Evidence map›Paper›PMID 24075187›Full record

ArticleAmerican journal of human genetics2013

The FSHD2 gene SMCHD1 is a modifier of disease severity in families affected by FSHD1.

Sabrina Sacconi, Richard J L F Lemmers, Judit Balog, Patrick J van der Vliet, Pauline Lahaut, Merlijn P van Nieuwenhuizen, Kirsten R Straasheijm, Rashmie D Debipersad, Marianne Vos-Versteeg, Leonardo Salviati and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed
14.8field-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

105 citing papers in PubMed, 185 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
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  8. Article
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  10. Article
  11. Deciphering Facioscapulohumeral Dystrophy in the clinical trials era: where are we now?Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2025
    Review
  12. Review
  13. Article
  14. Article
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45 more citing papers are in PubMed but not listed here.

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

17 authors at 6 institutions in 4 countries.

Sabrina SacconiNeuromuscular Diseases Centre, University Hospital of Nice, 06000 Nice, France; CNRS UMR7277, IBV, Faculty of Medicine, University of Nice, 06108 Nice, France. Electronic address: sacconi@unice.fr.
Richard J L F Lemmers
Judit Balog
Patrick J van der Vliet
Pauline Lahaut
Merlijn P van Nieuwenhuizen
Kirsten R Straasheijm
Rashmie D Debipersad
Marianne Vos-Versteeg
Leonardo Salviati
Alberto Casarin
Elena Pegoraro
Rabi Tawil
Egbert Bakker
Stephen J Tapscott
Claude Desnuelle
Silvère M van der Maarel
Leiden University Medical Center · NLUniversity of Padua · ITCentre National de la Recherche Scientifique · FRCentre Hospitalier Universitaire de Nice · FRFred Hutch Cancer Center · USUniversity of Rochester Medical Center · US

Funding

The Pathogenesis of Facioscapulohumeral Muscular DystrophyP01NS069539 · NINDS · FRED HUTCHINSON CANCER RESEARCH CENTER · PI TAPSCOTT, STEPHEN J · 2010 to 2019
$12.3M
MYOTONIC DYSTROPHY LOCUS CONTROLR01AR045203 · NIAMS · FRED HUTCHINSON CANCER RESEARCH CENTER · PI TAPSCOTT, STEPHEN J · 1998 to 2025
$9.4M
NIAMS NIH HHS R01 AR045203NIAMS NIH HHS R01AR045203NINDS NIH HHS P01 NS069539NINDS NIH HHS P01NS069539
6 · The paper itself

Abstract

Facioscapulohumeral muscular dystrophy type 1 (FSHD1) is caused by contraction of the D4Z4 repeat array on chromosome 4 to a size of 1-10 units. The residual number of D4Z4 units inversely correlates with clinical severity, but significant clinical variability exists. Each unit contains a copy of the DUX4 retrogene. Repeat contractions are associated with changes in D4Z4 chromatin structure that increase the likelihood of DUX4 expression in skeletal muscle, but only when the repeat resides in a genetic background that contains a DUX4 polyadenylation signal. Mutations in the structural maintenance of chromosomes flexible hinge domain containing 1 (SMCHD1) gene, encoding a chromatin modifier of D4Z4, also result in the increased likelihood of DUX4 expression in individuals with a rare form of FSHD (FSHD2). Because SMCHD1 directly binds to D4Z4 and suppresses somatic expression of DUX4, we hypothesized that SMCHD1 may act as a genetic modifier in FSHD1. We describe three unrelated individuals with FSHD1 presenting an unusual high clinical severity based on their upper-sized FSHD1 repeat array of nine units. Each of these individuals also carries a mutation in the SMCHD1 gene. Familial carriers of the FSHD1 allele without the SMCHD1 mutation were only mildly affected, suggesting a modifier effect of the SMCHD1 mutation. Knocking down SMCHD1 in FSHD1 myotubes increased DUX4 expression, lending molecular support to a modifier role for SMCHD1 in FSHD1. We conclude that FSHD1 and FSHD2 share a common pathophysiological pathway in which the FSHD2 gene can act as modifier for disease severity in families affected by FSHD1.

Indexed as

AdolescentAdultAgedAllelesAmino Acid SequenceBase SequenceChildChromosomal Proteins, Non-HistoneFemaleHomeodomain ProteinsHumansMaleMiddle AgedMolecular Sequence DataMuscle Fibers, SkeletalMuscular Dystrophy, FacioscapulohumeralChromosomal Proteins, Non-HistoneDUX4L1 protein, humanHomeodomain ProteinsSMCHD1 protein, human

Identifiers

PMID24075187
PMCPMC3791262
OpenAlexW2011042013

What OpenQuestion holds

Textmetadata
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.