Evidence map›Paper›PMID 34318601›Full record

ArticleMolecular genetics & genomic medicine2021

A novel mutation in COL3A1 associates to vascular Ehlers-Danlos syndrome with predominant musculoskeletal involvement.

Federica Ruscitti, Lucia Trevisan, Giulia Rosti, Fabio Gotta, Annalia Cianflone, Alessandro Geroldi, Paola Origone, Anna Pichiecchio, Simona Viglio, Maria Iascone and 1 more

Open access · goldAbstract readCase Reports
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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 19% 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. Article
  2. AAdvances in laboratory medicine · 2025
    Article
  3. Advances in laboratory medicine · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Human-based complexFrontiers in cell and developmental biology · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

11 authors at 4 institutions in 1 country.

Federica RuscittiDINOGMI Department, University of Genoa, Genoa, Italy.
Lucia TrevisanDINOGMI Department, University of Genoa, Genoa, Italy.ORCID 0000-0002-8608-4342
Giulia RostiDINOGMI Department, University of Genoa, Genoa, Italy.ORCID 0000-0002-5949-803X
Fabio GottaMedical Genetics Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Annalia CianfloneDINOGMI Department, University of Genoa, Genoa, Italy.
Alessandro GeroldiDINOGMI Department, University of Genoa, Genoa, Italy.
Paola OrigoneDINOGMI Department, University of Genoa, Genoa, Italy.
Anna PichiecchioNeuroradiology Department, IRCCS Mondino Foundation, Pavia, Italy.
Simona ViglioBiochemistry Unit, Department of Molecular Medicine, University of Pavia, Pavia, Italy.
Maria IasconeMedical Genetics Laboratory, Hospital Papa Giovanni XXIII, Bergamo, Italy.
Paola MandichDINOGMI Department, University of Genoa, Genoa, Italy.ORCID 0000-0003-3123-3512
Ospedale Policlinico San Martino · ITUniversity of Pavia · ITOspedale Papa Giovanni XXIII · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular Ehlers-Danlos syndrome (vEDS) is a heritable connective tissue disorder caused by defects in the type III collagen protein. It is generally considered the most severe form of Ehlers-Danlos syndrome (EDS) due to an increased risk of spontaneous artery or organ rupture. vEDS has an extremely heterogeneous presentation and muscle rupture is considered a minor diagnostic criterium.

methodsA patient with a long history of inconclusive examinations and investigations was referred to our unit. The clinical picture was mainly characterized by muscle ruptures, whereas the cardiovascular involvement was limited to mitral regurgitation. We performed a panel analysis of genes associated with inheritable heart diseases using the TruSight Cardio kit (Illumina). A skin biopsy was then performed for functional studies to analyze the different forms of collagen molecules produced in vitro by cutaneous fibroblasts.

resultsThe patient presented the novel variant c.3478A>G (p.Ile1160Val) in COL3A1 (NM_000090.3), whose pathogenicity was supported by biochemical analysis of type III collagen.

conclusionIn this report, we describe a case of vEDS with predominant and severe musculoskeletal involvement. Our findings provide insight into genetic variants and clinical expression of vEDS, broadening the clinical scenario of the syndrome.

Indexed as

PhenotypeAdultCollagen Type IIIEhlers-Danlos SyndromeHumansMaleMuscle, SkeletalMutationCOL3A1 protein, humanCollagen Type IIICOL3A1musculoskeletal involvementNGSvEDS

Identifiers

PMID34318601
PMCPMC8457703
OpenAlexW3185685873

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.