Table 3.
Cognitive and behavioral characteristics of individuals with RAD21 variants with sufficient clinical data (cohort A) with those in individuals with SMC1A and NIPBL variants
[adapted from (Huisman et al. 2017; Moss et al. 2017; Mulder et al. 2019)]
| RAD21 (n = 29) | SMC1A (n = 51) | NIPBL (n = 67) | ||||
|---|---|---|---|---|---|---|
| N pos/N total | % | N pos/N total | % | N pos/N total | % | |
| Cognitive functioninga | ||||||
| Normal cognition | 3/29b | 10 | 3/28 | 11 | 0/58 | 0 |
| Mild disability (HP:0001256) | 13/29 | 45 | 6/28 | 21 | 4/58 | 7 |
| Moderate disability (HP:0002342) | 4/29c | 14 | 9/28 | 32 | 16/58 | 28 |
| Severe disability (HP:0010864) | 0/29 | 0 | 6/28 | 21 | 27/58 | 47 |
| Profound disability (HP:0002187) | 0/29 | 0 | 4/28 | 14 | 11/58 | 19 |
| Disability present, severity unspecified (HP:0001249) | 2/29 | 7 | ||||
| Developmental problems, too young to determine reliably cognitive functioning (HP:0012759) | 7/29 | 24 | ||||
| Developmental milestonesd | ||||||
| Sitting without support | 100e | 75e | 54e | |||
| Attained on target (age < 12 months) | 10/10 | n/a | n/a | |||
| Attained before age 3 years | 10/10 | 18/24 | 28/52 | |||
| Attained later | 3/24 | 23/52 | ||||
| Not attained yet (in patients aged ≥ 5 years) | 3/24 | 1/52 | ||||
| First words | 100e | 35e | 8e | |||
| Attained on target (age < 15 months) | 6/15 | n/a | n/a | |||
| Attained before age 3 years | 15/15 | 7/20 | 4/53 | |||
| Attained later | 4/20 | 16/53 | ||||
| Not attained yet patients aged ≥ 5 years) | 9/20 | 33/53 | ||||
| Walking without support | 100e | 57e | ≥29e,g | |||
| Attained on target (age < 18 months) | 12/16 | n/a | 1/52 | |||
| Attained before age 3 years | 16/16 | 17/30 | 2/52 | |||
| Attained later | 9/30 | 12/52 | ||||
| Not attained yet (in patients aged ≥ 5 years) | 4/30 | 19/52 | ||||
| Delay on one or more milestone | 12/16 | 75 | 18/20 | 90 | 51/52 | 98 |
| Behaviorf | ||||||
| Attention deficit disorder ± hyperactivity | 8/23 | 35 | ||||
| Obsessive–compulsive behavior | 6/19 | 32 | 10/26h | 38 | ||
| Anxiety | 10/19 | 53 | ||||
| Constant roaming | 3/15 | 20 | ||||
| Aggression | 1/16 | 6 | 12/15h | 80 | ||
| Self-injurious behavior | 1/18 | 6 | 11/31 | 35 | 47/61 | 77 |
| Extreme shyness or withdrawal | 0/17 | 0 | ||||
| Autistic-like features | 7/20 | 35 | 18/31h | 56 | 9/13h | 69 |
| One or more behavioral domains affected | 14/25 | 56 | ||||
HP human phenotype ontology identifier
aRAD21, 8 formal test results, others physician reported data. Equivalent HP is shown between brackets
bIncludes 2 adults with learning disabilities but reported normal cognitive functioning
cIncluding 2 moderate/severe
dOnly scored if child was older than target age
ePercentage of individuals that attain the milestone before age 3 years
fRAD21: 5 formal test results, others physician-reported data
gIncluding 18 patients that attained the milestone late, but age unknown
hBased on formal testing