Evidence map›Paper›PMID 38291835›Full record

ReviewMovement disorders clinical practice2024

DHDDS and NUS1: A Converging Pathway and Common Phenotype.

Laura J Williams, Sophie Waller, Jessica Qiu, Emily Innes, Noha Elserafy, Peter Procopis, Hugo Sampaio, Neil Mahant, Michel C Tchan, Shekeeb S Mohammad and 2 more

Open access · greenAbstract readReview
In one paragraph

Review in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Benign Idiopathic Myoclonus: A New Clinical Entity?Movement disorders clinical practice · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Case Report:Frontiers in pediatrics · 2025
    Article
  11. Expanding the spectrum ofFrontiers in genetics · 2025
    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

12 authors at 4 institutions in 1 country.

Laura J WilliamsMovement Disorder Unit, Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia.ORCID 0000-0003-3077-2960
Sophie WallerMovement Disorder Unit, Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia.
Jessica QiuMovement Disorder Unit, Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia.
Emily InnesTY Nelson Department of Neurology and Neurosurgery, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Noha ElserafyDepartment of Genomic Medicine, Westmead Hospital, Westmead, New South Wales, Australia.
Peter ProcopisTY Nelson Department of Neurology and Neurosurgery, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Hugo SampaioDepartment of Neurology, Sydney Children's Hospital, Randwick, New South Wales, Australia.
Neil MahantMovement Disorder Unit, Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia.
Michel C TchanDepartment of Genomic Medicine, Westmead Hospital, Westmead, New South Wales, Australia.
Shekeeb S MohammadTY Nelson Department of Neurology and Neurosurgery, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Hugo Morales-BriceñoMovement Disorder Unit, Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia.ORCID 0000-0002-1104-4151
Victor S C FungMovement Disorder Unit, Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia.ORCID 0000-0003-3085-2282
Westmead Hospital · AUThe University of Sydney · AUChildren's Hospital at Westmead · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVariants in dehydrodolichol diphosphate synthetase (DHDDS) and nuclear undecaprenyl pyrophosphate synthase 1 (NUS1) cause a neurodevelopmental disorder, classically with prominent epilepsy. Recent reports suggest a complex movement disorder and an overlapping phenotype has been postulated due to their combined role in dolichol synthesis. CASES: We describe three patients with heterozygous variants in DHDDS and five with variants affecting NUS1. They bear a remarkably similar phenotype of a movement disorder dominated by multifocal myoclonus. Diagnostic clues include myoclonus exacerbated by action and facial involvement, and slowly progressive or stable, gait ataxia with disproportionately impaired tandem gait. Myoclonus is confirmed with neurophysiology, including EMG of facial muscles. LITERATURE REVIEW: Ninety-eight reports of heterozygous variants in DHDDS, NUS1 and chromosome 6q22.1 structural alterations spanning NUS1, confirm the convergent phenotype of hypotonia at birth, developmental delay, multifocal myoclonus, ataxia, dystonia and later parkinsonism with or without generalized epilepsy. Other features include periodic exacerbations, stereotypies, anxiety, and dysmorphisms. Although their gene products contribute to dolichol biosynthesis, a key step in N-glycosylation, transferrin isoform profiles are typically normal. Imaging is normal or non-specific.

conclusionsRecognition of their shared phenotype may expedite diagnosis through chromosomal microarray and by including DHDDS/NUS1 in movement disorder gene panels.

Indexed as

Movement DisordersMyoclonusAtaxiaDiphosphatesDolicholsHumansInfant, NewbornPhenotypeReceptors, Cell SurfaceDiphosphatesDolicholsNUS1 protein, humanReceptors, Cell Surfacedehydrodolichol diphosphate synthetaseDHDDSdolichol biosynthesisNogo B receptorNUS1

Identifiers

PMID38291835
PMCPMC10828623
OpenAlexW4388637897

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.