Evidence map›Paper›PMID 9245983›Full record

ArticleAmerican journal of human genetics1997

Genomic variation and gene conversion in spinal muscular atrophy: implications for disease process and clinical phenotype.

L Campbell, A Potter, J Ignatius, V Dubowitz, K Davies

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
21.2field-weighted citation impact, top 1% 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.

NCT00227266 phase2completednot on this mapstarted 2005, after this paper: background citation

Multi-center Phase II Trial of Valproic Acid and Carnitine in Patients With Spinal Muscular Atrophy (SMA CARNI-VAL Trial)

TypeinterventionalSponsorUniversity of UtahRan2005 to 2007Enrolled94ConditionsSpinal Muscular AtrophyArmsValproic Acid and Levocarnitine, Placebo
NCT00374075 phase1completednot on this mapstarted 2003, after this paper: background citation

In Vivo Study of Safety, Tolerability and Dosing Effect on SMN mRNA and Protein Levels of Valproic Acid in Patients With Spinal Muscular Atrophy

TypeinterventionalSponsorUniversity of UtahRan2003 to 2006Enrolled42ConditionsSpinal Muscular AtrophyArmsValproic Acid
NCT00661453 phase1 / phase2completednot on this mapstarted 2008, after this paper: background citation

Phase I/II Trial of Valproic Acid and Carnitine in Infants With Spinal Muscular Atrophy Type I (CARNI-VAL Type I)

TypeinterventionalSponsorUniversity of UtahRan2008 to 2012Enrolled40ConditionsSpinal Muscular Atrophy Type IArmsValproic Acid and Levocarnitine
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 318 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Genomic Variability in the Survival Motor Neuron Genes (International journal of molecular sciences · 2021
    Review
  20. Article

22 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 2 countries.

L CampbellDepartment of Biochemistry, University of Oxford, United Kingdom.
A Potter
J Ignatius
V Dubowitz
K Davies
University of Oxford · GBHammersmith Hospital · GBVäestöliitto · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autosomal recessive spinal muscular atrophy (SMA) is classified, on the basis of age at onset and severity, into three types: type I, severe; type II, intermediate; and type III, mild. The critical region in 5q13 contains an inverted repeat harboring several genes, including the survival motor neuron (SMN) gene, the neuronal apoptosis inhibitory protein (NAIP) gene, and the p44 gene, which encodes a transcription-factor subunit. Deletion of NAIP and p44 is observed more often in severe SMA, but there is no evidence that these genes play a role in the pathology of the disease. In > 90% of all SMA patients, exons 7 and 8 of the telomeric SMN gene (SMNtel) are not detectable, and this is also observed in some normal siblings and parents. Point mutations and gene conversions in SMNtel suggest that it plays a major role in the disease. To define a correlation between genotype and phenotype, we mapped deletions, using pulsed-field gel electrophoresis. Surprisingly, our data show that mutations in SMA types II and III, previously classed as deletions, are in fact due to gene-conversion events in which SMNtel is replaced by its centromeric counterpart, SMNcen. This results in a greater number of SMNcen copies in type II and type III patients compared with type I patients and enables a genotype/phenotype correlation to be made. We also demonstrate individual DNA-content variations of several hundred kilobases, even in a relatively isolated population from Finland. This explains why no consensus map of this region has been produced. This DNA variation may be due to a midisatellite repeat array, which would promote the observed high deletion and gene-conversion rate.

Indexed as

Chromosomes, Human, Pair 5Gene ConversionGenome, HumanCentromereChromosome MappingGene DeletionHumansMuscular Atrophy, SpinalPoint MutationPolymorphism, Genetic

Identifiers

PMID9245983
PMCPMC1715870
OpenAlexW2005941403

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.