Evidence map›Paper›PMID 27592148›Full record

ArticleEuropean journal of medical genetics2016

Whole exome sequencing identifies a homozygous POLG2 missense variant in an infant with fulminant hepatic failure and mitochondrial DNA depletion.

Hemant Varma, Phyllis L Faust, Alejandro D Iglesias, Stephen M Lagana, Karen Wou, Michio Hirano, Salvatore DiMauro, Mahesh M Mansukani, Kirsten E Hoff, Peter L Nagy and 2 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in European journal of medical genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Therapy Prospects for Mitochondrial DNA Maintenance Disorders.International journal of molecular sciences · 2021
    Review
  9. Review
  10. Article
  11. Camptocormia as a Novel Phenotype in a HeterozygousDiagnostics (Basel, Switzerland) · 2020
    Article
  12. Diet induced the change of mtDNA copy number and metabolism in Angus cattle.Journal of animal science and biotechnology · 2020
    Article
  13. A Brief History of Mitochondrial Pathologies.International journal of molecular sciences · 2019
    Article
  14. AJournal of clinical neurology (Seoul, Korea) · 2019
    Article
  15. Marek's Disease Virus Infection Induced Mitochondria Changes in Chickens.International journal of molecular sciences · 2019
    Article
  16. Article
  17. Clinical Application of Genome and Exome Sequencing as a Diagnostic Tool for Pediatric Patients: a Scoping Review of the Literature.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  18. Article
  19. 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

12 authors at 4 institutions in 1 country.

Hemant VarmaDepartment of Pathology and Cell Biology, Columbia University, 630 W, 168th Street, New York, NY 10032, USA; Division of Personalized Genomic Medicine, Department of Pathology and Cell Biology, Columbia University Medical Center, USA.
Phyllis L FaustDepartment of Pathology and Cell Biology, Columbia University, 630 W, 168th Street, New York, NY 10032, USA.
Alejandro D IglesiasDivision of Medical Genetics, Columbia University, New York Presbyterian Hospital, USA.
Stephen M LaganaDepartment of Pathology and Cell Biology, Columbia University, 630 W, 168th Street, New York, NY 10032, USA.
Karen WouDivision of Genetics, New York Presbyterian Hospital, USA.
Michio HiranoDepartment of Neurology, Columbia University Medical Center, USA.
Salvatore DiMauroDepartment of Neurology, Columbia University Medical Center, USA.
Mahesh M MansukaniDepartment of Pathology and Cell Biology, Columbia University, 630 W, 168th Street, New York, NY 10032, USA; Division of Personalized Genomic Medicine, Department of Pathology and Cell Biology, Columbia University Medical Center, USA.
Kirsten E HoffGenome Integrity and Structural Biology Laboratory, National Institute of Environmental Health Sciences, NIH, Research Triangle Park, NC 27709, USA.
Peter L NagyDepartment of Pathology and Cell Biology, Columbia University, 630 W, 168th Street, New York, NY 10032, USA; Division of Personalized Genomic Medicine, Department of Pathology and Cell Biology, Columbia University Medical Center, USA.
William C CopelandGenome Integrity and Structural Biology Laboratory, National Institute of Environmental Health Sciences, NIH, Research Triangle Park, NC 27709, USA. Electronic address: copelan1@niehs.nih.gov.
Ali B NainiDepartment of Pathology and Cell Biology, Columbia University, 630 W, 168th Street, New York, NY 10032, USA; Division of Personalized Genomic Medicine, Department of Pathology and Cell Biology, Columbia University Medical Center, USA. Electronic address: abn2@cumc.columbia.edu.
Columbia University Irving Medical Center · USColumbia University · USNational Institute of Environmental Health Sciences · USNewYork–Presbyterian Hospital · US

Funding

Molecular Characterization Of The Mitochondrial Dna PolymeraseZIAES065078 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI COPELAND, WILLIAM · 2009 to 2025
$25.4M
THERAPEUTIC APPROACHES IN MODELS OF MITOCHONDRIAL DIS.P01HD032062 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DIMAURO, SALVATORE · 1995 to 2014
$24.4M
Tech-CoreP01HD080642 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI QUINZII, CATARINA M. · 2014 to 2018
$7.8M
Molecular Study Of The Mitochondrial DNA PolymeraseZ01ES065078 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI COPELAND, WILLIAM · 1994 to 2008
$2.8M
Intramural NIH HHS Z01 ES065078NICHD NIH HHS P01 HD032062NICHD NIH HHS P01 HD080642
6 · The paper itself

Abstract

Mitochondrial DNA (mtDNA) depletion syndrome manifests as diverse early-onset diseases that affect skeletal muscle, brain and liver function. Mutations in several nuclear DNA-encoded genes cause mtDNA depletion. We report on a patient, a 3-month-old boy who presented with hepatic failure, and was found to have severe mtDNA depletion in liver and muscle. Whole-exome sequencing identified a homozygous missense variant (c.544C > T, p.R182W) in the accessory subunit of mitochondrial DNA polymerase gamma (POLG2), which is required for mitochondrial DNA replication. This variant is predicted to disrupt a critical region needed for homodimerization of the POLG2 protein and cause loss of processive DNA synthesis. Both parents were phenotypically normal and heterozygous for this variant. Heterozygous mutations in POLG2 were previously associated with progressive external ophthalmoplegia and mtDNA deletions. This is the first report of a patient with a homozygous mutation in POLG2 and with a clinical presentation of severe hepatic failure and mitochondrial depletion.

Indexed as

Base SequenceDNA-Directed DNA PolymeraseDNA, MitochondrialExomeHumansInfantIntestinal Pseudo-ObstructionLiver Failure, AcuteMaleMitochondriaMitochondrial DiseasesMitochondrial EncephalomyopathiesMuscular Dystrophy, OculopharyngealMutation, MissenseOphthalmoplegiaDNA-Directed DNA PolymeraseDNA, MitochondrialPOLG2 protein, humanHepatic failureMitochondrial DNA depletionPOLGPOLG2Whole-exome sequencing

Identifiers

PMID27592148
PMCPMC5045816
OpenAlexW2508171567

What OpenQuestion holds

Textmetadata
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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.