Evidence map›Paper›PMID 31718017›Full record

ArticleGenes2019

X-Linked Emery-Dreifuss Muscular Dystrophy: Study Of X-Chromosome Inactivation and Its Relation with Clinical Phenotypes in Female Carriers.

Emanuela Viggiano, Agnieszka Madej-Pilarczyk, Nicola Carboni, Esther Picillo, Manuela Ergoli, Stefania Del Gaudio, Michal Marchel, Gerardo Nigro, Alberto Palladino, Luisa Politano

Open access · goldAbstract readComparative Study
In one paragraph

Article in Genes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 35% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Signs and symptoms of carriers of non-Journal of neuromuscular diseases · 2025
    Article
  4. Article
  5. Females with X-Linked Muscle Disorders: an underestimated patient population.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Molecular Research in Medical Genetics.International journal of molecular sciences · 2022
    Article
  10. Nuclear Functions of the Tyrosine Kinase Src.International journal of molecular sciences · 2020
    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 at 4 institutions in 2 countries.

Emanuela ViggianoCardiomyology and Medical Genetics, Department of Experimental Medicine, University of Campania, 80138 Naples, Italy.
Agnieszka Madej-PilarczykNeuromuscular Unit, Mossakowski Medical Research Centre, Polish Academy of Sciences, 00-901 Warsaw, Poland.
Nicola CarboniNeurology Department, Hospital San Francesco of Nuoro, 08100 Nuoro, Italy.
Esther PicilloCardiomyology and Medical Genetics, Department of Experimental Medicine, University of Campania, 80138 Naples, Italy.
Manuela ErgoliCardiomyology and Medical Genetics, Department of Experimental Medicine, University of Campania, 80138 Naples, Italy.
Stefania Del GaudioDepartment of Experimental Medicine, University of Campania, 80138 Naples, Italy.
Michal MarchelDepartment of Cardiology, Medical University of Warsaw, 02-091 Warsaw, Poland.
Gerardo NigroChair of Cardiology, University of Campania-Monaldi Hospital, 80131 Napoli, Italy.
Alberto PalladinoCardiomyology and Medical Genetics, Department of Experimental Medicine, University of Campania, 80138 Naples, Italy.
Luisa PolitanoCardiomyology and Medical Genetics, Department of Experimental Medicine, University of Campania, 80138 Naples, Italy.
Associazione Istituzione Libera Università Nuorese · ITMedical University of Warsaw · PLMossakowski Medical Research Institute, Polish Academy of Sciences · PLOspedale Monaldi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

X-linked Emery-Dreifuss muscular dystrophy (EDMD1) affects approximately 1:100,000 male births. Female carriers are usually asymptomatic but, in some cases, they may present clinical symptoms after age 50 at cardiac level, especially in the form of conduction tissue anomalies. The aim of this study was to evaluate the relation between heart involvement in symptomatic EDMD1 carriers and the X-chromosome inactivation (XCI) pattern. The XCI pattern was determined on the lymphocytes of 30 symptomatic and asymptomatic EDMD1 female carriers-25 familial and 5 sporadic cases-seeking genetic advice using the androgen receptor (AR) methylation-based assay. Carriers were subdivided according to whether they were above or below 50 years of age. A variance analysis was performed to compare the XCI pattern between symptomatic and asymptomatic carriers. The results show that 20% of EDMD1 carriers had cardiac symptoms, and that 50% of these were ≥50 years of age. The XCI pattern was similar in both symptomatic and asymptomatic carriers. Conclusions: Arrhythmias in EDMD1 carriers poorly correlate on lymphocytes to a skewed XCI, probably due to (a) the different embryological origin of cardiac conduction tissue compared to lymphocytes or (b) the preferential loss of atrial cells replaced by fibrous tissue.

Indexed as

Genetic Carrier ScreeningAdultArrhythmias, CardiacAsymptomatic DiseasesCell Line, TumorFemaleGenetic CounselingHeart AtriaHeterozygoteHumansMembrane ProteinsMiddle AgedMuscular Dystrophy, Emery-DreifussMutationNuclear ProteinsPhenotypeemerinMembrane ProteinsNuclear Proteinscardiac symptomsEmery–Dreifuss muscular dystrophy (EDMD1)skewed X-chromosome inactivationX-chromosome inactivation (XCI)

Identifiers

PMID31718017
PMCPMC6895991
OpenAlexW2984227133

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.