Evidence map›Paper›PMID 37067177›Full record

ArticleAmerican journal of medical genetics. Part A2023

Expanded phenotypic and hematologic abnormalities beyond bone marrow failure in MECOM-associated syndromes.

Michell M Lozano Chinga, Alison A Bertuch, Zeinab Afify, Kaylee Dollerschell, Joanne I Hsu, Tami D John, Emily S Rao, Robert Grant Rowe, Vijay G Sankaran, Akiko Shimamura and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Genetic Predisposition to Hematologic Malignancies.Cold Spring Harbor perspectives in medicine · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Perinatal-lethal nonimmune fetal hydrops attributed toCold Spring Harbor molecular case studies · 2023
    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

12 authors at 5 institutions in 1 country.

Michell M Lozano ChingaPrimary Children's Hospital, University of Utah, Salt Lake City, Utah, USA.
Alison A BertuchBaylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.
Zeinab AfifyPrimary Children's Hospital, University of Utah, Salt Lake City, Utah, USA.
Kaylee DollerschellChildren's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA.
Joanne I HsuBaylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.
Tami D JohnBaylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.
Emily S RaoJohns Hopkins Hospital, Baltimore, Maryland, USA.
Robert Grant RoweDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Vijay G SankaranDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Akiko ShimamuraDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-4683-9958
David A WilliamsDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Taizo A NakanoChildren's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA.ORCID 0000-0003-0389-2297
Boston Children's Hospital · USBaylor College of Medicine · USChildren's Hospital Colorado · USPrimary Children's Hospital · USJohns Hopkins Hospital · US

Funding

Systems Biology of Bone Marrow Failure and MDS for Precision MedicineRC2DK122533 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI FIGUEROA, MARIA EUGENIA, FLEMING, MARK D · 2019 to 2023
$6.4M
NIDDK NIH HHS RC2 DK122533
6 · The paper itself

Abstract

The MECOM gene encodes multiple protein isoforms that are essential for hematopoietic stem cell self-renewal and maintenance. Germline MECOM variants have been associated with congenital thrombocytopenia, radioulnar synostosis and bone marrow failure; however, the phenotypic spectrum of MECOM-associated syndromes continues to expand and novel pathogenic variants continue to be identified. We describe eight unrelated patients who add to the previously known phenotypes and genetic defects of MECOM-associated syndromes. As each subject presented with unique MECOM variants, the series failed to demonstrate clear genotype-to-phenotype correlation but may suggest a role for additional modifiers that affect gene expression and subsequent phenotype. Recognition of the expanded hematologic and non-hematologic clinical features allows for rapid molecular diagnosis, early identification of life-threatening complications, and improved genetic counseling for families. A centralized international publicly accessible database to share annotated MECOM variants would advance their clinical interpretation and provide a foundation to perform functional MECOM studies.

Indexed as

Bone Marrow DiseasesHematologic DiseasesPancytopeniaBone Marrow Failure DisordersHumansMDS1 and EVI1 Complex Locus ProteinPhenotypeSyndromeTranscription FactorsMDS1 and EVI1 Complex Locus ProteinMECOM protein, humanTranscription Factorsaplastic anemiabone marrow failureinherited bone marrow failure syndromeMECOMradioulnar synostosisthrombocytopenia

Identifiers

PMID37067177
PMCPMC10330190
OpenAlexW4366083743

What OpenQuestion holds

Textmetadata
LicenceTDM
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.