Evidence map›Paper›PMID 26040324›Full record

ArticleJournal of translational medicine2015

Whole exome sequencing confirms the clinical diagnosis of Marfan syndrome combined with X-linked hypophosphatemia.

Xunlun Sheng, Xue Chen, Bo Lei, Rui Chen, Hui Wang, Fangxia Zhang, Weining Rong, Ruoshui Ha, Yani Liu, Feng Zhao and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Human Genetics of Ventricular Septal Defect.Advances in experimental medicine and biology · 2024
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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

12 authors at 7 institutions in 2 countries.

Xunlun ShengDepartment of Ophthalmology, Ningxia Eye Hospital, Ningxia People's Hospital, Ningxia, China. shengxunlun@163.com.
Xue ChenState Key Laboratory of Reproductive Medicine, Department of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. drcx1990@163.com.
Bo LeiChongqing Key Laboratory of Ophthalmology, Department of Ophthalmology, Chongqing Eye Institute, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. bolei99@163.com.
Rui ChenHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX, USA. ruichen@bcm.edu.
Hui WangHuman Genome Sequencing Center, Baylor College of Medicine, Houston, TX, USA. hw11@bcm.edu.
Fangxia ZhangDepartment of Ophthalmology, Ningxia Eye Hospital, Ningxia People's Hospital, Ningxia, China. fangxia_zhangnx@163.com.
Weining RongDepartment of Ophthalmology, Ningxia Eye Hospital, Ningxia People's Hospital, Ningxia, China. rongweining426@126.com.
Ruoshui HaDepartment of Radiology, Ningxia Eye Hospital, Ningxia People's Hospital, Ningxia, China. ruoshui_hanx@163.com.
Yani LiuDepartment of Ophthalmology, Ningxia Eye Hospital, Ningxia People's Hospital, Ningxia, China. yani.2007.happy@163.com.
Feng ZhaoDepartment of Cardiology and Surgery, Tianjin Chest Hospital, Tianjin Medical University, Tianjin, China. fengzhaotj@126.com.
Peizeng YangChongqing Key Laboratory of Ophthalmology, Department of Ophthalmology, Chongqing Eye Institute, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. peizengycmu@126.com.
Chen ZhaoState Key Laboratory of Reproductive Medicine, Department of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. dr_zhaochen@163.com.
Ningxia Hui Autonomous Region Peoples Hospital · CNFirst Affiliated Hospital of Chongqing Medical University · CNBaylor College of Medicine · USBaylor Genetics · USJiangsu Province Hospital · CNNanjing Medical University · CNTianjin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine the genetic lesions and to modify the clinical diagnosis for a Chinese family with significant intrafamilial phenotypic diversities and unusual presentations.

methodsThree affected patients and the asymptomatic father were included and received comprehensive systemic examinations. Whole exome sequencing (WES) was performed for mutation detection. Structural modeling test was applied to analyze the potential structural changes caused by the missense substitution.

resultsThe proband showed a wide spectrum of systemic anomalies, including bilateral ectopia lentis, atrial septal defect, ventricular septal defect, widening of tibial metaphysis with medial bowing, and dolichostenomelia in digits, while her mother and elder brother only demonstrated similar skeletal changes. A recurrent mutation, PHEX p.R291*, was found in all patients, while a de novo mutation, FBN1 p.C792F, was only detected in the proband. The FBN1 substitution was also predicted to cause significant conformational change in fibrillin-1 protein, thus changing its physical and biological properties.

conclusionsTaken together, we finalized the diagnosis for this family as X-linked hypophosphatemia (XLH), and diagnosed this girl as Marfan syndrome combined with XLH, and congenital heart disease. Our study also emphasizes the importance of WES in assisting the clinical diagnosis for complicated cases when the original diagnoses are challenged.

Indexed as

AdipokinesAdultAmino Acid SequenceBase SequenceChildExomeFamilial Hypophosphatemic RicketsFamilyFemaleFibrillin-1FibrillinsHumansMaleMarfan SyndromeMicrofilament ProteinsMolecular Sequence DataAdipokinesFBN1 protein, humanFibrillin-1FibrillinsMicrofilament ProteinsPHEX Phosphate Regulating Neutral EndopeptidasePHEX protein, human

Identifiers

PMID26040324
PMCPMC4455986
OpenAlexW1561988540

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LicenceCC BY
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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.