Evidence map›Paper›PMID 28779239›Full record

ArticlePediatric nephrology (Berlin, Germany)2017

Exome sequencing in Jewish and Arab patients with rhabdomyolysis reveals single-gene etiology in 43% of cases.

Asaf Vivante, Hadas Ityel, Ben Pode-Shakked, Jing Chen, Shirlee Shril, Amelie T van der Ven, Nina Mann, Johanna Magdalena Schmidt, Reeval Segel, Adi Aran and 8 more

Open access · greenAbstract read
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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Guideline
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  11. Review
  12. Recurrent acute kidney injury and rhabdomyolysis: Questions.Pediatric nephrology (Berlin, Germany) · 2021
    Article
  13. Recurrent acute kidney injury and rhabdomyolysis: Answers.Pediatric nephrology (Berlin, Germany) · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Functional and Pathological Roles of AHCY.Frontiers in cell and developmental biology · 2021
    Review
  18. Article
  19. Article
  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

18 authors at 5 institutions in 2 countries.

Asaf VivanteDivision of Nephrology, Department of Medicine, Boston Children's Hospital-Harvard Medical School, 300 Longwood Avenue HU319, Boston, MA, 02115, USA.
Hadas ItyelDivision of Nephrology, Department of Medicine, Boston Children's Hospital-Harvard Medical School, 300 Longwood Avenue HU319, Boston, MA, 02115, USA.
Ben Pode-ShakkedTalpiot Medical Leadership Program, Sheba Medical Center, Tel-Hashomer, Israel.
Jing ChenDivision of Nephrology, Department of Medicine, Boston Children's Hospital-Harvard Medical School, 300 Longwood Avenue HU319, Boston, MA, 02115, USA.
Shirlee ShrilDivision of Nephrology, Department of Medicine, Boston Children's Hospital-Harvard Medical School, 300 Longwood Avenue HU319, Boston, MA, 02115, USA.
Amelie T van der VenDivision of Nephrology, Department of Medicine, Boston Children's Hospital-Harvard Medical School, 300 Longwood Avenue HU319, Boston, MA, 02115, USA.
Nina MannDivision of Nephrology, Department of Medicine, Boston Children's Hospital-Harvard Medical School, 300 Longwood Avenue HU319, Boston, MA, 02115, USA.
Johanna Magdalena SchmidtDivision of Nephrology, Department of Medicine, Boston Children's Hospital-Harvard Medical School, 300 Longwood Avenue HU319, Boston, MA, 02115, USA.
Reeval SegelMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem, Israel.
Adi AranHadassah Medical School, Hebrew University, Jerusalem, Israel.
Avraham ZehariaSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Orna Staretz-ChachamMetabolic Clinic, Pediatric Division, Soroka Medical Center, Ben-Gurion University, Beer Sheva, Israel.
Omer Bar-YosefTalpiot Medical Leadership Program, Sheba Medical Center, Tel-Hashomer, Israel.
Annick Raas-RothschildSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Yuval E LandauSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Richard P LiftonDepartment of Human Genetics, Yale University School of Medicine, New Haven, CT, USA.
Yair AniksterSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Friedhelm HildebrandtDivision of Nephrology, Department of Medicine, Boston Children's Hospital-Harvard Medical School, 300 Longwood Avenue HU319, Boston, MA, 02115, USA. Friedhelm.Hildebrandt@childrens.harvard.edu.ORCID http://orcid.org/0000-0002-4167-8411
Boston Children's Hospital · USTel Aviv University · ILShaare Zedek Medical Center · ILHoward Hughes Medical Institute · USSoroka Medical Center · IL

Funding

Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI SOMLO, STEFAN · 2008 to 2022
$16.8M
Yale Center for Mendelian DisordersU54HG006504 · NHGRI · YALE UNIVERSITY · PI GERSTEIN, MARK BENDER, GUNEL, MURAT · 2012 to 2015
$11.0M
RESEARCH TRAINING IN PEDIATRIC NEPHROLOGYT32DK007726 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI BRISCOE, DAVID M. · 1994 to 2023
$5.9M
New genes and pathomechanisms of congenital abnormalities of the kidney (CAKUT)R01DK088767 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HILDEBRANDT, FRIEDHELM · 2010 to 2019
$3.4M
High Performance Computing Instrumentation for the Yale Center for Genome AnalysiS10OD018521 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2015 to 2015
$890k
NHGRI NIH HHS U54 HG006504NIDDK NIH HHS P30 DK079310NIDDK NIH HHS R01 DK088767NIDDK NIH HHS T32 DK007726NIH HHS S10 OD018521
6 · The paper itself

Abstract

backgroundRhabdomyolysis is a clinical emergency that may cause acute kidney injury (AKI). It can be acquired or due to monogenic mutations. Around 60 different rare monogenic forms of rhabdomyolysis have been reported to date. In the clinical setting, identifying the underlying molecular diagnosis is challenging due to nonspecific presentation, the high number of causative genes, and current lack of data on the prevalence of monogenic forms.

methodsWe employed whole exome sequencing (WES) to reveal the percentage of rhabdomyolysis cases explained by single-gene (monogenic) mutations in one of 58 candidate genes. We investigated a cohort of 21 unrelated families with rhabdomyolysis, in whom no underlying etiology had been previously established.

resultsUsing WES, we identified causative mutations in candidate genes in nine of the 21 families (43%). We detected disease-causing mutations in eight of 58 candidate genes, grouped into the following categories: (1) disorders of fatty acid metabolism (CPT2), (2) disorders of glycogen metabolism (PFKM and PGAM2), (3) disorders of abnormal skeletal muscle relaxation and contraction (CACNA1S, MYH3, RYR1 and SCN4A), and (4) disorders of purine metabolism (AHCY).

conclusionsOur findings demonstrate a very high detection rate for monogenic etiologies using WES and reveal broad genetic heterogeneity for rhabdomyolysis. These results highlight the importance of molecular genetic diagnostics for establishing an etiologic diagnosis. Because these patients are at risk for recurrent episodes of rhabdomyolysis and subsequent risk for AKI, WES allows adequate prophylaxis and treatment for these patients and their family members and enables a personalized medicine approach.

Indexed as

AdolescentAdultArabsChildExomeExome SequencingGenetic Predisposition to DiseaseHumansJewsMutationRhabdomyolysisAcute kidney injuryMonogenic diseasesRhabdomyolysisWhole exome sequencing

Identifiers

PMID28779239
PMCPMC5903869
OpenAlexW2744780200

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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.