Evidence map›Paper›PMID 31216018›Full record

ArticleBrain : a journal of neurology2019

MSH3 modifies somatic instability and disease severity in Huntington's and myotonic dystrophy type 1.

Michael Flower, Vilija Lomeikaite, Marc Ciosi, Sarah Cumming, Fernando Morales, Kitty Lo, Davina Hensman Moss, Lesley Jones, Peter Holmans, TRACK-HD Investigators and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed
9.3field-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.

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

106 citing papers in PubMed, 162 citations in OpenAlex.

  1. Stage-dependent tau-PET signatures in Huntington's disease revealed by [¹⁸F]PI-2620.European journal of nuclear medicine and molecular imaging · 2026
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  9. In Vivo PET Imaging of [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
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46 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 4 countries.

Michael FlowerDepartment of Neurodegenerative Disease and Dementia Research Institute, UCL, UK.
Vilija LomeikaiteInstitute of Molecular, Cell and Systems Biology, University of Glasgow, UK.
Marc CiosiInstitute of Molecular, Cell and Systems Biology, University of Glasgow, UK.
Sarah CummingInstitute of Molecular, Cell and Systems Biology, University of Glasgow, UK.
Fernando MoralesInstitute of Molecular, Cell and Systems Biology, University of Glasgow, UK.
Kitty LoSchool of Mathematics and Statistics, University of Sydney, Australia.
Davina Hensman MossDepartment of Neurodegenerative Disease and Dementia Research Institute, UCL, UK.
Lesley JonesMRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, UK.
Peter HolmansMRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, UK.
TRACK-HD Investigators
OPTIMISTIC Consortium
Darren G MoncktonInstitute of Molecular, Cell and Systems Biology, University of Glasgow, UK.
Sarah J TabriziDepartment of Neurodegenerative Disease and Dementia Research Institute, UCL, UK.
UK Dementia Research Institute · GBCardiff University · GBInstitut du Cerveau · FRUniversity of Strathclyde · GBUniversity of Glasgow · GBThe University of Sydney · AU

Funding

Medical Research Council MR/L010305/1Medical Research Council MR/M008592/1Wellcome Trust 200181/Z/15/Z
6 · The paper itself

Abstract

The mismatch repair gene MSH3 has been implicated as a genetic modifier of the CAG·CTG repeat expansion disorders Huntington's disease and myotonic dystrophy type 1. A recent Huntington's disease genome-wide association study found rs557874766, an imputed single nucleotide polymorphism located within a polymorphic 9 bp tandem repeat in MSH3/DHFR, as the variant most significantly associated with progression in Huntington's disease. Using Illumina sequencing in Huntington's disease and myotonic dystrophy type 1 subjects, we show that rs557874766 is an alignment artefact, the minor allele for which corresponds to a three-repeat allele in MSH3 exon 1 that is associated with a reduced rate of somatic CAG·CTG expansion (P = 0.004) and delayed disease onset (P = 0.003) in both Huntington's disease and myotonic dystrophy type 1, and slower progression (P = 3.86 × 10-7) in Huntington's disease. RNA-Seq of whole blood in the Huntington's disease subjects found that repeat variants are associated with MSH3 and DHFR expression. A transcriptome-wide association study in the Huntington's disease cohort found increased MSH3 and DHFR expression are associated with disease progression. These results suggest that variation in the MSH3 exon 1 repeat region influences somatic expansion and disease phenotype in Huntington's disease and myotonic dystrophy type 1, and suggests a common DNA repair mechanism operates in both repeat expansion diseases.

Indexed as

association studyHuntington’s diseasemovement disordersmyotonic dystrophytranscriptomics

Identifiers

PMID31216018
PMCPMC6598626
OpenAlexW2949670129

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.