Evidence map›Paper›PMID 27259049›Full record

ArticleAmerican journal of human genetics2016

Riboflavin-Responsive and -Non-responsive Mutations in FAD Synthase Cause Multiple Acyl-CoA Dehydrogenase and Combined Respiratory-Chain Deficiency.

Rikke K J Olsen, Eliška Koňaříková, Teresa A Giancaspero, Signe Mosegaard, Veronika Boczonadi, Lavinija Mataković, Alice Veauville-Merllié, Caterina Terrile, Thomas Schwarzmayr, Tobias B Haack and 38 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in American journal of human genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
11.1field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 146 citations in OpenAlex.

  1. Pooled it
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  10. Disorders of fatty acid homeostasis.Journal of inherited metabolic disease · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Fatal multiple acyl-CoA dehydrogenase deficiency caused byWorld journal of clinical cases · 2024
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Detection ofAnnals of medicine and surgery (2012) · 2023
    Article

13 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

48 authors at 20 institutions in 10 countries.

Rikke K J OlsenResearch Unit for Molecular Medicine, Department of Clinical Medicine, Aarhus University and University Hospital, 8200 Aarhus N, Denmark. Electronic address: rikke.olsen@clin.au.dk.
Eliška KoňaříkováInstitute of Human Genetics, Technische Universität München, 81675 Munich, Germany; Institute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Teresa A GiancasperoDepartment of Biosciences, Biotechnology, and Biopharmaceutics, University of Bari Aldo Moro, 70125 Bari, Italy.
Signe MosegaardResearch Unit for Molecular Medicine, Department of Clinical Medicine, Aarhus University and University Hospital, 8200 Aarhus N, Denmark.
Veronika BoczonadiWellcome Trust Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 3BZ, UK.
Lavinija MatakovićDepartment of Paediatrics, Paracelsus Medical University, SALK Salzburg, 5020 Salzburg, Austria.
Alice Veauville-MerlliéService Maladies Héréditaires du Métabolisme et Dépistage Néonatal, Centre de Biologie et Pathologie Est, Centre Hospitalier Universitaire Lyon, 69500 Bron, France.
Caterina TerrileInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Thomas SchwarzmayrInstitute of Human Genetics, Technische Universität München, 81675 Munich, Germany; Institute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Tobias B HaackInstitute of Human Genetics, Technische Universität München, 81675 Munich, Germany; Institute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Mari AuranenClinical Neurosciences, Neurology, University of Helsinki and Helsinki University Hospital, 340 Helsinki, Finland.
Piero LeoneDepartment of Biosciences, Biotechnology, and Biopharmaceutics, University of Bari Aldo Moro, 70125 Bari, Italy.
Michele GalluccioDepartment DiBEST (Biology, Ecology, and Earth Sciences), University of Calabria, 87036 Arcavacata di Rende, Italy.
Apolline ImbardBiochemistry Hormonology Laboratory, Robert-Debré Hospital, 75019 Paris, France; Pharmacy Faculty, Paris Sud University, 92019 Chatenay-Malabry, France.
Purificacion Gutierrez-RiosWellcome Trust Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 3BZ, UK; Centro Andaluz de Biología del Desarrollo, Universidad Pablo de Olavide, 41013 Seville, Spain.
Johan PalmfeldtResearch Unit for Molecular Medicine, Department of Clinical Medicine, Aarhus University and University Hospital, 8200 Aarhus N, Denmark.
Elisabeth GrafInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Christine Vianey-SabanService Maladies Héréditaires du Métabolisme et Dépistage Néonatal, Centre de Biologie et Pathologie Est, Centre Hospitalier Universitaire Lyon, 69500 Bron, France.
Marcus OppenheimNeurometabolic Unit, National Hospital for Neurology and Neurosurgery, London WCIN 3BG, UK.
Manuel SchiffINSERM UMR 1141, Hôpital Robert Debré, 75019 Paris, France; Reference Center for Inherited Metabolic Diseases, Robert-Debré Hospital, Assistance Publique - Hôpitaux de Paris, 75019 Paris, France; Faculté de Médecine Denis Diderot, Université Paris Diderot (Paris 7), 75013 Paris, France.
Samia PichardReference Center for Inherited Metabolic Diseases, Robert-Debré Hospital, Assistance Publique - Hôpitaux de Paris, 75019 Paris, France.
Odile RigalBiochemistry Hormonology Laboratory, Robert-Debré Hospital, 75019 Paris, France.
Angela PyleWellcome Trust Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 3BZ, UK.
Patrick F ChinneryWellcome Trust Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 3BZ, UK; Department of Clinical Neurosciences, Cambridge Biomedical Campus, University of Cambridge, Cambridge CB2 0QQ, UK.
Vassiliki KonstantopoulouDepartment of Pediatrics, Medical University of Vienna, 1090 Vienna, Austria.
Dorothea MöslingerDepartment of Pediatrics, Medical University of Vienna, 1090 Vienna, Austria.
René G FeichtingerDepartment of Paediatrics, Paracelsus Medical University, SALK Salzburg, 5020 Salzburg, Austria.
Beril TalimPathology Unit, Department of Pediatrics, Hacettepe University Children's Hospital, 06100 Ankara, Turkey.
Haluk TopalogluNeurology Unit, Department of Pediatrics, Hacettepe University Children's Hospital, 06100 Ankara, Turkey.
Turgay CoskunMetabolism Unit, Department of Pediatrics, Hacettepe University Children's Hospital, 06100 Ankara, Turkey.
Safak GucerPathology Unit, Department of Pediatrics, Hacettepe University Children's Hospital, 06100 Ankara, Turkey.
Annalisa BottaMedical Genetics Section, Department of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy.
Elena PegoraroNeuromuscular Center, Department of Neurosciences, University of Padova, 35129 Padova, Italy.
Adriana MalenaNeuromuscular Center, Department of Neurosciences, University of Padova, 35129 Padova, Italy.
Lodovica VerganiNeuromuscular Center, Department of Neurosciences, University of Padova, 35129 Padova, Italy.
Daniela MazzàItaly Institute of Medical Genetics, Catholic University of Roma, 00168 Rome, Italy.
Marcella ZollinoItaly Institute of Medical Genetics, Catholic University of Roma, 00168 Rome, Italy.
Daniele GhezziMolecular Neurogenetics Unit, Foundation IRCCS Neurological Institute C. Besta, 20126 Milan, Italy.
Cecile AcquavivaService Maladies Héréditaires du Métabolisme et Dépistage Néonatal, Centre de Biologie et Pathologie Est, Centre Hospitalier Universitaire Lyon, 69500 Bron, France.
Tiina TyniDepartment of Pediatric Neurology, Hospital for Children and Adolescence, Helsinki University Central Hospital, 280 Helsinki, Finland.
Avihu BonehMurdoch Childrens Research Institute and University of Melbourne, Melbourne, VIC 3010, Australia.
Thomas MeitingerInstitute of Human Genetics, Technische Universität München, 81675 Munich, Germany; Institute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Tim M StromInstitute of Human Genetics, Technische Universität München, 81675 Munich, Germany; Institute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Niels GregersenResearch Unit for Molecular Medicine, Department of Clinical Medicine, Aarhus University and University Hospital, 8200 Aarhus N, Denmark.
Johannes A MayrDepartment of Paediatrics, Paracelsus Medical University, SALK Salzburg, 5020 Salzburg, Austria.
Rita HorvathWellcome Trust Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 3BZ, UK.
Maria BarileDepartment of Biosciences, Biotechnology, and Biopharmaceutics, University of Bari Aldo Moro, 70125 Bari, Italy. Electronic address: maria.barile@uniba.it.
Holger ProkischInstitute of Human Genetics, Technische Universität München, 81675 Munich, Germany; Institute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Aarhus University Hospital · DKHacettepe University Hospital · TRHelmholtz Zentrum München · DETechnical University of Munich · DENewcastle University · GBParacelsus Medical University · ATUniversity of Bari Aldo Moro · ITUniversity of Padua · ITAssistance Publique – Hôpitaux de Paris · FRMedical University of Vienna · ATHelsinki University Hospital · FIHôpital Robert-Debré · FRMurdoch Children's Research Institute · AUNational Hospital for Neurology and Neurosurgery · GBUniversité Paris-Sud · FRUniversity of Calabria · ITUniversity of Cambridge · GBUniversity of Helsinki · FIUniversity of Rome Tor Vergata · ITWellcome Centre for Mitochondrial Research · GB

Funding

European Research Council 309548Medical Research Council G1000848Medical Research Council MC_UP_1501/2Telethon GGP15041
6 · The paper itself

Abstract

Multiple acyl-CoA dehydrogenase deficiencies (MADDs) are a heterogeneous group of metabolic disorders with combined respiratory-chain deficiency and a neuromuscular phenotype. Despite recent advances in understanding the genetic basis of MADD, a number of cases remain unexplained. Here, we report clinically relevant variants in FLAD1, which encodes FAD synthase (FADS), as the cause of MADD and respiratory-chain dysfunction in nine individuals recruited from metabolic centers in six countries. In most individuals, we identified biallelic frameshift variants in the molybdopterin binding (MPTb) domain, located upstream of the FADS domain. Inasmuch as FADS is essential for cellular supply of FAD cofactors, the finding of biallelic frameshift variants was unexpected. Using RNA sequencing analysis combined with protein mass spectrometry, we discovered FLAD1 isoforms, which only encode the FADS domain. The existence of these isoforms might explain why affected individuals with biallelic FLAD1 frameshift variants still harbor substantial FADS activity. Another group of individuals with a milder phenotype responsive to riboflavin were shown to have single amino acid changes in the FADS domain. When produced in E. coli, these mutant FADS proteins resulted in impaired but detectable FADS activity; for one of the variant proteins, the addition of FAD significantly improved protein stability, arguing for a chaperone-like action similar to what has been reported in other riboflavin-responsive inborn errors of metabolism. In conclusion, our studies identify FLAD1 variants as a cause of potentially treatable inborn errors of metabolism manifesting with MADD and shed light on the mechanisms by which FADS ensures cellular FAD homeostasis.

Indexed as

AdultBlotting, WesternCase-Control StudiesCells, CulturedElectron TransportFemaleFibroblastsFlavin-Adenine DinucleotideFrameshift MutationGene Expression ProfilingHumansInfantInfant, NewbornLiverMaleMitochondrial DiseasesFlavin-Adenine DinucleotideFMN adenylyltransferaseNucleotidyltransferasesRiboflavinRNA, MessengerVitamin B Complex

Identifiers

PMID27259049
PMCPMC4908180
OpenAlexW2411989351

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LicenceCC BY-NC-ND
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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.