“…This might also explain the milder phenotype observed in the patient reported by Zaghlool et al () presenting with intellectual disability, epilepsy, ataxia, and hyper mobile joints, compared to the severe features of the patient reported here. As ACF1 is known to be involved in transcriptional repression of vitamin D3 receptor (VDR)‐regulated genes through blocking the accessibility of the transcription factors to VDR in the absence of vitamin D3 (VD3) (Ewing, Attner, & Chakravarti, ), Zaghlool et al () performed several experiments, showing that their patient displayed decreased binding of ACF1 to the promoter of the VDR‐regulated gene CYP24A1 . Using RNA sequencing, they further found that the mutation in their patient affects the expression of genes involved in several pathways including vitamin D metabolism, probably explaining the reduced vitamin‐D (25‐(OH)D) serum levels (70 nmol/l, normal range is 125–200 nmol/l) of their patient.…”