Evidence map›Paper›PMID 35620871›Full record

ArticleMolecular genetics & genomic medicine2022

Hereditary hemorrhagic telangiectasia: First demonstration of a founder effect in Italy; the ACVRL1 c.289_294del variant originated in the country of Bergamo 200 years ago.

Anna Sbalchiero, Yasmin Abu Hweij, Tommaso Mazza, Elisabetta Buscarini, Claudia Scotti, Fabio Pagella, Guido Manfredi, Elina Matti, Giuseppe Spinozzi, Carla Olivieri

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
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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

10 authors at 4 institutions in 1 country.

Anna SbalchieroGeneral Biology and Medical Genetics Unit, Department of Molecular Medicine, University of Pavia, Pavia, Italy.ORCID 0000-0002-0010-0840
Yasmin Abu HweijGeneral Biology and Medical Genetics Unit, Department of Molecular Medicine, University of Pavia, Pavia, Italy.
Tommaso MazzaLaboratory of Bioinformatics, Fondazione IRCCS Casa Sollievo della Sofferenza-Mendel, San Giovanni Rotondo (FG), Italy.
Elisabetta BuscariniUOC of Gastroenterology-Reference Centre for HHT, ASST Ospedale Maggiore di Crema, Crema (CR), Italy.
Claudia ScottiImmunology and General Pathology Unit, Department of Molecular Medicine, University of Pavia, Pavia, Italy.
Fabio PagellaUOC of Otorhinolaryngology, Department of Surgical Sciences, University of Pavia, Pavia, Italy.
Guido ManfrediUOC of Gastroenterology-Reference Centre for HHT, ASST Ospedale Maggiore di Crema, Crema (CR), Italy.
Elina MattiUOC of Otorhinolaryngology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Giuseppe SpinozziUOC of Otorhinolaryngology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Carla OlivieriGeneral Biology and Medical Genetics Unit, Department of Molecular Medicine, University of Pavia, Pavia, Italy.ORCID 0000-0001-5812-3175
University of Pavia · ITAzienda Ospedaliera Ospedale Maggiore · ITPoliclinico San Matteo Fondazione · ITCasa Sollievo della Sofferenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant vascular disorder, affecting 1:5000 individuals worldwide. All the genes associated to the disease (ENG, ACVRL1, SMAD4, GDF2) belong to the TGF-β/BMPs signaling pathway. We found 19 HHT unrelated families, coming from a Northern Italy region and sharing the ACVRL1 in-frame deletion c.289_294del (p.H97_N98).

methodsTo test the hypothesis of a founder effect, we analyzed 88 subjects from 19 families (66 variant carriers, showing clinical signs of HHT, and 22 non-carriers, unaffected) using eight microsatellite markers within 3.7 Mb around the ACVRL1 locus. After the haplotype reconstruction, age estimation of the variant was carried out.

resultsWe observed a common disease haplotype in 16/19 families, while three families showed evidence of recombination around the ACVRL1 locus. The subsequent age estimation analyses suggested that the mutation occurred about 8 generations ago, corresponding to about 200 years ago. We also present novel in silico and modeling data supporting the variant pathogenicity: the deletion alters the protein stability and removes the unique extracellular glycosylation site.

conclusionWe have demonstrated, for the first time, a "founder effect" for a HHT pathogenic variant in Italy.

Indexed as

Activin Receptors, Type IITelangiectasia, Hereditary HemorrhagicEndoglinFounder EffectHeterozygoteHumansItalyMutationActivin Receptors, Type IIACVRL1 protein, humanEndoglinACVRL1age estimationcommon ancestorfounder effectHHTRendu-Osler-weber syndrome

Identifiers

PMID35620871
PMCPMC9356557
OpenAlexW4281679857

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.