Evidence map›Paper›PMID 31982983›Full record

ArticleJournal of clinical immunology2020

Deep Intronic Mutation in SERPING1 Caused Hereditary Angioedema Through Pseudoexon Activation.

Pavla Hujová, Přemysl Souček, Lucie Grodecká, Hana Grombiříková, Barbora Ravčuková, Pavel Kuklínek, Roman Hakl, Jiří Litzman, Tomáš Freiberger

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Article in Journal of clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Frontiers in immunology · 2025
    Article
  4. Hereditary or acquired? Comprehensive genetic testing assists in stratifying angioedema patients.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Frontiers in allergy · 2022
    Review
  15. Review
  16. The Genetics of Hereditary Angioedema: A Review.Journal of clinical medicine · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Article
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

9 authors at 4 institutions in 1 country.

Pavla HujováCentre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic.
Přemysl SoučekCentre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic.
Lucie GrodeckáCentre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic.
Hana GrombiříkováCentre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic.
Barbora RavčukováCentre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic.
Pavel KuklínekDepartment of Allergology and Clinical Immunology, St. Anne's University Hospital in Brno, Brno, Czech Republic.
Roman HaklFaculty of Medicine, Masaryk University, Brno, Czech Republic.
Jiří LitzmanFaculty of Medicine, Masaryk University, Brno, Czech Republic.
Tomáš FreibergerCentre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic. tomas.freiberger@cktch.cz.ORCID 0000-0001-6532-7053
Masaryk University · CZCentral European Institute of Technology · CZCentrum kardiovaskulární a transplantační chirurgie · CZUniversity Hospital Brno · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHereditary angioedema (HAE) is a rare autosomal dominant life-threatening disease characterized by low levels of C1 inhibitor (type I HAE) or normal levels of ineffective C1 inhibitor (type II HAE), typically occurring as a consequence of a SERPING1 mutation. In some cases, a causal mutation remains undetected after using a standard molecular genetic analysis.

resultsHere we show a long methodological way to the final discovery of c.1029 + 384A > G, a novel deep intronic mutation in intron 6 which is responsible for HAE type I in a large family and has not been identified by a conventional diagnostic approach. This mutation results in de novo donor splice site creation and subsequent pseudoexon inclusion, the mechanism firstly described to occur in SERPING1 in this study. We additionally discovered that the proximal part of intron 6 is a region potentially prone to pseudoexon-activating mutations, since natural alternative exons and additional cryptic sites occur therein. Indeed, we confirmed the existence of at least two different alternative exons in this region not described previously.

conclusionsIn conclusion, our results suggest that detecting aberrant transcripts, which are often low abundant because of nonsense-mediated decay, requires a modified methodological approach. We suggest SERPING1 intron 6 sequencing and/or tailored mRNA analysis to be routinely used in HAE patients with no mutation identified in the coding sequence.

Indexed as

AdolescentAdultAgedChildComplement C1 Inhibitor ProteinDNA Mutational AnalysisExonsFemaleHereditary Angioedema Types I and IIHumansIntronsMaleMiddle AgedMutationPedigreeProtein SplicingComplement C1 Inhibitor ProteinRNA Splice Sitesdonor splice siteHereditary angioedemapre-mRNA splicingpseudoexon activationSERPING1

Identifiers

PMID31982983
OpenAlexW3002906249

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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.