Evidence map›Paper›PMID 24967631›Full record

ArticlePloS one2014

Stop-gain mutations in PKP2 are associated with a later age of onset of arrhythmogenic right ventricular cardiomyopathy.

Mireia Alcalde, Oscar Campuzano, Paola Berne, Pablo García-Pavía, Ada Doltra, Elena Arbelo, Georgia Sarquella-Brugada, Anna Iglesias, Luis Alonso-Pulpon, Josep Brugada and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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  14. Clinical interpretation of genetic variants in arrhythmogenic right ventricular cardiomyopathy.Clinical research in cardiology : official journal of the German Cardiac Society · 2015
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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

11 authors at 5 institutions in 1 country.

Mireia AlcaldeCardiovascular Genetics Centre, University of Girona-IDIBGI, Girona, Spain.
Oscar CampuzanoCardiovascular Genetics Centre, University of Girona-IDIBGI, Girona, Spain.
Paola BerneArrhythmia Section, Thorax Institute, Hospital Clinic, Barcelona, Spain.
Pablo García-PavíaCardiomyopathy Unit, Heart Failure and Heart Transplant Section, Department of Cardiology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Ada DoltraArrhythmia Section, Thorax Institute, Hospital Clinic, Barcelona, Spain.
Elena ArbeloArrhythmia Section, Thorax Institute, Hospital Clinic, Barcelona, Spain.
Georgia Sarquella-BrugadaArrhythmia Section, Hospital Sant Joan de Deu, Barcelona, Spain.
Anna IglesiasCardiovascular Genetics Centre, University of Girona-IDIBGI, Girona, Spain.
Luis Alonso-PulponCardiomyopathy Unit, Heart Failure and Heart Transplant Section, Department of Cardiology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Josep BrugadaArrhythmia Section, Thorax Institute, Hospital Clinic, Barcelona, Spain.
Ramon BrugadaCardiovascular Genetics Centre, University of Girona-IDIBGI, Girona, Spain.
Hospital Clínic de Barcelona · ESHospital Universitario Puerta de Hierro Majadahonda · ESInstitut d'Investigació Biomèdica de Girona · ESUniversity of Girona · ESHospital Sant Joan de Déu Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArrhythmogenic right ventricular cardiomyopathy (ARVC) is a cardiac disease characterized by the presence of fibrofatty replacement of the right ventricular myocardium, which may cause ventricular arrhythmias and sudden cardiac death. Pathogenic mutations in several genes encoding mainly desmosomal proteins have been reported. Our aim is to perform genotype-phenotype correlations to establish the diagnostic value of genetics and to assess the role of mutation type in age-related penetrance in ARVC. METHODS AND

resultsThirty unrelated Spanish patients underwent a complete clinical evaluation. They all were screened for PKP2, DSG2, DSC2, DSP, JUP and TMEM43 genes. A total of 70 relatives of four families were also studied. The 30 patients fulfilled definite disease diagnostic criteria. Genetic analysis revealed a pathogenic mutation in 19 patients (13 in PKP2, 3 in DSG2, 2 in DSP, and 1 in DSC2). Nine of these mutations created a truncated protein due to the generation of a stop codon. Familial assessment revealed 28 genetic carriers among family members. Stop-gain mutations were associated to a later age of onset of ARVC, without differences in the severity of the pathology.

conclusionsFamilial genetic analysis helps to identify the cause responsible for the pathology. In discrepancy with previous studies, the presence of a truncating protein does not confer a worse severity. This information could suggest that truncating proteins may be compensated by the normal allele and that missense mutations may act as poison peptides.

Indexed as

MutationAdultAge of OnsetArrhythmogenic Right Ventricular DysplasiaChildFemaleGenetic VariationHumansMaleMiddle AgedPlakophilinsPrevalenceSpainYoung AdultPKP2 protein, humanPlakophilins

Identifiers

PMID24967631
PMCPMC4072667
OpenAlexW2078298267

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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.