Evidence map›Paper›PMID 27939817›Full record

ArticleBone2017

Late-onset hereditary hypophosphatemic rickets with hypercalciuria (HHRH) due to mutation of SLC34A3/NPT2c.

Gauri Dhir, Dong Li, Hakon Hakonarson, Michael A Levine

Open access · greenAbstract readCase Reports
In one paragraph

Article in Bone, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Novel Variant ofJournal of clinical research in pediatric endocrinology · 2025
    Article
  3. Article
  4. Physiopathology of Phosphate Disorders.Advances in kidney disease and health · 2023
    Review
  5. Article
  6. Congenital Conditions of Hypophosphatemia in Children.Calcified tissue international · 2021
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. An 8-year-old with genu valgum: Answers.Pediatric nephrology (Berlin, Germany) · 2019
    Article
  13. Review
  14. Journal of clinical research in pediatric endocrinology · 2018
    Article
  15. Article
  16. Review
  17. Article
  18. 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

4 authors at 2 institutions in 1 country.

Gauri DhirDivision of Endocrinology Diabetes and Metabolism, Cooper Medical School of Rowan University, Camden, NJ 08103, USA.
Dong LiCenter for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Hakon HakonarsonCenter for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
Michael A LevineDepartment of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA; Division of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. Electronic address: levinem@chop.edu.
Children's Hospital of Philadelphia · USCooper Medical School of Rowan University · US

Funding

Repurposing rifampin to reduce elevated levels of blood and urine calcium in patients with inactivating mutations of CYP24A1R01DK112955 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI Michael A. Levine, David R Weber · 2017 to 2026
$5.1M
The Role of GCM2 in Parathyroid Gland HomeostasisR01DK079970 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI LEVINE, MICHAEL A. · 2009 to 2015
$3.2M
Investigation of Hypercalciuria as a Cause of Impaired Bone Mineral Accrual in Type 1 DiabetesK23DK114477 · NIDDK · UNIVERSITY OF ROCHESTER · PI WEBER, DAVID R · 2017 to 2019
$573k
NIDDK NIH HHS K23 DK114477NIDDK NIH HHS R01 DK079970NIDDK NIH HHS R01 DK112955
6 · The paper itself

Abstract

objectiveTo identify a genetic basis for markedly reduced bone density and multiple fractures in an adult patient with hypophosphatemia and hypercalciuria. SUBJECTS: A 54-year-old Vietnamese man, his unaffected two daughters and wife.

methodsWe performed biochemical studies and sequenced the SLC34A3 gene using genomic DNA from peripheral blood mononuclear cells.

resultsBiochemical evaluation of the proband revealed hypophosphatemia with increased renal phosphate wasting, hypercalciuria, low serum parathyroid hormone (PTH) and an elevated serum 1,25(OH)

conclusionsHHRH is an uncommon autosomal recessive disease that generally manifests in childhood as rickets or nephrolithiasis, but an adult onset phenotype may occur in heterozygous carriers of SLC34A3 mutations. The severe presentation of this proband in adulthood with marked nephrolithiasis, multiple fractures and low bone density emphasizes the importance of measuring the serum phosphorus level in patients with suspected but unexplained osteoporosis and/or recurrent renal stones. The recognition of late-onset HHRH facilitates timely institution of appropriate therapy.

Indexed as

Age of OnsetBone and BonesDensitometryFamilial Hypophosphatemic RicketsFemaleGenetic Predisposition to DiseaseHumansHypercalciuriaMaleMutationPedigreeRadiography, ThoracicSodium-Phosphate Cotransporter Proteins, Type IIcSLC34A3 protein, humanSodium-Phosphate Cotransporter Proteins, Type IIcHHRHHypophosphatemiaNephrocalcinosisOsteoporosis, osteomalaciaSLC34A3

Identifiers

PMID27939817
PMCPMC5367968
OpenAlexW2559934180

What OpenQuestion holds

Textmetadata
LicenceTDM
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.