Evidence map›Paper›PMID 27657133›Full record

ArticleGenes2016

Molecular Inconsistencies in a Fragile X Male with Early Onset Ataxia.

Yun Tae Hwang, Tracy Dudding, Solange Mabel Aliaga, Marta Arpone, David Francis, Xin Li, Howard Robert Slater, Carolyn Rogers, Lesley Bretherton, Desirée du Sart and 2 more

Erratum issuedOpen access · goldAbstract readCase Reports
In one paragraph

Article in Genes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Significantly ElevatedInternational journal of molecular sciences · 2019
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  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Yun Tae HwangDepartment of Neurology, Gosford Hospital, Gosford 2250, Australia. y.hwang@ucl.ac.uk.
Tracy DuddingGenetics of Learning Disability Service, Hunger Genetics, Waratah 2298, Australia. Tracy.Dudding@hnehealth.nsw.gov.au.
Solange Mabel AliagaCyto-molecular Diagnostic Research Laboratory, Victorian Clinical Genetics Services and Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne 3052, Australia. solange.aliagavera@mcri.edu.au.
Marta ArponeCyto-molecular Diagnostic Research Laboratory, Victorian Clinical Genetics Services and Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne 3052, Australia. marta.arpone@mcri.edu.au.
David FrancisCyto-molecular Diagnostic Research Laboratory, Victorian Clinical Genetics Services and Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne 3052, Australia. david.francis@vcgs.org.au.
Xin LiCyto-molecular Diagnostic Research Laboratory, Victorian Clinical Genetics Services and Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne 3052, Australia. xin.li@mcri.edu.au.
Howard Robert SlaterCyto-molecular Diagnostic Research Laboratory, Victorian Clinical Genetics Services and Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne 3052, Australia. howard.slater@vcgs.org.au.
Carolyn RogersGenetics of Learning Disability Service, Hunger Genetics, Waratah 2298, Australia. Carolyn.Rogers@hnehealth.nsw.gov.au.
Lesley BrethertonPsychology Service, Royal Children's Hospital, Melbourne 3052, Australia. Lesley.Bretherton@rch.org.au.
Desirée du SartMolecular Genetics Laboratory, Victorian Clinical Genetics Services and Murdoch Childrens Research Institute, Royal children's Hospital, Melbourne 3052, Australia. dusart.desiree@mcri.edu.au.
Robert HeardFaculty of Medicine, University of Newcastle, Newcastle 2303, Australia. morkeu@gmail.com.
David Eugeny GodlerMolecular and Cytogenetics Laboratory, INTA University of Chile, Santiago 7830490, Chile. david.godler@mcri.edu.au.
Royal Children's Hospital · AUHunter Genetics · AUGosford Hospital · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mosaicism for FMR1 premutation (PM: 55-199 CGG)/full mutation (FM: >200 CGG) alleles or the presence of unmethylated FM (UFM) have been associated with a less severe fragile X syndrome (FXS) phenotype and fragile X associated tremor/ataxia syndrome (FXTAS)-a late onset neurodegenerative disorder. We describe a 38 year old male carrying a 100% methylated FM detected with Southern blot (SB), which is consistent with complete silencing of FMR1 and a diagnosis of fragile X syndrome. However, his formal cognitive scores were not at the most severe end of the FXS phenotype and he displayed tremor and ataxic gait. With the association of UFM with FXTAS, we speculated that his ataxia might be related to an undetected proportion of UFM alleles. Such UFM alleles were confirmed by more sensitive PCR based methylation testing showing FM methylation between 60% and 70% in blood, buccal, and saliva samples and real-time PCR analysis showing incomplete silencing of FMR1. While he did not meet diagnostic criteria for FXTAS based on MRI findings, the underlying cause of his ataxia may be related to UFM alleles not detected by SB, and follow-up clinical and molecular assessment are justified if his symptoms worsen.

Indexed as

AmplideXataxiaFMR1fragile X syndromeFXTASmethylationmosaicismRNA toxicitySouthern blottremor

Identifiers

PMID27657133
PMCPMC5042398
OpenAlexW2490186392

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.