Evidence map›Paper›PMID 21522182›Full record

ArticleEuropean journal of human genetics : EJHG2011

Muscular dystrophy with marked Dysferlin deficiency is consistently caused by primary dysferlin gene mutations.

Mafalda Cacciottolo, Gelsomina Numitone, Stefania Aurino, Imma Rosaria Caserta, Marina Fanin, Luisa Politano, Carlo Minetti, Enzo Ricci, Giulio Piluso, Corrado Angelini and 1 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

45 citing papers in PubMed, 89 citations in OpenAlex.

  1. Article
  2. Review
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  6. Challenging Diagnosis of a Patient with Two Novel Variants in theInternational journal of molecular sciences · 2024
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  12. Molecular regulation of myocyte fusion.Current topics in developmental biology · 2024
    Review
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  15. Article
  16. Review
  17. Article
  18. Article
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  20. Panorama of the distal myopathies.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2020
    Review
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

11 authors at 5 institutions in 1 country.

Mafalda CacciottoloDipartimento di Patologia Generale, Telethon Institute of Genetics and Medicine (TIGEM), Seconda Università degli Studi di Napoli,S. Andrea delle Dame, via L. De Crecchio 7, Naples, Italy.
Gelsomina Numitone
Stefania Aurino
Imma Rosaria Caserta
Marina Fanin
Luisa Politano
Carlo Minetti
Enzo Ricci
Giulio Piluso
Corrado Angelini
Vincenzo Nigro
Telethon Institute Of Genetics And Medicine · ITUniversity of Naples Federico II · ITUniversity of Padua · ITAgostino Gemelli University Polyclinic · ITUniversity of Genoa · IT

Funding

Telethon GTB07001Telethon GUP04008Telethon GUP07001
6 · The paper itself

Abstract

Dysferlin is a 237-kDa transmembrane protein involved in calcium-mediated sarcolemma resealing. Dysferlin gene mutations cause limb-girdle muscular dystrophy (LGMD) 2B, Miyoshi myopathy (MM) and distal myopathy of the anterior tibialis. Considering that a secondary Dysferlin reduction has also been described in other myopathies, our original goal was to identify cases with a Dysferlin deficiency without dysferlin gene mutations. The dysferlin gene is huge, composed of 55 exons that span 233 140 bp of genomic DNA. We performed a thorough mutation analysis in 65 LGMD/MM patients with ≤20% Dysferlin. The screening was exhaustive, as we sequenced both genomic DNA and cDNA. When required, we used other methods, including real-time PCR, long PCR and array CGH. In all patients, we were able to recognize the primary involvement of the dysferlin gene. We identified 38 novel mutation types. Some of these, such as a dysferlin gene duplication, could have been missed by conventional screening strategies. Nonsense-mediated mRNA decay was evident in six cases, in three of which both alleles were only detectable in the genomic DNA but not in the mRNA. Among a wide spectrum of novel gene defects, we found the first example of a 'nonstop' mutation causing a dysferlinopathy. This study presents the first direct and conclusive evidence that an amount of Dysferlin ≤20% is pathogenic and always caused by primary dysferlin gene mutations. This demonstrates the high specificity of a marked reduction of Dysferlin on western blot and the value of a comprehensive molecular approach for LGMD2B/MM diagnosis.

Indexed as

DNA Mutational AnalysisAdultAgedComparative Genomic HybridizationDistal MyopathiesDysferlinHumansMembrane ProteinsMiddle AgedMuscle ProteinsMuscular AtrophyMuscular Dystrophies, Limb-GirdleNonsense Mediated mRNA DecayDysferlinDYSF protein, humanMembrane ProteinsMuscle Proteins

Identifiers

PMID21522182
PMCPMC3179367
OpenAlexW2050873030

What OpenQuestion holds

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Registered trials

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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.