Evidence map›Paper›PMID 41595432›Full record

ArticleGenes2025

Brain Matters in Duchenne Muscular Dystrophy: DMD Mutation Sites and Their Association with Neurological Comorbidities Through Isoform Impairment.

Teodora Barbarii, Raluca Anca Tudorache, Dana Craiu, Elena Neagu, Lacramioara Aurelia Brinduse, Carmen Magdalena Burloiu, Catrinel Mihaela Iliescu, Magdalena Budisteanu, Ioana Minciu, Diana Gabriela Barca and 9 more

Abstract read
In one paragraph

Article in Genes, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Teodora BarbariiDepartment of Medical Genetics, "Carol Davila" University of Medicine and Pharmacy, 020032 Bucharest, Romania.ORCID 0009-0009-9698-6292
Raluca Anca TudorachePediatric Neurology Discipline, Department of Neurosciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0009-0009-9537-6011
Dana CraiuRomanian Group for Undiagnosed Rare Diseases, Genomics Research and Development Institute, 020021 Bucharest, Romania.ORCID 0000-0003-4156-6812
Elena NeaguDr. Nicolae Robanescu National Clinical Center for Children Neurorehabilitation, 041408 Bucharest, Romania.
Lacramioara Aurelia BrindusePublic Health and Management Department, "Carol Davila" University of Medicine and Pharmacy, 050463 Bucharest, Romania.ORCID 0000-0002-2337-2582
Carmen Magdalena BurloiuPediatric Neurology Clinic, "Prof. Dr. Alexandru Obregia" Clinical Hospital, Expertise Center for Rare Pediatric Neurology Disorders, EpiCARE Full Member, 041914 Bucharest, Romania.
Catrinel Mihaela IliescuPediatric Neurology Discipline, Department of Neurosciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0009-0008-9194-3894
Magdalena BudisteanuResearch Department for Psychiatry, "Prof. Dr. Alexandru Obregia" Clinical Hospital, 041914 Bucharest, Romania.ORCID 0000-0003-2861-236X
Ioana MinciuPediatric Neurology Discipline, Department of Neurosciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Diana Gabriela BarcaRomanian Group for Undiagnosed Rare Diseases, Genomics Research and Development Institute, 020021 Bucharest, Romania.ORCID 0000-0001-6223-6383
Carmen SanduPediatric Neurology Discipline, Department of Neurosciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0009-0001-4301-9815
Oana Tarta-ArsenePediatric Neurology Discipline, Department of Neurosciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0000-0002-9690-456X
Cristina PomeranPediatric Neurology Clinic, "Prof. Dr. Alexandru Obregia" Clinical Hospital, Expertise Center for Rare Pediatric Neurology Disorders, EpiCARE Full Member, 041914 Bucharest, Romania.
Cristina MotoescuPediatric Neurology Discipline, Department of Neurosciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Alice DicaPediatric Neurology Discipline, Department of Neurosciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0000-0002-5329-4466
Cristina AnghelescuIoana Medical Center, 011053 Bucharest, Romania.
Dana SurlicaPediatric Neurology Clinic, "Prof. Dr. Alexandru Obregia" Clinical Hospital, Expertise Center for Rare Pediatric Neurology Disorders, EpiCARE Full Member, 041914 Bucharest, Romania.
Adrian Ioan TomaFaculty of Medicine, "Titu Maiorescu" University, 040051 Bucharest, Romania.
Niculina ButoianuPediatric Neurology Discipline, Department of Neurosciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0000-0002-0645-7568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuchenne/Becker muscular dystrophy (DMD/BMD) is associated with a wide spectrum of brain-related comorbidities.

methodsThis retrospective study assesses the neuropsychiatric profile of DMD/BMD patients and the hypothesis of a functional-versus-structural approach of dystrophin gene variants/impaired isoforms in relation to brain comorbidities. Patients with documented mutation in the DMD gene and neuropsychiatric assessments were included. Seven comorbidities were analyzed based on variant location and dystrophin brain isoform disruption. The clustering of comorbidities and genotype-phenotype correlations were studied.

results264 DMD/BMD patients met inclusion criteria. 22 variants have never been described before. A high prevalence of neuropsychiatric comorbidities was identified in the cohort with higher values in patients with distal mutations. The number of comorbidities increased with the number of brain dystrophin isoforms predicted to be lost. Functional-versus-structural comparison revealed that Dp140 5'UTR variants might not affect protein expression. Epilepsy and intellectual disability (ID) showed significant association in this cohort. Neuropsychiatric phenotype varied greatly in patients with identical variants, even between siblings.

conclusionsThis is one of the largest European cohorts for which all these comorbidities were studied in association with DMD gene mutation site and the first study of this kind performed on the Eastern European DMD/BMD population. Our group analyzed, for the first time, Dp140 5'UTR variants in relation to all neuropsychiatric phenotypes and showed that epilepsy and ID are strongly associated in DMD/DMB patients.

Indexed as

BrainDystrophinEpilepsyIntellectual DisabilityMuscular Dystrophy, DuchenneMutation5' Untranslated RegionsAdolescentChildChild, PreschoolComorbidityFemaleGenetic Association StudiesHumansMalePhenotype5' Untranslated RegionsDMD protein, humanDystrophinProtein Isoformsbrain comorbiditiesDMD geneDp140 5′ UTR variantsduchenne muscular dystrophydystrophin isoformsfunctional classification

Identifiers

PMID41595432
PMCPMC12841320

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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.