Evidence map›Paper›PMID 39931922›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2025

Monogenic disorders associated with motor speech phenotypes in children and adolescents undergoing clinical exome sequencing.

Marissa W Mitchel, Matthew Oetjens, Alexander S F Berry, Alicia Johns, Andrés Moreno-De-Luca, Rebecca I Torene, Natasha T Strande, Marina T DiStefano, Lindsay Havens Dyer, Tracy Brandt and 5 more

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Childhood motor speech disorders: who to prioritise for genetic testing.European journal of human genetics : EJHG · 2026
    Article
  2. Behavioral and Prefrontal Circuit Deficits in a Newly DevelopedBiological psychiatry global open science · 2026
    Article
  3. 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

15 authors.

Marissa W MitchelAutism and Developmental Medicine Institute, Geisinger, Lewisburg, PA. Electronic address: mwmitchel@geisinger.edu.
Matthew OetjensAutism and Developmental Medicine Institute, Geisinger, Lewisburg, PA.
Alexander S F BerryAutism and Developmental Medicine Institute, Geisinger, Lewisburg, PA.
Alicia JohnsDepartment of Population Health Sciences, Geisinger, Danville, PA.
Andrés Moreno-De-LucaAutism and Developmental Medicine Institute, Geisinger, Lewisburg, PA; Department of Radiology, Diagnostic Medicine Institute, Geisinger, Danville, PA.
Rebecca I ToreneGeneDx, Gaithersburg, MD; Geisinger, Danville, PA.
Natasha T StrandeAutism and Developmental Medicine Institute, Geisinger, Lewisburg, PA.
Marina T DiStefanoProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA.
Lindsay Havens DyerDepartment of Radiology, Diagnostic Medicine Institute, Geisinger, Danville, PA.
Tracy BrandtGeneDx, Gaithersburg, MD; Geisinger, Danville, PA.
Brenda M FinucaneAutism and Developmental Medicine Institute, Geisinger, Lewisburg, PA.
David H LedbetterOffice of Research Affairs and Departments of Pediatrics and Psychiatry, University of Florida College of Medicine, Jacksonville, FL.
Kyle RettererGeneDx, Gaithersburg, MD; Geisinger, Danville, PA.
Christa L MartinAutism and Developmental Medicine Institute, Geisinger, Lewisburg, PA.
Scott M MyersAutism and Developmental Medicine Institute, Geisinger, Lewisburg, PA.

Funding

GENE DOSAGE IMBALANCE IN NEURODEVELOPMENTAL DISORDERSR01MH074090 · NIMH · GEISINGER CLINIC · PI David H. Ledbetter, CHRISTA LESE MARTIN · 2005 to 2026
$13.5M
Leveraging rare genetic etiologies to advance knowledge and treatment of neurpsychiatric disordersU01MH119705 · NIMH · GEISINGER CLINIC · PI LEDBETTER, DAVID H., MARTIN, CHRISTA LESE · 2019 to 2023
$9.2M
Characterizing the spectrum of genomic and phenotypic variation in cerebral palsyR01HD104938 · NICHD · GEISINGER CLINIC · PI Scott Myers · 2022 to 2026
$3.4M
NICHD NIH HHS R01 HD104938NIMH NIH HHS R01 MH074090NIMH NIH HHS U01 MH119705
6 · The paper itself

Abstract

purposePrior studies investigating the genetic architecture of pediatric motor speech disorders (MSDs) have been limited by small sample sizes and an exclusive focus on apraxia. We aimed to identify pathogenic genomic variants associated with MSDs in a large pediatric population referred for exome sequencing (ES).

methodsWe identified pediatric patients with MSDs who had clinical ES between 2012 and 2022. The rate of pathogenic/likely pathogenic (P/LP) findings considered causative of the MSD phenotype was determined and delineated by sex and neurodevelopmental comorbidity. Gene-based burden testing compared the rate of P/LP variants in each gene in MSD cases with a comparison clinical ES cohort.

resultsPositive diagnostic results were detected in 527 of 2004 (26.3%) patients with MSDs, with higher diagnostic rates in females and individuals with neurodevelopmental comorbidities. P/LP sequence variants were detected in 262 genes. Gene-based case-referent burden analysis revealed that 30 genes were nominally associated with MSDs, 2 of which (SETBP1 and ADCY5) survived exome-wide correction.

conclusionOver 25% of patients with MSDs were found to harbor P/LP variants in 262 genes, many of which have not previously been associated with MSDs. Potential clinical implications include early implementation of intensive speech therapy for children diagnosed with monogenic causes of MSDs.

Indexed as

Speech DisordersAdolescentChildChild, PreschoolExomeExome SequencingFemaleGenetic Predisposition to DiseaseHumansMalePhenotypeApraxiaDysarthriaExome sequencingMotor speech disordersPediatrics

Identifiers

PMID39931922
PMCPMC11985296

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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.