Evidence map›Paper›PMID 21855841›Full record

ArticleAmerican journal of human genetics2011

Mutations of POLR3A encoding a catalytic subunit of RNA polymerase Pol III cause a recessive hypomyelinating leukodystrophy.

Geneviève Bernard, Eliane Chouery, Maria Lisa Putorti, Martine Tétreault, Asako Takanohashi, Giovanni Carosso, Isabelle Clément, Odile Boespflug-Tanguy, Diana Rodriguez, Valérie Delague and 9 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2011. 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 146 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

146 citing papers in PubMed, 1 synthesis or guideline pooled it, 267 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Genetics of Idiopathic Hypogonadotropic HypogonadismJournal of clinical research in pediatric endocrinology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Frontiers in genetics · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. The First Case of 4H Syndrome with Type 1 Diabetes MellitusJournal of clinical research in pediatric endocrinology · 2025
    Article
  19. Biallelic variants inBrain communications · 2025
    Article
  20. Article

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

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

19 authors at 7 institutions in 4 countries.

Geneviève BernardDepartments of Pediatrics, Neurology and Neurosurgery, Division of Pediatric Neurology, Montreal Children's Hospital, McGill University Heath Center, Montreal, Quebec, Canada. bernard.brais@mcgill.ca
Eliane Chouery
Maria Lisa Putorti
Martine Tétreault
Asako Takanohashi
Giovanni Carosso
Isabelle Clément
Odile Boespflug-Tanguy
Diana Rodriguez
Valérie Delague
Joelle Abou Ghoch
Nadine Jalkh
Imen Dorboz
Sebastien Fribourg
Martin Teichmann
André Megarbane
Raphael Schiffmann
Adeline Vanderver
Bernard Brais
Inserm · FRChildren's National · USMcGill University · CASaint Joseph University · LBMontreal Neurological Institute and Hospital · CAFondation Jérôme-Lejeune · FRHôpital Armand-Trousseau · FR

Funding

Molecular Mechanisms in Vanishing White Matter DiseaseK08NS060695 · NINDS · CHILDREN'S RESEARCH INSTITUTE · PI VANDERVER, ADELINE LUCIE · 2009 to 2013
$643k
CIHRNINDS NIH HHS K08 NS060695
6 · The paper itself

Abstract

Leukodystrophies are a heterogeneous group of inherited neurodegenerative disorders characterized by abnormal white matter visible by brain imaging. It is estimated that at least 30% to 40% of individuals remain without a precise diagnosis despite extensive investigations. We mapped tremor-ataxia with central hypomyelination (TACH) to 10q22.3-23.1 in French-Canadian families and sequenced candidate genes within this interval. Two missense and one insertion mutations in five individuals with TACH were uncovered in POLR3A, which codes for the largest subunit of RNA polymerase III (Pol III). Because these families were mapped to the same locus as leukodystrophy with oligodontia (LO) and presented clinical and radiological overlap with individuals with hypomyelination, hypodontia and hypogonadotropic hypogonadism (4H) syndrome, we sequenced this gene in nine individuals with 4H and eight with LO. In total, 14 recessive mutations were found in 19 individuals with TACH, 4H, or LO, establishing that these leukodystrophies are allelic. No individual was found to carry two nonsense mutations. Immunoblots on 4H fibroblasts and on the autopsied brain of an individual diagnosed with 4H documented a significant decrease in POLR3A levels, and there was a more significant decrease in the cerebral white matter compared to that in the cortex. Pol III has a wide set of target RNA transcripts, including all nuclear-coded tRNA. We hypothesize that the decrease in POLR3A leads to dysregulation of the expression of certain Pol III targets and thereby perturbs cytoplasmic protein synthesis. This type of broad alteration in protein synthesis is predicted to occur in other leukoencephalopathies such as hypomyelinating leukodystrophy-3, caused by mutations in aminoacyl-tRNA synthetase complex-interacting multifunctional protein 1 (AIMP1).

Indexed as

Models, MolecularAmino Acid SequenceBase SequenceChromosomes, Human, Pair 10Genes, RecessiveGenetic Predisposition to DiseaseHereditary Central Nervous System Demyelinating DiseasesHumansMolecular Sequence DataMutagenesis, InsertionalMutation, MissenseQuebecRNA Polymerase IIISequence Analysis, DNATremorRNA Polymerase III

Identifiers

PMID21855841
PMCPMC3169829
OpenAlexW2079013447

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.