Evidence map›Paper›PMID 24535567›Full record

ArticleJAMA neurology2014

Mutations in GNAL: a novel cause of craniocervical dystonia.

Kishore R Kumar, Katja Lohmann, Ikuo Masuho, Ryosuke Miyamoto, Andreas Ferbert, Thora Lohnau, Meike Kasten, Johann Hagenah, Norbert Brüggemann, Julia Graf and 14 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in JAMA neurology, 2014. 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
6.8field-weighted citation impact, top 3% 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, 81 citations in OpenAlex.

  1. Article
  2. Article
  3. [Meige syndrome with dyspnea as main manifestation: a report of one case and literature review].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Review
  4. Article
  5. Review
  6. Cyclic peptide inhibitors function as molecular glues to stabilize Gq/11 heterotrimers.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Article
  8. Isolated Cervical Dystonia: Diagnosis and Classification.Movement disorders : official journal of the Movement Disorder Society · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Emerging and converging molecular mechanisms in dystonia.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Review
  16. Isolated dystonia: clinical and genetic updates.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Review
  17. Review
  18. Review
  19. The Spectrum of Movement Disorders in 18-p Deletion Syndrome.Movement disorders clinical practice · 2019
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 8 institutions in 5 countries.

Kishore R KumarInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany2Department of Neurogenetics, Kolling Medical Institute, Royal North Shore Hospital and University of Sydney, Sydney, Australia.
Katja LohmannInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Ikuo MasuhoDepartment of Neuroscience, The Scripps Research Institute, Jupiter, Florida.
Ryosuke MiyamotoDepartment of Clinical Neuroscience, Institute of Health Bioscience, Graduate School of Medicine, University of Tokushima, Tokushima, Japan.
Andreas FerbertDepartment of Neurology, Klinikum Kassel, Kassel, Germany.
Thora LohnauInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Meike KastenInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Johann HagenahInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Norbert BrüggemannInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Julia GrafInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Alexander MünchauDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany7Department of Pediatric and Adult Movement Disorders and Neuropsychiatry, Institute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Vladimir S KosticInstitute of Neurology CSS, School of Medicine, Belgrade, Serbia.
Carolyn M SueDepartment of Neurogenetics, Kolling Medical Institute, Royal North Shore Hospital and University of Sydney, Sydney, Australia.
Aloysius R DomingoInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany9Department of Neurosciences, Philippine General Hospital, Manila, Philippines.
Raymond L RosalesDepartment of Neurology and Psychiatry, University of Santo Tomas Hospital, Manila, Philippines.
Lilian V LeeChild Neurology Section, Philippine Children's Medical Center, Quezon City, Philippines.
Karen FreimannInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Ana WestenbergerInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Youhei MukaiDepartment of Clinical Neuroscience, Institute of Health Bioscience, Graduate School of Medicine, University of Tokushima, Tokushima, Japan.
Toshitaka KawaraiDepartment of Clinical Neuroscience, Institute of Health Bioscience, Graduate School of Medicine, University of Tokushima, Tokushima, Japan.
Ryuji KajiDepartment of Clinical Neuroscience, Institute of Health Bioscience, Graduate School of Medicine, University of Tokushima, Tokushima, Japan.
Christine KleinInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Kirill A MartemyanovDepartment of Neuroscience, The Scripps Research Institute, Jupiter, Florida.
Alexander SchmidtInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
University of Lübeck · DETokushima University · JPScripps Research Institute · USKlinikum Kassel · DERoyal North Shore Hospital · AUUniversität Hamburg · DEUniversity of Santo Tomas Hospital · PHUniversity of Sydney · AU

Funding

Dopamine D1 Receptor in mouse models of primary dystoniaR01NS081282 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI EHRLICH, MICHELLE E, MARTEMYANOV, KIRILL A. · 2013 to 2017
$2.5M
Molecular Basis of RGS Protein Function in the StriatumR01DA021743 · NIDA · UNIVERSITY OF MINNESOTA · PI MARTEMYANOV, KIRILL A. · 2007 to 2011
$1.3M
Molecular Basis of RGS Protein Function in the StriatumK02DA026405 · NIDA · UNIVERSITY OF MINNESOTA · PI MARTEMYANOV, KIRILL A. · 2009 to 2019
$1.2M
NIDA NIH HHS DA021743NIDA NIH HHS DA026405NIDA NIH HHS K02 DA026405NIDA NIH HHS R01 DA021743NINDS NIH HHS NS081282NINDS NIH HHS R01 NS081282
6 · The paper itself

Abstract

importanceMutations in the GNAL gene have recently been shown to cause primary torsion dystonia. The GNAL-encoded protein (Gαolf) is important for dopamine D1 receptor function and odorant signal transduction. We sequenced all 12 exons of GNAL in 461 patients from Germany, Serbia, and Japan, including 318 patients with dystonia (190 with cervical dystonia), 51 with hyposmia and Parkinson disease, and 92 with tardive dyskinesia or acute dystonic reactions. OBSERVATIONS: We identified the following two novel heterozygous putative mutations in GNAL: p.Gly213Ser in a German patient and p.Ala353Thr in a Japanese patient. These variants were predicted to be pathogenic in silico, were absent in ethnically matched control individuals, and impaired Gαolf coupling to D1 receptors in a bioluminescence energy transfer (BRET) assay. Two additional variants appeared to be benign because they behaved like wild-type samples in the BRET assay (p.Ala311Thr) or were detected in ethnically matched controls (p.Thr92Ala). Both patients with likely pathogenic mutations had craniocervical dystonia with onset in the fifth decade of life. No pathogenic mutations were detected in the patients with hyposmia and Parkinson disease, tardive dyskinesias, or acute dystonic reactions. CONCLUSIONS AND RELEVANCE: Mutations in GNAL can cause craniocervical dystonia in different ethnicities. The BRET assay may be a useful tool to support the pathogenicity of identified variants in the GNAL gene.

Indexed as

AdolescentAdultAgedAged, 80 and overAmino Acid SequenceChildFemaleGermanyGTP-Binding Protein alpha SubunitsHumansJapanMaleMiddle AgedMolecular Sequence DataMutationSerbiaGTP-Binding Protein alpha Subunitsolfactory G protein subunit alpha olf

Identifiers

PMID24535567
PMCPMC4237020
OpenAlexW1993912666

What OpenQuestion holds

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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.