Evidence map›Paper›PMID 33712684›Full record

ArticleJournal of human genetics2021

Megaconial congenital muscular dystrophy secondary to novel CHKB mutations resemble atypical Rett syndrome.

Mainak Bardhan, Kiran Polavarapu, Nandeesh N Bevinahalli, Preethish-Kumar Veeramani, Ram Murthy Anjanappa, Gautham Arunachal, Leena Shingavi, Seena Vengalil, Saraswati Nashi, Tanushree Chawla and 5 more

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In one paragraph

Article in Journal of human genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

13 citing papers in PubMed, 14 citations in OpenAlex.

  1. Preclinical efficacy of a gene therapy forMolecular therapy. Advances · 2026
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  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The congenital muscular dystrophies.Annals of the Child Neurology Society · 2024
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Roles of the mFrontiers in immunology · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 4 countries.

Mainak Bardhan *Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.ORCID http://orcid.org/0000-0002-4106-409X
Kiran Polavarapu *Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Nandeesh N BevinahalliDepartment of Neuropathology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Preethish-Kumar VeeramaniDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Ram Murthy AnjanappaDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Gautham ArunachalDepartment of Human Genetics, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Leena ShingaviDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Seena VengalilDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Saraswati NashiDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Tanushree ChawlaDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Divya NagabushanaDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Dhaarini MohanDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Rita HorvathDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Ichizo NishinoDepartment of Neuromuscular Research, National Institute of Neuroscience, Tokyo, Japan.ORCID http://orcid.org/0000-0001-9452-112X
Nalini AtchayaramDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India. atchayaramnalini@yahoo.co.in.
National Institute of Mental Health and Neurosciences · INChildren's Hospital of Eastern Ontario · CANational Center of Neurology and Psychiatry · JPUniversity of Cambridge · GB

Funding

Medical Research Council G1000848Medical Research Council MR/N010035/1Medical Research Council MR/N025431/1Medical Research Council MR/N025431/2Medical Research Council MR/V009346/1
6 · The paper itself

Abstract

Megaconial congenital muscular dystrophy (CMD)(OMIM #602541), related to CHKB mutation, is a rare autosomal recessive disorder. To date, only 35 confirmed patients are recorded. We present a detailed description of the clinical, histopathological, imaging, and genetic findings of five children from four Indian families. The children had moderate-to-severe autistic behavior, hand stereotypies, and global developmental delay mimicking atypical Rett syndrome. In addition, generalized hypotonia was a common initial finding. The progression of muscle weakness was variable, with two patients having a milder phenotype and three having a severe form. Interestingly, the majority did not attain sphincter control. Only patient 1 had classical ichthyotic skin changes. Muscle biopsy in two patients showed a myopathic pattern with characteristic peripherally placed enlarged mitochondria on modified Gomori trichrome stain and electron microscopy. Genetic analysis in these patients identified three novel null mutations in CHKB [c.1027dupA (p.Ser343LysfsTer86);c.224 + 1G > T (5' splice site); c.1123C > T (p.Gln375Ter)] and one reported missense mutation, c.581G > A (p.Arg194Gln), all in the homozygous state. Megaconial CMD, although rare, forms an important group with a complex phenotypic presentation and accounted for 5.5% of our genetically confirmed CMD patients. Atypical Rett syndrome-like presentation may be a clue towards CHKB-related disorder.

Indexed as

ChildChild, PreschoolCholine KinaseFemaleGenetic Predisposition to DiseaseGenetic TestingHumansInfantMaleMitochondriaMuscle, SkeletalMuscular DystrophiesMutationPhenotypeRetrospective StudiesRett SyndromeCHKB protein, humanCholine Kinase

Identifiers

PMID33712684
OpenAlexW3133813479

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.