Evidence map›Paper›PMID 23114594›Full record

ArticleThe Journal of clinical investigation2012

DGAT1 mutation is linked to a congenital diarrheal disorder.

Joel T Haas, Harland S Winter, Elaine Lim, Andrew Kirby, Brendan Blumenstiel, Matthew DeFelice, Stacey Gabriel, Chaim Jalas, David Branski, Carrie A Grueter and 4 more

Abstract readCase Reports
In one paragraph

Article in The Journal of clinical investigation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
6.4field-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

81 citing papers in PubMed, 157 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Essential Biology of Lipid Droplets.Annual review of biochemistry · 2025
    Review
  5. Article
  6. The Genetic Architecture of Congenital Diarrhea and Enteropathy.The New England journal of medicine · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Rotavirus-mediated DGAT1 degradation: A pathophysiological mechanism of viral-induced malabsorptive diarrhea.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review

21 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

14 authors at 5 institutions in 2 countries.

Joel T HaasGladstone Institute of Cardiovascular Disease, San Francisco, California 94158, USA.
Harland S Winter
Elaine Lim
Andrew Kirby
Brendan Blumenstiel
Matthew DeFelice
Stacey Gabriel
Chaim Jalas
David Branski
Carrie A Grueter
Mauro S Toporovski
Tobias C Walther
Mark J Daly
Robert V Farese
Broad Institute · USGladstone Institutes · USHadassah Academic College · ILMassachusetts General Hospital · USYale University · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Ramnik J Xavier · 1991 to 2026
$35.3M
ROLE OF DGAT IN TRIACYLGLYCEROL METABOLISMR01DK056084 · NIDDK · J. DAVID GLADSTONE INSTITUTES · PI FARESE, ROBERT V · 2000 to 2014
$6.4M
Mechanisms of Lipid Droplet Protein TargetingR01GM097194 · NIGMS · YALE UNIVERSITY · PI WALTHER, TOBIAS C · 2011 to 2024
$4.9M
EXTRAMULAR RESEARCH FACILITIES CONSTRUCTIONC06RR018928 · NCRR · J. DAVID GLADSTONE INSTITUTES · PI MAHLEY, ROBERT W. · 2003 to 2003
$2.1M
Role of DGAT in Triacyglycerol MetabolismR56DK056084 · NIDDK · J. DAVID GLADSTONE INSTITUTES · PI FARESE, ROBERT V · 2010 to 2010
$290k
NCI NIH HHS CO6 RR018928NCRR NIH HHS C06 RR018928NIDDK NIH HHS 2R56DK56084NIDDK NIH HHS P30 DK043351NIDDK NIH HHS R01 DK056084NIDDK NIH HHS R56 DK056084NIGMS NIH HHS R01 GM097194
6 · The paper itself

Abstract

Congenital diarrheal disorders (CDDs) are a collection of rare, heterogeneous enteropathies with early onset and often severe outcomes. Here, we report a family of Ashkenazi Jewish descent, with 2 out of 3 children affected by CDD. Both affected children presented 3 days after birth with severe, intractable diarrhea. One child died from complications at age 17 months. The second child showed marked improvement, with resolution of most symptoms at 10 to 12 months of age. Using exome sequencing, we identified a rare splice site mutation in the DGAT1 gene and found that both affected children were homozygous carriers. Molecular analysis of the mutant allele indicated a total loss of function, with no detectable DGAT1 protein or activity produced. The precise cause of diarrhea is unknown, but we speculate that it relates to abnormal fat absorption and buildup of DGAT substrates in the intestinal mucosa. Our results identify DGAT1 loss-of-function mutations as a rare cause of CDDs. These findings prompt concern for DGAT1 inhibition in humans, which is being assessed for treating metabolic and other diseases.

Indexed as

AnimalsCells, CulturedDiacylglycerol O-AcyltransferaseDiarrhea, InfantileDNA Mutational AnalysisFatal OutcomeFemaleGenetic Association StudiesHumansInfantInfant, NewbornMaleMicePedigreeProtein StabilityRNA Splice SitesDGAT1 protein, humanDiacylglycerol O-AcyltransferaseRNA Splice Sites

Identifiers

PMID23114594
PMCPMC3533555
OpenAlexW1965664368

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.