Evidence map›Paper›PMID 39237363›Full record

ArticleJournal of medical genetics2024

Christianson syndrome across the lifespan: genetic mutations and longitudinal study in children, adolescents, and adults.

Brian C Kavanaugh, Jennifer Elacio, Carrie R Best, Danielle G St Pierre, Matthew F Pescosolido, Qing Ouyang, John Biedermann, Rebecca S Bradley, Judy S Liu, Richard N Jones and 1 more

Abstract read
In one paragraph

Article in Journal of medical genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. The Recycling Endosomal (NaActa physiologica (Oxford, England) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Strabismus in Genetic Syndromes: A Review.Clinical & experimental ophthalmology · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Brian C KavanaughCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
Jennifer ElacioCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
Carrie R BestCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
Danielle G St PierreCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
Matthew F PescosolidoCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
Qing OuyangCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
John BiedermannCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
Rebecca S BradleyCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
Judy S LiuCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA.
Richard N JonesQuantitative Sciences Program, Department of Psychiatry and Human Behavior and Department of Neurology, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.
Eric M MorrowCenter for Translational Neuroscience, Robert J. and Nancy D. Carney Institute for Brain Science and Brown Institute for Translational Science, Brown University, Providence, Rhode Island, USA Eric_morrow@brown.edu.ORCID 0000-0003-3430-3520

Funding

Pathogenic Mechanisms in Christianson Syndrome and NHE6-Related DisordersR01NS113141 · NINDS · BROWN UNIVERSITY · PI Eric M Morrow · 2019 to 2026
$7.0M
Mechanisms of Disease and Treatments in Novel Metabolic Development Brain DisordersR01NS121618 · NINDS · BROWN UNIVERSITY · PI Eric M Morrow · 2022 to 2026
$3.2M
Mechanisms of circuit failure and treatments in patient-derived neurons in autismR01MH105442 · NIMH · BROWN UNIVERSITY · PI MORROW, ERIC M · 2014 to 2019
$2.8M
Neurodevelopmental mechanisms in 17q12 CNV disorders and autismR01MH137004 · NIMH · BROWN UNIVERSITY · PI Eric M Morrow · 2024 to 2026
$2.4M
Metabolic Mechanisms in Locus Coeruleus Neuron Vulnerability in Neurodegenerative DiseaseR01AG087455 · NIA · BROWN UNIVERSITY · PI Eric M Morrow · 2024 to 2026
$2.3M
Autism-linked endosomal mechanisms in neuronal arborization and connectivityR01MH102418 · NIMH · BROWN UNIVERSITY · PI MORROW, ERIC M · 2015 to 2018
$1.6M
Convergent Cellular Mechanisms Governed by UBE3A and NHEs in NeuronsR21MH115392 · NIMH · BROWN UNIVERSITY · PI MORROW, ERIC M · 2017 to 2018
$447k
NIA NIH HHS R01 AG087455NIMH NIH HHS R01 MH102418NIMH NIH HHS R01 MH105442NIMH NIH HHS R01 MH137004NIMH NIH HHS R21 MH115392NINDS NIH HHS R01 NS113141NINDS NIH HHS R01 NS121618
6 · The paper itself

Abstract

objectivesMutations in the X-linked endosomal Na+/H+ exchanger 6 (NHE6) cause Christianson syndrome (CS). Here, in the largest study to date, we examine genetic diversity and clinical progression in CS into adulthood.

methodData were collected as part of the International Christianson Syndrome and

resultsWe present data on the CS phenotype with regard to physical growth and adaptive and motor regression across the lifespan including information on mortality. Longitudinal data on body weight and height were examined using a linear mixed model. The rate of growth across development was slow and resulted in prominently decreased age-normed height and weight by adulthood. Adaptive functioning was longitudinally examined; a majority of adult participants (18+ years) lost gross and fine motor skills over a 1 year follow-up. Previously defined core diagnostic criteria for CS (present in>85%)-namely non-verbal status, intellectual disability, epilepsy, postnatal microcephaly, ataxia, hyperkinesia-were universally present in age 6-16; however, an additional core feature of high pain tolerance was added (present in 91%). While neurologic examinations were consistent with cerebellar dysfunction, importantly, a majority of individuals (>50% older than 10) also had corticospinal tract abnormalities. Three participants died during the period of the study.

conclusionsIn this large and longitudinal study of CS, we begin to define the trajectory of symptoms and the adult phenotype thereby identifying critical targets for treatment.

Indexed as

Intellectual DisabilityMicrocephalyMutationSodium-Hydrogen ExchangersAdolescentAdultAtaxiaChildChild, PreschoolEpilepsyFemaleGenetic Diseases, X-LinkedHumansHypogonadismLongitudinal StudiesMaleSLC9A6 protein, humanSodium-Hydrogen ExchangersGenetic Diseases, X-LinkedGenetics, MedicalNeurodegenerative DiseasesNeurologyPhenotype

Identifiers

PMID39237363
PMCPMC11503119

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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.