Evidence map›Paper›PMID 34564892›Full record

ArticleAnnals of neurology2021

Dominant KPNA3 Mutations Cause Infantile-Onset Hereditary Spastic Paraplegia.

Claudia Schob, Maja Hempel, Dana Safka Brozkova, Huafang Jiang, Soo Yeon Kim, Nurit Assia Batzir, Naama Orenstein, Tatjana Bierhals, Jessika Johannsen, Anna Uhrova Meszarosova and 7 more

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Annals of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 6 countries.

Claudia SchobInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Maja HempelInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Dana Safka BrozkovaNeurogenetic Laboratory, Department of Pediatric Neurology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
Huafang JiangDepartment of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Soo Yeon KimDepartment of Genomics Medicine, Rare Disease Center, Seoul National University Hospital, Seoul, Republic of Korea.
Nurit Assia BatzirPediatric Genetics Clinic, Schneider Children's Medical Center of Israel, Petah-Tikva, Israel.
Naama OrensteinPediatric Genetics Clinic, Schneider Children's Medical Center of Israel, Petah-Tikva, Israel.
Tatjana BierhalsInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jessika JohannsenDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Anna Uhrova MeszarosovaNeurogenetic Laboratory, Department of Pediatric Neurology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
Jong-Hee ChaeDepartment of Genomics Medicine, Rare Disease Center, Seoul National University Hospital, Seoul, Republic of Korea.
Pavel SeemanNeurogenetic Laboratory, Department of Pediatric Neurology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
Mathias WoidyDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Fang FangDepartment of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Christian KubischInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Stefan KindlerInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-2058-810X
Jonas DeneckeDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Universität Hamburg · DECharles University · CZCapital Medical University · CNSchneider Children's Medical Center · ILSeoul National University · KRSeoul National University Hospital · KR

Funding

Deutsche Forschungsgemeinschaft SCHO 1921/2-1Deutsche Forschungsgemeinschaft SPP1935European Joint Programme on Rare Diseases MEYS 8F20002European Union's Horizon 2020 research and innovation programme EJP RD COFUND-EJP N° 825575Ministerstvo Zdravotnictví Ceské Republiky DRO00064203Seoul National University
6 · The paper itself

Abstract

objectiveHereditary spastic paraplegia (HSP) is a highly heterogeneous neurologic disorder characterized by lower-extremity spasticity. Here, we set out to determine the genetic basis of an autosomal dominant, pure, and infantile-onset form of HSP in a cohort of 8 patients with a uniform clinical presentation.

methodsTrio whole-exome sequencing was used in 5 index patients with infantile-onset pure HSP to determine the genetic cause of disease. The functional impact of identified genetic variants was verified using bioinformatics and complementary cellular and biochemical assays.

resultsDistinct heterozygous KPNA3 missense variants were found to segregate with the clinical phenotype in 8 patients; in 4 of them KPNA3 variants had occurred de novo. Mutant karyopherin-α3 proteins exhibited a variable pattern of altered expression level, subcellular distribution, and protein interaction.

interpretationOur genetic findings implicate heterozygous variants in KPNA3 as a novel cause for autosomal dominant, early-onset, and pure HSP. Mutant karyopherin-α3 proteins display varying deficits in molecular and cellular functions, thus, for the first time, implicating dysfunctional nucleocytoplasmic shuttling as a novel pathomechanism causing HSP. ANN NEUROL 2021;90:738-750.

Indexed as

Adultalpha KaryopherinsChild, PreschoolExome SequencingHeterozygoteHumansMaleMiddle AgedMutationPedigreePhenotypeSpastic Paraplegia, HereditaryYoung Adultalpha KaryopherinsKPNA3 protein, human

Identifiers

PMID34564892
OpenAlexW3202691869

What OpenQuestion holds

Textmetadata
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.