Evidence map›Paper›PMID 34663460›Full record

ArticleAlzheimer's research & therapy2021

Homozygous R136S mutation in PRNP gene causes inherited early onset prion disease.

Teresa Ximelis, Alba Marín-Moreno, Juan Carlos Espinosa, Hasier Eraña, Jorge M Charco, Isabel Hernández, Carmen Riveira, Daniel Alcolea, Eva González-Roca, Iban Aldecoa and 8 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Alpha-synuclein co-pathology in Down syndrome-associated Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  3. Article
  4. Article
  5. Uncovering tau in wasteosomes (Frontiers in aging neuroscience · 2023
    Article
  6. Prion Mutations in Republic of Republic of Korea, China, and Japan.International journal of molecular sciences · 2022
    Review
  7. Article
  8. Article
  9. Review
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

18 authors at 9 institutions in 3 countries.

Teresa Ximelis *Neurological Tissue Bank of the Biobanc-Hospital Clinic-Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), 08036, Barcelona, Spain.
Alba Marín-Moreno *Centro de Investigación en Sanidad Animal (CISA-INIA-CSIC), 28130 Valdeolmos, Madrid, Spain.
Juan Carlos EspinosaCentro de Investigación en Sanidad Animal (CISA-INIA-CSIC), 28130 Valdeolmos, Madrid, Spain.
Hasier ErañaCenter for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research and Technology Alliance (BRTA), Bizkaia Technology Park, 48160, Derio, Spain.
Jorge M CharcoCenter for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research and Technology Alliance (BRTA), Bizkaia Technology Park, 48160, Derio, Spain.
Isabel HernándezFundació ACE, Barcelona Alzheimer Treatment and Research Center, 08028, Barcelona, Spain.
Carmen RiveiraNeurology Service, Hospital de León, 24071, León, Spain.
Daniel AlcoleaMemory Unit, Hospital de la Santa Creu i Sant Pau, 08041, Barcelona, Spain.
Eva González-RocaImmunology department, Biomedical Diagnostic Center, Hospital Clínic de Barcelona, 08036, Barcelona, Spain.
Iban AldecoaNeurological Tissue Bank of the Biobanc-Hospital Clinic-Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), 08036, Barcelona, Spain.
Laura Molina-PorcelNeurological Tissue Bank of the Biobanc-Hospital Clinic-Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), 08036, Barcelona, Spain.
Piero ParchiDepartment of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, 40138, Bologna, Italy.
Marcello RossiIRCCS, Istituto delle Scienze Neurologiche di Bologna, 40139, Bologna, Italy.
Joaquín CastillaCenter for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research and Technology Alliance (BRTA), Bizkaia Technology Park, 48160, Derio, Spain.
Raquel Ruiz-GarcíaImmunology department, Biomedical Diagnostic Center, Hospital Clínic de Barcelona, 08036, Barcelona, Spain.
Ellen GelpiNeurological Tissue Bank of the Biobanc-Hospital Clinic-Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), 08036, Barcelona, Spain.
Juan María TorresCentro de Investigación en Sanidad Animal (CISA-INIA-CSIC), 28130 Valdeolmos, Madrid, Spain. jmtorres@inia.es.
Raquel Sánchez-ValleNeurological Tissue Bank of the Biobanc-Hospital Clinic-Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), 08036, Barcelona, Spain. rsanchez@clinic.cat.ORCID 0000-0001-7750-896X
Hospital Clínic de Barcelona · ESConsejo Superior de Investigaciones Científicas · ESBanc de Sang i Teixits · ESCIC bioGUNE · ESIstituto delle Scienze Neurologiche di Bologna · ITFundació ACE · ESHospital de León · ESHospital de Sant Pau · ESIkerbasque · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore than 40 pathogenic heterozygous PRNP mutations causing inherited prion diseases have been identified to date. Recessive inherited prion disease has not been described to date.

methodsWe describe the clinical and neuropathological data of inherited early-onset prion disease caused by the rare PRNP homozygous mutation R136S. In vitro PrP

resultsThe index case presented symptoms of early-onset dementia beginning at the age of 49 and died at the age of 53. Neuropathological evaluation of the proband revealed abundant multicentric PrP plaques and Western blotting revealed a ~ 8 kDa protease-resistant, unglycosylated PrP

conclusionIn conclusion, biallelic R136S substitution is a rare variant that produces inherited early-onset human prion disease with a Gerstmann-Sträussler-Scheinker neuropathological and molecular signature. Even if the R136S variant is predicted to be "probably damaging", heterozygous carriers are protected, at least from an early onset providing evidence for a potentially recessive pattern of inheritance in human prion diseases.

Indexed as

Gerstmann-Straussler-Scheinker DiseasePrion DiseasesPrionsAnimalsBrainFemaleHumansMiceMutationPrion ProteinsRecombinant ProteinsPrion ProteinsPrionsPRNP protein, humanPrnp protein, leucyl(101), mousePrnp protein, mouseRecombinant ProteinsGene PRNPGSSHomozygousNeuropathologyPrion

Identifiers

PMID34663460
PMCPMC8524886
OpenAlexW3206567705

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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.