Evidence map›Paper›PMID 33943039›Full record

ArticleAnnals of clinical and translational neurology2021

GGC repeat expansions in NOTCH2NLC causing a phenotype of distal motor neuropathy and myopathy.

Jiaxi Yu, Xing-Hua Luan, Meng Yu, Wei Zhang, He Lv, Li Cao, Lingchao Meng, Min Zhu, Binbin Zhou, Xiao-Rong Wu and 11 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Charcot-Marie-Tooth disease and related neuropathies.Nature reviews. Disease primers · 2026
    Review
  3. Novel proteomics and neuropathology ofFrontiers in aging neuroscience · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. CGG Repeat Expansion inJournal of clinical neurology (Seoul, Korea) · 2024
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Oculopharyngodistal myopathy with CGG repeat expansions in GIPC1: the first report from southwestern China.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  16. Pallidal degenerations and related disorders: an update.Journal of neural transmission (Vienna, Austria : 1996) · 2022
    Review
  17. The polyG diseases: a new disease entity.Acta neuropathologica communications · 2022
    Review
  18. Genetic spectrum in a cohort of patients with distal hereditary motor neuropathy.Annals of clinical and translational neurology · 2022
    Article
  19. Review
  20. Article
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

21 authors at 5 institutions in 1 country.

Jiaxi YuDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Xing-Hua LuanDepartment of Neurology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200030, China.
Meng YuDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.ORCID 0000-0003-0234-5902
Wei ZhangDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
He LvDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Li CaoDepartment of Neurology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200030, China.ORCID 0000-0003-1742-9877
Lingchao MengDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Min ZhuDepartment of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Binbin ZhouDepartment of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Xiao-Rong WuDepartment of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Pidong LiGrandomics Biosciences, Beijing, 100176, China.ORCID 0000-0001-8509-4648
Qiang GangDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Jing LiuDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Xin ShiDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Wei LiangDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Zhirong JiaDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Sheng YaoDepartment of Neurology, Sixth Medical Center of PLA General Hospital, Beijing, 100853, China.
Yun YuanDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Jianwen DengDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Daojun HongDepartment of Neurology, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.ORCID 0000-0003-1380-3534
Zhaoxia WangDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.ORCID 0000-0002-8723-4242
Peking University · CNNanchang University · CNShanghai Jiao Tong University · CNChinese PLA General Hospital · CNGrandomics (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe expansion of GGC repeat in the 5' untranslated region of the NOTCH2NLC has been associated with various neurogenerative disorders of the central nervous system and, more recently, oculopharyngodistal myopathy. This study aimed to report patients with distal weakness with both neuropathic and myopathic features on electrophysiology and pathology who present GGC repeat expansions in the NOTCH2NLC.

methodsWhole-exome sequencing (WES) and long-read sequencing were implemented to identify the candidate genes. In addition, the available clinical data and the pathological changes associated with peripheral nerve and muscle biopsies were reviewed and studied.

resultsWe identified and validated GGC repeat expansions of NOTCH2NLC in three unrelated patients who presented with progressive weakness predominantly affecting distal lower limb muscles, following negative results in an initial WES. We found intranuclear inclusions with multiple proteins deposits in the nuclei of both myofibers and Schwann cells. The clinical features of these patients are compatible with the diagnosis of distal motor neuropathy and rimmed vacuolar myopathy.

interpretationThese phenotypes enrich the class of features associated with NOTCH2NLC-related repeat expansion disorders (NRED), and provide further evidence that the neurological symptoms of NRED include not only brain, spinal cord, and peripheral nerves damage, but also myopathy, and that overlapping symptoms might exist.

Indexed as

AdultDistal MyopathiesExome SequencingFemaleHereditary Sensory and Motor NeuropathyHumansIntercellular Signaling Peptides and ProteinsIntranuclear Inclusion BodiesMaleMiddle AgedNerve Tissue ProteinsPedigreePhenotypeTrinucleotide Repeat ExpansionIntercellular Signaling Peptides and ProteinsNerve Tissue ProteinsNOTCH2NLC protein, human

Identifiers

PMID33943039
PMCPMC8164861
OpenAlexW3159854064

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.