Evidence map›Paper›PMID 42226514›Full record

ArticleEuropean journal of neurology2026

Deep Phenotyping of F64L Mutation in a Multicentric Cohort of Patisiran-Treated Hereditary Transthyretin Amyloidosis Patients (Patisiranitaly).

Marco Ceccanti, Pietro Guaraldi, Angela Romano, Giovanni Antonini, Alessandro Barilaro, Chiara Briani, Marco Burattini, Micol Gianoli, Giulia Carlini, Vittoria Cianci and 44 more

Abstract readMulticenter Study
In one paragraph

Article in European journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The role of "red flags" in the diagnostic work-up of hereditary transthyretin amyloidosis: a study using a machine-learning approach.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    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

54 authors.

Marco CeccantiDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0001-8897-3736
Pietro GuaraldiIRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy.
Angela RomanoDipartimento Di Neuroscienze, Organi Di Senso E Torace, UOC Neurologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli, 8, Rome, Italy.ORCID https://orcid.org/0000-0002-2061-1509
Giovanni AntoniniDepartment of Neurology, Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, Sapienza University of Rome and UniCamillus-Saint Camillus International University of Health Sciences, Rome, Italy.
Alessandro BarilaroAOU Careggi and Department of Neurosciences, Drug and Child Health, University of Florence, Florence, Italy.
Chiara BrianiNeurology Unit, Department of Neuroscience, University of Padua, Padua, Italy.
Marco BurattiniNeurology Unit, Ospedale Santa Croce Di Fano, Fano, Italy.
Micol GianoliIRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy.
Giulia CarliniNeurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.
Vittoria CianciNeurology Unit, Great Metropolitan Hospital "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
Marco Currò DossiDepartment of Neurology, Infermi Hospital, Rimini, Italy.
Daniela Di LisiDivision of Cardiology, University Hospital Paolo Giaccone, Palermo, Italy.
Antonio Di MuzioDepartment of Neuroscience, Imaging and Clinical Sciences, "G. D'annunzio" University, Chieti, Italy.
Adele RattiDivision of Neuroscience, Department of Neurology, Institute of Experimental Neurology, San Raffaele Scientific Institute, Milan, Italy.
Massimiliano FilostoDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-2852-7512
Sabrina GasverdeAsl TO4, Ciriè, Italy.
Chiara GemelliIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Luca GentileDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Mariangela GogliaNeuromuscular Diseases Unit, Department of Systems Medicine, Tor Vergata University of Rome, Rome, Italy.
Luca LeonardiNeuromuscular and Rare Disease Centre, Neurology Unit, Sant'andrea Hospital, Rome, Italy.ORCID https://orcid.org/0000-0002-1267-864X
Simone LonghiCardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
Antonio LottiAOU Careggi and Department of Neurosciences, Drug and Child Health, University of Florence, Florence, Italy.
Fiore ManganelliDepartment of Neuroscience, Reproductive and Odontostomatological Science, University of Naples 'Federico II', Naples, Italy.ORCID https://orcid.org/0000-0002-1442-9604
Anna MazzeoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Sofia Maria AugelloDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Giammarco MilellaNeurology Unit, Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari Aldo Moro, Bari, Italy.ORCID https://orcid.org/0000-0002-7612-382X
Giuseppina NovoDivision of Cardiology, University Hospital Paolo Giaccone, Palermo, Italy.
Davide PareysonS.C. Malattie Neurologiche Rare, Dipartimento Di Neuroscienze Cliniche, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID https://orcid.org/0000-0001-6854-765X
Silvia FenuS.C. Malattie Neurologiche Rare, Dipartimento Di Neuroscienze Cliniche, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Giovanni PalumboDepartment of Neuroscience, Reproductive and Odontostomatological Science, University of Naples 'Federico II', Naples, Italy.
Cristina PetrelliNeurology Unit, AV3, ASUR Marche, Macerata, Macerata, Italy.
Loris PoliUnit of Neurology, ASST Spedali Civili, Brescia, Italy.
Luca Guglielmo PradottoDepartment of Neuroscience "Rita Levi Montalcini", University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0003-1103-1964
Massimo RussoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Alessandro SalvalaggioNeurology Unit, Department of Neuroscience, University of Padua, Padua, Italy.
Maria Ausilia SciarroneDepartment of Neuroscience, Università Cattolica Del Sacro Cuore, Rome, Italy.
Luigi SellittiIRCCS Istituto Auxologico Italiano, Milan, Italy.
Matteo TagliapietraDepartment of Neuroscience, Biomedicina E Movimento, Università Di Verona, Verona, Italy.ORCID https://orcid.org/0000-0002-3048-1453
Stefano TozzaDepartment of Neuroscience, Reproductive and Odontostomatological Science, University of Naples 'Federico II', Naples, Italy.
Mariagiovanna CastigliaDepartment of Neuroscience, Reproductive and Odontostomatological Science, University of Naples 'Federico II', Naples, Italy.
Mara TurriDipartimento Di Neurologia/Stroke Unit, Ospedale Di Bolzano, Bolzano, Italy.
Lorenzo VerrielloNeurology Unit, Department of Neurosciences, University Hospital Santa Maria Della Misericordia, Udine, Italy.
Cristina ChimentiDepartment of Internal Clinical, Anesthesiological and Cardiovascular Sciences, "Sapienza" University of Rome, Rome, Italy.
Francesca VitaliDepartment of Neuroscience, Università Cattolica Del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0002-3177-1575
Filippo BrighinaDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University of Palermo, Palermo, Italy.
Nicasio RiniDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University of Palermo, Palermo, Italy.ORCID https://orcid.org/0009-0009-4435-5018
Maurizio InghilleriDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
Roberto D'AngeloIRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-5862-8074
Domenico AbelardoDepartment of Medical and Surgical Sciences, Magna Græcia University of Catanzaro, Catanzaro, Italy.
Chiara CambieriDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
Laura LibonatiDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
Federica MoretDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
Marco LuigettiDipartimento Di Neuroscienze, Organi Di Senso E Torace, UOC Neurologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli, 8, Rome, Italy.
Vincenzo Di StefanoDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University of Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0001-9805-1655

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe F64L variant is among the most frequent TTR mutations in Italy, typically associated with a predominantly neurologic phenotype and limited cardiac involvement.

methodsData from 181 ATTRv patients in the multicenter Patisiranitaly database treated with Patisiran since 2020 were analyzed. Neurologic impairment scores, Norfolk QoL-DN, and cardiac parameters were compared between F64L (n = 56), V30M (n = 37), and non-F64L (n = 125) patients at baseline and during follow-up. Cluster analysis was applied to identify patient subgroups based on these variables.

resultsF64L represented 30.9% of the cohort. Compared to non-F64L patients, F64L patients had a higher prevalence of neurologic onset and neurologic phenotype, a thinner interventricular septum, and lower NT-proBNP levels. Cluster analysis segregated patients into two distinct groups, predominantly reflecting F64L vs. non-F64L status and corresponding neurologic severity. F64L patients showed milder cardiac involvement compared to V30M patients. Longitudinal repeated-measures ANOVA showed stable clinical and instrumental measures.

conclusionsF64L is characterized by predominant neurologic involvement and milder cardiac involvement in this Patisiran-treated cohort. Mutation-specific diagnostic and follow-up strategies are essential to capture its natural history and treatment response.

Indexed as

Amyloid Neuropathies, FamilialPrealbuminAgedCohort StudiesFemaleHumansItalyMaleMiddle AgedMutationPhenotypeRNA, Small InterferingpatisiranPrealbuminRNA, Small InterferingTTR protein, humanATTRvF64L mutationNT‐proBNPp. phe84leutransthyretin amyloidosis

Identifiers

PMID42226514
PMCPMC13240185

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