Evidence map›Paper›PMID 29451896›Full record

ArticlePloS one2018

Hypomyelinating disorders in China: The clinical and genetic heterogeneity in 119 patients.

Haoran Ji, Dongxiao Li, Ye Wu, Quanli Zhang, Qiang Gu, Han Xie, Taoyun Ji, Huifang Wang, Lu Zhao, Haijuan Zhao and 17 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. NovelWorld journal of clinical pediatrics · 2026
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  2. Frontiers in genetics · 2026
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  13. Neurology. Genetics · 2021
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  14. GM1 Gangliosidosis: Mechanisms and Management.The application of clinical genetics · 2021
    Review
  15. Article
  16. Microtubule Dysfunction: A Common Feature of Neurodegenerative Diseases.International journal of molecular sciences · 2020
    Review
  17. Article
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  19. Article
  20. 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

27 authors at 2 institutions in 1 country.

Haoran JiDepartment of Pediatrics, Peking University First Hospital, Beijing, China.ORCID 0000-0001-8018-971X
Dongxiao LiDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Ye WuDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Quanli ZhangDepartment of Radiology, Peking University First Hospital, Beijing, China.
Qiang GuDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Han XieDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Taoyun JiDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Huifang WangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Lu ZhaoDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Haijuan ZhaoDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Yanling YangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Hongchun FengDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Hui XiongDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Jinhua JiDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Zhixian YangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Liping KouDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Ming LiDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Xinhua BaoDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Xingzhi ChangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Yuehua ZhangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Li LiDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Huijuan LiDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Zhengping NiuDepartment of Neurology, First Hospital of Shanxi Medical University, Taiyuan, China.
Xiru WuDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Jiangxi XiaoDepartment of Radiology, Peking University First Hospital, Beijing, China.
Yuwu JiangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Jingmin WangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Peking University · CNShanxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHypomyelinating disorders are a group of clinically and genetically heterogeneous diseases characterized by neurological deterioration with hypomyelination visible on brain MRI scans. This study was aimed to clarify the clinical and genetic features of HMDs in Chinese population.

methods119 patients with hypomyelinating disorders in Chinese population were enrolled and evaluated based on their history, clinical manifestation, laboratory examinations, series of brain MRI with follow-up, genetic etiological tests including chromosomal analysis, multiplex ligation probe amplification, Sanger sequencing, targeted enrichment-based next-generation sequencing and whole exome sequencing.

resultsClinical and genetic features of hypomyelinating disorders were revealed. Nine different hypomyelinating disorders were identified in 119 patients: Pelizaeus-Merzbacher disease (94, 79%), Pelizaeus-Merzbacher-like disease (10, 8%), hypomyelination with atrophy of the basal ganglia and cerebellum (3, 3%), GM1 gangliosidosis (5, 4%), GM2 gangliosidosis (3, 3%), trichothiodystrophy (1, 1%), Pol III-related leukodystrophy (1, 1%), hypomyelinating leukodystrophy type 9 (1, 1%), and chromosome 18q deletion syndrome (1, 1%). Of the sample, 94% (112/119) of the patients were genetically diagnosed, including 111 with mutations distributing across 9 genes including PLP1, GJC2, TUBB4A, GLB1, HEXA, HEXB, ERCC2, POLR3A, and RARS and 1 with mosaic chromosomal change of 46, XX,del(18)(q21.3)/46,XX,r(18)(p11.32q21.3)/45,XX,-18. Eighteen novel mutations were discovered. Mutations in POLR3A and RARS were first identified in Chinese patients with Pol III-related leukodystrophy and hypomyelinating leukodystrophy, respectively. SIGNIFICANCE: This is the first report on clinical and genetic features of hypomyelinating disorders with a large sample of patients in Chinese population, identifying 18 novel mutations especially mutations in POLR3A and RARS in Chinese patients, expanding clinical and genetic spectrums of hypomyelinating disorders.

Indexed as

Genetic HeterogeneityChinaChromosome BandingFemaleHereditary Central Nervous System Demyelinating DiseasesHumansInfantInfant, NewbornKaryotypingMagnetic Resonance ImagingMale

Identifiers

PMID29451896
PMCPMC5815574
OpenAlexW2792986662

What OpenQuestion holds

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LicenceCC BY
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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.