPAArmsL-Dopa
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Frontiers in neurology · 2026
    Article
  5. ADPKD Progression by Variant Type and Molecular Domain Among Participants in the HALT PKD Trial.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. RNAMolecular therapy. Nucleic acids · 2025
    Article
  10. Article
  11. Review
  12. CTNNB1 syndrome mouse models.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Review
  13. Germline Variants in Pediatric Cancer : Based on Oncogenic Pathways.Journal of Korean Neurosurgical Society · 2025
    Article
  14. Article
  15. Article
  16. Case report: Discovery of novelFrontiers in genetics · 2025
    Article
  17. Article
  18. 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

9 authors.

Špela MiroševičDepartment of Family Medicine, Medical Faculty Ljubljana, University of Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0001-5004-0607
Shivang KhandelwalDepartment of Bioscience and Bioengineering, Indian Institute of Technology Jodhpur, Jodhpur 342027, Rajasthan, India.ORCID 0000-0001-7478-3536
Petra SušjanDepartment of Synthetic Biology and Immunology, National Institute of Chemistry, 1000 Ljubljana, Slovenia.
Nina ŽakeljDepartment of Infectious Diseases, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
David GosarDepartment of Pediatric Neurology, University Children's Hospital, University Medical Center Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0002-5289-3459
Vida ForstneričDepartment of Synthetic Biology and Immunology, National Institute of Chemistry, 1000 Ljubljana, Slovenia.ORCID 0000-0002-2469-6335
Duško LainščekDepartment of Synthetic Biology and Immunology, National Institute of Chemistry, 1000 Ljubljana, Slovenia.
Roman JeralaDepartment of Synthetic Biology and Immunology, National Institute of Chemistry, 1000 Ljubljana, Slovenia.ORCID 0000-0002-6337-5251
Damjan OsredkarDepartment of Pediatric Neurology, University Children's Hospital, University Medical Center Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0002-2188-420X

Funding

Slovenian Research Agency J7-4537Slovenian Research Agency MR-39262Slovenian Research Agency P4-0176Slovenian Research Agency Z1-3193
6 · The paper itself

Abstract

The CTNNB1 Syndrome is a rare neurodevelopmental disorder associated with developmental delay, intellectual disability, and delayed or absent speech. The aim of the present study is to systematically review the available data on the prevalence of clinical manifestations and to evaluate the correlation between phenotype and genotype in published cases of patients with CTNNB1 Syndrome. Studies were identified by systematic searches of four major databases. Information was collected on patients' genetic mutations, prenatal and neonatal problems, head circumference, muscle tone, EEG and MRI results, dysmorphic features, eye abnormalities, early development, language and comprehension, behavioral characteristics, and additional clinical problems. In addition, the mutations were classified into five groups according to the severity of symptoms. The study showed wide genotypic and phenotypic variability in patients with CTNNB1 Syndrome. The most common moderate-severe phenotype manifested in facial dysmorphisms, microcephaly, various motor disabilities, language and cognitive impairments, and behavioral abnormalities (e.g., autistic-like or aggressive behavior). Nonsense and missense mutations occurring in exons 14 and 15 were classified in the normal clinical outcome category/group because they had presented an otherwise normal phenotype, except for eye abnormalities. A milder phenotype was also observed with missense and nonsense mutations in exon 13. The autosomal dominant CTNNB1 Syndrome encompasses a wide spectrum of clinical features, ranging from normal to severe. While mutations cannot be more generally categorized by location, it is generally observed that the C-terminal protein region (exons 13, 14, 15) correlates with a milder phenotype.

Indexed as

Eye AbnormalitiesIntellectual Disabilitybeta CateninCodon, NonsenseFemaleGenotypeHumansMutationPhenotypePregnancySyndromebeta CateninCodon, NonsenseCTNNB1 protein, humanbeta-catenineye movement disordershypotoniaintellectual disabilityloss of function mutationmicrocephaly

Identifiers

PMID36293418
PMCPMC9604177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.