Evidence map›Paper›PMID 27088055›Full record

ArticleBrain and behavior2016

Underestimated associated features in CMT neuropathies: clinical indicators for the causative gene?

Friederike Werheid, Hamid Azzedine, Eva Zwerenz, Ahmet Bozkurt, Marcus J Moeller, Lilian Lin, Michael Mull, Martin Häusler, Jörg B Schulz, Joachim Weis and 1 more

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.7field-weighted citation impact, top 19% 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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Restless Legs Syndrome in Patients With PMP22-Related Neuropathies.Journal of the peripheral nervous system : JPNS · 2026
    Article
  2. Review
  3. Article
  4. Charcot-Marie-Tooth disease in children.Annals of the Child Neurology Society · 2024
    Review
  5. Article
  6. Evaluation of Pathogenicity and Causativity of Variants in theInternational journal of molecular sciences · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. Impaired Mitochondrial Mobility in Charcot-Marie-Tooth Disease.Frontiers in cell and developmental biology · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Charcot-Marie-Tooth: From Molecules to Therapy.International journal of molecular sciences · 2019
    Review
  17. Article
  18. Hereditary Neuropathies.Deutsches Arzteblatt international · 2018
    Review
  19. Inverted formins: A subfamily of atypical formins.Cytoskeleton (Hoboken, N.J.) · 2017
    Review
  20. Genetic and clinical characteristics ofJournal of neurology, neurosurgery, and psychiatry · 2017
    Article
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 4 institutions in 2 countries.

Friederike WerheidDepartment of Neurology University Hospital RWTH Aachen Aachen Germany; Institute of Neuropathology University Hospital RWTH Aachen Aachen Germany.
Hamid AzzedineInstitute of Neuropathology University Hospital RWTH Aachen Aachen Germany.
Eva ZwerenzDepartment of Neurology University Hospital RWTH Aachen Aachen Germany; Institute of Neuropathology University Hospital RWTH Aachen Aachen Germany.
Ahmet BozkurtDepartment of Plastic and Reconstructive Surgery Hand Surgery-Burn Center University Hospital RWTH Aachen Aachen Germany; Department of Plastic & Aesthetic, Reconstructive & Hand Surgery Center for Reconstructive Microsurgery and Peripheral Nerve Surgery (ZEMPEN) Agaplesion Markus Hospital Frankfurt am Main Germany.
Marcus J MoellerSection Immunology and Nephrology Department of Internal Medicine University Hospital RWTH Aachen Aachen Germany.
Lilian LinDepartment of Neurology University Hospital RWTH Aachen Aachen Germany; Institute of Neuropathology University Hospital RWTH Aachen Aachen Germany.
Michael MullDepartment of Neuroradiology University Hospital RWTH Aachen Aachen Germany.
Martin HäuslerDivision of Neuropediatrics and Social Pediatrics Department of Pediatrics University Hospital RWTH Aachen Aachen Germany.
Jörg B SchulzDepartment of Neurology University Hospital RWTH Aachen Aachen Germany; JARA - Translational Brain Medicine Aachen Germany.
Joachim WeisInstitute of Neuropathology University Hospital RWTH Aachen Aachen Germany.
Kristl G ClaeysDepartment of Neurology University Hospital RWTH Aachen Aachen Germany; Institute of Neuropathology University Hospital RWTH Aachen Aachen Germany; Department of Neurology University Hospitals Leuven and University of Leuven (KU Leuven) Leuven Belgium.
RWTH Aachen University · DEUniversitätsklinikum Aachen · DEAgaplesion Markus Hospital · DEJülich Aachen Research Alliance · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCharcot-Marie-Tooth neuropathy (CMT) is a genetically heterogeneous group of peripheral neuropathies. In addition to the classical clinical phenotype, additional features can occur.

methodsWe studied a wide range of additional features in a cohort of 49 genetically confirmed CMT patients and performed a systematic literature revision.

resultsPatients harbored a PMP22 gene alteration (n = 28) or a mutation in MPZ (n = 11), GJB1 (n = 4), LITAF (n = 2), MFN2 (n = 2), INF2 (n = 1), NEFL (n = 1). We identified four novel mutations (3 MPZ, 1 GJB1). A total of 88% presented at least one additional feature. In MPZ patients, we detected hypertrophic nerve roots in 3/4 cases that underwent spinal MRI, and pupillary abnormalities in 27%. In our cohort, restless legs syndrome (RLS) was present in 18%. We describe for the first time RLS associated with LITAF or MFN2 and predominant upper limb involvement with LITAF. Cold-induced hand cramps occurred in 10% (PMP22,MPZ,MFN2), and autonomous nervous system involvement in 18% (PMP22,MPZ, LITAF,MFN2). RLS and respiratory insufficiency were mostly associated with severe neuropathy, and pupillary abnormalities with mild to moderate neuropathy.

conclusionsIn CMT patients, additional features occur frequently. Some of them might be helpful in orienting genetic diagnosis. Our data broaden the clinical spectrum and genotype-phenotype associations with CMT.

Indexed as

AdultAgedCharcot-Marie-Tooth DiseaseChildCohort StudiesFemaleGenotypeHumansMagnetic Resonance ImagingMaleMiddle AgedPhenotypeYoung AdultAdditional symptomshereditary motor and sensory neuropathyHMSNpupillary abnormalitiesRLS

Identifiers

PMID27088055
PMCPMC4782242
OpenAlexW2292010795

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.