Evidence map›Paper›PMID 26703369›Full record

ArticleHuman mutation2016

Variants Within TSC2 Exons 25 and 31 Are Very Unlikely to Cause Clinically Diagnosable Tuberous Sclerosis.

Rosemary Ekong, Mark Nellist, Marianne Hoogeveen-Westerveld, Marjolein Wentink, Jessica Panzer, Steven Sparagana, Warren Emmett, Natalie L Dawson, Marie Claire Malinge, Rima Nabbout and 8 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Human mutation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.8field-weighted citation impact, top 26% 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, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Novel Pathogenic Variant in Exon 31 of theAnnals of the Child Neurology Society · 2025
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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

18 authors at 11 institutions in 5 countries.

Rosemary EkongDepartment of Genetics, Evolution and Environment, University College London, London WC1E 6BT, UK.
Mark NellistDepartment of Clinical Genetics, Erasmus MC, Rotterdam, 3015CN, The Netherlands.
Marianne Hoogeveen-WesterveldDepartment of Clinical Genetics, Erasmus MC, Rotterdam, 3015CN, The Netherlands.
Marjolein WentinkDepartment of Clinical Genetics, Erasmus MC, Rotterdam, 3015CN, The Netherlands.
Jessica PanzerDepartment of Pediatrics, Division of Neurology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, 19104-4318.
Steven SparaganaTexas Scottish Rite Hospital for Children, Dallas, Texas, 75219.
Warren EmmettUniversity College London Genetics Institute, Darwin building, Gower Street, London, WC1E 6BT, UK.
Natalie L DawsonInstitute of Structural and Molecular Biology, University College London, London, WC1E 6BT, UK.
Marie Claire MalingeUF de Génétique Moléculaire, Département de Biochimie Génétique PBMM, Institut de Biologie en Santé CHU Angers, 49933 Angers, Cedex 9, France.
Rima NabboutCentre de Référence des Epilepsies Rares, Hôpital Universitaire Necker - Enfants Malades, 75015, Paris, France.
Caterina CarbonaraNeonatology and Neonatal Intensive Care Unit, S. Anna Hospital, 10126, Torino, Italy.
Marco BarberisLaboratory of Molecular Genetics, Azienda Ospedaliero Universitaria Città della Salute e della Scienza, Presidio OIRM S. Anna, 10126, Torino, Italy.
Sergio PadovanCNR-IBB UOS-TO at MBC, Molecular Biotechnology Center for University of Turin, 10126, Torino, Italy.
Marta FutemaCentre for Cardiovascular Genetics, British Heart Foundation Laboratories, Institute of Cardiovascular Sciences, University College London, London, UK.
Vincent PlagnolUniversity College London Genetics Institute, Darwin building, Gower Street, London, WC1E 6BT, UK.
Steve E HumphriesCentre for Cardiovascular Genetics, British Heart Foundation Laboratories, Institute of Cardiovascular Sciences, University College London, London, UK.
Nicola MigoneDepartment of Medical Sciences, University of Turin, 10126, Torino, Italy.
Sue PoveyDepartment of Genetics, Evolution and Environment, University College London, London WC1E 6BT, UK.
University College London · GBErasmus University Rotterdam · NLUniversity of Turin · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITBritish Heart Foundation · GBCentre Hospitalier Universitaire d'Angers · FRErasmus MC · NLHôpital Necker-Enfants Malades · FROspedale Sant'Anna · ITTexas Scottish Rite Hospital for Children · USUniversity of Pennsylvania · US

Funding

British Heart Foundation PG08/008British Heart Foundation RG/08/008/25291Medical Research Council MC_PC_15018Wellcome TrustWellcome Trust 104960/Z/14/ZWellcome Trust WT091310
6 · The paper itself

Abstract

Inactivating mutations in TSC1 and TSC2 cause tuberous sclerosis complex (TSC). The 2012 international consensus meeting on TSC diagnosis and management agreed that the identification of a pathogenic TSC1 or TSC2 variant establishes a diagnosis of TSC, even in the absence of clinical signs. However, exons 25 and 31 of TSC2 are subject to alternative splicing. No variants causing clinically diagnosed TSC have been reported in these exons, raising the possibility that such variants would not cause TSC. We present truncating and in-frame variants in exons 25 and 31 in three individuals unlikely to fulfil TSC diagnostic criteria and examine the importance of these exons in TSC using different approaches. Amino acid conservation analysis suggests significantly less conservation in these exons compared with the majority of TSC2 exons, and TSC2 expression data demonstrates that the majority of TSC2 transcripts lack exons 25 and/or 31 in many human adult tissues. In vitro assay of both exons shows that neither exon is essential for TSC complex function. Our evidence suggests that variants in TSC2 exons 25 or 31 are very unlikely to cause classical TSC, although a role for these exons in tissue/stage specific development cannot be excluded.

Indexed as

ExonsGenetic Association StudiesMutationAdultAllelesAlternative SplicingChildChild, PreschoolComputational BiologyDatabases, GeneticGene ExpressionGenetic VariationHumansPhenotypeTuberous SclerosisTuberous Sclerosis Complex 2 ProteinTSC2 protein, humanTuberous Sclerosis Complex 2 ProteinTumor Suppressor Proteinsalternative splicingdiagnosisTSC2tuberous sclerosisvariants

Identifiers

PMID26703369
PMCPMC4843954
OpenAlexW2235221746

What OpenQuestion holds

Textmetadata
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.