Evidence map›Paper›PMID 30124836›Full record

ArticleHuman molecular genetics2018

Homozygous mutation in the Neurofascin gene affecting the glial isoform of Neurofascin causes severe neurodevelopment disorder with hypotonia, amimia and areflexia.

Robert Smigiel, Diane L Sherman, Malgorzata Rydzanicz, Anna Walczak, Dorota Mikolajkow, Barbara Krolak-Olejnik, Joanna Kosinska, Piotr Gasperowicz, Anna Biernacka, Piotr Stawinski and 7 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Human molecular genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Transcriptomic Profiling of Zebrafish Mutant forInternational journal of molecular sciences · 2025
    Article
  2. Altered plasma membrane abundance of the sulfatide-binding protein NF155 links glycosphingolipid imbalances to demyelination.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  3. Review
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  8. Neurofascin antibodies in chronic inflammatory demyelinating polyradiculoneuropathy: from intrinsic genetic background to clinical manifestations.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Review
  9. Article
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  11. Mechanisms of node of Ranvier assembly.Nature reviews. Neuroscience · 2021
    Review
  12. Article
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  17. Ataxia in Patients With Bi-AllelicFrontiers in genetics · 2019
    Article
  18. 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

17 authors at 3 institutions in 2 countries.

Robert SmigielDepartment of Pediatrics and Rare Disorders, Wroclaw Medical University, Wroclaw 51-618, Poland.
Diane L ShermanCentre for Discovery Brain Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK.
Malgorzata RydzaniczDepartment of Medical Genetics, Medical University of Warsaw, Warsaw 02-106, Poland.
Anna WalczakDepartment of Medical Genetics, Medical University of Warsaw, Warsaw 02-106, Poland.
Dorota MikolajkowDepartment of Neonatology, Wroclaw Medical University, Wroclaw 55-556, Poland.
Barbara Krolak-OlejnikDepartment of Neonatology, Wroclaw Medical University, Wroclaw 55-556, Poland.
Joanna KosinskaDepartment of Medical Genetics, Medical University of Warsaw, Warsaw 02-106, Poland.
Piotr GasperowiczDepartment of Medical Genetics, Medical University of Warsaw, Warsaw 02-106, Poland.
Anna BiernackaDepartment of Medical Genetics, Medical University of Warsaw, Warsaw 02-106, Poland.
Piotr StawinskiDepartment of Medical Genetics, Medical University of Warsaw, Warsaw 02-106, Poland.
Malgorzata MarciniakDepartment of Neonatology, Provincial Specialist Hospital, Wroclaw 51-124, Poland.
Witalij AndrzejewskiHospice for Children and Adults, Lodz 91-496, Poland.
Maria BoczarClinics of Surgery of Children and Adolescents, Institute of Mother and Child, Warsaw 01-211, Poland.
Pawel KrajewskiDepartment of Forensic Medicine, Medical University of Warsaw, Warsaw 02-007, Poland.
Maria M SasiadekDepartment of Genetics, Wroclaw Medical University, Wroclaw 50-367, Poland.
Peter J BrophyCentre for Discovery Brain Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK.
Rafal PloskiDepartment of Medical Genetics, Medical University of Warsaw, Warsaw 02-106, Poland.
Medical University of Warsaw · PLWroclaw Medical University · PLUniversity of Edinburgh · GB

Funding

Medical Research Council MR/L011379/1Wellcome TrustWellcome Trust 107008/Z/15/Z
6 · The paper itself

Abstract

The Neurofascins (NFASCs) are a family of proteins encoded by alternative transcripts of NFASC that cooperate in the assembly of the node of Ranvier in myelinated nerves. Differential expression of NFASC in neurons and glia presents a remarkable example of cell-type specific expression of protein isoforms with a common overall function. In mice there are three NFASC isoforms: Nfasc186 and Nfasc140, located in the axonal membrane at the node of Ranvier, and Nfasc155, a glial component of the paranodal axoglial junction. Nfasc186 and Nfasc155 are the major isoforms at mature nodes and paranodes, respectively. Conditional deletion of the glial isoform Nfasc155 in mice causes severe motor coordination defects and death at 16-17 days after birth. We describe a proband with severe congenital hypotonia, contractures of fingers and toes, and no reaction to touch or pain. Whole exome sequencing revealed a homozygous NFASC variant chr1:204953187-C>T (rs755160624). The variant creates a premature stop codon in 3 out of four NFASC human transcripts and is predicted to specifically eliminate Nfasc155 leaving neuronal Neurofascin intact. The selective absence of Nfasc155 and disruption of the paranodal junction was confirmed by an immunofluorescent study of skin biopsies from the patient versus control. We propose that the disease in our proband is the first reported example of genetic deficiency of glial Neurofascin isoforms in humans and that the severity of the condition reflects the importance of the Nfasc155 in forming paranodal axoglial junctions and in determining the structure and function of the node of Ranvier.

Indexed as

MutationAnimalsCell Adhesion MoleculesConditioning, PsychologicalDNA Mutational AnalysisFemaleHomozygoteHumansInfantIntercellular JunctionsMiceMuscle HypotoniaNerve Growth FactorsNervous System DiseasesNeurogliaPolandCell Adhesion MoleculesNerve Growth FactorsNFASC protein, humanNfasc protein, mouseProtein Isoforms

Identifiers

PMID30124836
PMCPMC6196652
OpenAlexW2885983994

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.