Evidence map›Paper›PMID 39742415›Full record

ArticleEuropean journal of neurology2025

A founder variant in the RYR1 gene is associated with hyperCKemia, myalgia and muscle cramps.

Alba Segarra-Casas, Pablo Iruzubieta, Solange Kapetanovic, Aurelio Hernández-Laín, Ivonne Jericó, Roberto Fernández-Torrón, Miren Maneiro, Pablo Marco-Moreno, M Victoria Zelaya-Huerta, Benjamín Rodríguez-Santiago and 7 more

Abstract read
In one paragraph

Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. The Clinical, Histological, and Genetic Spectrum ofJournal of clinical medicine · 2026
    Article
  4. 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

17 authors.

Alba Segarra-CasasGenetics Department, Institut de Recerca Sant Pau (IR SANT PAU), Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0001-5185-5031
Pablo IruzubietaGroup of Neuromuscular Diseases, Donostia University Hospital, Biodonostia-Biogipuzkoa Health Research Institute, Donostia-San Sebastián, Spain.
Solange KapetanovicALS and Neuromuscular Unit, Department of Neurology, Hospital Universitario Basurto, Bilbao, Spain.
Aurelio Hernández-LaínNeuropathology Unit, imas12 Research Institute, Hospital Universitario 12 de Octubre, Madrid, Spain.
Ivonne JericóDepartment of Neurology, Neuromuscular and Motor Neuron Research Group, Navarra Health Research Institute (IdisNA), Hospital Universitario de Navarra, Pamplona, Spain.
Roberto Fernández-TorrónGroup of Neuromuscular Diseases, Donostia University Hospital, Biodonostia-Biogipuzkoa Health Research Institute, Donostia-San Sebastián, Spain.
Miren ManeiroGroup of Neuromuscular Diseases, Donostia University Hospital, Biodonostia-Biogipuzkoa Health Research Institute, Donostia-San Sebastián, Spain.
Pablo Marco-MorenoGroup of Neuromuscular Diseases, Donostia University Hospital, Biodonostia-Biogipuzkoa Health Research Institute, Donostia-San Sebastián, Spain.ORCID 0000-0002-0302-9031
M Victoria Zelaya-HuertaPathology Department, University Hospital of Navarra, Pamplona, Spain.
Benjamín Rodríguez-SantiagoGenetics Department, Institut de Recerca Sant Pau (IR SANT PAU), Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Francesc CalafellDepartament de Medicina i Ciències de la Vida, Institut de Biologia Evolutiva (CSIC-UPF), Universitat Pompeu Fabra, Barcelona, Spain.
Ana TöpfJohn Walton Muscular Dystrophy Research Centre, Translational and Clinical Research Institute, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Volker StraubJohn Walton Muscular Dystrophy Research Centre, Translational and Clinical Research Institute, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Ainara Vallejo-IllarramendiGroup of Neuromuscular Diseases, Donostia University Hospital, Biodonostia-Biogipuzkoa Health Research Institute, Donostia-San Sebastián, Spain.
Adolfo López de MunainGroup of Neuromuscular Diseases, Donostia University Hospital, Biodonostia-Biogipuzkoa Health Research Institute, Donostia-San Sebastián, Spain.
Pia GallanoGenetics Department, Institut de Recerca Sant Pau (IR SANT PAU), Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Lidia Gonzalez-QueredaGenetics Department, Institut de Recerca Sant Pau (IR SANT PAU), Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0003-0715-6414

Funding

CureLGMD2iEusko Jaurlaritza 2022111045Eusko Jaurlaritza GIU20/057Fundacion Jesus De Gangoiti BarreraInstituto de Salud Carlos III MCIN/AEI/10.13039/501100011033Instituto de Salud Carlos III PI18/01585Instituto de Salud Carlos III PI22/01859Kurt+Peter FoundationLGMD2D FoundationLimb Girdle Muscular Dystrophy 2i Research FundMinisterio de Universidades FPU20/06692Sanofi GenzymeUltragenyx Pharmaceutical
6 · The paper itself

Abstract

background and purposePathogenic variants in the RYR1 gene have been associated with a variety of conditions, ranging from congenital myopathy to adult manifestations. Our aim was to characterize the p.Leu2286Val variant in 17 Basque patients, to accurately determine its correlation with clinical features and to explore the possible founder effect of the variant.

methodsFamilies harbouring the p.Leu2286 RYR1 variant underwent a detailed clinical evaluation, including muscle magnetic resonance imaging, electromyography and muscle biopsy. Haplotypes were analysed in available patients and their relatives.

resultsIndividuals carrying the p.Leu2286Val shared a common haplotype, suggesting a founder event in the Basque Country population. The most prevalent features were exertional myalgia, high creatine kinase (CK) levels, cramps and muscle hypertrophy. None of the patients carrying only the p.Leu2286Val showed progression to severe muscle weakness and muscle magnetic resonance imaging showed a heterogeneous muscle involvement. Muscle biopsy revealed non-specific findings in two patients and features associated with central core disease in one patient carrying only the p.Leu2286Val and two patients harbouring an additional RYR1 variant. Three individuals carrying an in trans RYR1 variant presented with an earlier onset and more severe phenotype.

conclusionHere, it is shown that the dominantly inherited p.Leu2286Val RYR1 founder variant is associated with a milder phenotype of exercise intolerance, myalgia and hyperCKemia.

Indexed as

Creatine KinaseFounder EffectMuscle CrampMyalgiaRyanodine Receptor Calcium Release ChannelAdolescentAdultAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMuscle, SkeletalYoung AdultCreatine KinaseRyanodine Receptor Calcium Release ChannelRYR1 protein, humanexercise intolerancehyperCKemiamyalgiaRYR1‐related myopathies

Identifiers

PMID39742415
PMCPMC11688629

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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.