Evidence map›Paper›PMID 32503579›Full record

ArticleOrphanet journal of rare diseases2020

Current HHT genetic overview in Spain and its phenotypic correlation: data from RiHHTa registry.

Rosario Sánchez-Martínez, Adriana Iriarte, José María Mora-Luján, José Luis Patier, Daniel López-Wolf, Ana Ojeda, Miguel Angel Torralba, María Coloma Juyol, Ricardo Gil, Sol Añón and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05550376 (Genotype-phenotype Association Study of ENG and ACVRL1 Genes in the Inflammatory and Endothelial Response in Hereditary Hemorrhagic Telangiectasia), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-weighted citation impact, top 6% 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.

NCT05550376 completednot on this mapstarted 2021, after this paper: background citation

Genotype-phenotype Association Study of ENG and ACVRL1 Genes in the Inflammatory and Endothelial Response in Hereditary Hemorrhagic Telangiectasia (HHT)

Typeobservational_patient_registrySponsorFundacion para la Investigacion Biomedica del Hospital Universitario Ramon y CajalRan2021 to 2023Enrolled85ConditionsHereditary Hemorrhagic Telangiectasia, HHT, Rendu Osler Weber DiseaseArmsRegistry
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Hemoptysis caused by hereditary hemorrhagic telangiectasia: A case report and literature review.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  8. Observational
  9. Article
  10. Article
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  13. Review
  14. Article
  15. Article
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  17. Review
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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

13 authors at 10 institutions in 1 country.

Rosario Sánchez-MartínezInternal Medicine Department, Hospital General Universitario de Alicante - ISABIAL, Alicante, Spain.
Adriana IriarteRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
José María Mora-LujánRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
José Luis PatierRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
Daniel López-WolfRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
Ana OjedaRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
Miguel Angel TorralbaRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
María Coloma JuyolRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
Ricardo GilRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
Sol AñónRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain.
Joel Salazar-MendiguchíaHealth in Code, A Coruña, Spain.
Antoni Riera-MestreRare Diseases Working Group, Spanish Society of Internal Medicine, Madrid, Spain. ariera@bellvitgehospital.cat.ORCID 0000-0001-9411-804X
RiHHTa Investigators of the Rare Diseases Working Group from the Spanish Society of Internal Medicine
Spanish Society of Family and Community Medicine · ESBellvitge University Hospital · ESHospital Universitario Fundación Alcorcón · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario Miguel Servet · ESUniversidad de Alcalá · ESUniversitat de Barcelona · ESLeitat Technological Center · ESUniversidade da Coruña · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHereditary hemorrhagic telangiectasia (HHT) is a rare vascular disease with autosomal dominant inheritance. Disease-causing variants in endoglin (ENG) and activin A receptor type II-like 1 (ACVRL1) genes are detected in more than 90% of cases submitted to molecular diagnosis.

methodsWe used data from the RiHHTa (Computerized Registry of Hereditary Hemorrhagic Telangiectasia) registry to describe genetic variants and to assess their genotype-phenotype correlation among HHT patients in Spain.

resultsBy May 2019, 215 patients were included in the RiHHTa registry with a mean age of 52.5 ± 16.5 years and 136 (63.3%) were women. Definitive HHT diagnosis defined by the Curaçao criteria were met by 172 (80%) patients. Among 113 patients with genetic test, 77 (68.1%) showed a genetic variant in ACVRL1 and 36 (31.8%) in ENG gene. The identified genetic variants in ACVRL1 and ENG genes and their clinical significance are provided. ACVRL1 mutations were more frequently nonsense (50%) while ENG mutations were more frequently, frameshift (39.1%). ENG patients were significantly younger at diagnosis (36.9 vs 45.7 years) and had pulmonary arteriovenous malformations (AVMs) (71.4% vs 24.4%) and cerebral AVMs (17.6% vs 2%) more often than patients with ACVRL1 variants. Patients with ACVRL1 variants had a higher cardiac index (2.62 vs 3.46), higher levels of hepatic functional blood tests, and anemia (28.5% vs 56.7%) more often than ENG patients.

conclusionsACVRL1 variants are more frequent than ENG in Spain. ACVRL1 patients developed symptomatic liver disease and anemia more often than ENG patients. Compared to ACVRL1, those with ENG variants are younger at diagnosis and show pulmonary and cerebral AVMs more frequently.

Indexed as

Telangiectasia, Hereditary HemorrhagicActivin Receptors, Type IIAdultAgedEndoglinFemaleHumansMaleMiddle AgedMutationRegistriesSpainActivin Receptors, Type IIACVRL1 protein, humanEndoglinGenetic testGenotypeHereditary hemorrhagic telangiectasiaPhenotypeRare diseases

Identifiers

PMID32503579
PMCPMC7275435
OpenAlexW3034144409

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.