Evidence map›Paper›PMID 19165178›Full record

ArticleKidney international2009

Incompletely penetrant PKD1 alleles suggest a role for gene dosage in cyst initiation in polycystic kidney disease.

Sandro Rossetti, Vickie J Kubly, Mark B Consugar, Katharina Hopp, Sushmita Roy, Sharon W Horsley, Dominique Chauveau, Lesley Rees, T Martin Barratt, William G van't Hoff and 4 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Kidney international, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 176 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
176citing papers in PubMed, 3 pooled it
9.2field-weighted citation impact, top 2% 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

176 citing papers in PubMed, 3 syntheses or guidelines pooled it, 291 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Predictors of autosomal dominant polycystic kidney disease progression.Journal of the American Society of Nephrology : JASN · 2014
    Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Polyphenols and ADPKD: A Further Aid from Nature?Life (Basel, Switzerland) · 2026
    Review
  10. Collecting Duct-Targeted Lipid Nanoparticles DeliverbioRxiv : the preprint server for biology · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Characterizing the ADPKD-Kidney international reports · 2025
    Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 3 countries.

Sandro RossettiDepartment of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Vickie J Kubly
Mark B Consugar
Katharina Hopp
Sushmita Roy
Sharon W Horsley
Dominique Chauveau
Lesley Rees
T Martin Barratt
William G van't Hoff
Patrick Niaudet
W Patrick Niaudet
Vicente E Torres
Peter C Harris
Mayo Clinic · USGreat Ormond Street Hospital · GBUniversity College London · GBHôpital Rangueil · FRMRC Weatherall Institute of Molecular Medicine · GB

Funding

ADPKD:Disease Spectrum &Genotype-Phenotype CorrelationsR01DK058816 · NIDDK · MAYO CLINIC ROCHESTER · PI Peter C. Harris · 2001 to 2026
$11.3M
NIDDK NIH HHS DK58816,NIDDK NIH HHS R01 DK058816
6 · The paper itself

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) caused by mutations in PKD1 is significantly more severe than PKD2. Typically, ADPKD presents in adulthood but is rarely diagnosed in utero with enlarged, echogenic kidneys. Somatic mutations are thought crucial for cyst development, but gene dosage is also important since animal models with hypomorphic alleles develop cysts, but are viable as homozygotes. We screened for mutations in PKD1 and PKD2 in two consanguineous families and found PKD1 missense variants predicted to be pathogenic. In one family, two siblings homozygous for R3277C developed end stage renal disease at ages 75 and 62 years, while six heterozygotes had few cysts. In the other family, the father and two children with moderate to severe disease were homozygous for N3188S. In both families homozygous disease was associated with small cysts of relatively uniform size while marked cyst heterogeneity is typical of ADPKD. In another family, one patient diagnosed in childhood was found to be a compound heterozygote for the PKD1 variants R3105W and R2765C. All three families had evidence of developmental defects of the collecting system. Three additional ADPKD families with in utero onset had a truncating mutation in trans with either R3277C or R2765C. These cases suggest the presence of incompletely penetrant PKD1 alleles. The alleles alone may result in mild cystic disease; two such alleles cause typical to severe disease; and, in combination with an inactivating allele, are associated with early onset disease. Our study indicates that the dosage of functional PKD1 protein may be critical for cyst initiation.

Indexed as

AllelesGene DosagePenetranceCystsDNA Mutational AnalysisFamily HealthGenotypeHumansKidney Failure, ChronicMutation, MissensePedigreeTRPP Cation ChannelsTRPP Cation Channels

Identifiers

PMID19165178
PMCPMC2813773
OpenAlexW2065928247

What OpenQuestion holds

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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.