Evidence map›Paper›PMID 16467215›Full record

ArticleJournal of medical genetics2006

Loss of desmoplakin isoform I causes early onset cardiomyopathy and heart failure in a Naxos-like syndrome.

A Uzumcu, E E Norgett, A Dindar, O Uyguner, K Nisli, H Kayserili, S E Sahin, E Dupont, N J Severs, I M Leigh and 3 more

Open access · greenAbstract readCase ReportsLetter
In one paragraph

Article in Journal of medical genetics, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Homozygous NonsenseJournal of clinical medicine · 2026
    Article
  3. Article
  4. Breathing new life into the study of COPD with genes identified from genome-wide association studies.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  5. Article
  6. Review
  7. Review
  8. A Novel Variant in theClinical, cosmetic and investigational dermatology · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Genes, other than Muc5b, play a role in bleomycin-induced lung fibrosis.American journal of physiology. Lung cellular and molecular physiology · 2021
    Article
  14. Article
  15. Review
  16. Article
  17. A NovelDiagnostics (Basel, Switzerland) · 2020
    Article
  18. Review
  19. Article
  20. 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

13 authors at 4 institutions in 3 countries.

A Uzumcu
E E Norgett
A Dindar
O Uyguner
K Nisli
H Kayserili
S E Sahin
E Dupont
N J Severs
I M Leigh
M Yuksel-Apak
D P Kelsell
B Wollnik
Istanbul University · TRQueen Mary University of London · GBImperial College London · GBInstitute of Human Genetics · PL

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundDesmosomes are cellular junctions important for intercellular adhesion and anchoring the intermediate filament (IF) cytoskeleton to the cell membrane. Desmoplakin (DSP) is the most abundant desmosomal protein with 2 isoforms produced by alternative splicing.

methodsWe describe a patient with a recessively inherited arrhythmogenic dilated cardiomyopathy with left and right ventricular involvement, epidermolytic palmoplantar keratoderma, and woolly hair. The patient showed a severe heart phenotype with an early onset and rapid progression to heart failure at 4 years of age.

resultsA homozygous nonsense mutation, R1267X, was found in exon 23 of the desmoplakin gene, which results in an isoform specific truncation of the larger DSPI isoform. The loss of most of the DSPI specific rod domain and C-terminal area was confirmed by Western blotting and immunofluorescence. We further showed that the truncated DSPI transcript is unstable, leading to a loss of DSPI. DSPI is reported to be an obligate constituent of desmosomes and the only isoform present in cardiac tissue. To address this, we reviewed the expression of DSP isoforms in the heart. Our data suggest that DSPI is the major cardiac isoform but we also show that specific compartments of the heart have detectable DSPII expression.

conclusionsThis is the first description of a phenotype caused by a mutation affecting only one DSP isoform. Our findings emphasise the importance of desmoplakin and desmosomes in epidermal and cardiac function and additionally highlight the possibility that the different isoforms of desmoplakin may have distinct functional properties within the desmosome.

Indexed as

Age of OnsetCardiomyopathiesChild, PreschoolDesmoplakinsDNA Mutational AnalysisFluorescent Antibody Techniquegamma CateninGene Expression RegulationHaplotypesHumansMaleMyocardiumPedigreeProtein IsoformsSkinSyndromeDesmoplakinsgamma CateninProtein Isoforms

Identifiers

PMID16467215
PMCPMC2564645
OpenAlexW2146348485

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.