Evidence map›Paper›PMID 31953922›Full record

ArticleMolecular genetics & genomic medicine2020

A case report of genetic prion disease with two different PRNP variants.

Megan Piazza, Thomas W Prior, Prabhjot S Khalsa, Brian Appleby

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Contributions of rare and common variation to early-onset and atypical dementia risk.medRxiv : the preprint server for health sciences · 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

4 authors at 3 institutions in 1 country.

Megan PiazzaCenter for Human Genetics Laboratory, Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH, USA.ORCID 0000-0002-1062-7144
Thomas W PriorCenter for Human Genetics Laboratory, Case Western Reserve University/University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Prabhjot S KhalsaFremont Neurology Medical Associates, Fremont, CA, USA.
Brian ApplebyNational Prion Disease Pathology Surveillance Center, Case Western Reserve University, Cleveland, OH, USA.
University Hospitals of Cleveland · USCase Western Reserve University · USMedical Research Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrion diseases are a group of lethal neurodegenerative conditions that occur when the normal, cellular form of the prion protein (PrP

methodsThe patient was evaluated at the Washington Hospital Healthcare System in Fremont, CA. The clinical information for this case report was obtained retrospectively. Variants in the PRNP were identified by polymerase chain reaction (PCR) amplification of exon two of the gene followed by bi-directional sequence analysis. To determine the phase of the identified variants, a restriction enzyme digestion was utilized, followed by sequence analysis of the products. Cerebral spinal fluid (CSF) was analyzed for surrogate markers of prion disease, 14-3-3 and Tau proteins. CSF real-time quaking-induced conversion (RT-QuIC) assays were also performed.

resultsThe patient was a compound heterozygote for the well-characterized c.628G>A (p.Val210Ile) variant and the rare octapeptide deletion of two repeats [c.202_249del48 (p.P68_Q83del)]. Clinically, the patient presented with an early onset demyelinating peripheral neuropathy, followed by later onset cognitive symptoms.

conclusionThis presentation is reminiscent of prion protein knockout mice whose predominate symptom, due to complete loss of PrP, was late-onset peripheral neuropathy. To our knowledge this is the first case reported of a patient with prion disease who had two different pathogenic variants in PRNP.

Indexed as

Mutation14-3-3 ProteinsBiomarkersCognitionHeterozygoteHumansMaleMiddle AgedMyelin SheathPrion DiseasesPrion Proteinstau Proteins14-3-3 ProteinsBiomarkersPrion ProteinsPRNP protein, humantau Proteinsmolecular geneticsPrion diseasePRNP

Identifiers

PMID31953922
PMCPMC7057106
OpenAlexW2999229966

What OpenQuestion holds

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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.