Evidence map›Paper›PMID 34782662›Full record

ArticleScientific reports2021

Clinical and molecular characterization of a large cohort of childhood onset hereditary spastic paraplegias.

Gabriela Marchisio Giordani, Fabrício Diniz, Helena Fussiger, Carelis Gonzalez-Salazar, Karina Carvalho Donis, Fernando Freua, Roberta Paiva Magalhães Ortega, Julian Letícia de Freitas, Orlando Graziani Povoas Barsottini, Sergio Rosemberg and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Spastic Ataxia Composite (SPAXCOM): A Scale to Evaluate the Progression of Subjects with Spasticity and Ataxia.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Early-Onset and Severe Complex Hereditary Spastic Paraplegia Caused by De Novo Variants in SPAST.Movement disorders : official journal of the Movement Disorder Society · 2022
    Article
  14. Article
  15. 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

14 authors at 6 institutions in 1 country.

Gabriela Marchisio GiordaniGraduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Fabrício DinizGraduate Program in Medical Physiopathology, Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil.
Helena FussigerGraduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Carelis Gonzalez-SalazarGraduate Program in Medical Physiopathology, Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil.
Karina Carvalho DonisNeurogenetics, Clinical Research Center, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
Fernando FreuaDepartamento de Neurologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
Roberta Paiva Magalhães OrtegaIrmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Julian Letícia de FreitasDepartment of Neurology, Ataxia Unit Universidade Federal de São Paulo, São Paulo, Brazil.
Orlando Graziani Povoas BarsottiniDepartment of Neurology, Ataxia Unit Universidade Federal de São Paulo, São Paulo, Brazil.
Sergio RosembergIrmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Fernando KokDepartamento de Neurologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
José Luiz PedrosoDepartment of Neurology, Ataxia Unit Universidade Federal de São Paulo, São Paulo, Brazil.
Marcondes Cavalcante FrançaGraduate Program in Medical Physiopathology, Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil.
Jonas Alex Morales SauteGraduate Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. jsaute@hcpa.edu.br.
Hospital de Clínicas de Porto Alegre · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRIrmandade da Santa Casa de Misericórdia de São Paulo · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 460941/2014-3Fundo de Incentivo à Pesquisa e Eventos-Hospital de Clínicas de Porto Alegre 14-0695
6 · The paper itself

Abstract

The present study aimed to characterize clinical and molecular data of a large cohort of subjects with childhood-onset hereditary spastic paraplegias (HSPs). A multicenter historical cohort was performed at five centers in Brazil, in which probands and affected relatives' data from consecutive families with childhood-onset HSP (onset < 12 years-old) were reviewed from 2011 to 2020. One hundred and six individuals (83 families) with suspicion of childhood-onset HSP were evaluated, being 68 (50 families) with solved genetic diagnosis, 6 (5 families) with candidate variants in HSP-related genes and 32 (28 families) with unsolved genetic diagnosis. The most common childhood-onset subtype was SPG4, 11/50 (22%) families with solved genetic diagnosis; followed by SPG3A, 8/50 (16%). Missense pathogenic variants in SPAST were found in 54.5% of probands, favoring the association of this type of variant to childhood-onset SPG4. Survival curves to major handicap and cross-sectional Spastic Paraplegia Rating Scale progressions confirmed the slow neurological deterioration in SPG4 and SPG3A. Most common complicating features and twenty variants not previously described in HSP-related genes were reported. These results are fundamental to understand the molecular and clinical epidemiology of childhood-onset HSP, which might help on differential diagnosis, patient care and guiding future collaborative trials for these rare diseases.

Indexed as

AdolescentAdultAge of OnsetAllelesBrazilChildCohort StudiesDisease ManagementDisease SusceptibilityFemaleGenetic Predisposition to DiseaseGenotypeHigh-Throughput Nucleotide SequencingHumansMagnetic Resonance ImagingMaleSpastinSPAST protein, human

Identifiers

PMID34782662
PMCPMC8593146
OpenAlexW3212398204

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.