Evidence map›Paper›PMID 23365052›Full record

ArticleNeurology2013

DNMT1 mutation hot spot causes varied phenotypes of HSAN1 with dementia and hearing loss.

Christopher J Klein, Tom Bird, Nilufer Ertekin-Taner, Sarah Lincoln, Robert Hjorth, Yanhong Wu, John Kwok, Georges Mer, Peter J Dyck, Garth A Nicholson

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.6field-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

39 citing papers in PubMed, 68 citations in OpenAlex.

  1. Review
  2. [Current status and future perspectives on age-related hearing loss and cognitive impairment].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Review
  3. Functional and Epigenomic Consequences ofInternational journal of molecular sciences · 2026
    Article
  4. Review
  5. Chromatin modifiers in neurodevelopment.Frontiers in molecular neuroscience · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Novel de novo DNMT1 gene mutation associated with hereditary sensory and autonomic neuropathy 1E (HSAN1E).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  12. Review
  13. Review
  14. Article
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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

10 authors at 4 institutions in 2 countries.

Christopher J KleinDepartment of Neurology, Division of Peripheral Nerve Diseases, Mayo Clinic, Rochester, MN, USA. klein.christopher@mayo.edu
Tom Bird
Nilufer Ertekin-Taner
Sarah Lincoln
Robert Hjorth
Yanhong Wu
John Kwok
Georges Mer
Peter J Dyck
Garth A Nicholson
Doctors Hospital · USMayo Clinic in Florida · USNeuroscience Research Australia · AUUniversity of Washington · US

Funding

THE PGRN/TDP-43 AXIS IN ALZHEIMER?S DISEASE AND NEURODEGENERATIONP50AG016574 · NIA · MAYO CLINIC ROCHESTER · PI PANKRATZ, V. SHANE · 1999 to 2018
$36.9M
Mayo Clinic Center for Translational Science ActivitiesKL2RR024151 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$15.3M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
DIABETIC NEUROPATHY STUDYR01NS036797 · NINDS · MAYO CLINIC ROCHESTER · PI DYCK, PETER JAMES · 1997 to 2008
$6.8M
Structural Biology of Lysine Methylation in DNA Damage and Checkpoint SignalingR01CA132878 · NCI · MAYO CLINIC ROCHESTER · PI Georges Mer · 2008 to 2026
$4.5M
Genome wide association study of gene expression levels in Alzheimer's diseaseR01AG032990 · NIA · MAYO CLINIC JACKSONVILLE · PI ERTEKIN-TANER, NILUFER · 2009 to 2011
$932k
Identification of Genetic Causes of Hereditary Sensory and Autonomic NeuropathiesK08NS065007 · NINDS · MAYO CLINIC ROCHESTER · PI KLEIN, CHRISTOPHER · 2009 to 2013
$855k
NCI NIH HHS R01 CA132878NCRR NIH HHS KL2 RR024151NIA NIH HHS 9 R01 AG034676-45NIA NIH HHS P50 AG016574NIA NIH HHS R01 AG032990NINDS NIH HHS K08 NS065007NINDS NIH HHS K08 NS065007-01A1NINDS NIH HHS NS36797NINDS NIH HHS R01 NS036797
6 · The paper itself

Abstract

backgroundMutations in DNA methyltransferase 1 (DNMT1) have been identified in 2 autosomal dominant syndromes: 1) hereditary sensory autonomic neuropathy with dementia and hearing loss (HSAN1E); and 2) cerebellar ataxia, deafness, and narcolepsy. Both syndromes have mutations in targeting sequence (TS) domain (exons 20-21), which is important in mediating DNA substrate binding to the DNMT1 catalytic domain. Frontal lobe hypometabolism has been documented in an HSAN1E family, but memory loss has been the primary cognitive complaint. The chromosomal location of the DNMT1 gene at 19p13.2 has been linked to familial late-onset Alzheimer disease.

methodsWe sequenced 41 exons of DNMT1 and their flanking regions in 1) 2 kindreds with HSAN1E; 2) 48 patients with HSAN1 alone without dementia and hearing loss; and 3) 5 probands of familial frontotemporal dementia (FTD) kindreds. We also sequenced exon 20 and 21 in 364 autopsy-confirmed late-onset Alzheimer disease cases.

resultsMutations in DNMT1 were specific to 2 HSAN1E kindreds with dementia and hearing loss (no narcolepsy). One family carried previously identified mutation Tyr495Cys; the other carried a novel Tyr495His, both in the TS domain. The symptoms of these patients include prominent personality, psychiatric manifestations, and seizures in one and the onset time is later than the previously reported cases.

conclusionClinicians should consider DNMT1 mutations in patients presenting with FTD or primary memory decline who also have sensory neuropathy and hearing loss. Amino acid Tyr495 is a hot spot for HSAN1E, distinct from exon 21 mutations associated with narcolepsy.

Indexed as

MutationPhenotypeAdultAgedAlzheimer DiseaseDiagnosis, DifferentialFemaleFrontotemporal DementiaHearing LossHereditary Sensory and Autonomic NeuropathiesHumansMaleMiddle AgedNarcolepsyPedigreeRepressor ProteinsDMAP1 protein, humanRepressor Proteins

Identifiers

PMID23365052
PMCPMC3598458
OpenAlexW2025540084

What OpenQuestion holds

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Read underepoch 390

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.