Evidence map›Paper›PMID 33624941›Full record

ArticleMolecular genetics & genomic medicine2021

High throughput screening for expanded CTG repeats in myotonic dystrophy type 1 using melt curve analysis.

Russell J Butterfield, Carina Imburgia, Katie Mayne, Tara Newcomb, Diane M Dunn, Brett Duval, Marcia L Feldkamp, Nicholas E Johnson, Robert B Weiss

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 52% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Long-read sequencing for neurological disorders: opportunities, challenges, and future directions.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 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 2 institutions in 1 country.

Russell J ButterfieldDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-8452-7189
Carina ImburgiaDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Katie MayneDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Tara NewcombDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Diane M DunnDepartment of Human Genetics, University of Utah, Salt Lake City, Utah, USA.
Brett DuvalDepartment of Human Genetics, University of Utah, Salt Lake City, Utah, USA.
Marcia L FeldkampDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Nicholas E JohnsonDepartment of Neurology, Virginia Commonwealth University, Richmond, Virginia, USA.
Robert B WeissDepartment of Human Genetics, University of Utah, Salt Lake City, Utah, USA.
University of Utah · USVirginia Commonwealth University · US

Funding

Identifying the RNA Splicing and Gene Expression Changes that Cause Congenital Myotonic Dystrophy (Renewal)R01NS104010 · NINDS · VIRGINIA COMMONWEALTH UNIVERSITY · PI Nicholas Elwood Johnson · 2018 to 2026
$4.4M
Establishing Biomarkers and Clinical Endpoints in Myotonic Dystrophy Type-1 (Renewal)R01FD006071 · FDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI Nicholas Elwood Johnson, CHARLES A THORNTON · 2017 to 2026
$3.7M
Network for Observational Study of Virginia Muscular Dystrophies (NoVA MD)U01DD001242 · DD · VIRGINIA COMMONWEALTH UNIVERSITY · PI JOHNSON, NICHOLAS ELWOOD · 2019 to 2023
$1.8M
Genetic Control of Phenotypic Variability in Collagen VI Related Muscular DystrophiesK08NS097631 · NINDS · UNIVERSITY OF UTAH · PI BUTTERFIELD, RUSSELL JAMES · 2016 to 2020
$1.0M
Health Endpoints and Longitudinal Progression in Congenital Myotonic Dystrophy (HELP-CDM)K23NS091511 · NINDS · VIRGINIA COMMONWEALTH UNIVERSITY · PI JOHNSON, NICHOLAS ELWOOD · 2015 to 2019
$997k
Development and validation of clinical outcome assessments in LGMD2AR21TR003184 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI JOHNSON, NICHOLAS ELWOOD, STATLAND, JEFFREY · 2020 to 2021
$452k
Identifying Modifiers of Anticipation in Myotonic Dystrophy Type 1R21NS100040 · NINDS · UNIVERSITY OF UTAH · PI WEISS, ROBERT B · 2016 to 2017
$416k
FDA HHS R01 FD006071NCATS NIH HHS R21 TR003184NCBDD CDC HHS U01 DD001242NINDS NIH HHS K08 NS097631NINDS NIH HHS K23 NS091511NINDS NIH HHS R01 NS104010NINDS NIH HHS R21 NS100040
6 · The paper itself

Abstract

backgroundMyotonic dystrophy type 1 (DM1) is caused by CTG repeat expansions in the DMPK gene and is the most common form of muscular dystrophy. Patients can have long delays from onset to diagnosis, since clinical signs and symptoms are often nonspecific and overlapping with other disorders. Clinical genetic testing by Southern blot or triplet-primed PCR (TP-PCR) is technically challenging and cost prohibitive for population surveys.

methodsHere, we present a high throughput, low-cost screening tool for CTG repeat expansions using TP-PCR followed by high resolution melt curve analysis with saturating concentrations of SYBR GreenER dye.

resultsWe determined that multimodal melt profiles from the TP-PCR assay are a proxy for amplicon length stoichiometry. In a screen of 10,097 newborn blood spots, melt profile analysis accurately reflected the tri-modal distribution of common alleles from 5 to 35 CTG repeats, and identified the premutation and full expansion alleles.

conclusionWe demonstrate that robust detection of expanded CTG repeats in a single tube can be achieved from samples derived from specimens with minimal template DNA such as dried blood spots (DBS). This technique is readily adaptable to large-scale testing programs such as population studies and newborn screening programs.

Indexed as

Nucleic Acid DenaturationTrinucleotide Repeat ExpansionCosts and Cost AnalysisHigh-Throughput Screening AssaysHumansMolecular Diagnostic TechniquesMyotonic DystrophySensitivity and SpecificityDMPK genemelt curve analysismyotonic dystrophypopulation screeningtriplet-repeat expansion

Identifiers

PMID33624941
PMCPMC8123750
OpenAlexW3132236220

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.