Evidence map›Paper›PMID 31008308›Full record

ArticleEuropean stroke journal2017

Next generation sequencing analysis of patients with familial cervical artery dissection.

Caspar Grond-Ginsbach, Tobias Brandt, Manja Kloss, Suna Su Aksay, Philipp Lyrer, Christopher Traenka, Philipp Erhart, Juan Jose Martin, Ayse Altintas, Aksel Siva and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in European stroke journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Hereditary connective tissue disorders in unselected patients with spontaneous cervical artery dissection: a targeted next generation sequencing approach and systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  8. Missense Variants inNeurology international · 2024
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  12. Article
  13. Arterial dissections: Common features and new perspectives.Frontiers in cardiovascular medicine · 2022
    Review
  14. Cervical Artery Dissections: Etiopathogenesis and Management.Vascular health and risk management · 2022
    Review
  15. Cervical Artery Dissection and Sports.Frontiers in neurology · 2021
    Article
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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 11 institutions in 5 countries.

Caspar Grond-GinsbachDepartment of Neurology, University of Heidelberg, Heidelberg, Germany.
Tobias BrandtClinics for Neurologic Rehabilitation, Kliniken Schmieder, Heidelberg, Germany.
Manja KlossDepartment of Neurology, University of Heidelberg, Heidelberg, Germany.
Suna Su AksayDepartment of Neurology, University of Heidelberg, Heidelberg, Germany.
Philipp LyrerDepartment of Neurology and Stroke Center, Basel University Hospital, Basel, Switzerland.
Christopher TraenkaDepartment of Neurology and Stroke Center, Basel University Hospital, Basel, Switzerland.
Philipp ErhartDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Germany.
Juan Jose MartinDepartment of Neurology, Sanatorio Allende, Cordoba, Argentina.
Ayse AltintasNeurology Department, Cerrahpasa Medical School, Istanbul University, Turkey.
Aksel SivaNeurology Department, Cerrahpasa Medical School, Istanbul University, Turkey.
Gabriel R de FreitasService of Neurology, Hospital Quinta D'Or/D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil.
Andreas ThieKlinikum und Seniorenzentrum Itzehoe, Itzehoe, Germany.
Jochen MachetanzStädtisches Krankenhaus Dresden-Neustadt, Dresden, Germany.
Ralf W BaumgartnerNeuroZentrum, Klinik Hirslanden, Zürich, Switzerland.
Martin DichgansInstitute for Stroke and Dementia Research, Klinikum der Universität München, Ludwig Maximilians Universität, Munich, Germany.
Stefan T EngelterDepartment of Neurology and Stroke Center, Basel University Hospital, Basel, Switzerland.
University Hospital of Basel · CHHeidelberg Engineering (Germany) · DEIstanbul University-Cerrahpaşa · TRUniversity Hospital Heidelberg · DED’Or Institute for Research and Education · BRFundacion Allende · ARKliniken Schmieder · DEKlinik Hirslanden · CHKlinikum Itzehoe · DEKrankenhaus Dresden-Friedrichstadt · DEMunich Cluster for Systems Neurology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cause of cervical artery dissection is not well understood. We test the hypothesis that mutations in genes associated with known arterial connective tissue disorders are enriched in patients with familial cervical artery dissection. PATIENTS AND

methodsPatient duos from nine pedigrees with familial cervical artery dissection were analyzed by whole exome sequencing. Single nucleotide variants in a panel of 11 candidate genes (ACTA2, MYH11, FBN1, TGFBR1, TGFBR2, TGFB2, COL3A1, COL4A1, SMAD3, MYLK and SLC2A10) were prioritized according to functionality (stop-loss, nonsense, and missense variants with polyphen-2 score ≥0.95). Variants classified as "benign" or "likely benign" in the ClinVar database were excluded from further analysis. For comparison, non-benign stop-loss, nonsense and missense variants with polyphen-2 score ≥0.95 in the same panel of candidate genes were identified in the European non-Finnish population of the ExAC database (

resultsNon-benign Single nucleotide variants in both affected patients were identified in four of the nine cervical artery dissection families (COL3A1; Gly324Ser, FBN1: Arg2554Trp, COL4A1: Pro116Leu, and TGFBR2: Ala292Thr) yielding an allele frequency of 22.2% (4/18). In the comparison group, 1782 variants were present in 33,370 subjects from the ExAC database (allele frequency: 1782/66,740 = 2.7%;

conclusionCervical artery dissection families showed enrichment for non-benign variants in genes associated with arterial connective tissue disorders. The observation that findings differed across families indicates genetic heterogeneity of familial cervical artery dissection.

Indexed as

arterial connective tissue disorderCervical artery dissectionnon-benign single nucleotide variants

Identifiers

PMID31008308
PMCPMC6453217
OpenAlexW2586692095

What OpenQuestion holds

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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.