Evidence map›Paper›PMID 39776111›Full record

ArticleEuropean journal of neurology2025

Delineating the genetic landscape of Charcot-Marie-tooth disease in Türkiye: Distinct distribution, rare phenotypes, and novel variants.

Arman Cakar, Ayse Candayan, Gulandam Bagırova, Zehra Oya Uyguner, Serdar Ceylaner, Hacer Durmus, Esra Battaloglu, Yesim Parman

Abstract read
In one paragraph

Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

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

  1. Genes · 2025
    Pooled it
  2. Observational
  3. 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

8 authors.

Arman CakarNeuromuscular Unit, Neurology Department, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID 0000-0002-8129-4172
Ayse CandayanDepartment of Molecular Biology and Genetics, Bogazici University, Istanbul, Turkey.
Gulandam BagırovaDepartment of Medical Genetics, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Zehra Oya UygunerDepartment of Medical Genetics, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Serdar CeylanerMedical Genetics, Intergen Genetics Laboratory, Ankara, Turkey.
Hacer DurmusNeuromuscular Unit, Neurology Department, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Esra BattalogluDepartment of Molecular Biology and Genetics, Bogazici University, Istanbul, Turkey.
Yesim ParmanNeuromuscular Unit, Neurology Department, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Funding

Boğaziçi Üniversitesi 14784Boğaziçi Üniversitesi 17304Boğaziçi Üniversitesi 8341Horizon 2020 Framework Programme EJP RD COFUND-EJP N° 825575Türkiye Bilimsel ve Teknolojik Araştırma Kurumu 215S883Türkiye Bilimsel ve Teknolojik Araştırma Kurumu 319S064
6 · The paper itself

Abstract

backgroundCharcot-Marie-Tooth (CMT) disease is the most common inherited neuropathy. In this study, we aimed to analyze the genetic spectrum and describe phenotypic features in a large cohort from Türkiye.

methodsDemographic and clinical findings were recorded. Patients were initially screened for PMP22 duplication. Targeted sequencing or whole-exome sequencing was performed in duplication-negative patients.

resultsOverall, 311 patients from 265 families were included. Demyelinating CMT (67.4%) was more common than axonal (20.5%) and intermediate subtypes (11.7%). PMP22 duplication was the most frequent mutation, followed by pathogenic variants in GJB1, MFN2, SH3TC2, and GDAP1 genes. MPZ-neuropathy was rare in our cohort (3.0%). Interestingly, CMT4 is the second most common type after CMT1. Lower extremity weakness and foot deformities were the most frequent presenting complaints. Striking clinical features included a high frequency of scoliosis in SH3TC2, peripheral hyperexcitability in HINT1, and central nervous system findings in GJB1. Autosomal recessive CMT subtypes had higher CMTESv2 scores when compared to autosomal dominant ones (12.39 ± 4.81 vs. 8.36 ± 4.15, p: 0.023). Twenty-one patients used wheelchairs during their last examination. Among them, 16 had an autosomal recessive subtype. Causative variants were identified in 31 genes, including 28 novel pathogenic or likely pathogenic changes.

conclusionsOur findings provided robust data regarding the genetic distribution of CMT in Türkiye, which may pave the path for building population-specific diagnostic gene panels. Rare autosomal recessive subtypes were relatively frequent in our cohort. By analyzing genotype-phenotype correlations, our data may provide clinical clues for clinicians.

Indexed as

Charcot-Marie-Tooth DiseasePhenotypeAdolescentAdultAgedChildChild, PreschoolCohort StudiesExome SequencingFemaleGap Junction beta-1 ProteinGTP PhosphohydrolasesHumansIntracellular Signaling Peptides and ProteinsMaleMiddle AgedGap Junction beta-1 ProteinGDAP proteinGTP PhosphohydrolasesIntracellular Signaling Peptides and ProteinsMFN2 protein, humanMitochondrial ProteinsMyelin ProteinsNerve Tissue ProteinsPMP22 protein, humanSH3TC2 protein, humanCMTgenomicshereditarypolyneuropathypopulation geneticssequencingTurkey

Identifiers

PMID39776111
PMCPMC11707620

What Socratic holds

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LicenceCC BY
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Registered trials

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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 Socratic graph.