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. 2020 Mar 19;139(5):575–592. doi: 10.1007/s00439-020-02138-2

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