Evidence map›Paper›PMID 30564623›Full record

ArticleAnnals of clinical and translational neurology2018

Genetic landscape and novel disease mechanisms from a large LGMD cohort of 4656 patients.

Babi Ramesh Reddy Nallamilli, Samya Chakravorty, Akanchha Kesari, Alice Tanner, Arunkanth Ankala, Thomas Schneider, Cristina da Silva, Randall Beadling, John J Alexander, Syed Hussain Askree and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05618080 (GRASP-01-003), which is not on this map. Cited by 100 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 1 pooled it
12.7field-weighted citation impact, top 1% 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.

NCT05618080 active not recruitingnot on this mapstarted 2024, after this paper: background citation

GRASP-01-003: Trial Readiness and Endpoint Assessment in LGMD R1

TypeobservationalSponsorVirginia Commonwealth UniversityRan2024 to 2028Enrolled100ConditionsCalpain-3 Deficiency Limb Girdle Muscular Dystrophy Type 2A, Limb Girdle Muscular Dystrophy, Limb Girdle Muscular Dystrophy Type R1, LGMD2A
3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 1 synthesis or guideline pooled it, 184 citations in OpenAlex.

  1. Sex differences in the involvement of skeletal and cardiac muscles in myopathicAmerican journal of physiology. Cell physiology · 2022
    Pooled it
  2. Predicting Loss of Ambulation in Limb Girdle Muscular Dystrophy R9.Annals of clinical and translational neurology · 2026
    Observational
  3. Review
  4. Article
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  6. Review
  7. Autosomal Dominant MissenseHuman mutation · 2026
    Article
  8. RecurrentInternational journal of molecular sciences · 2025
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Translating Muscle RNAseq Into the Clinic for the Diagnosis of Muscle Diseases.Annals of clinical and translational neurology · 2025
    Article
  15. Article
  16. Article
  17. A rare homozygousJournal of neuromuscular diseases · 2025
    Article
  18. Review
  19. Article
  20. Article

40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 10 institutions in 2 countries.

Babi Ramesh Reddy NallamilliEmory University Department of Human Genetics Atlanta Georgia 30322.
Samya ChakravortyEmory University Department of Human Genetics Atlanta Georgia 30322.
Akanchha KesariEmory University Department of Human Genetics Atlanta Georgia 30322.
Alice TannerEmory University Department of Human Genetics Atlanta Georgia 30322.
Arunkanth AnkalaEmory University Department of Human Genetics Atlanta Georgia 30322.
Thomas SchneiderEGL Genetics-Eurofins Tucker Atlanta Georgia 30084.
Cristina da SilvaEGL Genetics-Eurofins Tucker Atlanta Georgia 30084.
Randall BeadlingEGL Genetics-Eurofins Tucker Atlanta Georgia 30084.
John J AlexanderEmory University Department of Human Genetics Atlanta Georgia 30322.
Syed Hussain AskreeEmory University Department of Human Genetics Atlanta Georgia 30322.
Zachary WhittEmory University Department of Human Genetics Atlanta Georgia 30322.
Lora BeanEmory University Department of Human Genetics Atlanta Georgia 30322.
Christin CollinsEmory University Department of Human Genetics Atlanta Georgia 30322.
Satish KhadilkarDepartment of Neurology Bombay Hospital Mumbai Maharashtra India.
Pradnya GaitondeCentre for Advanced Molecular Diagnostics in Neuromuscular Disorders (CAMDND) 400022 Mumbai India.
Rashna DasturCentre for Advanced Molecular Diagnostics in Neuromuscular Disorders (CAMDND) 400022 Mumbai India.
Matthew WicklundNeurology The University of Colorado at Denver - Anschutz Medical Campus Aurora Colorado 80045.
Tahseen MozaffarNeurology University of California, Irvine Orange California 92868.
Matthew HarmsDepartment of Neurology Columbia University New York New York 10032.
Laura RufibachJain Foundation Seattle Wisconsin 98115.
Plavi MittalIn-Depth Genomics Bellevue Washington.
Madhuri HegdeEmory University Department of Human Genetics Atlanta Georgia 30322.
Emory University · USEurofins (United States) · USAdvanced Centre for Treatment, Research and Education in Cancer · INBellevue College · USColumbia University · USGeorgia Cancer Specialists · USGrant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals · INJain Foundation · USUniversity of California, Irvine · USUniversity of Colorado Anschutz Medical Campus · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLimb-girdle muscular dystrophies (LGMDs), one of the most heterogeneous neuromuscular disorders (NMDs), involves predominantly proximal-muscle weakness with >30 genes associated with different subtypes. The clinical-genetic overlap among subtypes and with other NMDs complicate disease-subtype identification lengthening diagnostic process, increases overall costs hindering treatment/clinical-trial recruitment. Currently seven LGMD clinical trials are active but still no gene-therapy-related treatment is available. Till-date no nation-wide large-scale LGMD sequencing program was performed. Our objectives were to understand LGMD genetic basis, different subtypes' relative prevalence across US and investigate underlying disease mechanisms.

methodsA total of 4656 patients with clinically suspected-LGMD across US were recruited to conduct next-generation sequencing (NGS)-based gene-panel testing during June-2015 to June-2017 in CLIA-CAP-certified Emory-Genetics-Laboratory. Thirty-five LGMD-subtypes-associated or LGMD-like other NMD-associated genes were investigated. Main outcomes were diagnostic yield, gene-variant spectrum, and LGMD subtypes' prevalence in a large US LGMD-suspected population.

resultsMolecular diagnosis was established in 27% (1259 cases; 95% CI, 26-29%) of the patients with major contributing genes to LGMD phenotypes being:

interpretationOverall, this study has improved our understanding of the relative prevalence of different LGMD subtypes, their respective genetic etiology, and the changing paradigm of their inheritance modes and novel mechanisms that will allow for improved timely treatment, management, and enrolment of molecularly diagnosed individuals in clinical trials.

Identifiers

PMID30564623
PMCPMC6292381
OpenAlexW2902198013

What OpenQuestion holds

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Registered trials

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.