Evidence map›Paper›PMID 27588448›Full record

ArticleAmerican journal of human genetics2016

Rare Variants in MME, Encoding Metalloprotease Neprilysin, Are Linked to Late-Onset Autosomal-Dominant Axonal Polyneuropathies.

Michaela Auer-Grumbach, Stefan Toegel, Maria Schabhüttl, Daniela Weinmann, Catharina Chiari, David L H Bennett, Christian Beetz, Dennis Klein, Peter M Andersen, Ilka Böhme and 22 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 59 citations in OpenAlex.

  1. Late-Onset Charcot-Marie-Tooth Type 2 Patient: MME Gene Mutation.Annals of Indian Academy of Neurology · 2026
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  18. Impaired Mitochondrial Mobility in Charcot-Marie-Tooth Disease.Frontiers in cell and developmental biology · 2021
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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

32 authors at 17 institutions in 7 countries.

Michaela Auer-GrumbachDepartment of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria. Electronic address: michaela.auer-grumbach@meduniwien.ac.at.
Stefan ToegelDepartment of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria; Karl Chiari Lab for Orthopaedic Biology, Department of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria.
Maria SchabhüttlDepartment of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria.
Daniela WeinmannDepartment of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria; Karl Chiari Lab for Orthopaedic Biology, Department of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria.
Catharina ChiariDepartment of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria; Karl Chiari Lab for Orthopaedic Biology, Department of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria.
David L H BennettNuffield Department of Clinical Neurosciences, University of Oxford, Oxford OX3 9DU, UK.
Christian BeetzDepartment of Clinical Chemistry and Laboratory Medicine, Jena University Hospital, Jena 07745, Germany.
Dennis KleinDepartment of Neurology, Developmental Neurobiology, University Hospital Würzburg, Würzburg 97080, Germany.
Peter M AndersenDepartment of Pharmacology and Clinical Neuroscience, Umeå University, Umeå 901 85, Sweden.
Ilka BöhmeDepartment of Pediatric Surgery, University of Leipzig, Leipzig 04103, Germany.
Regina Fink-PuchesDepartment of Dermatology, Medical University of Graz, Graz 8036, Austria.
Michael GonzalezThe Genesis Project Inc., Miami, FL 3136, USA.
Matthew B HarmsDepartment of Neurology, Columbia University, New York, NY 10032, USA.
William MotleyDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104-6077, USA.
Mary M ReillyMRC Centre for Neuromuscular Diseases, UCL Institute of Neurology, London WC1N 3BG, UK.
Wilfried RennerClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz 8036, Austria.
Sabine Rudnik-SchönebornDivision of Human Genetics, Medical University of Innsbruck, Innsbruck 6020, Austria.
Beate Schlotter-WeigelFriedrich-Baur-Institute, Ludwig Maximilians University Munich, Munich 80336, Germany.
Andreas C ThemistocleousNuffield Department of Clinical Neurosciences, University of Oxford, Oxford OX3 9DU, UK; Brain Function Research Group, School of Physiology, Faculty of Health Science, University of the Witwatersrand, Johannesburg 2193, South Africa.
Jochen H WeishauptNeurology Department, Ulm University, Ulm 89081, Germany.
Albert C LudolphNeurology Department, Ulm University, Ulm 89081, Germany.
Thomas WielandInstitute of Human Genetics, Helmholtz Zentrum Munich - German Research Center for Environmental Health, Neuherberg 85764, Germany.
Feifei TaoDepartment of Human Genetics and Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Lisa AbreuDepartment of Human Genetics and Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Reinhard WindhagerDepartment of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria; Karl Chiari Lab for Orthopaedic Biology, Department of Orthopaedics, Medical University of Vienna, Vienna 1090, Austria.
Manuela ZitzelsbergerFriedrich-Baur-Institute, Ludwig Maximilians University Munich, Munich 80336, Germany.
Tim M StromInstitute of Human Genetics, Helmholtz Zentrum Munich - German Research Center for Environmental Health, Neuherberg 85764, Germany; Institute for Human Genetics, Technical University Munich, Munich 81675, Germany.
Thomas WaltherDepartment of Pharmacology and Therapeutics, University College Cork, Cork T12 YT57, Ireland; Department of Obstetrics, University of Leipzig, Leipzig 04103, Germany.
Steven S SchererDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104-6077, USA.
Stephan ZüchnerDepartment of Human Genetics and Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Rudolf MartiniDepartment of Neurology, Developmental Neurobiology, University Hospital Würzburg, Würzburg 97080, Germany.
Jan SenderekFriedrich-Baur-Institute, Ludwig Maximilians University Munich, Munich 80336, Germany. Electronic address: jan.senderek@med.uni-muenchen.de.
Medical University of Vienna · ATFriedrich Baur Stiftung · DEUniversity of Miami · USHelmholtz Zentrum München · DEMedical University of Graz · ATUniversitätsklinikum Würzburg · DEUniversität Ulm · DEUniversity of Pennsylvania · USColumbia University · USInnsbruck Medical University · ATJena University Hospital · DELeipzig University · DELeipzig University of Applied Sciences · DEUmeå University · SEUniversity College London · GBUniversity of Oxford · GBUniversity of the Witwatersrand · ZA

Funding

trainingU54NS065712 · NINDS · WAYNE STATE UNIVERSITY · PI SHY, MICHAEL E. · 2009 to 2023
$19.6M
Genomic Studies in Charcot-Marie-Tooth DiseaseR01NS075764 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SHY, MICHAEL E., ZUCHNER, STEPHAN · 2012 to 2016
$3.0M
Austrian Science Fund FWF P 27634NINDS NIH HHS R01 NS075764NINDS NIH HHS U54 NS065712
6 · The paper itself

Abstract

Axonal polyneuropathies are a frequent cause of progressive disability in the elderly. Common etiologies comprise diabetes mellitus, paraproteinaemia, and inflammatory disorders, but often the underlying causes remain elusive. Late-onset axonal Charcot-Marie-Tooth neuropathy (CMT2) is an autosomal-dominantly inherited condition that manifests in the second half of life and is genetically largely unexplained. We assumed age-dependent penetrance of mutations in a so far unknown gene causing late-onset CMT2. We screened 51 index case subjects with late-onset CMT2 for mutations by whole-exome (WES) and Sanger sequencing and subsequently queried WES repositories for further case subjects carrying mutations in the identified candidate gene. We studied nerve pathology and tissue levels and function of the abnormal protein in order to explore consequences of the mutations. Altogether, we observed heterozygous rare loss-of-function and missense mutations in MME encoding the metalloprotease neprilysin in 19 index case subjects diagnosed with axonal polyneuropathies or neurodegenerative conditions involving the peripheral nervous system. MME mutations segregated in an autosomal-dominant fashion with age-related incomplete penetrance and some affected individuals were isolated case subjects. We also found that MME mutations resulted in strongly decreased tissue availability of neprilysin and impaired enzymatic activity. Although neprilysin is known to degrade β-amyloid, we observed no increased amyloid deposition or increased incidence of dementia in individuals with MME mutations. Detection of MME mutations is expected to increase the diagnostic yield in late-onset polyneuropathies, and it will be tempting to explore whether substances that can elevate neprilysin activity could be a rational option for treatment.

Indexed as

Adipose TissueAdultAgedAged, 80 and overAge of OnsetAgingAllelesAmyloid beta-PeptidesAnimalsAxonsCharcot-Marie-Tooth DiseaseDatabases, GeneticDementiaDNA Mutational AnalysisExomeGenes, DominantAmyloid beta-PeptidesNeprilysin

Identifiers

PMID27588448
PMCPMC5011077
OpenAlexW2517280325

What OpenQuestion holds

Textmetadata
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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.