Evidence map›Paper›PMID 32458274›Full record

ArticleNeurogenetics2020

Genetic Creutzfeldt-Jakob disease in Sardinia: a case series linked to the PRNP R208H mutation due to a single founder effect.

Marta Melis, Andrea Molari, Gianluca Floris, Sarah Vascellari, Luisa Balestrino, Anna Ladogana, Anna Poleggi, Piero Parchi, Giovanni Cossu, Maurizio Melis and 2 more

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In one paragraph

Article in Neurogenetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

12 authors at 4 institutions in 1 country.

Marta MelisSC Neurologia AOU Policlinico di Monserrato, Cagliari, Sardinia, Italy. mrtmelis@gmail.com.ORCID 0000-0001-6037-4125
Andrea MolariSC Neurologia e Stroke Unit AOB, Cagliari, Italy.
Gianluca FlorisSC Neurologia AOU Policlinico di Monserrato, Cagliari, Sardinia, Italy.
Sarah VascellariDipartimento di Scienze Biomediche, Sezione di Microbiologia e Virologia, Università degli Studi di Cagliari, Cagliari, Italy.
Luisa BalestrinoGenetica Medica, Dipartimento di Scienze Mediche e Sanità Pubblica, Università di Cagliari, Caligria, Italy.
Anna LadoganaDepartment of Neuroscience, Istituto Superiore di Sanità, 00161, Rome, Italy.
Anna PoleggiDepartment of Neuroscience, Istituto Superiore di Sanità, 00161, Rome, Italy.
Piero ParchiIRCCS Istituto delle Scienze Neurologiche di Bologna, 40139, Bologna, Italy.
Giovanni CossuSC Neurologia e Stroke Unit AOB, Cagliari, Italy.
Maurizio MelisSC Neurologia e Stroke Unit AOB, Cagliari, Italy.
Sandro OrrùGenetica Medica, Dipartimento di Scienze Mediche e Sanità Pubblica, Università di Cagliari, Caligria, Italy.
Giovanni DefazioSC Neurologia AOU Policlinico di Monserrato, Cagliari, Sardinia, Italy.
University of Cagliari · ITIstituto Nazionale di Fisica Nucleare, Sezione di Cagliari · ITIstituto Superiore di Sanità · ITIstituto delle Scienze Neurologiche di Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In genetic prion diseases (gPrD), five genetic variants (E200K, V210I, V180I, P102L, and D178N) are responsible for about 85% of cases. The R208H is one of the several additional rare mutations and to date, only 16 cases carrying this mutation have been reported worldwide. To describe the phenotypic features of 5 affected patients belonging to apparently unrelated Sardinian (Italian) families with R208H gPrD, and provide evidence for a possible founder effect are the aims of this study. The R208H PRNP mutation has a much higher relative frequency in Sardinia than elsewhere in Italy (72% vs. 4.4% of gCJD cases). Our cohort shared similar phenotypic features to the previously described patients with R208H-129M haplotype with most patients showing the classical Creutzfeldt-Jakob disease (CJD) phenotype. The analysis of 10 controls and 5 patients by NGS sequencing identified 4 haplotypes, 3 associated with the wild type variant, and one (H1) shared by all patients carrying the 208His variant. This is the first report of a regional cluster for R208H mutation in gPrD and the first report of the presence of a common ancestor for this Sardinian R208H cluster, confirming the probable consequences of genetic isolation process even for rare diseases.

Indexed as

Founder EffectMutationAgedAllelesCluster AnalysisCreutzfeldt-Jakob SyndromeFamily HealthFemaleHaplotypesHigh-Throughput Nucleotide SequencingHumansItalyMaleMiddle AgedPhenotypePrion ProteinsPrion ProteinsPRNP protein, humanCJDCreutzfeldt-Jakob diseaseFounder effectgCJDGeneticPrionSardinia

Identifiers

PMID32458274
OpenAlexW3029574360

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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.