Evidence map›Paper›PMID 30515627›Full record

ArticleJournal of neurology2019

Recessive PYROXD1 mutations cause adult-onset limb-girdle-type muscular dystrophy.

Markus T Sainio, Salla Välipakka, Bruno Rinaldi, Helena Lapatto, Anders Paetau, Simo Ojanen, Virginia Brilhante, Manu Jokela, Sanna Huovinen, Mari Auranen and 5 more

Abstract read
In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Enzymology of the metazoan tRNA ligase complex: a lifetime in cycles.Cellular and molecular life sciences : CMLS · 2026
    Review
  2. Article
  3. Myofibrillar myopathy type 8 mimicking a Limb-Girdle Muscle Dystrophy: the first Tunisian case report.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2026
    Article
  4. Review
  5. A rare case of myopathy with fatigability due toJournal of neuromuscular diseases · 2025
    Article
  6. BMJ case reports · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Myopathy associated with homozygous PYROXD1 pathogenic variants detected by genome sequencing.Neuropathology : official journal of the Japanese Society of Neuropathology · 2020
    Article
  12. 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

15 authors.

Markus T SainioResearch Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Salla VälipakkaFolkhälsan Institute of Genetics, Medicum, University of Helsinki, Helsinki, Finland.
Bruno RinaldiDepartment of Molecular and Cellular Genetics, CNRS, GMGM-UMR7156, Université de Strasbourg, Strasbourg, France.
Helena LapattoResearch Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Anders PaetauDepartment of Pathology, HUSLAB and University of Helsinki, Helsinki, Finland.
Simo OjanenResearch Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Virginia BrilhanteResearch Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Manu JokelaDivision of Clinical Neurosciences, Turku University Hospital, University of Turku, Turku, Finland.
Sanna HuovinenDepartment of Pathology, Fimlab Laboratories, Tampere University Hospital, Tampere, Finland.
Mari AuranenClinical Neurosciences, Neurology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Johanna PalmioDepartment of Neurology, Neuromuscular Research Center, University Hospital and University of Tampere, Tampere, Finland.
Sylvie FriantDepartment of Molecular and Cellular Genetics, CNRS, GMGM-UMR7156, Université de Strasbourg, Strasbourg, France.
Emil YlikallioResearch Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Bjarne UddDepartment of Neurology, Neuromuscular Research Center, University Hospital and University of Tampere, Tampere, Finland.
Henna TyynismaaResearch Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland. henna.tyynismaa@helsinki.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe adult-onset limb-girdle-type muscular dystrophy caused by biallelic variants in the PYROXD1 gene, which has been recently linked to early-onset congenital myofibrillar myopathy.

methodsWhole exome sequencing was performed for adult-onset neuromuscular disease patients with no molecular diagnosis. Patients with PYROXD1 variants underwent clinical characterization, lower limb muscle MRI, muscle biopsy and spirometry. A yeast complementation assay was used to determine the biochemical consequences of the genetic variants.

resultsWe identified four patients with biallelic PYROXD1 variants. Three patients, who had symptom onset in their 20s or 30s, were homozygous for the previously described p.Asn155Ser. The fourth patient, with symptom onset at age 49, was compound heterozygous for p.Asn155Ser variant and previously unknown p.Tyr354Cys. All patients presented with a LGMD-type phenotype of symmetric muscle weakness and wasting. Symptoms started in proximal muscles of the lower limbs, and progressed slowly to involve also upper limbs in a proximal-predominant fashion. All patients remained ambulant past the age of 60. They had restrictive lung disease but no cardiac impairment. Muscle MRI showed strong involvement of anterolateral thigh muscles. Muscle biopsy displayed chronic myopathic changes. Yeast complementation assay demonstrated the p.Tyr354Cys mutation to impair PYROXD1 oxidoreductase ability.

conclusionPYROXD1 variants can cause an adult-onset slowly progressive LGMD-type phenotype.

Indexed as

AgedExome SequencingFemaleFinlandGenes, RecessiveHumansMaleMuscular Dystrophies, Limb-GirdleOxidoreductasesPedigreeOxidoreductasesExome sequencingLimb-girdle muscular dystrophyMyopathyPYROXD1

Identifiers

PMID30515627
PMCPMC6373352

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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.