Evidence map›Paper›PMID 31862442›Full record

ArticleEBioMedicine2020

A multistage sequencing strategy pinpoints novel candidate alleles for Emery-Dreifuss muscular dystrophy and supports gene misregulation as its pathomechanism.

Peter Meinke, Alastair R W Kerr, Rafal Czapiewski, Jose I de Las Heras, Charles R Dixon, Elizabeth Harris, Heike Kölbel, Francesco Muntoni, Ulrike Schara, Volker Straub and 3 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  15. The Role of POPDC Proteins in Cardiac Pacemaking and Conduction.Journal of cardiovascular development and disease · 2021
    Review
  16. The Diverse Cellular Functions of Inner Nuclear Membrane Proteins.Cold Spring Harbor perspectives in biology · 2021
    Review
  17. Review
  18. Review
  19. TRIC-A regulates intracellular CaPflugers Archiv : European journal of physiology · 2021
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Peter MeinkeWellcome Centre for Cell Biology, University of Edinburgh, Edinburgh, UK; Friedrich Baur Institute at the Department of Neurology, University Hospital, LMU Munich, Germany.
Alastair R W KerrWellcome Centre for Cell Biology, University of Edinburgh, Edinburgh, UK.
Rafal CzapiewskiWellcome Centre for Cell Biology, University of Edinburgh, Edinburgh, UK.
Jose I de Las HerasWellcome Centre for Cell Biology, University of Edinburgh, Edinburgh, UK.
Charles R DixonWellcome Centre for Cell Biology, University of Edinburgh, Edinburgh, UK.
Elizabeth HarrisJohn Walton Muscular Dystrophy Research Centre, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Heike KölbelDepartment of Pediatric Neurology, Developmental Neurology and Social Pediatrics, University of Essen, Germany.
Francesco MuntoniDubowitz Neuromuscular Centre, University College London Great Ormond Street Institute of Child Health, London, UK; 1 NIHR Great Ormond Street Hospital Biomedical Research Centre, Great Ormond Street Institute of Child Health, University College London, & Great Ormond Street Hospital Trust, London, UK.
Ulrike ScharaDepartment of Pediatric Neurology, Developmental Neurology and Social Pediatrics, University of Essen, Germany.
Volker StraubJohn Walton Muscular Dystrophy Research Centre, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Benedikt SchoserFriedrich Baur Institute at the Department of Neurology, University Hospital, LMU Munich, Germany.
Manfred WehnertInstitute of Human Genetics, University of Greifswald (retired), Greifswald, Germany.
Eric C SchirmerWellcome Centre for Cell Biology, University of Edinburgh, Edinburgh, UK. Electronic address: e.schirmer@ed.ac.uk.
University of Edinburgh · GBWellcome Centre for Cell Biology · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBFriedrich Baur Stiftung · DEUniversität Greifswald · DEUniversity College London · GB

Funding

Medical Research Council MR/R018073/1Wellcome Trust 095209
6 · The paper itself

Abstract

backgroundAs genome-wide approaches prove difficult with genetically heterogeneous orphan diseases, we developed a new approach to identify candidate genes. We applied this to Emery-Dreifuss muscular dystrophy (EDMD), characterised by early onset contractures, slowly progressive muscular wasting, and life-threatening heart conduction disturbances with wide intra- and inter-familial clinical variability. Roughly half of EDMD patients are linked to six genes encoding nuclear envelope proteins, but the disease mechanism remains unclear because the affected proteins function in both cell mechanics and genome regulation.

methodsA primer library was generated to test for mutations in 301 genes from four categories: (I) all known EDMD-linked genes; (II) genes mutated in related muscular dystrophies; (III) candidates generated by exome sequencing in five families; (IV) functional candidates - other muscle nuclear envelope proteins functioning in mechanical/genome processes affected in EDMD. This was used to sequence 56 unlinked patients with EDMD-like phenotype.

findingsTwenty-one patients could be clearly assigned: 18 with mutations in genes of similar muscular dystrophies; 3 with previously missed mutations in EDMD-linked genes. The other categories yielded novel candidate genes, most encoding nuclear envelope proteins with functions in gene regulation.

interpretationOur multi-pronged approach identified new disease alleles and many new candidate EDMD genes. Their known functions strongly argue the EDMD pathomechanism is from altered gene regulation and mechanotransduction due to connectivity of candidates from the nuclear envelope to the plasma membrane. This approach highlights the value of testing for related diseases using primer libraries and may be applied for other genetically heterogeneous orphan diseases.

fundingThe Wellcome Trust, Muscular Dystrophy UK, Medical Research Council, European Community's Seventh Framework Programme "Integrated European -omics research project for diagnosis and therapy in rare neuromuscular and neurodegenerative diseases (NEUROMICS)".

Indexed as

AllelesGene Expression RegulationSequence Analysis, DNAExome SequencingGene OntologyMusclesMuscular Dystrophy, Emery-DreifussMutationEmery-Dreifuss muscular dystrophyNuclear envelopeNuclear envelope transmembrane proteinOrphan diseaseprimer library

Identifiers

PMID31862442
PMCPMC7000448
OpenAlexW2995696676

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.