Evidence map›Paper›PMID 34281576›Full record

ArticleOrphanet journal of rare diseases2021

Natural history and genetic study of LAMA2-related muscular dystrophy in a large Chinese cohort.

Dandan Tan, Lin Ge, Yanbin Fan, Xingzhi Chang, Shuang Wang, Cuijie Wei, Juan Ding, Aijie Liu, Shuo Wang, Xueying Li and 20 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.9field-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

23 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Review
  3. Pediatric investigation · 2026
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  4. Drivers of systemic male-female allele frequency divergence in humans.bioRxiv : the preprint server for biology · 2026
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  9. A Spectrum of Pathogenic Variants in theInternational journal of molecular sciences · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Dual transgene amelioration of Lama2-null muscular dystrophy.Matrix biology : journal of the International Society for Matrix Biology · 2023
    Article
  17. Article
  18. Article
  19. Article
  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

30 authors at 11 institutions in 2 countries.

Dandan Tan *Department of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Lin Ge *Department of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Yanbin FanDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Xingzhi ChangDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Shuang WangDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Cuijie WeiDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Juan DingDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Aijie LiuDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Shuo WangDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Xueying LiDepartment of Statistics, Peking University First Hospital, Beijing, 100034, China.
Kai GaoDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Haipo YangDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Chengli QueDepartment of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, 100034, China.
Zhen HuangDepartment of Rehabilitation Medicine, Peking University First Hospital, Beijing, 100034, China.
Chunde LiDepartment of Orthopedic/Spine Surgery, Peking University First Hospital, Beijing, 100034, China.
Ying ZhuDepartment of Radiology, Peking University First Hospital, Beijing, 100034, China.
Bing MaoDepartment of Neurology, Wuhan Children's Hospital, Wuhan, 430015, Hubei Province, China.
Bo JinDepartment of Neurology, Children's Hospital of Nanjing Medical University, Nanjing, 210008, Jiangsu Province, China.
Ying HuaDepartment of Pediatrics, Wuxi Children's Hospital, Wuxi, 214000, Jiangsu Province, China.
Xiaoli ZhangDepartment of Pediatrics, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan Province, China.
Bingbing ZhangDepartment of Neurology, Children's Hospital of Soochow University, Suzhou, 215025, Jiangsu Province, China.
Wenhua ZhuDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Cheng ZhangDepartment of Neurology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, Guangdong Province, China.
Yanjuan WangDepartment of Neurology, School of Medicine, Chengdu Women's & Children's Central Hospital, University of Electronic Science and Technology of China, Chengdu, 610091, Sichuan Province, China.
Yun YuanDepartment of Neurology, Peking University First Hospital, Beijing, 100034, China.
Yuwu JiangDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Anne RutkowskiKaiser Permanente SCPMG Cure CMD, Los Angeles, CA, USA.
Carsten G BönnemannNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA.
Xiru WuDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China.
Hui XiongDepartment of Pediatrics, Peking University First Hospital, Beijing, 100034, China. xh_bjbj@163.com.ORCID 0000-0003-4138-2992
Peking University · CNFudan University · CNKaiser Permanente · USNational Institutes of Health · USSecond Affiliated Hospital of Nanjing Medical University · CNSoochow University · CNSun Yat-sen University · CNThird Affiliated Hospital of Zhengzhou University · CNUniversity of Electronic Science and Technology of China · CNWuhan Children's Hospital · CNWuxi People's Hospital · CN

Funding

Molecular and Clinical Manifestations of Matrix and Aggregate MyopathiesZIANS003129 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI BÖNNEMANN, CARSTEN · 2011 to 2025
$52.8M
6 · The paper itself

Abstract

backgroundLAMA2-related muscular dystrophy including LAMA2-related congenital muscular dystrophy (LAMA2-CMD) and autosomal recessive limb-girdle muscular dystrophy-23 (LGMDR23) is caused by LAMA2 pathogenic variants. We aimed to describe the natural history and establish genotype-phenotype correlations in a large cohort of Chinese patients with LAMA2-related muscular dystrophy.

methodsClinical and genetic data of LAMA2-related muscular dystrophy patients enrolled from ten research centers between January 2003 and March 2021 were collected and analyzed.

resultsOne hundred and thirty patients (116 LAMA2-CMD and 14 LGMDR23) were included. LAMA2-CMD group had earlier onset than LGMDR23 group. Head control, independent sitting and ambulation were achieved in 76.3%, 92.6% and 18.4% of LAMA2-CMD patients at median ages of 6.0 months (range 2.0-36.0 months), 11.0 months (range 6.0-36.0 months), and 27.0 months (range 18.0-84.0 months), respectively. All LGMDR23 patients achieved independent ambulation at median age of 18.0 months (range 13.0-20.0 months). Motor regression in LAMA2-CMD mainly occurred concurrently with rapid progression of contractures during 6-9 years old. Twenty-four LAMA2-related muscular dystrophy patients died, mostly due to severe pneumonia. Seizures occurred in 35.7% of LGMDR23 and 9.5% of LAMA2-CMD patients. Forty-six novel and 97 known LAMA2 disease-causing variants were identified. The top three high-frequency disease-causing variants in Han Chinese patients were c.7147C > T (p.R2383*), exon 4 deletion, and c.5156_5159del (p.K1719Rfs*5). In LAMA2-CMD, splicing variants tended to be associated with a relatively mild phenotype. Nonsense variants were more frequent in LAMA2-CMD (56.9%, 66/116) than in LGMDR23 (21.4%, 3/14), while missense disease-causing variants were more frequent in LGMDR23 (71.4%, 10/14) than in LAMA2-CMD (12.9%, 15/116). Copy number variations were identified in 26.4% of survivors and 50.0% of nonsurvivors, suggesting that copy number variations were associated with lower rate of survival (p = 0.029).

conclusionsThis study provides better understandings of natural history and genotype-phenotype correlations in LAMA2-related muscular dystrophy, and supports therapeutic targets for future researches.

Indexed as

Muscular DystrophiesMuscular Dystrophies, Limb-GirdleChildChild, PreschoolChinaDNA Copy Number VariationsHumansInfantLamininLamininGenotypeLAMA2Muscular dystrophyNatural historyRare diseases

Identifiers

PMID34281576
PMCPMC8287797
OpenAlexW3186634113

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LicenceCC BY
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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.