Evidence map›Paper›PMID 30729751›Full record

ArticleMolecular genetics & genomic medicine2019

Functional characterization of a novel CSF1R mutation causing hereditary diffuse leukoencephalopathy with spheroids.

Torsten Kraya, Dagmar Quandt, Thorsten Pfirrmann, Andrea Kindermann, Leonie Lampe, Matthias L Schroeter, Jürgen Kohlhase, Dietrich Stoevesandt, Katrin Hoffmann, Pablo Villavicencio-Lorini

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. CSF1R-related disorder: A clinical, imaging and genetic profile review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. The Primary Microglial Leukodystrophies: A Review.International journal of molecular sciences · 2022
    Review
  8. Two Novel Intronic Mutations in theFrontiers in cell and developmental biology · 2022
    Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. A Novel Missense Mutation of theInternational journal of general medicine · 2020
    Article
  14. Article
  15. Review
  16. 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

10 authors at 3 institutions in 2 countries.

Torsten KrayaDepartment of Neurology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Dagmar QuandtInstitute of Anatomy and Cell Biology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Thorsten PfirrmannInstitute of Physiological Chemistry, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Andrea KindermannInstitute of Anatomy and Cell Biology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Leonie LampeMax-Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Matthias L SchroeterMax-Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Jürgen KohlhaseSYNLAB Center for Human Genetics Freiburg, Freiburg, Germany.
Dietrich StoevesandtDepartment of Radiology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Katrin HoffmannInstitute of Human Genetics, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Pablo Villavicencio-LoriniInstitute of Human Genetics, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.ORCID 0000-0002-4906-1539
Martin Luther University Halle-Wittenberg · DEUniversity Hospital Leipzig · DESynlab Czech (Czechia) · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColony-stimulating factor 1 receptor is a tyrosine kinase transmembrane protein that mediates proliferation, differentiation, and survival of monocytes/macrophages and microglia. CSF1R gene mutations cause hereditary diffuse leukoencephalopathy with spheroids (HDLS), an autosomal-dominantly inherited microgliopathy, leading to early onset dementia with high lethality.

methodsBy interdisciplinary assessment of a complex neuropsychiatric condition in a 44-year old female patient, we narrowed down the genetic diagnostic to CSF1R gene sequencing. Flow cytometric analyses of uncultivated peripheral blood monocytes were conducted sequentially to measure the cell surface CSF1 receptor and autophosphorylation levels. Monocyte subpopulations were monitored during disease progression.

resultsWe identified a novel heterozygous deletion-insertion mutation c.2527_2530delinsGGCA, p.(Ile843_Leu844delinsGlyIle) in our patient with initial signs of HDLS. Marginally elevated cell surface CSF1 receptor levels with increased Tyr723 autophosphorylation suggest an enhanced receptor activity. Furthermore, we observed a shift in monocyte subpopulations during disease course.

conclusionOur data indicate a mutation-related CSF1R gain-of-function, accompanied by an altered composition of the peripheral innate immune cells in our patient with HDLS. Since pharmacological targeting of CSF1R with tyrosine kinase inhibitors prevents disease progression in mouse models of neurodegenerative disorders, a potential pharmacological benefit of CSF1R inhibition remains to be elucidated for patients with HDLS.

Indexed as

Gain of Function MutationAdultFemaleHeterozygoteHumansLeukoencephalopathiesReceptor, Macrophage Colony-Stimulating FactorReceptors, Granulocyte-Macrophage Colony-Stimulating FactorCSF1R protein, humanReceptor, Macrophage Colony-Stimulating FactorReceptors, Granulocyte-Macrophage Colony-Stimulating Factorclinical diagnosticsdiseaseDNAgenemolecular biologymutation

Identifiers

PMID30729751
PMCPMC6465730
OpenAlexW2912669376

What OpenQuestion holds

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LicenceCC BY
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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.