Evidence map›Paper›PMID 30257713›Full record

ArticleOrphanet journal of rare diseases2018

Broad phenotypic spectrum and genotype-phenotype correlations in GMPPB-related dystroglycanopathies: an Italian cross-sectional study.

Guja Astrea, Alessandro Romano, Corrado Angelini, Carlo Giuseppe Antozzi, Rita Barresi, Roberta Battini, Carla Battisti, Enrico Bertini, Claudio Bruno, Denise Cassandrini and 26 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.0field-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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Strabismus in Genetic Syndromes: A Review.Clinical & experimental ophthalmology · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  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

36 authors at 15 institutions in 4 countries.

Guja AstreaDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy. gastrea@fsm.unipi.it.
Alessandro RomanoNeuropathology Unit, Institute of Experimental Neurology and Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Corrado AngeliniFondazione San Camillo Hospital IRCCS, Lido Venice, Italy.
Carlo Giuseppe AntozziDepartment of Neuroimmunology and Neuromuscular Disorders, Neurological Institute "C. Besta" IRCCS Foundation, Milan, Italy.
Rita BarresiRare Diseases Advisory Group Service for Neuromuscular Diseases, Muscle Immunoanalysis Unit, Dental Hospital, and The John Walton Muscular Dystrophy Research Centre, MRC Centre for Neuromuscular Diseases Institute of Genetic Medicine, University of Newcastle, Newcastle upon Tyne, UK.
Roberta BattiniDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy.
Carla BattistiDepartment of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy.
Enrico BertiniUnit of Neuromuscular and Neurodegenerative Disorders, Department of Neurosciences, Bambino Gesù Children's Hospital, Rome, Italy.
Claudio BrunoCenter of Myology and Neurodegenerative Disorders, G. Gaslini Institute, Genoa, Italy.
Denise CassandriniDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy.
Marina FaninNeurological Science Department and Venetian Institute of Molecular Medicine, University of Padua, Padua, Italy.
Fabiana FattoriUnit of Neuromuscular and Neurodegenerative Disorders, Department of Neurosciences, Bambino Gesù Children's Hospital, Rome, Italy.
Chiara FiorilloPediatric Neurology and Muscular Diseases Unit, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, "G. Gaslini" Institute, Genoa, Italy.
Renzo GuerriniPediatric Neurology Unit and Laboratories, Children's Hospital A. Meyer-University of Florence, Florence, Italy.
Lorenzo MaggiDepartment of Neuroimmunology and Neuromuscular Disorders, Neurological Institute "C. Besta" IRCCS Foundation, Milan, Italy.
Eugenio MercuriPediatric Neurology Unit, Department of Women's and Children's Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Federica MoraniDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy.
Marina MoraDepartment of Neuroimmunology and Neuromuscular Disorders, Neurological Institute "C. Besta" IRCCS Foundation, Milan, Italy.
Francesca MoroDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy.
Ilaria PezziniDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy.
Esther PicilloCardiomyology and Genetic Section, Department of Internal and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Michele PinelliDepartment of Translational Medicine, Federico II University, Naples, Italy.
Luisa PolitanoCardiomyology and Genetic Section, Department of Internal and Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Anna RubegniDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy.
Walter SanseverinoSequentia Biotech SL, Barcelona, Spain.
Marco SavareseTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Pasquale StrianoPediatric Neurology and Muscular Diseases Unit, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, "G. Gaslini" Institute, Genoa, Italy.
Annalaura TorellaTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Carlo Pietro TrevisanDepartment of Neurological and Psychiatric Sciences, University of Padua, Padua, Italy.
Rosanna TrovatoDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy.
Irina ZaraievaDubowitz Neuromuscular Centre (F. Muntoni), UCL Great Ormond Street Institute of Child Health, London, UK.
Francesco MuntoniDubowitz Neuromuscular Centre (F. Muntoni), UCL Great Ormond Street Institute of Child Health, London, UK.
Vincenzo NigroTelethon Institute of Genetics and Medicine, Pozzuoli, Naples, Italy.
Adele D'AmicoUnit of Neuromuscular and Neurodegenerative Disorders, Department of Neurosciences, Bambino Gesù Children's Hospital, Rome, Italy.
Filippo M SantorelliDepartment of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy. filippo3364@gmail.com.
Italian CMD Network
Fondazione Stella Maris · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Padua · ITGreat Ormond Street Hospital · GBIstituto Giannina Gaslini · ITMeyer Children's Hospital · ITSOM Biotech (Spain) · ESUniversità Cattolica del Sacro Cuore · ITUniversity of Siena · ITVita-Salute San Raffaele University · ITBambino Gesù Children's Hospital · ITMuscular Dystrophy UK · GBOspedale generale di zona San Camillo Treviso · ITTelethon Institute Of Genetics And Medicine · ITUniversity of Helsinki · FI

Funding

Fondazione Telethon GUP13004Regione Toscana FAS SALUTE 2014
6 · The paper itself

Abstract

backgroundDystroglycanopathy (α-DG) is a relatively common, clinically and genetically heterogeneous category of congenital forms of muscular dystrophy (CMD) and limb-girdle muscular dystrophy (LGMD) associated with hypoglycosylated α-dystroglycan. To date, mutations in at least 19 genes have been associated with α-DG. One of them, GMPPB, encoding the guanosine-diphosphate-mannose (GDP-mannose) pyrophosphorylase B protein, has recently been associated with a wide clinical spectrum ranging from severe Walker-Warburg syndrome to pseudo-metabolic myopathy and even congenital myasthenic syndromes. We re-sequenced the full set of known disease genes in 73 Italian patients with evidence of either reduced or nearly absent α-dystroglycan to assess genotype-phenotype correlations in this cohort. We used innovative bioinformatic tools to calculate the effects of all described GMPPB mutations on protein function and attempted to correlate them with phenotypic expressions.

resultsWe identified 13 additional cases from 12 families and defined seven novel mutations. Patients displayed variable phenotypes including less typical pictures, ranging from asymptomatic hyperCKemia, to arthrogryposis and congenital clubfoot at birth, and also showed neurodevelopmental comorbidities, such as seizures and ataxic gait, as well as autism-spectrum disorder, which is seldom described in clinical reports of dystroglycanopathies. We also demonstrated that few mutations recur in the Italian GMPPB-mutated population and that alterations of protein stability are the main effects of GMPPB missense variants.

conclusionThis work adds to the data on genotype-phenotype correlations in α-DG and offers new bionformatic tools to provide the conceptual framework needed to understand the complexity of these disorders.

Indexed as

AdultAgedCross-Sectional StudiesDystroglycansFemaleGenetic Association StudiesHumansMaleMiddle AgedMuscular DystrophiesMuscular Dystrophies, Limb-GirdleMutationMutation, MissenseNucleotidyltransferasesYoung AdultDystroglycansmannose 1-phosphate guanylyltransferaseNucleotidyltransferasesCongenital muscular dystrophyDystroglycanopathiesGenotype-phenotype correlationsGMPPBLimb-girdle muscular dystrophy

Identifiers

PMID30257713
PMCPMC6158856
OpenAlexW2892587991

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.