Evidence map›Paper›PMID 30788592›Full record

ArticleHuman genetics2019

Complete sequencing of the SMN2 gene in SMA patients detects SMN gene deletion junctions and variants in SMN2 that modify the SMA phenotype.

Corey Ruhno, Vicki L McGovern, Matthew R Avenarius, Pamela J Snyder, Thomas W Prior, Flavia C Nery, Abdurrahman Muhtaseb, Jennifer S Roggenbuck, John T Kissel, Valeria A Sansone and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Human genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

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  12. [Research progress on phenotypic modifier genes in spinal muscular atrophy].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
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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

16 authors at 5 institutions in 2 countries.

Corey RuhnoDepartment of Biological Chemistry and Pharmacology, The Ohio State University, Columbus, OH, USA.
Vicki L McGovernDepartment of Biological Chemistry and Pharmacology, The Ohio State University, Columbus, OH, USA.
Matthew R AvenariusNationwide Children's Hospital, Columbus, OH, USA.
Pamela J SnyderDepartment of Pathology, The Ohio State University, Columbus, OH, USA.
Thomas W PriorDepartment of Pathology, Case Western Reserve Medical Center, Cleveland, OH, USA.
Flavia C NeryDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Abdurrahman MuhtasebDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Jennifer S RoggenbuckDepartment of Neurology, The Ohio State University, Columbus, OH, USA.
John T KisselDepartment of Neurology, The Ohio State University, Columbus, OH, USA.
Valeria A SansoneThe NEMO Clinical Center, University of Milan, Milan, Italy.
Jennifer J SiranosianDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Alec J JohnstoneDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Pann H NweDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Ren Z ZhangDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Kathryn J SwobodaDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Arthur H M BurghesDepartment of Biological Chemistry and Pharmacology, The Ohio State University, Columbus, OH, USA. burghes.1@osu.edu.
Massachusetts General Hospital · USThe Ohio State University · USCase Western Reserve University · USNationwide Children's Hospital · USUniversity of Milan · IT

Funding

Newborn screening for identification & prospective followup of infants with SMAR01HD069045 · NICHD · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 2011 to 2015
$4.3M
Therapy for Spinal Muscular AtrophyR01HD060586 · NICHD · OHIO STATE UNIVERSITY · PI BURGHES, ARTHUR H. M. · 2010 to 2021
$3.7M
National Institute of Child Health and Human Development HD060586National Institute of Child Health and Human Development R01HD069045NICHD NIH HHS R01 HD060586NICHD NIH HHS R01 HD069045
6 · The paper itself

Abstract

Spinal muscular atrophy (SMA) is a progressive motor neuron disease caused by loss or mutation of the survival motor neuron 1 (SMN1) gene and retention of SMN2. We performed targeted capture and sequencing of the SMN2, CFTR, and PLS3 genes in 217 SMA patients. We identified a 6.3 kilobase deletion that occurred in both SMN1 and SMN2 (SMN1/2) and removed exons 7 and 8. The deletion junction was flanked by a 21 bp repeat that occurred 15 times in the SMN1/2 gene. We screened for its presence in 466 individuals with the known SMN1 and SMN2 copy numbers. In individuals with 1 SMN1 and 0 SMN2 copies, the deletion occurred in 63% of cases. We modeled the deletion junction frequency and determined that the deletion occurred in both SMN1 and SMN2. We have identified the first deletion junction where the deletion removes exons 7 and 8 of SMN1/2. As it occurred in SMN1, it is a pathogenic mutation. We called variants in the PLS3 and SMN2 genes, and tested for association with mild or severe exception patients. The variants A-44G, A-549G, and C-1897T in intron 6 of SMN2 were significantly associated with mild exception patients, but no PLS3 variants correlated with severity. The variants occurred in 14 out of 58 of our mild exception patients, indicating that mild exception patients with an intact SMN2 gene and without modifying variants occur. This sample set can be used in the association analysis of candidate genes outside of SMN2 that modify the SMA phenotype.

Indexed as

Gene DeletionGenetic Association StudiesPhenotypeBase SequenceComputational BiologyGene DosageGene FrequencyGenetic LinkageHigh-Throughput Nucleotide SequencingHumansInheritance PatternsMuscular Atrophy, SpinalPedigreePolymorphism, Single NucleotideSurvival of Motor Neuron 1 ProteinSurvival of Motor Neuron 2 ProteinSMN1 protein, humanSMN2 protein, humanSurvival of Motor Neuron 1 ProteinSurvival of Motor Neuron 2 ProteinDeletionModifierSMASMN1SMN2

Identifiers

PMID30788592
PMCPMC6503527
OpenAlexW2916960543

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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.