Evidence map›Paper›PMID 40938628›Full record

ArticleJournal of neuromuscular diseases2026

Phenotypic intrafamilial variability of 5q-associated spinal muscular atrophy: A systematic multicentre sibling study.

Benedikt Becker, Isabell Cordts, Jutta Becker, Rene Günther, Matthias Baumann, Günther Bernert, Astrid Eisenkölbl, Barbara Fiedler, Marina Flotats-Bastardas, Martin Fleger and 29 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of neuromuscular diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Benedikt BeckerDepartment of Neurology, Klinikum rechts der Isar, Technical University of Munich, School of Medicine and Health, Munich, Germany.ORCID 0009-0001-9459-4991
Isabell CordtsDepartment of Neurology, Klinikum rechts der Isar, Technical University of Munich, School of Medicine and Health, Munich, Germany.ORCID 0000-0002-2078-1997
Jutta BeckerInstitute of Human Genetics, Center for Molecular Medicine, and Center for Rare Diseases and Institute for Genetics, University Hospital of Cologne, University of Cologne, Cologne, Germany.ORCID 0000-0001-7121-3511
Rene GüntherDepartment of Neurology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.ORCID 0000-0003-0329-5644
Matthias BaumannDepartment of Pediatrics I, Division of Pediatric Neurology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-4471-8324
Günther BernertDepartment of Pediatrics, Clinic Favoriten, Vienna, Austria.ORCID 0009-0005-3397-982X
Astrid EisenkölblDepartment of Paediatrics and Adolescent Medicine, Johannes Kepler University Linz, Kepler University Hospital, Linz, Austria.ORCID 0000-0001-5176-1262
Barbara FiedlerDepartment of Neuropediatrics, University Children's Hospital, Münster, Germany.ORCID 0000-0003-2189-4376
Marina Flotats-BastardasDepartment of General Pediatrics and Neonatology, Division of Neuropediatrics, Saarland University, Homburg Saar, Germany.ORCID 0000-0001-7696-4808
Martin FlegerDepartment of Pediatrics, Bregenz Regional Hospital, Bregenz, Austria.
Tim HagenackerDepartment of Neurology, and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Medicine Essen, Essen, Germany.ORCID 0000-0002-3631-3450
Andreas HahnDepartment of Child Neurology, Justus-Liebig University, Giessen, Germany.
Elke HobbiebrunkenDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Neurology, University Medical Center Göttingen, Georg August University, Göttingen, Germany.ORCID 0009-0003-3614-839X
Andrea BevotDepartment of Paediatric Neurology, University Children's Hospital, Tübingen, Germany.ORCID 0000-0002-9482-9447
Jörg JahnelDivision of General Pediatrics, Department of Pediatrics and Adolescent Medicine, LKH Klagenfurt, Medical University of Graz, Graz, Austria.ORCID 0000-0002-2897-753X
Jessika JohannsenDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-2095-3891
Christoph KammDepartment of Neurology, University of Rostock, Rostock, Germany.ORCID 0000-0002-7618-2336
Jan Christoph KochDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0002-3778-0683
Cornelia KöhlerRuhr University Bochum, St Josef-Hospital, Department for Neuropediatrics, University Medical Center for Pediatrics and Adolescent Medicine, Bochum, Germany.
Heike KölbelDepartment of Neuropediatrics and Neuromuscular Centre for Children and Adolescents, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0001-9629-7053
Wolfgang Müller-FelberDepartment of Neuropediatrics, UMC, LMU Munich, Munich, Germany.ORCID 0000-0001-9916-5048
Christoph NeuwirthNeuromuscular Diseases Unit / ALS Clinic, Cantonal Hospital St Gallen, St. Gallen, Switzerland.ORCID 0000-0002-1874-8872
Barbara PleckoDepartment of Pediatrics and Adolescent Medicine, Division of General Pediatrics, Medical University of Graz, Graz, Austria.ORCID 0000-0002-3203-1325
Christian StadlerDepartment of Neurology, Klinikum Klagenfurt am Wörthersee, Klagenfurt am Wörthersee, Austria.
Martin SmitkaDepartment of Neuropediatrics, UMC Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.
Arpad Von MoersDepartment of Pediatrics and Neuropediatrics, DRK Klinikum Westend, Berlin, Germany.ORCID 0009-0000-7563-9472
Regina TrollmannDepartment of Pediatrics, Division of Pediatric Neurology, Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany.ORCID 0000-0001-6031-8537
Markus WeilerDepartment of Neurology, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-8942-7662
Andreas ZieglerDepartment of Neuropediatrics and Metabolic Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Susanne GoldbachDeutsche Gesellschaft für Muskelkranke, Freiburg, Germany.
Kristina Probst-SchendzielorzDeutsche Gesellschaft für Muskelkranke, Freiburg, Germany.
Hanns LochmüllerChildren's Hospital of Eastern Ontario Research Institute, Division of Neurology, Department of Medicine, The Ottawa Hospital and Brain and Mind Research Institute, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0003-2324-8001
Ulrike Schara-SchmidtDepartment of Neuropediatrics and Neuromuscular Centre for Children and Adolescents, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0001-5833-2751
Maggie C WalterFriedrich-Baur-Institute, Department of Neurology, Ludwig-Maximilians-University of Munich, Munich, Germany.ORCID 0000-0002-7611-4827
Janbernd KirschnerDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0003-1618-7386
Brunhilde WirthInstitute of Human Genetics, Center for Molecular Medicine, and Center for Rare Diseases and Institute for Genetics, University Hospital of Cologne, University of Cologne, Cologne, Germany.ORCID 0000-0003-4051-5191
Astrid PechmannDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0001-9579-2343
Marcus DeschauerDepartment of Neurology, Klinikum rechts der Isar, Technical University of Munich, School of Medicine and Health, Munich, Germany.ORCID 0000-0001-6116-6790
with SMArtCARE study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectivesThe severity of the phenotype of spinal muscular atrophy (SMA) is highly variable, yet little is known about the phenotypic variation among siblings. We systematically investigated the phenotypic variability of therapy-naïve 5q-SMA siblings leveraging a large multicentre cohort from the SMArtCARE registry.ResultsClinical information was available from 132 siblings of 65 families. There were 24 (18.2%) type 1, 38 (28.7%) type 2, 54 (40.9%) type 3 patients, and 16 (12.1%) presymptomatic individuals. In 17 families (32.1%), there was discordance in the type of SMA among symptomatic siblings. We found no influence of gender on discordance in SMA type among siblings (p = 0.528). The median age at disease onset within all sibships varied by 6 months (interquartile range (IQR) = 1-30). There was no correlation in age of onset among siblings (r = 0.405; p = 0.052). Among siblings who lost ambulation, the median interval between the start of wheelchair use was 12 months, but the maximal interval was 18 years. In one pair of siblings, one sibling lost the ability to walk at the age of 13, whereas the other sibling was still ambulatory at the age of 54. In 6 sibling pairs (9.5%), only one of both siblings had a history of scoliosis surgery. Analysing

Indexed as

Muscular Atrophy, SpinalSiblingsAdolescentAdultAge of OnsetChildChild, PreschoolChromosomes, Human, Pair 5FemaleHumansInfantMalePhenotypeage of onsetintrafamilial variabilitysiblingsSMASMN2Spinal muscular atrophy

Identifiers

PMID40938628
PMCPMC13434961

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