Evidence map›Paper›PMID 32397996›Full record

ArticleBMC medical genetics2020

Genetic variants in FBLIM1 gene do not contribute to SAPHO syndrome and chronic recurrent multifocal osteomyelitis in typical patient groups.

Gunter Assmann, Michaela Köhm, Volker Schuster, Frank Behrens, Rotraut Mössner, Nina Magnolo, Vinzenz Oji, Harald Burkhardt, Ulrike Hüffmeier

Open access · goldAbstract read
In one paragraph

Article in BMC medical genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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  4. [Genetic basis of chronic nonbacterial osteomyelitis].Zeitschrift fur Rheumatologie · 2026
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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

9 authors at 5 institutions in 1 country.

Gunter AssmannDepartment of Internal Medicine I, José-Carreras Centrum for Immuno- and Gene Therapy, University of Saarland Medical School, /Saar, Homburg, Germany.
Michaela KöhmDivision of Rheumatology and IME, Fraunhofer Institute, Branch for Translational Medicine and Pharmacology, Goethe University, Frankfurt am Main, Germany.
Volker SchusterHospital for Children and Adolescents, University of Leipzig, Leipzig, Germany.
Frank BehrensDivision of Rheumatology and IME, Fraunhofer Institute, Branch for Translational Medicine and Pharmacology, Goethe University, Frankfurt am Main, Germany.
Rotraut MössnerDepartment of Dermatology, Georg-August-University Göttingen, Göttingen, Germany.
Nina MagnoloDepartment of Dermatology, University of Münster, Münster, Germany.
Vinzenz OjiDepartment of Dermatology, University of Münster, Münster, Germany.
Harald BurkhardtDivision of Rheumatology and IME, Fraunhofer Institute, Branch for Translational Medicine and Pharmacology, Goethe University, Frankfurt am Main, Germany.
Ulrike HüffmeierInstitute of Human Genetics, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Schwabachanlage 10, 91054, Erlangen, Germany. ulrike.hueffmeier@uk-erlangen.de.ORCID 0000-0001-6448-4671
Goethe University Frankfurt · DEUniversity of Münster · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DESaarland University · DEUniversity of Göttingen · DE

Funding

Bundesministerium für Bildung und Forschung ArthroMark (project 4, 01EC1401C)Bundesministerium für Bildung und Forschung Metarthros 01EC1407AInterdisciplinary center for clinical research Erlangen laboratory rotation
6 · The paper itself

Abstract

backgroundSyndrome of synovitis acne pustulosis hyperostosis osteitis (SAPHO) and chronic recurrent multifocal osteomyelitis (CRMO) present two diseases of a dermatologic and rheumatologic spectrum that are variable in manifestation und therapeutic response. Genetic risk factors have long been assumed in both diseases, but no single reliable factor has been identified yet. Therefore, we aimed to clinically characterize a patient group with syndrome of synovitis acne pustulosis hyperostosis osteitis (SAPHO) (n = 47) and chronic recurrent multifocal osteomyelitis (CRMO)/ chronic non-bacterial osteomyelitis (CNO) (n = 9) and analyze a CRMO candidate gene.

methodsClinical data of all patients were collected and assessed for different combinations of clinical symptoms. SAPHO patients were grouped into categories according to the acronym; disease-contribution by pathogens was evaluated. We sequenced coding exons of FBLIM1.

resultsPalmoplantar pustular psoriasis (PPP) was the most common skin manifestation in CRMO/CNO and SAPHO patients; most SAPHO patients had sterno-costo-clavicular hyperostosis. The most common clinical category of the acronym was S_PHO (n = 26). Lack of pathogen detection from bone biopsies was more common than microbial isolation. We did not identify autosomal-recessive FBLIM1 variants.

conclusionsS_PHO is the most common combination of symptoms of its acronym. Genetic analyses of FBLIM1 did not provide evidence that this gene is relevant in our patient group. Our study indicates the need to elucidate SAPHO's and CRMO/CNO's pathogenesis.

Indexed as

Genetic Predisposition to DiseaseAcquired Hyperostosis SyndromeAdolescentAdultCell Adhesion MoleculesChildCytoskeletal ProteinsFemaleHumansHyperostosisMaleOsteomyelitisPsoriasisRisk FactorsCell Adhesion MoleculesCytoskeletal ProteinsFBLIM1 protein, humanAssociationChronic non-bacterial osteomyelitis (CNO)Chronic recurrent multifocal osteomyelitis (CRMO)Coding variantsSyndrome of synovitis acne pustulosis hyperostosis osteitis (SAPHO (syndrome))

Identifiers

PMID32397996
PMCPMC7216525
OpenAlexW3026028528

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.