Evidence map›Paper›PMID 34098570›Full record

ArticleNeurosurgery2021

Genome-Wide Association Study Identifies Genetic Risk Factors for Spastic Cerebral Palsy.

Andrew T Hale, Oluwatoyin Akinnusotu, Jing He, Janey Wang, Natalie Hibshman, Chevis N Shannon, Robert P Naftel

Open access · greenAbstract read
In one paragraph

Article in Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Insights into the genetic landscape of cerebral palsy.Clinical and translational medicine · 2025
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Andrew T HaleVanderbilt University School of Medicine, Medical Scientist Training Program, Nashville, Tennessee, USA.
Oluwatoyin AkinnusotuSurgical Outcomes Center for Kids, Monroe Carell Jr Children's Hospital of Vanderbilt University, Nashville, Tennessee, USA.
Jing HeDepartment of Bioinformatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Janey WangDepartment of Bioinformatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Natalie HibshmanSurgical Outcomes Center for Kids, Monroe Carell Jr Children's Hospital of Vanderbilt University, Nashville, Tennessee, USA.
Chevis N ShannonSurgical Outcomes Center for Kids, Monroe Carell Jr Children's Hospital of Vanderbilt University, Nashville, Tennessee, USA.
Robert P NaftelSurgical Outcomes Center for Kids, Monroe Carell Jr Children's Hospital of Vanderbilt University, Nashville, Tennessee, USA.
Vanderbilt University · USMonroe Carell Jr. Children's Hospital · USVanderbilt University Medical Center · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Alterations in the sulfur assimilation pathway mediates iron metabolismF30HL143826 · NHLBI · VANDERBILT UNIVERSITY · PI HALE, ANDREW T · 2018 to 2020
$99k
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NHLBI NIH HHS F30 HL143826NIGMS NIH HHS T32 GM007347
6 · The paper itself

Abstract

backgroundAlthough many clinical risk factors of spastic cerebral palsy (CP) have been identified, the genetic basis of spastic CP is largely unknown. Here, using whole-genome genetic information linked to a deidentified electronic health record (BioVU) with replication in the UK Biobank and FinnGen, we perform the first genome-wide association study (GWAS) for spastic CP.

objectiveTo define the genetic basis of spastic CP.

methodsWhole-genome data were obtained using the multi-ethnic genotyping array (MEGA) genotyping array capturing single-nucleotide polymorphisms (SNPs), minor allele frequency (MAF) > 0.01, and imputation quality score (r2) > 0.3, imputed based on the 1000 genomes phase 3 reference panel. Threshold for genome-wide significance was defined after Bonferroni correction for the total number of SNPs tested (P < 5.0 × 10-8). Replication analysis (defined as P < .05) was performed in the UK Biobank and FinnGen.

resultsWe identify 1 SNP (rs78686911) reaching genome-wide significance with spastic CP. Expression quantitative trait loci (eQTL) analysis suggests that rs78686911 decreases expression of GRIK4, a gene that encodes a high-affinity kainate glutamatergic receptor of largely unknown function. Replication analysis in the UK Biobank and FinnGen reveals additional SNPs in the GRIK4 loci associated with CP.

conclusionTo our knowledge, we perform the first GWAS of spastic CP. Our study indicates that genetic variation contributes to CP risk.

Indexed as

Cerebral PalsyGenome-Wide Association StudyGenetic Predisposition to DiseaseHumansPolymorphism, Single NucleotideRisk FactorsCerebral palsyGeneticsGWASSpasticity

Identifiers

PMID34098570
PMCPMC8364821
OpenAlexW3167689112

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.