Evidence map›Paper›PMID 38775384›Full record

ArticleAmerican journal of medical genetics. Part A2024

Rett syndrome diagnostic odyssey: Limitations of NextGen sequencing.

Megan Abbott, Katie Angione, Emily Forbes, Mikayla Stoecker, Margarita Saenz, Jeffrey L Neul, Eric D Marsh, Steven A Skinner, Alan K Percy, Tim A Benke

Abstract readCase Reports
In one paragraph

Article in American journal of medical genetics. Part A, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Rett syndrome.Nature reviews. Disease primers · 2024
    Review
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

10 authors.

Megan AbbottDepartment of Child Neurology, Children's Hospital Colorado, Aurora, Colorado, USA.ORCID 0009-0007-8692-0770
Katie AngioneDepartment of Child Neurology, Children's Hospital Colorado, Aurora, Colorado, USA.
Emily ForbesSchool of Medicine, University of Colorado Denver | Anschutz Medical Campus, Aurora, Colorado, USA.
Mikayla StoeckerColorado Genetics Laboratory, Aurora, Colorado, USA.
Margarita SaenzDepartment of Child Neurology, Children's Hospital Colorado, Aurora, Colorado, USA.
Jeffrey L NeulDepartments of Pediatrics and Pharmacology, Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Eric D MarshDivision of Neurology, Children's Hospital of Philadelphia, Departments of Neurology and Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Steven A SkinnerGreenwood Genetics Center, Greenwood, South Carolina, USA.
Alan K PercyUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Tim A BenkeDepartment of Child Neurology, Children's Hospital Colorado, Aurora, Colorado, USA.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Training and Career Development ComponentU54HD061222 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PERCY, ALAN KENNETH · 2009 to 2019
$12.4M
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
Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
Neurobehavioral and biochemical outcome measures in Rett syndrome rodent modelsR01HD083181 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI NEUL, JEFFREY L, SAMACO, RODNEY C · 2016 to 2020
$3.0M
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NICHD NIH HHS P50 HD103537NICHD NIH HHS R01 HD083181NICHD NIH HHS U54 HD061222NICHD NIH HHS U54 HD083211The Children's Hospital Colorado Foundation Ponzio Family Chair in Neurology ResearchThe National Institutes of Health HD083181The National Institutes of Health U54HD061222The National Institutes of Health U54HD083211The University of Alabama Birmingham Clinical Translational Research Center UL1TR0030396the Vanderbilt Institute for Clinical and Translational Research UL1TR000445the Vanderbilt Institute for Clinical and Translational Research UL1TR002243
6 · The paper itself

Abstract

Typical (or classic) Rett syndrome (RTT) is an X-linked neurodevelopmental disorder characterized by a period of regression, partial or complete loss of purposeful hand movements, and acquired speech, impaired gait, and stereotyped hand movements. In over 95% of typical RTT, a pathogenic variant is found in the methyl-CPG binding protein 2 gene (MECP2). Here, we describe a young woman with clinically diagnosed typical RTT syndrome who lacked a genetic diagnosis despite 20 years of investigation and multiple rounds of sequencing the MECP2 gene. Recently, additional genetic testing using next-generation sequencing was completed, which revealed a partial insertion of the BCL11A gene within exon 4 of MECP2, resulting in a small deletion in MECP2, causing likely disruption of MeCP2 function due to a frameshift. This case demonstrates the ever-changing limitations of genetic testing, as well as the importance of continual pursuit of a diagnosis as technologies improve and are more widely utilized.

Indexed as

Genetic TestingHigh-Throughput Nucleotide SequencingMethyl-CpG-Binding Protein 2Rett SyndromeAdultExonsFemaleFrameshift MutationHumansPhenotypeMECP2 protein, humanMethyl-CpG-Binding Protein 2MECP2next‐generation sequencing (NGS)Rett syndrome

Identifiers

PMID38775384
PMCPMC11502282

What OpenQuestion holds

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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.