Evidence map›Paper›PMID 21975507›Full record

ArticleJournal of neurology2012

Congenital myasthenic syndrome with tubular aggregates caused by GFPT1 mutations.

Velina Guergueltcheva, Juliane S Müller, Marina Dusl, Jan Senderek, Anders Oldfors, Christopher Lindbergh, Susan Maxwell, Jaume Colomer, Cecilia Jimenez Mallebrera, Andres Nascimento and 27 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
5.4field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Congenital myasthenic syndromes.Orphanet journal of rare diseases · 2019
    Pooled it
  2. Review
  3. Muscles (Basel, Switzerland) · 2026
    Review
  4. Congenital myasthenic syndrome due to novelJournal of neuromuscular diseases · 2026
    Article
  5. A novel case of compound heterozygous GFPT1 congenital myasthenic syndrome with a coexisting heterozygous DYSF mutation: clinical and pathological insights.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
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  16. Article
  17. Genetic defects are common in myopathies with tubular aggregates.Annals of clinical and translational neurology · 2022
    Article
  18. Article
  19. Novel compound heterozygous variants in the GFPT1 gene leading to rare limb-girdle congenital myasthenic syndrome with rimmed vacuoles.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  20. 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

37 authors at 20 institutions in 8 countries.

Velina GuergueltchevaDepartment of Neurology, Friedrich-Baur-Institut, Ludwig Maximilians University, Munich, Germany.
Juliane S MüllerInstitute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, NE1 3BZ, UK.
Marina DuslDepartment of Neurology, Friedrich-Baur-Institut, Ludwig Maximilians University, Munich, Germany.
Jan SenderekInstitute of Neuropathology, RWTH Aachen University, Aachen, Germany.
Anders OldforsDepartment of Pathology, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden.
Christopher LindberghNeuromuscular Center, Sahlgrenska University Hospital, Gothenburg, Sweden.
Susan MaxwellNeurosciences Group, Department of Clinical Neurology, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Jaume ColomerUnitat de Patologia Neuromuscular, Servei de Neurologia, Hospital Sant Joan de Deu, Esplugues, Barcelona, Spain.
Cecilia Jimenez MallebreraUnitat de Patologia Neuromuscular, Servei de Neurologia, Hospital Sant Joan de Deu, Esplugues, Barcelona, Spain.
Andres NascimentoUnitat de Patologia Neuromuscular, Servei de Neurologia, Hospital Sant Joan de Deu, Esplugues, Barcelona, Spain.
Juan J VilchezServicio de Neurología, Hospital Universitario y Politécnico La Fe and CIBER de Enfermedades Neurodegenerativas (CIBERNED), Valencia, Spain.
Nuria MuelasServicio de Neurología, Hospital Universitario y Politécnico La Fe and CIBER de Enfermedades Neurodegenerativas (CIBERNED), Valencia, Spain.
Janbernd KirschnerDivision of Neuropaediatrics and Muscle Disorders, University Medical Center, Freiburg, Germany.
Shahriar NafissiDepartment of Neurology, Tehran University of Medical Sciences, Tehran, Iran.
Ariana KariminejadKariminejad-Najmabadi Pathology and Genetics Center, Tehran, Iran.
Yalda NilipourNeuropathology Lab, Toos Hospital, Tehran, Iran.
Bita BozorgmehrKariminejad-Najmabadi Pathology and Genetics Center, Tehran, Iran.
Hossein NajmabadiKariminejad-Najmabadi Pathology and Genetics Center, Tehran, Iran.
Carmelo RodolicoDepartments of Neurosciences, Psychiatry and Anaesthesiology, A.O.U. "G. Martino", Messina, Italy.
Jörn P SiebDepartment of Neurology, Geriatric Medicine and Palliative Care, Hanse-Klinikum, Stralsund, Germany.
Beate SchlotterDepartment of Neurology, Friedrich-Baur-Institut, Ludwig Maximilians University, Munich, Germany.
Benedikt SchoserDepartment of Neurology, Friedrich-Baur-Institut, Ludwig Maximilians University, Munich, Germany.
Ralf HerrmannDepartment of Paediatrics I, University Hospital Essen, Essen, Germany.
Thomas VoitInstitut de Myologie, Unité Mixte de Recherche UPMC-INSERM-CNRS-AIM UM 76, U974, UMR 7215, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.
Ortrud K SteinleinInstitute of Human Genetics, Ludwig Maximilians University, Munich, Germany.
Abdolhamid NajafiAzad University Medical Branch, Tehran, Iran.
Andoni UrtizbereaHôpital Marin, Hendaye, France.
Doriette M SolerDepartment of Paediatrics, Mater Dei Hospital, Tal-Qroqq, Msida, Malta.
Francesco MuntoniThe Dubowitz Neuromuscular Centre, UCL Institute of Child Health, London, UK.
Michael G HannaMRC Centre for Neuromuscular Diseases, UCL Institute of Neurology, London, UK.
Amina ChaouchInstitute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, NE1 3BZ, UK.
Volker StraubInstitute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, NE1 3BZ, UK.
Kate BushbyInstitute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, NE1 3BZ, UK.
Jacqueline PalaceCMS NCG Group, Department of Clinical Neurology, John Radcliffe Hospital, Oxford, UK.
David BeesonNeurosciences Group, Department of Clinical Neurology, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
Angela AbichtDepartment of Neurology, Friedrich-Baur-Institut, Ludwig Maximilians University, Munich, Germany.
Hanns LochmüllerInstitute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, NE1 3BZ, UK. hanns.lochmuller@ncl.ac.uk.
Friedrich Baur Stiftung · DEHospital Sant Joan de Déu Barcelona · ESNewcastle University · GBCentre for Life · GBLudwig-Maximilians-Universität München · DEUniversity College London · GBBiomedical Research Networking Center on Neurodegenerative Diseases · ESCentre de Recherche en MyologieEssen University Hospital · DEHôpital Marin de Hendaye · FRHospital Universitari i Politècnic La Fe · ESIslamic Azad University Medical Branch of Tehran · IRJohn Radcliffe Hospital · GBMater Dei Hospital · MTMRC Weatherall Institute of Molecular Medicine · GBRWTH Aachen University · DESahlgrenska University Hospital · SETehran University of Medical Sciences · IRUniversity Medical Center Freiburg · DEUniversity of Gothenburg · SE

Funding

Medical Research Council G0601943Medical Research Council G0701521Medical Research Council G1002274Wellcome Trust 084655
6 · The paper itself

Abstract

Congenital myasthenic syndrome (CMS) is a clinically and genetically heterogeneous group of inherited disorders of the neuromuscular junction. A difficult to diagnose subgroup of CMS is characterised by proximal muscle weakness and fatigue while ocular and facial involvement is only minimal. DOK7 mutations have been identified as causing the disorder in about half of the cases. More recently, using classical positional cloning, we have identified mutations in a previously unrecognised CMS gene, GFPT1, in a series of DOK7-negative cases. However, detailed description of clinical features of GFPT1 patients has not been reported yet. Here we describe the clinical picture of 24 limb-girdle CMS (LG-CMS) patients and pathological findings of 18 of them, all carrying GFPT1 mutations. Additional patients with CMS, but without tubular aggregates, and patients with non-fatigable weakness with tubular aggregates were also screened. In most patients with GFPT1 mutations, onset of the disease occurs in the first decade of life with characteristic limb-girdle weakness and fatigue. A common feature was beneficial and sustained response to acetylcholinesterase inhibitor treatment. Most of the patients who had a muscle biopsy showed tubular aggregates in myofibers. Analysis of endplate morphology in one of the patients revealed unspecific abnormalities. Our study delineates the phenotype of CMS associated with GFPT1 mutations and expands the understanding of neuromuscular junction disorders. As tubular aggregates in context of a neuromuscular transmission defect appear to be highly indicative, we suggest calling this condition congenital myasthenic syndrome with tubular aggregates (CMS-TA).

Indexed as

AdolescentAdultChildDNA Mutational AnalysisGlutamine-Fructose-6-Phosphate Transaminase (Isomerizing)HumansMiddle AgedMutationMyasthenic Syndromes, CongenitalMyopathies, Structural, CongenitalSeverity of Illness IndexYoung AdultGFPT1 protein, humanGlutamine-Fructose-6-Phosphate Transaminase (Isomerizing)Congenital myasthenic syndromesDok-7GFPT1Limb-girdle myastheniaTubular aggregates

Identifiers

PMID21975507
OpenAlexW2058593543

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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.