Evidence map›Paper›PMID 24269275›Full record

ArticleBone2014

Exome sequencing identifies CTSK mutations in patients originally diagnosed as intermediate osteopetrosis.

Alessandra Pangrazio, Alessandro Puddu, Manuela Oppo, Maria Valentini, Luca Zammataro, Ashok Vellodi, Blanca Gener, Isabel Llano-Rivas, Jamal Raza, Irum Atta and 4 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Bone, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Beyond papilledema: optic disc clues reveal coexisting Chiari I malformation and osteopetrosis-a case report and systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Pooled it
  2. Article
  3. A First-Case Report of Pycnodysostosis in an Omani Boy.Journal of pediatric genetics · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Pycnodysostosis: Novel Variants inJournal of pediatric genetics · 2018
    Article
  9. Clinical and radiographic features of pycnodysostosis: A case report.Journal of clinical and experimental dentistry · 2017
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Current research on pycnodysostosis.Intractable & rare diseases research · 2014
    Article
  15. As little as needed: the extraordinary case of a mild recessive osteopetrosis owing to a novel splicing hypomorphic mutation in the TCIRG1 gene.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2014
    Article
  16. 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

14 authors at 7 institutions in 5 countries.

Alessandra PangrazioUOS/IRGB, Milan Unit, CNR, Milan, Italy; Humanitas Clinical and Research Center, Rozzano, Italy.
Alessandro PudduCRS4 Bioinformatics Laboratory, Parco Scientifico e Tecnologico POLARIS, Pula, Italy; IRGB-CNR, Cittadella Universitaria di Monserrato, Cagliari, Italy.
Manuela OppoCRS4 Bioinformatics Laboratory, Parco Scientifico e Tecnologico POLARIS, Pula, Italy.
Maria ValentiniCRS4 Bioinformatics Laboratory, Parco Scientifico e Tecnologico POLARIS, Pula, Italy.
Luca ZammataroHumanitas Clinical and Research Center, Rozzano, Italy.
Ashok VellodiGreat Ormond Street Children's Hospital, London, United Kingdom.
Blanca GenerServicio de Genética, BioCruces Health Research Institute, Hospital Universitario Cruces, Barakaldo, Spain.
Isabel Llano-RivasServicio de Genética, BioCruces Health Research Institute, Hospital Universitario Cruces, Barakaldo, Spain.
Jamal RazaNational Institute of Child Health, Karachi, Pakistan.
Irum AttaNational Institute of Child Health, Karachi, Pakistan.
Paolo VezzoniUOS/IRGB, Milan Unit, CNR, Milan, Italy; Humanitas Clinical and Research Center, Rozzano, Italy.
Andrea Superti-FurgaDepartment of Pediatrics, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Anna VillaUOS/IRGB, Milan Unit, CNR, Milan, Italy; Humanitas Clinical and Research Center, Rozzano, Italy.
Cristina SobacchiUOS/IRGB, Milan Unit, CNR, Milan, Italy; Humanitas Clinical and Research Center, Rozzano, Italy. Electronic address: cristina.sobacchi@humanitasresearch.it.
Humanitas University · ITBioCruces Health research Institute · ESNational Institute of Child Health · PKParco Tecnologico Padano · ITGreat Ormond Street Hospital · GBUniversity of Cagliari · ITUniversity of Lausanne · CH

Funding

Telethon GGP12178
6 · The paper itself

Abstract

Autosomal Recessive Osteopetrosis is a genetic disorder characterized by increased bone density due to lack of resorption by the osteoclasts. Genetic studies have widely unraveled the molecular basis of the most severe forms, while cases of intermediate severity are more difficult to characterize, probably because of a large heterogeneity. Here, we describe the use of exome sequencing in the molecular diagnosis of 2 siblings initially thought to be affected by "intermediate osteopetrosis", which identified a homozygous mutation in the CTSK gene. Prompted by this finding, we tested by Sanger sequencing 25 additional patients addressed to us for recessive osteopetrosis and found CTSK mutations in 4 of them. In retrospect, their clinical and radiographic features were found to be compatible with, but not typical for, Pycnodysostosis. We sought to identify modifier genes that might have played a role in the clinical manifestation of the disease in these patients, but our results were not informative. In conclusion, we underline the difficulties of differential diagnosis in some patients whose clinical appearance does not fit the classical malignant or benign picture and recommend that CTSK gene be included in the molecular diagnosis of high bone density conditions.

Indexed as

Cathepsin KChildChild, PreschoolDNA Mutational AnalysisExomeFemaleHumansMaleMutationOsteopetrosisRadiographyYoung AdultCathepsin KCTSK protein, humanCTSKDifferential diagnosisExome sequencingSclerosing bone disorderTherapy

Identifiers

PMID24269275
PMCPMC3885796
OpenAlexW2071533485

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.