Evidence map›Paper›PMID 26369527›Full record

ArticleAnnals of neurology2015

Genotype-phenotype correlation and course of transthyretin familial amyloid polyneuropathies in France.

Louise-Laure Mariani, Pierre Lozeron, Marie Théaudin, Zoia Mincheva, Aissatou Signate, Beatrice Ducot, Vincent Algalarrondo, Christian Denier, Clovis Adam, Guillaume Nicolas and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 180 citations in OpenAlex.

  1. Pharmacological treatment for familial amyloid polyneuropathy.The Cochrane database of systematic reviews · 2020
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  18. Diagnostic delay in patients with sporadic hereditary transthyretin-mediated amyloidosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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16 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

16 authors at 6 institutions in 3 countries.

Louise-Laure MarianiDepartment of Neurology, Bicêtre Hospital, Le Kremlin-Bicêtre;
Pierre LozeronDepartment of Neurology, Bicêtre Hospital, Le Kremlin-Bicêtre;
Marie ThéaudinDepartment of Neurology, Bicêtre Hospital, Le Kremlin-Bicêtre;
Zoia MinchevaDepartment of Neurology, Bicêtre Hospital, Le Kremlin-Bicêtre;
Aissatou SignateDepartment of Neurology, Pierre Zobda-Quitman Hospital, Fort de France.
Beatrice DucotReproduction and Child Development Team, Center for Research in Epidemiology and Population Health, Le Kremlin-Bicêtre.
Vincent AlgalarrondoFrench National Reference Center for Familial Amyloid Polyneuropathies (NNERf), Le Kremlin-Bicêtre.
Christian DenierDepartment of Neurology, Bicêtre Hospital, Le Kremlin-Bicêtre;
Clovis AdamFrench National Reference Center for Familial Amyloid Polyneuropathies (NNERf), Le Kremlin-Bicêtre.
Guillaume NicolasDepartment of Neurology, Raymond Poincaré Hospital, Garches.
Didier SamuelHepatobiliary Center, Paul Brousse Hospital, Villejuif.
Michel S SlamaFrench National Reference Center for Familial Amyloid Polyneuropathies (NNERf), Le Kremlin-Bicêtre.
Catherine LacroixFrench National Reference Center for Familial Amyloid Polyneuropathies (NNERf), Le Kremlin-Bicêtre.
Micheline MisrahiFrench National Reference Center for Familial Amyloid Polyneuropathies (NNERf), Le Kremlin-Bicêtre.
David AdamsDepartment of Neurology, Bicêtre Hospital, Le Kremlin-Bicêtre;
French Familial Amyloid Polyneuropathies Network (CORNAMYL) Study Group
Université Paris-Sud · FRNational Institute of Health · AMAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Martinique · MQLaboratoire d'études sur les monothéismes · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the natural history of familial transthyretin amyloid polyneuropathies (FAP) due to the Val30Met, Ser77Tyr, and Ile107Val mutations in France with the classical Portuguese Val30Met FAP.

methodsWe compared 84 French patients with a control group of 110 Portuguese patients carrying the Val30Met mutation also living in France, all referred to and followed at the French National FAP Reference Center from 1988 to 2010. Clinical examination, functional and walking disability scores, nerve conduction studies, and muscle biopsies are reported. We also conducted a comprehensive literature review to further determine the range of phenotypic expression.

resultsBy comparison with Portuguese Val30Met FAP, French Ile107Val, Ser77Tyr, and LateVal30Met FAP showed more rapid and severe disease progression; onset of gait disorders was 3 times more rapid (p < 0.0001) and the rate of modified Norris test decline was up to 40 times faster in Ile107Val patients (p < 0.0001). Median survival was much shorter in Ile107Val and in Val30Met mutation with late onset (>50 years; LateMet30) FAP (p = 0.0005). Other distinctive features relative to the Portuguese patients included atypical clinical presentations, demyelination on nerve conduction studies (p = 0.0005), and difficult identification of amyloid deposits in nerve and muscle biopsies.

interpretationIle107Val and LateMet30 mutations are associated with the most debilitating and severe FAP ever described, with rapid onset of tetraparesis and shorter median survival. It could be explained by frequent large-fiber involvement and associated demyelination and more severe axonal loss. These findings have major implications for genetic counseling and patient management as new therapeutic options are being assessed in clinical trials (TTR gene silencing).

Indexed as

Disease ProgressionAdultAgedAged, 80 and overAge of OnsetAmyloidAmyloid Neuropathies, FamilialFemaleFranceGenotypeHumansMaleMiddle AgedMutationPhenotypePortugalAmyloidamyloid prealbuminPrealbumin

Identifiers

PMID26369527
PMCPMC4738459
OpenAlexW2158280929

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.