Evidence map›Paper›PMID 9792864›Full record

ArticleAmerican journal of human genetics1998

Novel ITGB4 mutations in lethal and nonlethal variants of epidermolysis bullosa with pyloric atresia: missense versus nonsense.

L Pulkkinen, F Rouan, L Bruckner-Tuderman, R Wallerstein, M Garzon, T Brown, L Smith, W Carter, J Uitto

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in American journal of human genetics, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

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

36 citing papers in PubMed, 116 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Compound Heterozygous Null Variants inInternational journal of genomics · 2025
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  5. Association analysis for SNPs ofAnimal biotechnology · 2023
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  11. Article
  12. [Syndromes with skin fragility].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2019
    Review
  13. Review
  14. Article
  15. IntegraDermatology and therapy · 2018
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

9 authors at 5 institutions in 3 countries.

L PulkkinenDepartment of Dermatology and Cutaneous Biology, Jefferson Medical College, Philadelphia, PA 19107, USA.
F Rouan
L Bruckner-Tuderman
R Wallerstein
M Garzon
T Brown
L Smith
W Carter
J Uitto
Thomas Jefferson University · USUniversity of Washington · USColumbia University · USUniversity Medical Center · USUniversity of Münster · DE

Funding

TRANSGENIC MICE WITH EPIDERMOLYSIS BULLOSAP01AR038923 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI UITTO, JOUNI · 1987 to 2006
$7.8M
NIAMS NIH HHS P01-AR38923
6 · The paper itself

Abstract

Epidermolysis bullosa with pyloric atresia (EB-PA), an autosomal recessive genodermatosis, manifests with neonatal cutaneous blistering associated with congenital pyloric atresia. The disease is frequently lethal, but nonlethal cases have also been reported. Expression of the alpha6 beta4 integrin is altered at the dermal-epidermal basement-membrane zone; recently, mutations in the corresponding genes (ITGA6 and ITGB4) have been disclosed in a limited number of patients, premature termination codons in both alleles being characteristic of lethal variants. In this study, we have examined the molecular basis of EB-PA in five families, two of them with lethal and three of them with nonlethal variants of the disease. Mutation analysis disclosed novel lesions in both ITGB4 alleles of each proband. One of the patients with lethal EB-PA was a compound heterozygote for premature termination-codon mutations (C738X/4791delCA), whereas the other patient with a lethal variant was homozygous for a missense mutation involving a cysteine residue (C61Y). The three nonlethal cases had missense mutations in both alleles (C562R/C562R, R1281W/R252C, and R1281W/R1281W). Immunofluorescence staining of skin in two of the nonlethal patients and in one of the lethal cases was positive, yet attenuated, for alpha6 and beta4 integrins. These results confirm that ITGB4 mutations underlie EB-PA and show that missense mutations may lead to nonlethal phenotypes.

Indexed as

Codon, NonsenseMutation, MissenseAntigens, CDAntigens, SurfaceBlisterChildConsanguinityDigestive System AbnormalitiesEpidermolysis Bullosa, JunctionalFemaleGenetic VariationHumansInfantInfant, NewbornIntegrin alpha6beta4Integrin beta4Antigens, CDAntigens, SurfaceCodon, NonsenseIntegrin alpha6beta4Integrin beta4Integrins

Identifiers

PMID9792864
PMCPMC1377547
OpenAlexW2019308060

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.