Evidence map›Paper›PMID 23911318›Full record

ArticleCell2013

AMPD2 regulates GTP synthesis and is mutated in a potentially treatable neurodegenerative brainstem disorder.

Naiara Akizu, Vincent Cantagrel, Jana Schroth, Na Cai, Keith Vaux, Douglas McCloskey, Robert K Naviaux, Jeremy Van Vleet, Ali G Fenstermaker, Jennifer L Silhavy and 18 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

67 citing papers in PubMed, 113 citations in OpenAlex.

  1. Article
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  8. Acta pharmaceutica Sinica. B · 2025
    Article
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7 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

28 authors at 13 institutions in 5 countries.

Naiara AkizuNeurogenetics Laboratory, Institute for Genomic Medicine, Rady Children's Hospital, Howard Hughes Medical Institute, University of California, San Diego, La Jolla, CA 92093, USA.
Vincent Cantagrel
Jana Schroth
Na Cai
Keith Vaux
Douglas McCloskey
Robert K Naviaux
Jeremy Van Vleet
Ali G Fenstermaker
Jennifer L Silhavy
Judith S Scheliga
Keiko Toyama
Hiroko Morisaki
Fatma M Sonmez
Figen Celep
Azza Oraby
Maha S Zaki
Raidah Al-Baradie
Eissa A Faqeih
Mohammed A M Saleh
Emily Spencer
Rasim Ozgur Rosti
Eric Scott
Elizabeth Nickerson
Stacey Gabriel
Takayuki Morisaki
Edward W Holmes
Joseph G Gleeson
University of California, San Diego · USHoward Hughes Medical Institute · USBroad Institute · USKing Fahd Medical City · SANational Cerebral and Cardiovascular Center · JPCairo University · EGKaradeniz Technical University · TRKing Fahad Specialist Hospital · SANational Research Centre · EGOsaka University · JPSanford Burnham Prebys Medical Discovery Institute · USSanford Consortium for Regenerative Medicine · USTurgut Özal University · TR

Funding

Large Scale Sequencing and Analysis of GenomesU54HG003067 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI GABRIEL, STACEY, LANDER, ERIC S · 2004 to 2015
$568.6M
U of Calif, San Diego Neuroscience Microscopy ImagingP30NS047101 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLEESON, JOSEPH G, ZHENG, BINHAI · 2003 to 2022
$9.0M
Project 3. Genetic Models of Human Structural Brain Defects in ZebrafishP01HD070494 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLEESON, JOSEPH G · 2011 to 2016
$6.7M
Molecular Characterization of Joubert SyndromeR01NS048453 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLEESON, JOSEPH G · 2004 to 2020
$6.0M
Jouberin and Nephrocystin in Joubert SyndromeR01NS052455 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLEESON, JOSEPH G · 2007 to 2015
$3.0M
NHGRI NIH HHS U54 HG003067NHGRI NIH HHS U54HG003067NICHD NIH HHS P01 HD070494NICHD NIH HHS P01HD070494NINDS NIH HHS P30 NS047101NINDS NIH HHS P30NS047101NINDS NIH HHS R01 NS048453NINDS NIH HHS R01NS048453NINDS NIH HHS R01 NS052455
6 · The paper itself

Abstract

Purine biosynthesis and metabolism, conserved in all living organisms, is essential for cellular energy homeostasis and nucleic acid synthesis. The de novo synthesis of purine precursors is under tight negative feedback regulation mediated by adenosine and guanine nucleotides. We describe a distinct early-onset neurodegenerative condition resulting from mutations in the adenosine monophosphate deaminase 2 gene (AMPD2). Patients have characteristic brain imaging features of pontocerebellar hypoplasia (PCH) due to loss of brainstem and cerebellar parenchyma. We found that AMPD2 plays an evolutionary conserved role in the maintenance of cellular guanine nucleotide pools by regulating the feedback inhibition of adenosine derivatives on de novo purine synthesis. AMPD2 deficiency results in defective GTP-dependent initiation of protein translation, which can be rescued by administration of purine precursors. These data suggest AMPD2-related PCH as a potentially treatable early-onset neurodegenerative disease.

Indexed as

AMP DeaminaseAnimalsBrain StemCerebellumChildFemaleGuanosine TriphosphateHumansMaleMiceMice, KnockoutMutationNeural Stem CellsOlivopontocerebellar AtrophiesProtein BiosynthesisPurinesAMPD2 protein, humanAMP DeaminaseGuanosine TriphosphatePurines

Identifiers

PMID23911318
PMCPMC3815927
OpenAlexW2118448940

What OpenQuestion holds

Textmetadata
LicenceTDM
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.