<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-17T21:27:28Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:11351/13891" metadataPrefix="marc">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:11351/13891</identifier><datestamp>2025-10-24T08:51:04Z</datestamp><setSpec>com_2072_378070</setSpec><setSpec>com_2072_378040</setSpec><setSpec>com_2072_378071</setSpec><setSpec>col_2072_378092</setSpec><setSpec>col_2072_378097</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Douiev, Liza</subfield>
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      <subfield code="a">Frank, Marika</subfield>
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      <subfield code="a">Hanington, Lucy</subfield>
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      <subfield code="a">Hoffman, Trevor</subfield>
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      <subfield code="a">Irons, Mira B.</subfield>
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      <subfield code="a">FERNANDEZ ALVAREZ, PAULA</subfield>
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      <subfield code="a">Lasa-Aranzasti, Amaia</subfield>
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      <subfield code="c">2025-10-20T11:46:16Z</subfield>
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      <subfield code="c">2025-10-20T11:46:16Z</subfield>
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      <subfield code="c">2025-08</subfield>
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      <subfield code="a">Exome sequencing; Loss‐of‐function; Phenotypic expansion</subfield>
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      <subfield code="a">Secuenciación del exoma; Pérdida de función; Expansión fenotípica</subfield>
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      <subfield code="a">Seqüenciació de l'exoma; Pèrdua de funció; Expansió fenotípica</subfield>
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      <subfield code="a">SIAH1 encodes for a RING-type E3 ubiquitin ligase involved in protein ubiquitination. More specifically, it positively regulates Wnt signaling through promoting the accumulation of β-catenin and mediates ubiquitination and degradation of Akt3 in neural development. Heterozygous de novo missense pathogenic variants in SIAH1 have been described in five unrelated individuals and are associated with developmental delay, hypotonia, and dysmorphic features. In this report, we present additional individuals from eight unrelated families and their clinical and genetic findings. We identified two missense and six predicted loss-of-function variants. Motor and speech delay and intellectual disabilities of varying severity were observed in all individuals. Neurodevelopmental issues, as well as infantile hypotonia and facial dysmorphism, were observed in the majority of individuals. Hearing loss, gastroesophageal reflux disease or other gastrointestinal issues, endocrinology abnormalities, and recurrent infections were observed in over 50% of individuals. This study expands the phenotypic spectrum of this syndrome and emphasizes the diverse impact of SIAH1 variation on multi-system clinical manifestations.</subfield>
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      <subfield code="a">http://hdl.handle.net/11351/13891</subfield>
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      <subfield code="a">Discapacitat intel·lectual - Aspectes genètics</subfield>
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      <subfield code="a">Fenotip</subfield>
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      <subfield code="a">Anomalies cromosòmiques</subfield>
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      <subfield code="a">PHENOMENA AND PROCESSES::Genetic Phenomena::Phenotype</subfield>
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      <subfield code="a">CHEMICALS AND DRUGS::Enzymes and Coenzymes::Enzymes::Ligases::Ubiquitin-Protein Ligase Complexes::Ubiquitin-Protein Ligases</subfield>
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      <subfield code="a">PSYCHIATRY AND PSYCHOLOGY::Mental Disorders::Neurodevelopmental Disorders::Developmental Disabilities</subfield>
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      <subfield code="a">PHENOMENA AND PROCESSES::Genetic Phenomena::Genetic Variation::Mutation::Loss of Function Mutation</subfield>
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      <subfield code="a">DISEASES::Nervous System Diseases::Neurologic Manifestations::Neurobehavioral Manifestations::Intellectual Disability</subfield>
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      <subfield code="a">FENÓMENOS Y PROCESOS::fenómenos genéticos::fenotipo</subfield>
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      <subfield code="a">COMPUESTOS QUÍMICOS Y DROGAS::enzimas y coenzimas::enzimas::ligasas::complejos ubicuitina-proteína ligasa::ubicuitina-proteína ligasas</subfield>
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      <subfield code="a">PSIQUIATRÍA Y PSICOLOGÍA::trastornos mentales::trastornos del desarrollo neurológico::discapacidades del desarrollo</subfield>
   </datafield>
   <datafield tag="653" ind2=" " ind1=" ">
      <subfield code="a">FENÓMENOS Y PROCESOS::fenómenos genéticos::variación genética::mutación::mutación con pérdida de función</subfield>
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      <subfield code="a">ENFERMEDADES::enfermedades del sistema nervioso::manifestaciones neurológicas::manifestaciones neuroconductuales::discapacidad intelectual</subfield>
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   <datafield ind2="0" ind1="0" tag="245">
      <subfield code="a">Expanding the SIAH1-Associated Phenotypic Spectrum: Insights From Loss-of-Function Variants</subfield>
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