Evidence map›Paper›PMID 27450679›Full record

ArticleJournal of medical genetics2017

De novo mtDNA point mutations are common and have a low recurrence risk.

Suzanne C E H Sallevelt, Christine E M de Die-Smulders, Alexandra T M Hendrickx, Debby M E I Hellebrekers, Irenaeus F M de Coo, Charlotte L Alston, Charlotte Knowles, Robert W Taylor, Robert McFarland, Hubert J M Smeets

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Mitochondrial function in development and disease.Disease models & mechanisms · 2021
    Review
  15. Review
  16. A retrospective study on the efficacy of prenatal diagnosis for pregnancies at risk of mitochondrial DNA disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  17. Article
  18. Article
  19. Mitochondrial DNA mutations in renal disease: an overview.Pediatric nephrology (Berlin, Germany) · 2021
    Review
  20. 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

10 authors at 5 institutions in 2 countries.

Suzanne C E H SalleveltDepartment of Clinical Genetics, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.
Christine E M de Die-SmuldersDepartment of Clinical Genetics, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.
Alexandra T M HendrickxDepartment of Clinical Genetics, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.
Debby M E I HellebrekersDepartment of Clinical Genetics, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.
Irenaeus F M de CooDepartment of Neurology, Erasmus MC-Sophia Children's Hospital Rotterdam, Rotterdam, The Netherlands.
Charlotte L AlstonWellcome Trust Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Charlotte KnowlesWellcome Trust Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Robert W TaylorWellcome Trust Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Robert McFarlandWellcome Trust Centre for Mitochondrial Research, Institute of Neuroscience, The Medical School, Newcastle University, Newcastle upon Tyne, UK.
Hubert J M SmeetsDepartment of Clinical Genetics, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.
Maastricht University Medical Centre · NLNewcastle University · GBWellcome Centre for Mitochondrial Research · GBErasmus MC - Sophia Children’s Hospital · NLMaastricht University · NL

Funding

Department of Health NIHR-HCS-D12-03-04Medical Research Council G0601943Wellcome TrustWellcome Trust 096919Z/11/Z
6 · The paper itself

Abstract

backgroundSevere, disease-causing germline mitochondrial (mt)DNA mutations are maternally inherited or arise de novo. Strategies to prevent transmission are generally available, but depend on recurrence risks, ranging from high/unpredictable for many familial mtDNA point mutations to very low for sporadic, large-scale single mtDNA deletions. Comprehensive data are lacking for de novo mtDNA point mutations, often leading to misconceptions and incorrect counselling regarding recurrence risk and reproductive options. We aim to study the relevance and recurrence risk of apparently de novo mtDNA point mutations.

methodsSystematic study of prenatal diagnosis (PND) and recurrence of mtDNA point mutations in families with de novo cases, including new and published data. 'De novo' based on the absence of the mutation in multiple (postmitotic) maternal tissues is preferred, but mutations absent in maternal blood only were also included.

resultsIn our series of 105 index patients (33 children and 72 adults) with (likely) pathogenic mtDNA point mutations, the de novo frequency was 24.6%, the majority being paediatric. PND was performed in subsequent pregnancies of mothers of four de novo cases. A fifth mother opted for preimplantation genetic diagnosis because of a coexisting Mendelian genetic disorder. The mtDNA mutation was absent in all four prenatal samples and all 11 oocytes/embryos tested. A literature survey revealed 137 de novo cases, but PND was only performed for 9 (including 1 unpublished) mothers. In one, recurrence occurred in two subsequent pregnancies, presumably due to germline mosaicism.

conclusionsDe novo mtDNA point mutations are a common cause of mtDNA disease. Recurrence risk is low. This is relevant for genetic counselling, particularly for reproductive options. PND can be offered for reassurance.

Indexed as

Prenatal DiagnosisAdultChildDNA, MitochondrialFemaleGenetic CounselingGenetic Diseases, InbornHumansMaleMaternal InheritanceOocytesPoint MutationPregnancyPreimplantation DiagnosisDNA, Mitochondrialde novogenetic counsellingmDNA mutationsprenatal diagnosis (PND)

Identifiers

PMID27450679
PMCPMC5502310
OpenAlexW2478684749

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.