Evidence map›Paper›PMID 38821540›Full record

ArticleNature medicine2024

Mutations in the U4 snRNA gene RNU4-2 cause one of the most prevalent monogenic neurodevelopmental disorders.

Daniel Greene, Chantal Thys, Ian R Berry, Joanna Jarvis, Els Ortibus, Andrew D Mumford, Kathleen Freson, Ernest Turro

Abstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing 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

64 citing papers in PubMed.

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4 more citing papers are in PubMed but not listed here.

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

8 authors.

Daniel GreeneDepartment of Medicine, University of Cambridge, Cambridge, UK.
Chantal ThysDepartment of Cardiovascular Sciences, Center for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
Ian R BerryNHS South West Genomic Laboratory Hub, Southmead Hospital, Bristol, UK.
Joanna JarvisClinical Genetics Unit, Birmingham Women's Hospital, Birmingham, UK.
Els OrtibusDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.ORCID 0000-0002-1020-4408
Andrew D MumfordNHS South West Genomic Medicine Service Alliance, Bristol, UK.
Kathleen FresonDepartment of Cardiovascular Sciences, Center for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-4381-2442
Ernest TurroDepartment of Medicine, University of Cambridge, Cambridge, UK. ernest.turro@mssm.edu.ORCID 0000-0002-1820-6563

Funding

Integrative analysis of whole genomes and transcriptomes from multiple cell types in rare disease patientsR01HL161365 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ernest Turro · 2023 to 2026
$2.6M
Bayesian genetic association analysis of all rare diseases in the Kids First cohortR03HD111492 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI TURRO, ERNEST · 2023 to 2024
$338k
NHLBI NIH HHS R01 HL161365NICHD NIH HHS R03 HD111492U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R03HD111492U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL161365Wellcome Trust
6 · The paper itself

Abstract

Most people with intellectual disability (ID) do not receive a molecular diagnosis following genetic testing. To identify new etiologies of ID, we performed a genetic association analysis comparing the burden of rare variants in 41,132 noncoding genes between 5,529 unrelated cases and 46,401 unrelated controls. RNU4-2, which encodes U4 small nuclear RNA, a critical component of the spliceosome, was the most strongly associated gene. We implicated de novo variants among 47 cases in two regions of RNU4-2 in the etiology of a syndrome characterized by ID, microcephaly, short stature, hypotonia, seizures and motor delay. We replicated this finding in three collections, bringing the number of unrelated cases to 73. Analysis of national genomic diagnostic data showed RNU4-2 to be a more common etiological gene for neurodevelopmental abnormality than any previously reported autosomal gene. Our findings add to the growing evidence of spliceosome dysfunction in the etiologies of neurological disorders.

Indexed as

Intellectual DisabilityMutationNeurodevelopmental DisordersRNA, Small NuclearChildFemaleGenetic Association StudiesHumansMaleMicrocephalySpliceosomesRNA, Small NuclearU4 small nuclear RNA

Identifiers

PMID38821540
PMCPMC11333284

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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.