Evidence map›Paper›PMID 28782182›Full record

ArticleCNS neuroscience & therapeutics2017

Heterozygous mutations of HTRA1 gene in patients with familial cerebral small vessel disease.

Ilaria Di Donato, Silvia Bianchi, Gian Nicola Gallus, Alfonso Cerase, Ilaria Taglia, Francesca Pescini, Serena Nannucci, Carla Battisti, Domenico Inzitari, Leonardo Pantoni and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.0field-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

28 citing papers in PubMed, 51 citations in OpenAlex.

  1. Genetics of intracerebral hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Dualistic roles and mechanistic insights of macrophage migration inhibitory factor in brain injury and neurodegenerative diseases.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Review
  7. Heterozygous Pathogenic and Likely Pathogenic SymptomaticInternational journal of general medicine · 2023
    Review
  8. HeterozygousNeurology. Genetics · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Identified novel heterozygousFrontiers in genetics · 2022
    Article
  14. Case report: Two unique nonsense mutations inFrontiers in neurology · 2022
    Article
  15. Article
  16. Article
  17. Article
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  19. Article
  20. Frontiers in neurology · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Ilaria Di DonatoDepartment of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Siena, Italy.
Silvia BianchiDepartment of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Siena, Italy.
Gian Nicola GallusDepartment of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Siena, Italy.
Alfonso CeraseUnit NINT Neuroimaging and Neurointervention, Department of Neurological and Sensorineural Sciences, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
Ilaria TagliaDepartment of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Siena, Italy.
Francesca PesciniNEUROFARBA Department, Neuroscience section, University of Florence, Florence, Italy.
Serena NannucciNEUROFARBA Department, Neuroscience section, University of Florence, Florence, Italy.
Carla BattistiDepartment of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Siena, Italy.
Domenico InzitariNEUROFARBA Department, Neuroscience section, University of Florence, Florence, Italy.
Leonardo PantoniNEUROFARBA Department, Neuroscience section, University of Florence, Florence, Italy.
Andrea ZiniStroke Unit, Neurology Clinic, Department of Neuroscience, Nuovo Ospedale Civile S. Agostino-Estense, University Hospital of Modena, Modena, Italy.
Antonio FedericoDepartment of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Siena, Italy.
Maria Teresa DottiDepartment of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Siena, Italy.ORCID http://orcid.org/0000-0001-5731-5642
University of Siena · ITUniversity of Florence · ITAzienda Ospedaliera Universitaria Senese · ITAzienda Unita' Sanitaria Locale Di Modena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCerebral small vessel disease (SVD) is the leading cause of vascular dementia. Although the most of cases are sporadic, familial monogenic causes have been identified in a growing minority of patients. CADASIL, due to mutations of NOTCH3 gene, is the most common genetic SVD, and CARASIL, linked to HTRA1 gene mutations, is a rare but well known autosomal recessive SVD. Recently, also heterozygous HTRA1 mutations have been described in patients with familial SVD. To detect a genetic cause of familial SVD, we performed mutational analysis of HTRA1 gene in a large cohort of Italian NOTCH3-negative patients.

methodsWe recruited 142 NOTCH3-negative patients and 160 healthy age-matched controls. Additional control data were obtained from five pathogenicity prediction software.

resultsFive different HTRA1 heterozygous mutations were detected in nine patients from five unrelated families. Clinical phenotype was typical of SVD, and the onset was presenile. Brain magnetic resonance imaging (MRI) showed a subcortical leukoencephalopathy, with involvement of the external and internal capsule, corpus callosum, and multiple lacunar infarcts. Cerebral microbleeds were also seen, while anterior temporal lobes involvement was not present.

conclusionOur observation further supports the pathogenic role of the heterozygous HTRA1 mutations in familial SVD.

Indexed as

Family HealthAgedBrainCase-Control StudiesCerebral Small Vessel DiseasesDementia, VascularDNA Mutational AnalysisFemaleHigh-Temperature Requirement A Serine Peptidase 1HumansItalyMagnetic Resonance ImagingMaleMiddle AgedMutationReceptor, Notch3High-Temperature Requirement A Serine Peptidase 1HTRA1 protein, humanReceptor, Notch3CADASILCARASILHTRA1NOTCH3small vessel disease

Identifiers

PMID28782182
PMCPMC6492684
OpenAlexW2742231201

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.