Evidence map›Paper›PMID 31903434›Full record

ArticleEuropean stroke journal2019

Rare genetic variants in patients with cervical artery dissection.

Christopher Traenka, Manja Kloss, Tim Strom, Philippe Lyrer, Tobias Brandt, Leo H Bonati, Caspar Grond-Ginsbach, Stefan Engelter

Open access · bronzeAbstract read
In one paragraph

Article in European stroke journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 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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  12. Missense Variants inNeurology international · 2024
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  15. In Reply.Deutsches Arzteblatt international · 2023
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  16. Genetic Etiology.Deutsches Arzteblatt international · 2023
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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

8 authors at 4 institutions in 3 countries.

Christopher TraenkaDepartment of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0002-7600-1005
Manja KlossDepartment of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
Tim StromInstitute of Human Genetics, Technische Universität München, Munich, Germany.
Philippe LyrerDepartment of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland.
Tobias BrandtSuva/Swiss National Accident Insurance Fund, Lucerne, Switzerland.
Leo H BonatiDepartment of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland.
Caspar Grond-GinsbachDepartment of Neurology, University Hospital Heidelberg, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-6882-3148
Stefan EngelterDepartment of Neurology and Stroke Center, University Hospital and University of Basel, Basel, Switzerland.
University of Basel · CHHeidelberg University · DEMunich University of Applied Sciences · DESuva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe potential role of genetic alterations in cervical artery dissection (CeAD) pathogenesis is poorly understood. We aimed to identify pathogenic genetic variants associated with cervical artery dissection by using whole exome sequencing. PATIENTS AND

methodsCeAD-patients with either a family history of cervical artery dissection (f-CeAD) or recurrent cervical artery dissection (r-CeAD) from the CeAD-databases of two experienced stroke centres were analysed by whole exome sequencing.Variants with allele frequency <0.05 and classified as pathogenic by predicting algorithms (SIFT or Polyphen-2) or the ClinVar database were explored. First, we analysed a panel of 30 candidate genes associated with arterial dissection (any site) or aneurysm according to the OMIM (online Mendelian Inheritance of Men) database. Second, we performed a genome-wide search for pathogenic variants causing other vascular phenotypes possibly related to cervical artery dissection.Findings were classified as CeAD-causing (pathogenic variants in genes from the arterial dissection or aneurysm panel) or suggestive (pathogenic variants in genes associated with other vascular phenotypes and variants of unknown significance in genes from the arterial dissection or aneurysm panel). All other variants were classified as benign/uncertain.

resultsAmong 43 CeAD-patients, 28 patients (17 pedigrees) had f-CeAD and 15 had r-CeAD. No CeAD-causing variants were identified in r-CeAD patients. Among f-CeAD-patients, 5/17 pedigrees carried CeAD-causing variants in COL3A1, COL4A1, COL4A3, COL4A4, COL5A1, COL5A2 and FBN1. Suggestive variants in ABCC6, COL3A1, COL5A2, MEF2A, and RNF213 were detected in three pedigrees with f-CeAD and six patients with r-CeAD.

Indexed as

Cerebrovascular disease/strokecervical artery dissectiongeneticsvascular diseasewhole exome sequencing

Identifiers

PMID31903434
PMCPMC6921947
OpenAlexW2961634811

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.