Evidence map›Paper›PMID 37041148›Full record

ArticleNature communications2023

FOXI3 pathogenic variants cause one form of craniofacial microsomia.

Ke Mao, Christelle Borel, Muhammad Ansar, Angad Jolly, Periklis Makrythanasis, Christine Froehlich, Justyna Iwaszkiewicz, Bingqing Wang, Xiaopeng Xu, Qiang Li and 44 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
9.7field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  15. International journal of molecular sciences · 2025
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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

54 authors at 20 institutions in 10 countries.

Ke Mao *School of Engineering Medicine, Beihang University, Beijing, 100191, China.
Christelle Borel *Department of Genetic Medicine and Development, University of Geneva Medical Faculty, Geneva, 1211, Switzerland.
Muhammad Ansar *Department of Genetic Medicine and Development, University of Geneva Medical Faculty, Geneva, 1211, Switzerland.
Angad JollyDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, 77030, USA.
Periklis MakrythanasisDepartment of Genetic Medicine and Development, University of Geneva Medical Faculty, Geneva, 1211, Switzerland.
Christine FroehlichCeGaT GmbH and Praxis für Humangenetik Tuebingen, Tuebingen, 72076, Germany.
Justyna IwaszkiewiczMolecular Modeling Group, Swiss Institute of Bioinformatics, Lausanne, 1015, Switzerland.ORCID 0000-0003-3494-589X
Bingqing WangPlastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing, 100144, China.
Xiaopeng XuSchool of Engineering Medicine, Beihang University, Beijing, 100191, China.
Qiang LiDepartment of Plastic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, China.
Xavier BlancMedigenome, Swiss Institute of Genomic Medicine, 1207, Geneva, Switzerland.
Hao ZhuSchool of Engineering Medicine, Beihang University, Beijing, 100191, China.ORCID 0000-0002-5441-4968
Qi ChenPlastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing, 100144, China.
Fujun JinSchool of Engineering Medicine, Beihang University, Beijing, 100191, China.ORCID 0000-0002-7314-0085
Harinarayana AnkamreddyDepartment of Biotechnology, School of Bioengineering, SRMIST, Kattankulathur, Tamilnadu, 603203, India.
Sunita SinghDepartment of Neuroscience, Baylor College of Medicine, Houston, TX, 77030, USA.
Hongyuan ZhangDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, 77030, USA.
Xiaogang WangSchool of Engineering Medicine, Beihang University, Beijing, 100191, China.
Peiwei ChenDepartment of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Emmanuelle RanzaMedigenome, Swiss Institute of Genomic Medicine, 1207, Geneva, Switzerland.
Sohail Aziz ParachaAnatomy Department, Khyber Medical University Institute of Medical Sciences (KIMS), Kohat, Pakistan.ORCID 0000-0002-2616-1705
Syed Fahim ShahDepartment of Medicine, KMU Institute of Medical Sciences (KIMS), DHQ Hospital KDA, Kohat, Pakistan.
Valentina GuidaMedical Genetics Division, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.ORCID 0000-0003-3946-645X
Francesca Piceci-SparascioMedical Genetics Division, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.
Daniela MelisDepartment of Medicine, Surgery, and Dentistry, Università University degli of Studi di Salerno, Salerno, Italy.
Bruno DallapiccolaMedical Genetics and Rare Disease Research Division, Pediatric Cardiology, Medical Genetics Laboratory, Neuropsychiatry, Scientific Rectorate, Bambino Gesù Children Hospital, IRCCS, Rome, Italy.
Maria Cristina DigilioSezione di Genetica Medica, Ospedale 'Bambino Gesù', Rome, Italy.
Antonio NovelliSezione di Genetica Medica, Ospedale 'Bambino Gesù', Rome, Italy.
Monia MagliozziSezione di Genetica Medica, Ospedale 'Bambino Gesù', Rome, Italy.
Maria Teresa FaddaDepartment of Maxillo-Facial Surgery, Policlinico Umberto I, Rome, Italy.
Haley StreffDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, 77030, USA.
Keren MacholDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, 77030, USA.
Richard A LewisDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, 77030, USA.ORCID 0000-0002-6644-6385
Vincent ZoeteMolecular Modeling Group, Swiss Institute of Bioinformatics, Lausanne, 1015, Switzerland.
Gabriella Maria SqueoLaboratory of Regulatory & Functional Genomics, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.
Paolo PronteraMedical Genetics Unit, Hospital Santa Maria della Misericordia, Perugia, Italy.ORCID 0000-0003-4960-9223
Giorgia MancanoMedical Genetics Unit, University of Perugia Hospital SM della Misericordia, Perugia, Italy.
Giulia GoriMedical Genetics Unit, Meyer Children's University Hospital, Florence, Italy.ORCID 0000-0002-6026-4126
Milena MarianiPediatric Department, ASST Lariana, Santa Anna General Hospital, Como, Italy.
Angelo SelicorniPediatric Department, ASST Lariana, Santa Anna General Hospital, Como, Italy.
Stavroula PsoniLaboratory of Medical Genetics, Medical School, University of Athens, Athens, Greece.
Helen FryssiraLaboratory of Medical Genetics, Medical School, University of Athens, Athens, Greece.
Sofia DouzgouDivision of Evolution, Infection and Genomics, School of Biological Sciences, University of Manchester, Manchester, UK.ORCID 0000-0001-8890-7544
Sandrine MarlinCentre de Référence Surdités Génétiques, Hôpital Necker, Institut Imagine, Paris, France.ORCID 0000-0002-4115-9806
Saskia BiskupCeGaT GmbH and Praxis für Humangenetik Tuebingen, Tuebingen, 72076, Germany.
Alessandro De LucaMedical Genetics Division, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.ORCID 0000-0002-4408-8062
Giuseppe MerlaLaboratory of Regulatory & Functional Genomics, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.ORCID 0000-0001-5078-928X
Shouqin ZhaoDepartment of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Timothy C CoxDepartments of Oral & Craniofacial Sciences and Pediatrics, University of Missouri-Kansas City, Kansas City, MO, 64108, USA.ORCID 0000-0001-8015-5528
Andrew K GrovesDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, 77030, USA.ORCID 0000-0002-0784-7998
James R LupskiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, 77030, USA.ORCID 0000-0001-9907-9246
Qingguo ZhangPlastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing, 100144, China. plastic135@126.com.
Yong-Biao ZhangSchool of Engineering Medicine, Beihang University, Beijing, 100191, China. zhangyongbiao@buaa.edu.cn.ORCID 0000-0002-2764-2148
Stylianos E AntonarakisDepartment of Genetic Medicine and Development, University of Geneva Medical Faculty, Geneva, 1211, Switzerland. stylianos.antonarakis@unige.ch.ORCID 0000-0001-8907-5823
Baylor College of Medicine · USBeihang University · CNCasa Sollievo della Sofferenza · ITBambino Gesù Children's Hospital · ITUniversity of Geneva · CHChinese Academy of Medical Sciences & Peking Union Medical College · CNAzienda Socio Sanitaria Territoriale Lariana · ITBeijing Tongren Hospital · CNNational and Kapodistrian University of Athens · GRPraxis für Humangenetik Tübingen · DESIB Swiss Institute of Bioinformatics · CHHaukeland University Hospital · NOHôpital Necker-Enfants Malades · FRKhyber Medical University · PKMeyer Children's Hospital · ITOspedale Santa Maria · ITPoliclinico Umberto I · ITUniversity of Missouri–Kansas City · USUniversity of Perugia · ITUniversity of Salerno · IT

Funding

Baylor-Johns Hopkins Center for Mendelian GeneticsUM1HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2016 to 2020
$14.5M
Frequency of variants of unknown significance by ancestry groups in the All of Us Research Program cohortU01HG011758 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI RICHARD A GIBBS, JAMES R. LUPSKI · 2021 to 2026
$13.8M
STRUCTURAL VARIATION IN NEUROLOGICAL DISEASER35NS105078 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI LUPSKI, JAMES R. · 2018 to 2025
$6.0M
Genetic Regulation of Inner, Middle and Outer Ear DevelopmentR01DC013072 · NIDCD · WASHINGTON UNIVERSITY · PI GROVES, ANDREW K · 2013 to 2025
$5.1M
NHGRI NIH HHS U01 HG011758NHGRI NIH HHS UM1 HG006542NIDCD NIH HHS R01 DC013072NINDS NIH HHS R35 NS105078
6 · The paper itself

Abstract

Craniofacial microsomia (CFM; also known as Goldenhar syndrome), is a craniofacial developmental disorder of variable expressivity and severity with a recognizable set of abnormalities. These birth defects are associated with structures derived from the first and second pharyngeal arches, can occur unilaterally and include ear dysplasia, microtia, preauricular tags and pits, facial asymmetry and other malformations. The inheritance pattern is controversial, and the molecular etiology of this syndrome is largely unknown. A total of 670 patients belonging to unrelated pedigrees with European and Chinese ancestry with CFM, are investigated. We identify 18 likely pathogenic variants in 21 probands (3.1%) in FOXI3. Biochemical experiments on transcriptional activity and subcellular localization of the likely pathogenic FOXI3 variants, and knock-in mouse studies strongly support the involvement of FOXI3 in CFM. Our findings indicate autosomal dominant inheritance with reduced penetrance, and/or autosomal recessive inheritance. The phenotypic expression of the FOXI3 variants is variable. The penetrance of the likely pathogenic variants in the seemingly dominant form is reduced, since a considerable number of such variants in affected individuals were inherited from non-affected parents. Here we provide suggestive evidence that common variation in the FOXI3 allele in trans with the pathogenic variant could modify the phenotypic severity and accounts for the incomplete penetrance.

Indexed as

Goldenhar SyndromeAnimalsFacial AsymmetryForkhead Transcription FactorsMicePedigreeForkhead Transcription FactorsFoxi3 protein, mouse

Identifiers

PMID37041148
PMCPMC10090152
OpenAlexW4364366219

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