Evidence map›Paper›PMID 28393430›Full record

ArticleAnnals of neurology2017

A mutation in the Tubb4a gene leads to microtubule accumulation with hypomyelination and demyelination.

Ian D Duncan, Marianna Bugiani, Abigail B Radcliff, John J Moran, Camila Lopez-Anido, Phu Duong, Benjamin K August, Nicole I Wolf, Marjo S van der Knaap, John Svaren

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

40 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
  2. The role of genetics and molecular mechanisms in early onset scoliosis.Journal of clinical orthopaedics and trauma · 2026
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  10. Zinc-Finger Protein ZFP488 Regulates the Timing of Oligodendrocyte Myelination and Remyelination.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
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  14. Review
  15. Gross Motor Function in Pediatric OnsetJournal of child neurology · 2023
    Article
  16. Article
  17. Article
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  20. H-ABC- and dystonia-causingScience advances · 2022
    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

10 authors at 3 institutions in 2 countries.

Ian D DuncanDepartment of Medical Sciences, University of Wisconsin-Madison, Madison, WI.
Marianna BugianiDepartment of Pathology, VU University Medical Center, Amsterdam, the Netherlands.
Abigail B RadcliffDepartment of Medical Sciences, University of Wisconsin-Madison, Madison, WI.
John J MoranWaisman Center, University of Wisconsin-Madison, Madison, WI.
Camila Lopez-AnidoWaisman Center, University of Wisconsin-Madison, Madison, WI.
Phu DuongWaisman Center, University of Wisconsin-Madison, Madison, WI.
Benjamin K AugustElectron Microscope Facility, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.
Nicole I WolfCenter for Childhood White Matter Disorders, Amsterdam Neuroscience, VU University Medical Center, Amsterdam, the Netherlands.
Marjo S van der KnaapCenter for Childhood White Matter Disorders, Amsterdam Neuroscience, VU University Medical Center, Amsterdam, the Netherlands.
John SvarenWaisman Center, University of Wisconsin-Madison, Madison, WI.
University of Wisconsin–Madison · USAmsterdam Neuroscience · NLAmsterdam UMC Location VUmc · NL

Funding

GRADUATE TRAINING IN MOLECULAR BIOSCIENCEST32GM007215 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI HULL, CHRISTINA M · 1985 to 2018
$22.5M
Waisman Intellectual and Developmental Disabilities Research Center Down Syndrome RegistryU54HD090256 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI POLLAK, SETH D · 2016 to 2020
$6.0M
Epigenetic Regulation of Peripheral Nerve MyelinationR01NS075269 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI SVAREN, JOHN P · 2011 to 2015
$1.5M
NICHD NIH HHS U54 HD090256NIGMS NIH HHS T32 GM007215NINDS NIH HHS R01 NS075269
6 · The paper itself

Abstract

objectiveOur goal was to define the genetic cause of the profound hypomyelination in the taiep rat model and determine its relevance to human white matter disease.

methodsBased on previous localization of the taiep mutation to rat chromosome 9, we tested whether the mutation resided within the Tubb4a (β-tubulin 4A) gene, because mutations in the TUBB4A gene have been described in patients with central nervous system hypomyelination. To determine whether accumulation of microtubules led to progressive demyelination, we analyzed the spinal cord and optic nerves of 2-year-old rats by light and electron microscopy. Cerebral white matter from a patient with TUBB4A Asn414Lys mutation and magnetic resonance imaging evidence of severe hypomyelination were studied similarly.

resultsAs the taiep rat ages, there is progressive loss of myelin in the brain and dorsal column of the spinal cord associated with increased oligodendrocyte numbers with accumulation of microtubules. This accumulation involved the entire cell body and distal processes of oligodendrocytes, but there was no accumulation of microtubules in axons. A single point mutation in Tubb4a (p.Ala302Thr) was found in homozygous taiep samples. A similar hypomyelination associated with increased oligodendrocyte numbers and arrays of microtubules in oligodendrocytes was demonstrated in the human patient sample.

interpretationThe taiep rat is the first animal model of TUBB4 mutations in humans and a novel system in which to test the mechanism of microtubule accumulation. The finding of microtubule accumulation in a patient with a TUBB4A mutation and leukodystrophy confirms the usefulness of taiep as a model of the human disease. Ann Neurol 2017;81:690-702.

Indexed as

Demyelinating DiseasesDisease Models, AnimalAnimalsChild, PreschoolHumansMagnetic Resonance ImagingMicroscopy, ElectronMicrotubulesOptic NerveRatsSpinal CordTubulinWhite MatterTUBB4A protein, humanTubulin

Identifiers

PMID28393430
PMCPMC5495199
OpenAlexW2607336401

What OpenQuestion holds

Textmetadata
LicenceTDM
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.