Evidence map›Paper›PMID 38387458›Full record

ArticleAmerican journal of human genetics2024

De novo variants in DENND5B cause a neurodevelopmental disorder.

Marcello Scala, Valeria Tomati, Matteo Ferla, Mariateresa Lena, Julie S Cohen, Ali Fatemi, Elly Brokamp, Anna Bican, John A Phillips, Mary E Koziura and 27 more

Open access · hybridAbstract read
In one paragraph

Article in American journal of human genetics, 2024. 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
2.6field-weighted citation impact, top 12% 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, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Expanding the phenotypic spectrum of DNM1-related disorders: novel GTPase domain variants and their diverse neurological outcomes.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  7. Chromosomal Location and Identification ofDiagnostics (Basel, Switzerland) · 2025
    Article
  8. 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

37 authors at 14 institutions in 4 countries.

Marcello ScalaDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy; Pediatric Neurology and Muscular Diseases Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy; UOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy.
Valeria TomatiUOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy.
Matteo FerlaOxford Protein Informatics Group, Department of Statistics, University of Oxford, Oxford, UK.
Mariateresa LenaDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.
Julie S CohenDepartment of Neurology and Developmental Medicine, Kennedy Krieger Institute, Baltimore, MD, USA; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ali FatemiDepartment of Neurology and Developmental Medicine, Kennedy Krieger Institute, Baltimore, MD, USA; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Elly BrokampDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Anna BicanDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
John A PhillipsDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Mary E KoziuraDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Michael NicouleauUniversité Paris Cité, Imagine Institute, Developmental Brain Disorders Laboratory, INSERM UMR 1163, 75015 Paris, France.
Marlene RioUniversité Paris Cité, Imagine Institute, Developmental Brain Disorders Laboratory, INSERM UMR 1163, 75015 Paris, France; Service de Génétique, Necker Enfants Malades University Hospital, Assistance Publique-Hôpitaux de Pairs, Paris, France.
Karine SiquierUniversité Paris Cité, Imagine Institute, Developmental Brain Disorders Laboratory, INSERM UMR 1163, 75015 Paris, France.
Nathalie BoddaertDépartement de Radiologie Pédiatrique, INSERM UMR 1163 and INSERM U1000, AP-HP, Hôpital Necker-Enfants Malades, Paris, France.
Ilaria MusanteUOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy.
Serena TamburroUOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy.
Simona BaldassariUOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy.
Michele IacominoUOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy.
Paolo ScudieriUOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy.
Undiagnosed Diseases Network
Jill A RosenfeldDepartment of Molecular & Human Genetics, Baylor College of Medicine, Houston, TX, USA; Baylor Genetics Laboratories, Houston, TX, USA.
Gary BellusClinical Genetics, Geisinger Medical Center, Danville, PA 17822, USA.
Sara ReedClinical Genetics, Geisinger Medical Center, Danville, PA 17822, USA.
Hind Al SaifDepartment of Human and Molecular Genetics, Division of Clinical Genetics, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Rossana Sanchez RussoDepartment of Human Genetics, Emory University, Atlanta, GA 30322, USA.
Matthew B WalshDepartment of Human Genetics, Emory University, Atlanta, GA 30322, USA.
Vincent CantagrelUniversité Paris Cité, Imagine Institute, Developmental Brain Disorders Laboratory, INSERM UMR 1163, 75015 Paris, France.
Amy CrunkGeneDx, Gaithersburg, MD 20877, USA.
Stefano GustincichDepartment of Neuroscience and Brain Technologies, Istituto Italiano di Tecnologia, 16163 Genoa, Italy.
Sarah M RuggieroDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; The Epilepsy NeuroGenetics Initiative (ENGIN), Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Mark P FitzgeraldDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; The Epilepsy NeuroGenetics Initiative (ENGIN), Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA 19104, USA.
Ingo HelbigDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; The Epilepsy NeuroGenetics Initiative (ENGIN), Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA 19104, USA; Department of Biomedical and Health Informatics (DBHi), Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Pasquale StrianoDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy; Pediatric Neurology and Muscular Diseases Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Mariasavina SeverinoNeuroradiology Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Vincenzo SalpietroDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy; Pediatric Neurology and Muscular Diseases Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy. Electronic address: v.salpietro@ucl.ac.uk.
Nicoletta PedemonteUOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy. Electronic address: nicolettapedemonte@gaslini.org.
Federico ZaraDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy; UOC Genetica Medica, IRCCS Giannina Gaslini, Genoa, Italy.
Istituto Giannina Gaslini · ITVanderbilt University Medical Center · USChildren's Hospital of Philadelphia · USEmory University · USInserm · FRGeisinger Medical Center · USBaylor College of Medicine · USBaylor Genetics · USHôpital Necker-Enfants Malades · FRItalian Institute of Technology · ITKennedy Krieger Institute · USUniversity of Genoa · ITVirginia Commonwealth University · USOxford Research Group · GB

Funding

Vanderbilt Center for Undiagnosed Diseases (VCUD) - BiorepositoryU01HG007674 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COGAN, JOY D, HAMID, RIZWAN · 2014 to 2022
$13.7M
Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lea K Davis · 2020 to 2026
$10.3M
UCLA clinical site for the investigation of undiagnosed disordersU01HG007703 · NHGRI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTINEZ-AGOSTO, JULIAN, NELSON, STANLEY F. · 2014 to 2022
$10.1M
NRSA Training CoreTL1TR002244 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Julie A. Bastarache · 2017 to 2026
$4.6M
Vanderbilt Center of Excellence for Undiagnosed Disease (VCEUD)U01NS134349 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lisa Bastarache, JOY D COGAN · 2023 to 2026
$3.8M
A computational phenotyping approach to characterize neurogenetic disordersR01NS131512 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Ingo Helbig · 2023 to 2026
$2.8M
Joint analysis of genomic and electronic medical record data to assess outcomes and drug response in pediatric epilepsiesK02NS112600 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI HELBIG, INGO · 2020 to 2024
$963k
UCLA clinical site for the investigation of undiagnosed disordersU01NS134356 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTINEZ-AGOSTO, JULIAN, NELSON, STANLEY F. · 2023 to 2023
$936k
NCATS NIH HHS TL1 TR002244NHGRI NIH HHS U01 HG007674NHGRI NIH HHS U01 HG007703NICHD NIH HHS P50 HD103537NINDS NIH HHS K02 NS112600NINDS NIH HHS R01 NS131512NINDS NIH HHS U01 NS134349NINDS NIH HHS U01 NS134356
6 · The paper itself

Abstract

The Rab family of guanosine triphosphatases (GTPases) includes key regulators of intracellular transport and membrane trafficking targeting specific steps in exocytic, endocytic, and recycling pathways. DENND5B (Rab6-interacting Protein 1B-like protein, R6IP1B) is the longest isoform of DENND5, an evolutionarily conserved DENN domain-containing guanine nucleotide exchange factor (GEF) that is highly expressed in the brain. Through exome sequencing and international matchmaking platforms, we identified five de novo variants in DENND5B in a cohort of five unrelated individuals with neurodevelopmental phenotypes featuring cognitive impairment, dysmorphism, abnormal behavior, variable epilepsy, white matter abnormalities, and cortical gyration defects. We used biochemical assays and confocal microscopy to assess the impact of DENND5B variants on protein accumulation and distribution. Then, exploiting fluorescent lipid cargoes coupled to high-content imaging and analysis in living cells, we investigated whether DENND5B variants affected the dynamics of vesicle-mediated intracellular transport of specific cargoes. We further generated an in silico model to investigate the consequences of DENND5B variants on the DENND5B-RAB39A interaction. Biochemical analysis showed decreased protein levels of DENND5B mutants in various cell types. Functional investigation of DENND5B variants revealed defective intracellular vesicle trafficking, with significant impairment of lipid uptake and distribution. Although none of the variants affected the DENND5B-RAB39A interface, all were predicted to disrupt protein folding. Overall, our findings indicate that DENND5B variants perturb intracellular membrane trafficking pathways and cause a complex neurodevelopmental syndrome with variable epilepsy and white matter involvement.

Indexed as

EpilepsyIntellectual DisabilityNeurodevelopmental DisordersBrainGuanine Nucleotide Exchange FactorsHumansLipidsrab GTP-Binding ProteinsGuanine Nucleotide Exchange FactorsLipidsRAB39A protein, humanrab GTP-Binding Proteinscell homeostasisDENND5Bepilepsyguanine nucleotide exchange factorsintellectual disabilitylipid uptake and distributionmembrane traffickingneurodevelopmental disorderRab GPTases

Identifiers

PMID38387458
PMCPMC10940048
OpenAlexW4392017112

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Registered trials

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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.