Evidence map›Paper›PMID 35076175›Full record

ArticleAnnals of clinical and translational neurology2022

Mendelian etiologies identified with whole exome sequencing in cerebral palsy.

Maya Chopra, Dustin L Gable, Jamie Love-Nichols, Alexa Tsao, Shira Rockowitz, Piotr Sliz, Elizabeth Barkoudah, Lucia Bastianelli, David Coulter, Emily Davidson and 29 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
11.9field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. A Phenotypic Paradigm for Cerebral Palsy Genetics.medRxiv : the preprint server for health sciences · 2026
    Article
  5. Review
  6. Characteristics of Cerebral Palsy in the Midwestern US.Annals of clinical and translational neurology · 2026
    Article
  7. Article
  8. Article
  9. Genetic testing in cerebral palsy with clinical and neuroimaging variables.Developmental medicine and child neurology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Genetic investigations in cerebral palsy.Developmental medicine and child neurology · 2025
    Review
  17. New Developments in the Surgery for Spasticity.Advances and technical standards in neurosurgery · 2025
    Review
  18. Review
  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

39 authors at 7 institutions in 1 country.

Maya Chopra *Department of Neurology, Rosamund Stone Zander Translational Neuroscience Center, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-2574-3375
Dustin L Gable *Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Jamie Love-NicholsDepartment of Genetics, Seattle Children's Hospital, Seattle, Washington, USA.
Alexa TsaoMarsh & McLennan Agency, White Plains, New York, USA.
Shira RockowitzThe Manton Center for Orphan Disease Research, Boston Children's Hospital, Boston, Massachusetts, USA.
Piotr SlizThe Manton Center for Orphan Disease Research, Boston Children's Hospital, Boston, Massachusetts, USA.
Elizabeth BarkoudahDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Lucia BastianelliDepartment of Orthopedics, Boston Children's Hospital, Boston, Massachusetts, USA.
David CoulterDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Emily DavidsonDepartment of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Claudio DeGusmaoDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-7171-1406
David FogelmanDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA.
Kathleen HuthDepartment of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Paige MarshallDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Donna NimecDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA.
Jessica Solomon SandersDepartment of Neurology, Denver Children's Hospital, Denver, Colorado, USA.
Benjamin J ShoreDepartment of Orthopedics, Boston Children's Hospital, Boston, Massachusetts, USA.
Brian SnyderDepartment of Orthopedics, Boston Children's Hospital, Boston, Massachusetts, USA.
Scellig S D StoneDepartment of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Ana UbedaDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA.
Colyn WatkinsDepartment of Orthopedics, Boston Children's Hospital, Boston, Massachusetts, USA.
Charles BerdeDepartment of Anesthesiology, Boston Children's Hospital, Boston, Massachusetts, USA.
Jeffrey BoltonDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Catherine BrownsteinDivision of Genetics and Genomics, Boston Children's Hospital, Boston, Massachusetts, USA.
Michael CostiganDepartment of Neurobiology, Boston Children's Hospital, Boston, Massachusetts, USA.
Darius Ebrahimi-FakhariThe Manton Center for Orphan Disease Research, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-0026-4714
Abbe LaiDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Anne O'Donnell-LuriaThe Manton Center for Orphan Disease Research, Boston Children's Hospital, Boston, Massachusetts, USA.
Alex R PaciorkowskiDepartments of Neurology, Pediatrics, Biomedical Genetics, and Neuroscience, University of Rochester Medical Center, Rochester, New York, USA.
Anna PintoDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
John PughDepartment of Neurology, Bernard and Millie Duker Children's Hospital, Albany Medical Center, Albany, New York, USA.
Lance RodanDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Eugene RoeDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Lindsay SwansonDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Bo ZhangDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Michael C KruerDepartment of Neurology and Pediatrics, Phoenix Children's Hospital, Phoenix, Arizona, USA.
Mustafa SahinDepartment of Neurology, Rosamund Stone Zander Translational Neuroscience Center, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-7044-2953
Annapurna PoduriDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-7350-5136
Siddharth SrivastavaDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-7008-1879
Boston Children's Hospital · USSpaulding Rehabilitation Hospital · USAlbany Medical Center Hospital · USChildren's Hospital Colorado · USPhoenix Children's Hospital · USSeattle Children's Hospital · USUniversity of Rochester Medical Center · US

Funding

Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCOTT Loren POMEROY, MUSTAFA SAHIN · 2021 to 2026
$9.4M
CH/BIDMC/Harvard Medical School Neurology Resident Research Education Program Competing RenewalR25NS070682 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI PODURI, ANNAPURNA, SAPER, CLIFFORD B · 2010 to 2023
$4.5M
Genomic Insights into the Neurobiology of Cerebral PalsyR01NS106298 · NINDS · UNIVERSITY OF ARIZONA · PI KRUER, MICHAEL C · 2019 to 2023
$3.7M
Development of a Translational Research Platform to Understand and treat Defective Protein Trafficking in Childhood-Onset Hereditary Spastic ParaplegiaK08NS123552 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI EBRAHIMI-FAKHARI, DARIUS · 2021 to 2025
$1.1M
Investigating the Genetic Landscape of Cerebral PalsyK23NS119666 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI SRIVASTAVA, SIDDHARTH · 2021 to 2025
$1.1M
NICHD NIH HHS P50 HD105351NINDS NIH HHS 1K08NS123552-01NINDS NIH HHS 2R25NS070682NINDS NIH HHS K08 NS123552NINDS NIH HHS K23 NS119666NINDS NIH HHS R01 NS106298NINDS NIH HHS R25 NS070682
6 · The paper itself

Abstract

objectivesCerebral palsy (CP) is the most common childhood motor disability, yet its link to single-gene disorders is under-characterized. To explore the genetic landscape of CP, we conducted whole exome sequencing (WES) in a cohort of patients with CP.

methodsWe performed comprehensive phenotyping and WES on a prospective cohort of individuals with cryptogenic CP (who meet criteria for CP; have no risk factors), non-cryptogenic CP (who meet criteria for CP; have at least one risk factor), and CP masqueraders (who could be diagnosed with CP, but have regression/progressive symptoms). We characterized motor phenotypes, ascertained medical comorbidities, and classified brain MRIs. We analyzed WES data using an institutional pipeline.

resultsWe included 50 probands in this analysis (20 females, 30 males). Twenty-four had cryptogenic CP, 20 had non-cryptogenic CP, five had CP masquerader classification, and one had unknown classification. Hypotonic-ataxic subtype showed a difference in prevalence across the classification groups (p = 0.01). Twenty-six percent of participants (13/50) had a pathogenic/likely pathogenic variant in 13 unique genes (ECHS1, SATB2, ZMYM2, ADAT3, COL4A1, THOC2, SLC16A2, SPAST, POLR2A, GNAO1, PDHX, ACADM, ATL1), including one patient with two genetic disorders (ACADM, PDHX) and two patients with a SPAST-related disorder. The CP masquerader category had the highest diagnostic yield (n = 3/5, 60%), followed by the cryptogenic CP category (n = 7/24, 29%). Fifteen percent of patients with non-cryptogenic CP (n = 3/20) had a Mendelian disorder on WES.

interpretationWES demonstrated a significant prevalence of Mendelian disorders in individuals clinically diagnosed with CP, including in individuals with known CP risk factors.

Indexed as

Exome SequencingAdolescentCerebral PalsyChildChild, PreschoolCohort StudiesFemaleGenetic Predisposition to DiseaseHumansMale

Identifiers

PMID35076175
PMCPMC8862420
OpenAlexW4207005200

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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.