Evidence map›Paper›PMID 23703681›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2014

Population-based estimates of the prevalence of FMR1 expansion mutations in women with early menopause and primary ovarian insufficiency.

Anna Murray, Minouk J Schoemaker, Claire E Bennett, Sarah Ennis, James N Macpherson, Michael Jones, Danielle H Morris, Nick Orr, Alan Ashworth, Patricia A Jacobs and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
5.1field-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, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Guideline
  2. Does theFMR1 gene affect IVF success?Reproductive biomedicine online · 2019
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Prevalence of theGenes · 2024
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Selected Genetic Factors Associated with Primary Ovarian Insufficiency.International journal of molecular sciences · 2023
    Review
  15. Article
  16. Review
  17. Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2021
    Article
  18. Article
  19. Article
  20. Article
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.

Anna MurrayUniversity of Exeter Medical School, University of Exeter St Luke's, Exeter, UK.
Minouk J SchoemakerDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, UK.
Claire E BennettUniversity of Exeter Medical School, University of Exeter St Luke's, Exeter, UK.
Sarah EnnisGenetic Epidemiology, University of Southampton, Southampton, UK.
James N MacphersonWessex Regional Genetics Laboratory, Salisbury District Hospital, Salisbury, UK.
Michael JonesDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, UK.
Danielle H MorrisDivision of Genetics and Epidemiology, The Institute of Cancer Research, Sutton, UK.
Nick OrrDivision of Breast Cancer Research, The Institute of Cancer Research, London, UK.
Alan AshworthDivision of Breast Cancer Research, The Institute of Cancer Research, London, UK.
Patricia A JacobsWessex Regional Genetics Laboratory, Salisbury District Hospital, Salisbury, UK.
Anthony J SwerdlowDivision of Breast Cancer Research, The Institute of Cancer Research, London, UK.
Institute of Cancer Research · GBUniversity of Exeter · GBSalisbury District Hospital · GBUniversity of Southampton · GBWessex Regional Genetics Laboratory · GB

Funding

Breast Cancer Now BREAST CANCER NOW RESEARCH CENTREWellcome Trust 085943
6 · The paper itself

Abstract

purposePrimary ovarian insufficiency before the age of 40 years affects 1% of the female population and is characterized by permanent cessation of menstruation. Genetic causes include FMR1 expansion mutations. Previous studies have estimated mutation prevalence in clinical referrals for primary ovarian insufficiency, but these are likely to be biased as compared with cases in the general population. The prevalence of FMR1 expansion mutations in early menopause (between the ages of 40 and 45 years) has not been published.

methodsWe studied FMR1 CGG repeat number in more than 2,000 women from the Breakthrough Generations Study who underwent menopause before the age of 46 years. We determined the prevalence of premutation (55-200 CGG repeats) and intermediate (45-54 CGG repeats) alleles in women with primary ovarian insufficiency (n = 254) and early menopause (n = 1,881).

resultsThe prevalence of the premutation was 2.0% in primary ovarian insufficiency, 0.7% in early menopause, and 0.4% in controls, corresponding to odds ratios of 5.4 (95% confidence interval = 1.7-17.4; P = 0.004) for primary ovarian insufficiency and 2.0 (95% confidence interval = 0.8-5.1; P = 0.12) for early menopause. Combining primary ovarian insufficiency and early menopause gave an odds ratio of 2.4 (95% confidence interval = 1.02-5.8; P = 0.04). Intermediate alleles were not significant risk factors for either early menopause or primary ovarian insufficiency.

conclusionFMR1 premutations are not as prevalent in women with ovarian insufficiency as previous estimates have suggested, but they still represent a substantial cause of primary ovarian insufficiency and early menopause.

Indexed as

AdultCase-Control StudiesFemaleFragile X Messenger Ribonucleoprotein 1Genetic VariationHumansLinear ModelsLogistic ModelsMenopause, PrematureMiddle AgedPrimary Ovarian InsufficiencyProspective StudiesTrinucleotide Repeat ExpansionUnited KingdomFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID23703681
PMCPMC3914024
OpenAlexW2149474752

What OpenQuestion holds

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LicenceCC BY
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.