Evidence map›Paper›PMID 31020813›Full record

ArticleMolecular genetics & genomic medicine2019

Whole genome sequencing reveals novel IGHMBP2 variant leading to unique cryptic splice-site and Charcot-Marie-Tooth phenotype with early onset symptoms.

Thomas A Cassini, Laura Duncan, Lynette C Rives, John H Newman, John A Phillips, Mary E Koziura, Jennifer Brault, Rizwan Hamid, Joy Cogan, Undiagnosed Diseases Network

Registry-linked trialAbstract 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. It is linked to trial NCT02450851 (Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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.

NCT02450851 recruitingnot on this map

Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2015 to 2028Enrolled20,000ConditionsGenetic Disease
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Exploring the relationship betweenFrontiers in neuroscience · 2023
    Pooled it
  2. A class of deep intronicmedRxiv : the preprint server for health sciences · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Genetic testing for unexplained perinatal disorders.Current opinion in pediatrics · 2021
    Review
  11. Article
  12. Review
  13. Ocular genetics in the genomics age.American journal of medical genetics. Part C, Seminars in medical genetics · 2020
    Review
  14. Review
  15. Article
  16. Review
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.

Thomas A CassiniDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-3522-2135
Laura DuncanDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Lynette C RivesDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
John H NewmanDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0003-1867-9093
John A PhillipsDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Mary E KoziuraDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Jennifer BraultDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Rizwan HamidDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Joy CoganDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Undiagnosed Diseases Network

Funding

Vanderbilt Center for Undiagnosed Diseases (VCUD) - BiorepositoryU01HG007674 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COGAN, JOY D, HAMID, RIZWAN · 2014 to 2022
$13.7M
Clinical Genome Wide Sequencing Core for the Undiagnosed Disease NetworkU01HG007943 · NHGRI · MEDICAL COLLEGE OF WISCONSIN · PI WORTHEY, ELIZABETH A · 2014 to 2017
$4.1M
NHGRI NIH HHS U01 HG007674NHGRI NIH HHS U01 HG007943
6 · The paper itself

Abstract

backgroundRare variants (RV) in immunoglobulin mu-binding protein 2 (IGHMBP2) [OMIM 600502] can cause an autosomal recessive type of Charcot-Marie-Tooth (CMT) disease [OMIM 616155], an inherited peripheral neuropathy. Over 40 different genes are associated with CMT, with different possible inheritance patterns. METHODS AND

resultsAn 11-year-old female with motor delays was found to have distal atrophy, weakness, and areflexia without bulbar or sensory findings. Her clinical evaluation was unrevealing. Whole exome sequencing (WES) revealed a maternally inherited IGHMBP2 RV (c.1730T>C) predicted to be pathogenic, but no variant on the other allele was identified. Deletion and duplication analysis was negative. She was referred to the Undiagnosed Disease Network (UDN) for further evaluation. Whole genome sequencing (WGS) confirmed the previously identified IGHMBP2 RV and identified a paternally inherited non-coding IGHMBP2 RV. This was predicted to activate a cryptic splice site perturbing IGHMBP2 splicing. Reverse transcriptase polymerase chain reaction (RT-PCR) analysis was consistent with activation of the cryptic splice site. The abnormal transcript was shown to undergo nonsense-mediated decay (NMD), resulting in halpoinsufficiency.

conclusionThis case demonstrates the deficiencies of WES and traditional molecular analyses and highlights the advantages of utilization of WGS and functional studies.

Indexed as

MutationPhenotypeAge of OnsetCells, CulturedCharcot-Marie-Tooth DiseaseChildDNA-Binding ProteinsFemaleHumansNonsense Mediated mRNA DecayRNA Splice SitesTranscription FactorsWhole Genome SequencingDNA-Binding ProteinsIGHMBP2 protein, humanRNA Splice SitesTranscription FactorsCharcot-Marie-ToothIGHMBP2intronsplicingUndiagnosed Disease Networkwhole exome sequencing

Identifiers

PMID31020813
PMCPMC6565564

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.