Evidence map›Paper›PMID 21549341›Full record

ArticleAmerican journal of human genetics2011

Kufs disease, the major adult form of neuronal ceroid lipofuscinosis, caused by mutations in CLN6.

Todor Arsov, Katherine R Smith, John Damiano, Silvana Franceschetti, Laura Canafoglia, Catherine J Bromhead, Eva Andermann, Danya F Vears, Patrick Cossette, Sulekha Rajagopalan and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
11.3field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 162 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Neuropsychiatric manifestations of Kufs disease.Indian journal of psychiatry · 2025
    Article
  6. Review
  7. Article
  8. A novel homozygous CLN6 Tyr142Cys variant in a nonconsanguineous family with Kufs disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  9. Adult-Onset Neuronal Ceroid Lipofuscinosis:Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Article
  10. Article
  11. Review
  12. Rare adult neuronal ceroid lipofuscinosis associated withWorld journal of clinical cases · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Myoclonus-Ataxia Syndromes: A Diagnostic Approach.Movement disorders clinical practice · 2021
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 12 institutions in 5 countries.

Todor ArsovEpilepsy Research Center, Department of Medicine, University of Melbourne, Austin Health, Heidelberg, Victoria 3084, Australia.
Katherine R Smith
John Damiano
Silvana Franceschetti
Laura Canafoglia
Catherine J Bromhead
Eva Andermann
Danya F Vears
Patrick Cossette
Sulekha Rajagopalan
Alan McDougall
Vito Sofia
Michael Farrell
Umberto Aguglia
Andrea Zini
Stefano Meletti
Michela Morbin
Saul Mullen
Frederick Andermann
Sara E Mole
Melanie Bahlo
Samuel F Berkovic
University of Melbourne · AUWalter and Eliza Hall Institute of Medical Research · AUAzienda Unita' Sanitaria Locale Di Modena · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITLiverpool Hospital · AUMontreal Neurological Institute and Hospital · CAAustin Health · AUBeaumont Hospital · IEHôpital Notre-Dame · CAMagna Graecia University · ITMRC Laboratory for Molecular Cell Biology · GBUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The molecular basis of Kufs disease is unknown, whereas a series of genes accounting for most of the childhood-onset forms of neuronal ceroid lipofuscinosis (NCL) have been identified. Diagnosis of Kufs disease is difficult because the characteristic lipopigment is largely confined to neurons and can require a brain biopsy or autopsy for final diagnosis. We mapped four families with Kufs disease for whom there was good evidence of autosomal-recessive inheritance and found two peaks on chromosome 15. Three of the families were affected by Kufs type A disease and presented with progressive myoclonus epilepsy, and one was affected by type B (presenting with dementia and motor system dysfunction). Sequencing of a candidate gene in one peak shared by all four families identified no mutations, but sequencing of CLN6, found in the second peak and shared by only the three families affected by Kufs type A disease, revealed pathogenic mutations in all three families. We subsequently sequenced CLN6 in eight other families, three of which were affected by recessive Kufs type A disease. Mutations in both CLN6 alleles were found in the three type A cases and in one family affected by unclassified Kufs disease. Mutations in CLN6 are the major cause of recessive Kufs type A disease. The phenotypic differences between variant late-infantile NCL, previously found to be caused by CLN6, and Kufs type A disease are striking; there is a much later age at onset and lack of visual involvement in the latter. Sequencing of CLN6 will provide a simple diagnostic strategy in this disorder, in which definitive identification usually requires invasive biopsy.

Indexed as

MutationAdolescentAdultAge of OnsetBiopsyDementiaExonsFemaleGenetic LinkageGenetic TestingGenotypeHeterozygoteHumansMaleMembrane ProteinsMiddle AgedCLN6 protein, humanMembrane Proteins

Identifiers

PMID21549341
PMCPMC3146726
OpenAlexW2063075178

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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.