Evidence map›Paper›PMID 29018201›Full record

ArticleNature communications2017

Activating de novo mutations in NFE2L2 encoding NRF2 cause a multisystem disorder.

Peter Huppke, Susann Weissbach, Joseph A Church, Rhonda Schnur, Martina Krusen, Steffi Dreha-Kulaczewski, W Nikolaus Kühn-Velten, Annika Wolf, Brenda Huppke, Francisca Millan and 7 more

Open access · goldAbstract 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. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

46 citing papers in PubMed, 94 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. The KEAP1-NRF2 pathway regulates TFEB/TFE3-dependent lysosomal biogenesis.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  16. Article
  17. 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

17 authors at 7 institutions in 3 countries.

Peter HuppkeDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Neurology, University Medical Center Göttingen, 37075, Göttingen, Germany. phuppke@med.uni-goettingen.de.
Susann WeissbachDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Neurology, University Medical Center Göttingen, 37075, Göttingen, Germany.
Joseph A ChurchDivison of Clinical Immunology and Allergy, Childrens Hospital Los Angeles, and Keck School of Medicine University of Southern California, Los Angeles, CA, 90027, USA.
Rhonda SchnurDivision of Genetics, Cooper University Health Care, Cooper Medical School of Rowan University 3, Camden, NJ, 08103, USA.
Martina KrusenLebenszentrum Königsborn Fachklinik für Kinderneurologie und Sozialpädiatrie mit Sozialpädiatrischem Zentrum, 59425, Unna, Germany.
Steffi Dreha-KulaczewskiDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Neurology, University Medical Center Göttingen, 37075, Göttingen, Germany.
W Nikolaus Kühn-VeltenMedical Laboratory Bremen, 28357, Bremen, Germany.
Annika WolfDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Neurology, University Medical Center Göttingen, 37075, Göttingen, Germany.
Brenda HuppkeDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Neurology, University Medical Center Göttingen, 37075, Göttingen, Germany.
Francisca MillanGeneDx, Gaithersburg, MD, 20877, USA.
Amber BegtrupGeneDx, Gaithersburg, MD, 20877, USA.
Fatima AlmusafriDepartment of Pediatrics, Clinical and Metabolic Genetics, Hamad Medical Corporation, 3050, Doha, Qatar.
Holger ThieleCologne Center for Genomics (CCG), University of Cologne, Cologne, 50931, Germany.
Janine AltmüllerCologne Center for Genomics (CCG), University of Cologne, Cologne, 50931, Germany.
Peter NürnbergCologne Center for Genomics (CCG), University of Cologne, Cologne, 50931, Germany.
Michael MüllerCenter for Nanoscale Microscopy and Molecular Physiology of the Brain (CNMPB), 37075, Göttingen, Germany.
Jutta GärtnerDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Neurology, University Medical Center Göttingen, 37075, Göttingen, Germany.
Universitätsmedizin Göttingen · DEUniversity of Cologne · DEChildren's Hospital of Los Angeles · USCologne Excellence Cluster on Cellular Stress Responses in Aging Associated Diseases · DECooper University Health Care · USHamad Medical Corporation · QANanoscale Microscopy and Molecular Physiology of the Brain Cluster of Excellence 171 — DFG Research Center 103 · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transcription factor NRF2, encoded by NFE2L2, is the master regulator of defense against stress in mammalian cells. Somatic mutations of NFE2L2 leading to NRF2 accumulation promote cell survival and drug resistance in cancer cells. Here we show that the same mutations as inborn de novo mutations cause an early onset multisystem disorder with failure to thrive, immunodeficiency and neurological symptoms. NRF2 accumulation leads to widespread misregulation of gene expression and an imbalance in cytosolic redox balance. The unique combination of white matter lesions, hypohomocysteinaemia and increased G-6-P-dehydrogenase activity will facilitate early diagnosis and therapeutic intervention of this novel disorder.The NRF2 transcription factor regulates the response to stress in mammalian cells. Here, the authors show that activating mutations in NRF2, commonly found in cancer cells, are found in four patients with a multisystem disorder characterized by immunodeficiency and neurological symptoms.

Indexed as

AdolescentBinding SitesBrainChildDevelopmental DisabilitiesFailure to ThriveFemaleGene Expression RegulationHumansImmunologic Deficiency SyndromesInfantKelch-Like ECH-Associated Protein 1Learning DisabilitiesMagnetic Resonance ImagingMaleMutationKEAP1 protein, humanKelch-Like ECH-Associated Protein 1NFE2L2 protein, humanNF-E2-Related Factor 2

Identifiers

PMID29018201
PMCPMC5635015
OpenAlexW2763890154

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.