Evidence map›Paper›PMID 28364132›Full record

ArticlePediatric nephrology (Berlin, Germany)2017

Challenges in establishing genotype-phenotype correlations in ARPKD: case report on a toddler with two severe PKHD1 mutations.

Kathrin Ebner, Claudia Dafinger, Nadina Ortiz-Bruechle, Friederike Koerber, Bernhard Schermer, Thomas Benzing, Jörg Dötsch, Klaus Zerres, Lutz Thorsten Weber, Bodo B Beck and 1 more

Abstract readCase Reports
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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Molecular Pathophysiology of Autosomal Recessive Polycystic Kidney Disease.International journal of molecular sciences · 2021
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. [Autosomal recessive polycystic kidney disease in a girl].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
    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

11 authors at 3 institutions in 1 country.

Kathrin EbnerDepartment of Pediatrics, University Hospital of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Claudia DafingerDepartment of Pediatrics, University Hospital of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Nadina Ortiz-BruechleInstitute of Human Genetics, RWTH University Hospital Aachen, Aachen, Germany.
Friederike KoerberPediatric Radiology, Institute of Diagnostic and Interventional Radiology, University Hospital of Cologne, Cologne, Germany.
Bernhard SchermerDepartment II of Internal Medicine and Center for Molecular Medicine Cologne University of Cologne, Cologne, Germany.
Thomas BenzingDepartment II of Internal Medicine and Center for Molecular Medicine Cologne University of Cologne, Cologne, Germany.
Jörg DötschDepartment of Pediatrics, University Hospital of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Klaus ZerresInstitute of Human Genetics, RWTH University Hospital Aachen, Aachen, Germany.
Lutz Thorsten WeberDepartment of Pediatrics, University Hospital of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Bodo B BeckInstitute of Human Genetics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany.
Max Christoph LiebauDepartment of Pediatrics, University Hospital of Cologne, Kerpener Str. 62, 50937, Cologne, Germany. max.liebau@uk-koeln.de.
University Hospital Cologne · DEUniversity of Cologne · DERWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutosomal recessive polycystic kidney disease (ARPKD) constitutes an important cause of pediatric end stage renal disease and is characterized by a broad phenotypic variability. The disease is caused by mutations in a single gene, Polycystic Kidney and Hepatic Disease 1 (PKHD1), which encodes a large transmembrane protein of poorly understood function called fibrocystin. Based on current knowledge of genotype-phenotype correlations in ARPKD, two truncating mutations are considered to result in a severe phenotype with peri- or neonatal mortality. Infants surviving the neonatal period are expected to carry at least one missense mutation. CASE-DIAGNOSIS/TREATMENT: We report on a female patient with two truncating PKHD1 mutations who survived the first 30 months of life without renal replacement therapy. Our patient carries not only a known stop mutation, c.8011C>T (p.Arg2671*), but also the previously reported c.51A>G PKHD1 sequence variant of unknown significance in exon 2. Using functional in vitro studies we have confirmed the pathogenic nature of c.51A>G, demonstrating activation of a new donor splice site in intron 2 that results in a frameshift mutation and generation of a premature stop codon.

conclusionsThis case illustrates the importance of functional mutation analyses and also raises questions regarding the current belief that the presence of at least one missense mutation is necessary for perinatal survival in ARPKD.

Indexed as

Child, PreschoolDNA Mutational AnalysisExonsFemaleGenetic TestingGenotypeHepatomegalyHumansHyperplasiaInfant, Low Birth WeightInfant, NewbornInfant, PrematureIntronsKidneyKidney Failure, ChronicMagnetic Resonance ImagingPKHD1 protein, humanReceptors, Cell SurfaceAutosomal recessive polycystic kidney diseaseCongenital hepatic fibrosisFibrocystinPKHD1Polycystic kidney disease

Identifiers

PMID28364132
OpenAlexW2600866046

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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.