Evidence map›Paper›PMID 23222957›Full record

ArticleNature genetics2013

Recessive mutations in EPG5 cause Vici syndrome, a multisystem disorder with defective autophagy.

Thomas Cullup, Ay Lin Kho, Carlo Dionisi-Vici, Birgit Brandmeier, Frances Smith, Zoe Urry, Michael A Simpson, Shu Yau, Enrico Bertini, Verity McClelland and 27 more

Abstract readCase Reports
In one paragraph

Article in Nature genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing 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

150 citing papers in PubMed, 3 syntheses or guidelines pooled it, 279 citations in OpenAlex.

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  15. An 18-month-old girl with Vici syndrome: A case report study.Molecular genetics and metabolism reports · 2025
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90 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

37 authors at 20 institutions in 11 countries.

Thomas CullupDNA Laboratory, Guy's and St Thomas' Serco Pathology, Guy's Hospital, London, UK.
Ay Lin Kho
Carlo Dionisi-Vici
Birgit Brandmeier
Frances Smith
Zoe Urry
Michael A Simpson
Shu Yau
Enrico Bertini
Verity McClelland
Mohammed Al-Owain
Stefan Koelker
Christian Koerner
Georg F Hoffmann
Frits A Wijburg
Amber E ten Hoedt
R Curtis Rogers
David Manchester
Rie Miyata
Masaharu Hayashi
Elizabeth Said
Doriette Soler
Peter M Kroisel
Christian Windpassinger
Francis M Filloux
Salwa Al-Kaabi
Jozef Hertecant
Miguel Del Campo
Stefan Buk
Istvan Bodi
Hans-Hilmar Goebel
Caroline A Sewry
Stephen Abbs
Shehla Mohammed
Dragana Josifova
Mathias Gautel
Heinz Jungbluth
King's College London · GBGuy's Hospital · GBSerco (United Kingdom) · GBUniversity Hospital Heidelberg · DEBambino Gesù Children's Hospital · ITKing's College Hospital · GBMater Dei Hospital · MTMedical University of Graz · ATTawam Hospital · AEUniversity of Amsterdam · NLGreenwood Genetic Center · USGuy's and St Thomas' NHS Foundation Trust · GBKing Faisal Specialist Hospital & Research Centre · SASendai Shakai Hoken Hospital · JPTokyo Metropolitan Institute of Medical Science · JPUniversity College London · GBUniversity Medical Center of the Johannes Gutenberg University Mainz · DEUniversity of Colorado Denver · USUniversity of Utah · USVall d'Hebron Hospital Universitari · ES

Funding

British Heart Foundation CH/08/001/25300British Heart Foundation PG/03/049/15364British Heart Foundation PG/11/127/29322Medical Research Council G0200496(63216)Medical Research Council G0600251Medical Research Council G0600251(77679)Medical Research Council MR/J010456/1Medical Research Council MR/K015664/1Wellcome Trust 093253
6 · The paper itself

Abstract

Vici syndrome is a recessively inherited multisystem disorder characterized by callosal agenesis, cataracts, cardiomyopathy, combined immunodeficiency and hypopigmentation. To investigate the molecular basis of Vici syndrome, we carried out exome and Sanger sequence analysis in a cohort of 18 affected individuals. We identified recessive mutations in EPG5 (previously KIAA1632), indicating a causative role in Vici syndrome. EPG5 is the human homolog of the metazoan-specific autophagy gene epg-5, encoding a key autophagy regulator (ectopic P-granules autophagy protein 5) implicated in the formation of autolysosomes. Further studies showed a severe block in autophagosomal clearance in muscle and fibroblasts from individuals with mutant EPG5, resulting in the accumulation of autophagic cargo in autophagosomes. These findings position Vici syndrome as a paradigm of human multisystem disorders associated with defective autophagy and suggest a fundamental role of the autophagy pathway in the immune system and the anatomical and functional formation of organs such as the brain and heart.

Indexed as

Genes, RecessiveMutationAgenesis of Corpus CallosumAntigens, NeoplasmAutophagyAutophagy-Related ProteinsBiopsyCataractConsanguinityExomeFamilyHumansIntracellular Signaling Peptides and ProteinsLysosomal Membrane ProteinsLysosomesMuscle, SkeletalAntigens, NeoplasmAutophagy-Related ProteinsEPG5 protein, humanIntracellular Signaling Peptides and ProteinsLysosomal Membrane ProteinsNBR1 protein, humanProteinsVesicular Transport Proteins

Identifiers

PMID23222957
PMCPMC4012842
OpenAlexW1985910662

What OpenQuestion holds

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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.