Evidence map›Paper›PMID 23355087›Full record

ArticleJournal of inherited metabolic disease2013

3-Methylglutaconic aciduria--lessons from 50 genes and 977 patients.

Saskia B Wortmann, Leo A J Kluijtmans, Richard J Rodenburg, Jörn Oliver Sass, Jessica Nouws, Edwin P van Kaauwen, Tjitske Kleefstra, Lisbeth Tranebjaerg, Maaike C de Vries, Pirjo Isohanni and 9 more

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In one paragraph

Article in Journal of inherited metabolic disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 92 citations in OpenAlex.

  1. Article
  2. Review
  3. 3-Methyl Glutaconic Aciduria and Elevated Plasma Growth Differentiation Factor 15 Level in an Adult with MonoallelicActa myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2025
    Article
  4. Adult-Onset Dystonia-Parkinsonism: Do Not Forget SERAC1.Movement disorders clinical practice · 2025
    Article
  5. Metabolic origin and significance of 3-methylglutaryl CoA.Clinica chimica acta; international journal of clinical chemistry · 2025
    Review
  6. YME1L1 Dysfunction Associated With 3-Methylglutaconic Aciduria.Journal of inherited metabolic disease · 2025
    Article
  7. Article
  8. Review
  9. A novel homozygous variant inFrontiers in pediatrics · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. 3-Methylglutaconic Aciduria Type I Due toInternational journal of molecular sciences · 2022
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

19 authors at 10 institutions in 8 countries.

Saskia B WortmannNijmegen Center for Mitochondrial Disorders (NCMD) at the Department of Pediatrics and the Institute of Genetic and Metabolic Disease (IGMD), Radboud University Medical Centre, P.O Box 9101, 6500 HB, Nijmegen, The Netherlands, s.wortmann@cukz.umcn.nl.
Leo A J Kluijtmans
Richard J Rodenburg
Jörn Oliver Sass
Jessica Nouws
Edwin P van Kaauwen
Tjitske Kleefstra
Lisbeth Tranebjaerg
Maaike C de Vries
Pirjo Isohanni
Katharina Walter
Fowzan S Alkuraya
Izelle Smuts
Carolus J Reinecke
Francois H van der Westhuizen
David Thorburn
Jan A M Smeitink
Eva Morava
Ron A Wevers
Radboud University Medical Center · NLRadboud University Nijmegen · NLNorth-West University · ZABispebjerg Hospital · DKKing Faisal Specialist Hospital & Research Centre · SASteve Biko Hospital · ZAUniversitätsklinikum Aachen · DEUniversity Children's Hospital Zurich · CHUniversity of Helsinki · FIVictorian Clinical Genetics Services · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elevated urinary excretion of 3-methylglutaconic acid is considered rare in patients suspected of a metabolic disorder. In 3-methylglutaconyl-CoA hydratase deficiency (mutations in AUH), it derives from leucine degradation. In all other disorders with 3-methylglutaconic aciduria the origin is unknown, yet mitochondrial dysfunction is thought to be the common denominator. We investigate the biochemical, clinical and genetic data of 388 patients referred to our centre under suspicion of a metabolic disorder showing 3-methylglutaconic aciduria in routine metabolic screening. Furthermore, we investigate 591 patients with 50 different, genetically proven, mitochondrial disorders for the presence of 3-methylglutaconic aciduria. Three percent of all urine samples of the patients referred showed 3-methylglutaconic aciduria, often in correlation with disorders not reported earlier in association with 3-methylglutaconic aciduria (e.g. organic acidurias, urea cycle disorders, haematological and neuromuscular disorders). In the patient cohort with genetically proven mitochondrial disorders 11% presented 3-methylglutaconic aciduria. It was more frequently seen in ATPase related disorders, with mitochondrial DNA depletion or deletion, but not in patients with single respiratory chain complex deficiencies. Besides, it was a consistent feature of patients with mutations in TAZ, SERAC1, OPA3, DNAJC19 and TMEM70 accounting for mitochondrial membrane related pathology. 3-methylglutaconic aciduria is found quite frequently in patients suspected of a metabolic disorder, and mitochondrial dysfunction is indeed a common denominator. It is only a discriminative feature of patients with mutations in AUH, TAZ, SERAC1, OPA3, DNAJC19 TMEM70. These conditions should therefore be referred to as inborn errors of metabolism with 3-methylglutaconic aciduria as discriminative feature.

Indexed as

Amino Acid Metabolism, Inborn ErrorsDiagnosis, DifferentialDNA Mutational AnalysisGlutaratesHumansMetabolism, Inborn ErrorsMitochondrial DiseasesNetherlandsRetrospective StudiesUrinalysis3-methylglutaconic acidGlutarates

Identifiers

PMID23355087
OpenAlexW2165464348

What OpenQuestion holds

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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 OpenQuestion graph.