Evidence map›Paper›PMID 26179878›Full record

ArticleBMC medical genetics2015

Chinese family with diffuse oesophageal leiomyomatosis: a new COL4A5/COL4A6 deletion and a case of gonosomal mosaicism.

Wei Liu, John K L Wong, Qiuming He, Emily H M Wong, Clara S M Tang, Ruizhong Zhang, Man-Ting So, Kenneth K Y Wong, John Nicholls, Stacey S Cherny and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC medical genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Detection of Very Low-Level Somatic MosaicFrontiers in medicine · 2022
    Article
  3. Article
  4. Article
  5. A six-attribute classification of genetic mosaicism.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Review
  6. Review
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 2 institutions in 1 country.

Wei LiuDepartment of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, China. liuwei19610624@126.com.
John K L WongDepartment of Psychiatry, The University of Hongkong, Hongkong, SAR, China. wkljohn@hku.hk.
Qiuming HeDepartment of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, China. 506240623@qq.com.
Emily H M WongDepartment of Psychiatry, The University of Hongkong, Hongkong, SAR, China. emilyhmwong@gmail.com.
Clara S M TangDepartment of Psychiatry, The University of Hongkong, Hongkong, SAR, China. claratsm@gmail.com.
Ruizhong ZhangDepartment of Surgery, The University of Hongkong, Hongkong, SAR, China. h1094156@hku.hk.
Man-Ting SoDepartment of Surgery, The University of Hongkong, Hongkong, SAR, China. jaymtso@hku.hk.
Kenneth K Y WongDepartment of Surgery, The University of Hongkong, Hongkong, SAR, China. kkywong@hku.hk.
John NichollsDepartment of Pathology, The University of Hongkong, Hongkong, SAR, China. nicholls@pathology.hku.hk.
Stacey S ChernyDepartment of Psychiatry, The University of Hongkong, Hongkong, SAR, China. cherny@hku.hk.
Pak C ShamDepartment of Psychiatry, The University of Hongkong, Hongkong, SAR, China. pcsham@hku.hk.
Paul K TamDepartment of Surgery, The University of Hongkong, Hongkong, SAR, China. paultam@hku.hk.
Maria-Mercè Garcia-BarceloDepartment of Surgery, The University of Hongkong, Hongkong, SAR, China. mmgarcia@hku.hk.
Huimin XiaDepartment of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, China. huiminxia@hotmail.com.
Guangzhou Women and Children Medical Center · CNGuangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffuse oesophageal leiomyomatosis (DOL) is a rare disorder characterized by tumorous overgrowth of the muscular wall of the oesophagus. DOL is present in 5 % of Alport syndrome (AS) patients. AS is a rare hereditary disease that involves varying degrees of hearing impairment, ocular changes and progressive glomerulonephritis leading to renal failure. In DOL-AS patients, the genetic defect consists of a deletion involving the COL4A5 and COL4A6 genes on the X chromosome. CASE PRESENTATION: We report a two-generation family (4 individuals; parents and two children, one male and one female) with two members (mother and son) affected with oesophageal leiomyomatosis. Signs of potential renal failure, which characterizes AS, were only apparent in the index patient (son) 2 years and three months after the initial diagnosis of DOL. Blood DNA from the four family members were submitted to exome sequencing and array genotyping to perform a genome wide screening for disease causal single nucleotide (SN) and copy number (CN) variations. Analyses revealed a new 40kb deletion encompassing from intron 2 of COL4A5 to intron 1 of COL4A6 at Xq22.3. The breakpoints were also identified. Possible confounding pathogenic exonic variants in genes known to be involved in other extracellular matrices disorders were also shared by the two affected individuals. Meticulous analysis of the maternal DNA revealed a case of gonosomal mosaicism.

conclusionsThis is the first report of gonadosomal mosaicism associated to DOL-AS.

Indexed as

Gene DeletionMosaicismSex Chromosome AberrationsAdolescentAsian PeopleChromosomes, Human, XCollagen Type IVEsophageal NeoplasmsFamilyFemaleHumansLeiomyomatosisMaleNephritis, HereditaryCOL4A5 protein, humanCOL4A6 protein, humanCollagen Type IV

Identifiers

PMID26179878
PMCPMC4557859
OpenAlexW1647159470

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.