Evidence map›Paper›PMID 28604674›Full record

ArticleNature communications2017

Genetic diagnosis of Mendelian disorders via RNA sequencing.

Laura S Kremer, Daniel M Bader, Christian Mertes, Robert Kopajtich, Garwin Pichler, Arcangela Iuso, Tobias B Haack, Elisabeth Graf, Thomas Schwarzmayr, Caterina Terrile and 22 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05996731 (Developing a Pipeline to Employ RNA-Seq as a Complementary Diagnostic Tool in Rare Diseases), which is not on this map. Cited by 322 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
322citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05996731 narecruitingnot on this mapstarted 2024, after this paper: background citation

Developing a Pipeline to Employ RNA-Seq as a Complementary Diagnostic Tool in Rare Diseases

TypeinterventionalSponsorMario Negri Institute for Pharmacological ResearchRan2024 to 2026Enrolled105ConditionsAtypical Hemolytic Uremic Syndrome, Membranoproliferative Glomerulonephritis, Autosomal Dominant Polycystic Kidney, HealthyArmsSkin biopsy
3 · Its place in the literature

Who cites it

322 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  19. Mainstreaming genomic testing for mitochondrial disease in Australia.European journal of human genetics : EJHG · 2026
    Article
  20. RNA Sequencing Resolves Cryptic Pathogenic Variants in Mitochondrial Disease.Annals of clinical and translational neurology · 2026
    Article

262 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

32 authors.

Laura S KremerInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Daniel M BaderDepartment of Informatics, Technische Universität München, 85748 Garching, Germany.ORCID 0000-0003-1875-6044
Christian MertesDepartment of Informatics, Technische Universität München, 85748 Garching, Germany.ORCID 0000-0002-1091-205X
Robert KopajtichInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Garwin PichlerDepartment of Proteomics and Signal Transduction, Max-Planck Institute of Biochemistry, 82152 Martinsried, Germany.
Arcangela IusoInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Tobias B HaackInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Elisabeth GrafInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Thomas SchwarzmayrInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Caterina TerrileInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Eliška KoňaříkováInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Birgit ReppInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Gabi KastenmüllerInstitute of Bioinformatics and Systems Biology, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Jerzy AdamskiInstitute of Experimental Genetics, Genome Analysis Center, Helmholtz Zentrum München, German Research Center for Environmental Health, 85764 Neuherberg, Germany.ORCID 0000-0001-9259-0199
Peter LichtnerInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Christoph LeonhardtNeuropädiatrie, Neonatologie, 78050 Villingen-Schwenningen, Germany.
Benoit FunalotINSERM U1163, Université Paris Descartes-Sorbonne Paris Cité, Institut Imagine, 75015 Paris, France.
Alice DonatiMetabolic Unit, A. Meyer Children's Hospital, 50139 Florence, Italy.
Valeria TirantiUnit of Molecular Neurogenetics, Foundation IRCCS (Istituto di Ricovero e Cura a Carettere Scientifico) Neurological Institute 'Carlo Besta', 20126 Milan, Italy.ORCID 0000-0002-3584-7338
Anne LombesInserm UMR 1016, Institut Cochin, 75014 Paris, France.ORCID 0000-0002-9064-0399
Claude JardelInserm UMR 1016, Institut Cochin, 75014 Paris, France.
Dieter GläserGenetikum, Genetic Counseling and Diagnostics, 89231 Neu-Ulm, Germany.
Robert W TaylorWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne NE2 4HH, UK.
Daniele GhezziUnit of Molecular Neurogenetics, Foundation IRCCS (Istituto di Ricovero e Cura a Carettere Scientifico) Neurological Institute 'Carlo Besta', 20126 Milan, Italy.
Johannes A MayrDepartment of Pediatrics, Paracelsus Medical University, A-5020 Salzburg, Austria.
Agnes RötigINSERM U1163, Université Paris Descartes-Sorbonne Paris Cité, Institut Imagine, 75015 Paris, France.
Peter FreisingerDepartment of Pediatrics, Klinikum Reutlingen, 72764 Reutlingen, Germany.
Felix DistelmaierDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, University Children's Hospital, Heinrich-Heine-University Düsseldorf, 40225 Düsseldorf, Germany.
Tim M StromInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Thomas MeitingerInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Julien GagneurDepartment of Informatics, Technische Universität München, 85748 Garching, Germany.
Holger ProkischInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.ORCID 0000-0003-2379-6286

Funding

Austrian Science Fund FWF I 2741Medical Research Council G0601943Wellcome Trust
6 · The paper itself

Abstract

Across a variety of Mendelian disorders, ∼50-75% of patients do not receive a genetic diagnosis by exome sequencing indicating disease-causing variants in non-coding regions. Although genome sequencing in principle reveals all genetic variants, their sizeable number and poorer annotation make prioritization challenging. Here, we demonstrate the power of transcriptome sequencing to molecularly diagnose 10% (5 of 48) of mitochondriopathy patients and identify candidate genes for the remainder. We find a median of one aberrantly expressed gene, five aberrant splicing events and six mono-allelically expressed rare variants in patient-derived fibroblasts and establish disease-causing roles for each kind. Private exons often arise from cryptic splice sites providing an important clue for variant prioritization. One such event is found in the complex I assembly factor TIMMDC1 establishing a novel disease-associated gene. In conclusion, our study expands the diagnostic tools for detecting non-exonic variants and provides examples of intronic loss-of-function variants with pathological relevance.

Indexed as

Gene Expression ProfilingSequence Analysis, RNADiagnostic Techniques and ProceduresHumansMitochondrial DiseasesRNA Splicing

Identifiers

PMID28604674
PMCPMC5499207

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Registered trials

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.