Evidence map›Paper›PMID 9345102›Full record

ArticleAmerican journal of human genetics1997

De novo rearrangements found in 2% of index patients with spinal muscular atrophy: mutational mechanisms, parental origin, mutation rate, and implications for genetic counseling.

B Wirth, T Schmidt, E Hahnen, S Rudnik-Schöneborn, M Krawczak, B Müller-Myhsok, J Schönling, K Zerres

Registry-linked trialAbstract 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 trial NCT01059240 (SMN Copy Number Distribution in Mali, West Africa), which is not on this map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
–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.

NCT01059240 completednot on this mapstarted 2010, after this paper: background citation

SMN Copy Number Distribution in Mali, West Africa

TypeobservationalSponsorNational Institute of Neurological Disorders and Stroke (NINDS)Ran2010 to 2017Enrolled701ConditionsSpinal Muscular Atrophy
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

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1 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

8 authors.

B WirthInstitute of Human Genetics, Bonn, Germany. bwirth@uni-bonn.de
T Schmidt
E Hahnen
S Rudnik-Schöneborn
M Krawczak
B Müller-Myhsok
J Schönling
K Zerres

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal muscular atrophy (SMA) is a relatively common autosomal recessive neuromuscular disorder. We have identified de novo rearrangements in 7 (approximately 2%) index patients from 340 informative SMA families. In each, the rearrangements resulted in the absence of the telomeric copy of the survival motor neuron (SMN) gene (telSMN), in two cases accompanied by the loss of the neuronal apoptosis-inhibitory protein gene . Haplotype analysis revealed unequal recombination in four cases, with loss of markers Ag1-CA and C212, which are near the 5' ends of the SMN genes. In one case, an interchromosomal rearrangement involving both the SMN genes and a regrouping of Ag1-CA and C212 alleles must have occurred, suggesting either interchromosomal gene conversion or double recombination. In two cases, no such rearrangement was observed, but loss of telSMN plus Ag1-CA and C212 alleles in one case suggested intrachromosomal deletion or gene conversion. In six of the seven cases, the de novo rearrangement had occurred during paternal meiosis. Direct detection of de novo SMA mutations by molecular genetic means has allowed us to estimate for the first time the mutation rate for a recessive disorder in humans. The sex-averaged rate of 1.1 x 10(-4), arrived at in a proband-based approach, compares well with the rate of 0.9 x 10(-4) expected under a mutation-selection equilibrium for SMA. These findings have important implications for genetic counseling and prenatal diagnosis in that they emphasize the relevance of indirect genotype analysis in combination with direct SMN-gene deletion testing in SMA families.

Indexed as

Gene ConversionGene DeletionMutationAllelesCyclic AMP Response Element-Binding ProteinDNA Mutational AnalysisFemaleGenes, RecessiveGenetic CounselingGenetic MarkersHaplotypesHumansMaleMuscular Atrophy, SpinalNerve Tissue ProteinsNeuronal Apoptosis-Inhibitory ProteinCyclic AMP Response Element-Binding ProteinGenetic MarkersNAIP protein, humanNerve Tissue ProteinsNeuronal Apoptosis-Inhibitory ProteinRNA-Binding ProteinsSMN Complex Proteins

Identifiers

PMID9345102
PMCPMC1716038

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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.