Evidence map›Paper›PMID 30046681›Full record

ArticleResearch and practice in thrombosis and haemostasis2017

Phenotype analysis and clinical management in a large family with a novel truncating mutation in

Amrita Desai, Wolfgang Bergmeier, Mathias Canault, Marie-Christine Alessi, David S Paul, Paquita Nurden, Xavier Pillois, Wenche Jy, Yeon S Ahn, Alan T Nurden

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-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

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  5. Severe Bleeding Diathesis in Siblings with Platelet Dysfunction due to a Novel NonsenseTH open : companion journal to thrombosis and haemostasis · 2020
    Article
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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

10 authors at 7 institutions in 2 countries.

Amrita DesaiDivision of Hematology/Oncology University of Miami Miami FL USA.
Wolfgang BergmeierMcAllister Heart Institute and Department of Biochemistry and Biophysics University of North Carolina at Chapel Hill Chapel Hill NC USA.
Mathias CanaultAix Marseille Univ INSERM INRA Marseille France.
Marie-Christine AlessiAix Marseille Univ INSERM INRA Marseille France.
David S PaulMcAllister Heart Institute and Department of Biochemistry and Biophysics University of North Carolina at Chapel Hill Chapel Hill NC USA.
Paquita NurdenIHU-LIRYC Plateforme Technologique D'Innovation Biomédicale Hopital Xavier Arnozan Pessac France.
Xavier PilloisIHU-LIRYC Plateforme Technologique D'Innovation Biomédicale Hopital Xavier Arnozan Pessac France.
Wenche JyDivision of Hematology/Oncology University of Miami Miami FL USA.
Yeon S AhnDivision of Hematology/Oncology University of Miami Miami FL USA.
Alan T NurdenIHU-LIRYC Plateforme Technologique D'Innovation Biomédicale Hopital Xavier Arnozan Pessac France.
University of Miami · USUniversity of North Carolina at Chapel Hill · USAix-Marseille Université · FRElectrophysiology and Heart Modeling Institute · FRHôpital Xavier Arnozan · FRInserm · FRPlateforme Technologique d'Innovation Biomédicale · FR

Funding

Rap1 signaling in platelet homeostasis and vascular hemostasisR01HL130404 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERGMEIER, WOLFGANG · 2016 to 2018
$1.2M
NHLBI NIH HHS R01 HL130404
6 · The paper itself

Abstract

backgroundGenetic variants in the

objectivesTo better understand the phenotypical and clinical profiles of patients with CalDAG-GEFI deficiency. PATIENTS: We report a five-generation family with a novel truncating CalDAG-GEFI mutation detailing clinical management and phenotypic variability.

resultsPatients IV.6 & IV.4 manifested with episodes of serious mucocutanous bleeding or bleeding after surgery not responding to platelet transfusion but responding well to recombinant Factor VIIa infusions. Their blood counts and coagulation parameters were normal but platelet aggregation to ADP and collagen was defective. Further work-up confirmed normal levels of αIIb and β3 in their platelets but decreased αIIbβ3 function. DNA analysis by whole exome sequencing within the BRIDGE-BPD consortium (Cambridge, UK), allowed us to highlight a homozygous c.1490delT predicted to give rise to a p.F497Sfs*22 truncating mutation near to the C-terminal domain of CalDAG-GEFI. Sanger sequencing confirmed that both patients were homozygous for the c.1490delT and 3 out of 4 close family members were heterozygous.

conclusionsA long-term prospective study is warranted for full clinical exploration of CalDAG-GEFI to understand the bleeding phenotyes and their management.

Indexed as

bleeding syndromeCalDAG‐GEFIclinical managementinherited platelet disorderRASGRP2 gene

Identifiers

PMID30046681
PMCPMC5974916
OpenAlexW2635127517

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.