Evidence map›Paper›PMID 19085932›Full record

ArticleAnnals of neurology2009

Mutation in BAG3 causes severe dominant childhood muscular dystrophy.

Duygu Selcen, Francesco Muntoni, Barbara K Burton, Elena Pegoraro, Caroline Sewry, Anna V Bite, Andrew G Engel

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 183 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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

183 citing papers in PubMed, 1 synthesis or guideline pooled it, 361 citations in OpenAlex.

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  13. Frontiers in genetics · 2025
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  18. The Genetic Evaluation of Dilated Cardiomyopathy.Structural heart : the journal of the Heart Team · 2023
    Review
  19. Article
  20. Article

123 more citing papers are in PubMed but not listed here.

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

7 authors at 5 institutions in 4 countries.

Duygu SelcenDepartment of Neurology and Neuromuscular Research Laboratory, Mayo Clinic, Rochester, NY, USA. selcen.duygu@mayo.edu
Francesco Muntoni
Barbara K Burton
Elena Pegoraro
Caroline Sewry
Anna V Bite
Andrew G Engel
Mayo Clinic in Florida · USUniversity College London · GBLurie Children's Hospital · USMayo Clinic · USUniversity of Padua · IT

Funding

ELECTRON MICROSCOPY OF MYOPATHIESR01NS006277 · NINDS · MAYO CLINIC ROCHESTER · PI ENGEL, ANDREW GEORGE · 1985 to 2015
$7.8M
Investigation of Myofibillar MyopathiesK08NS050106 · NINDS · MAYO CLINIC ROCHESTER · PI SELCEN, DUYGU · 2005 to 2009
$830k
Congenital Myasthenic SyndromesR56NS006277 · NINDS · MAYO CLINIC ROCHESTER · PI ENGEL, ANDREW GEORGE, SELCEN, DUYGU · 2017 to 2017
$539k
Medical Research Council G0601943NINDS NIH HHS K08 NS050106NINDS NIH HHS NS50106NINDS NIH HHS R01 NS006277NINDS NIH HHS R56 NS006277
6 · The paper itself

Abstract

objectiveMyofibrillar myopathies (MFMs) are morphologically distinct but genetically heterogeneous muscular dystrophies in which disintegration of Z disks and then of myofibrils is followed by ectopic accumulation of multiple proteins. Cardiomyopathy, neuropathy, and dominant inheritance are frequent associated features. Mutations in alphaB-crystallin, desmin, myotilin, Zasp, or filamin-C can cause MFMs and were detected in 32 of 85 patients of the Mayo MFM cohort. Bag3, another Z-disk-associated protein, has antiapoptotic properties, and its targeted deletion in mice causes fulminant myopathy with early lethality. We therefore searched for mutations in BAG3 in 53 unrelated MFM patients.

methodsWe searched for mutations in BAG3 by direct sequencing. We analyzed structural changes in muscle by histochemistry, immunocytochemistry, and electron microscopy, examined mobility of the mutant Bag3 by nondenaturing electrophoresis, and searched for abnormal aggregation of the mutant protein in COS-7 (SV-40 transformed monkey kidney fibroblast-7) cells.

resultsWe identified a heterozygous p.Pro209Leu mutation in three patients. All presented in childhood, had progressive limb and axial muscle weakness, and experienced development of cardiomyopathy and severe respiratory insufficiency in their teens; two had rigid spines, and one a peripheral neuropathy. Electron microscopy showed disintegration of Z disks, extensive accumulation of granular debris and larger inclusions, and apoptosis of 8% of the nuclei. On nondenaturing electrophoresis of muscle extracts, the Bag3 complex migrated faster in patient than control extracts, and expression of FLAG-labeled mutant and wild-type Bag3 in COS cells showed abnormal aggregation of the mutant protein.

interpretationWe conclude mutation in Bag3 defines a novel severe autosomal dominant childhood muscular dystrophy.

Indexed as

Adaptor Proteins, Signal TransducingAdolescentAnimalsApoptosis Regulatory ProteinsChildChlorocebus aethiopsCOS CellsCrystallinsDNA Mutational AnalysisFemaleHumansIn Situ Nick-End LabelingMaleMicroscopy, Electron, TransmissionMuscle Fibers, SkeletalMuscle ProteinsAdaptor Proteins, Signal TransducingApoptosis Regulatory ProteinsBAG3 protein, humanCrystallinsMuscle Proteins

Identifiers

PMID19085932
PMCPMC2639628
OpenAlexW2013006994

What OpenQuestion holds

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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.