Evidence map›Paper›PMID 29279279›Full record

ArticleMolecular genetics and metabolism2018

Characterization of a novel variant in siblings with Asparagine Synthetase Deficiency.

Stephanie J Sacharow, Elizabeth E Dudenhausen, Carrie L Lomelino, Lance Rodan, Christelle Moufawad El Achkar, Heather E Olson, Casie A Genetti, Pankaj B Agrawal, Robert McKenna, Michael S Kilberg

Open access · greenAbstract readCase Reports
In one paragraph

Article in Molecular genetics and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. A missense variant in Exon 9 of theFrontiers in genetics · 2026
    Article
  2. Review
  3. Case Report: a novel homozygousFrontiers in neuroscience · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Clinical, molecular, and biochemical delineation of asparagine synthetase deficiency in Saudi cohort.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  13. Review
  14. Article
  15. Article
  16. 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

10 authors at 2 institutions in 1 country.

Stephanie J SacharowDivision of Genetics and Genomics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States.
Elizabeth E DudenhausenDepartment of Biochemistry & Molecular Biology, Genetics Institute, University of Florida College of Medicine, 1200 Newell Drive, FL 32608, USA.
Carrie L LomelinoDepartment of Biochemistry & Molecular Biology, Genetics Institute, University of Florida College of Medicine, 1200 Newell Drive, FL 32608, USA.
Lance RodanDivision of Genetics and Genomics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States; Department of Neurology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States.
Christelle Moufawad El AchkarDepartment of Neurology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States; Epilepsy Genetics Program, Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States.
Heather E OlsonDepartment of Neurology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States; Epilepsy Genetics Program, Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States.
Casie A GenettiDivision of Genetics and Genomics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States; Manton Center for Orphan Disease Research, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States.
Pankaj B AgrawalDivision of Genetics and Genomics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States; Manton Center for Orphan Disease Research, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States; Division of Newborn Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States.
Robert McKennaDepartment of Biochemistry & Molecular Biology, Genetics Institute, University of Florida College of Medicine, 1200 Newell Drive, FL 32608, USA.
Michael S KilbergDepartment of Biochemistry & Molecular Biology, Genetics Institute, University of Florida College of Medicine, 1200 Newell Drive, FL 32608, USA. Electronic address: mkilberg@ufl.edu.
Boston Children's Hospital · USUniversity of Florida · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI POMEROY, SCOTT LOREN · 2016 to 2020
$5.2M
Together: Transforming and Translating Discovery to Improve HealthTL1TR001428 · NCATS · UNIVERSITY OF FLORIDA · PI MCCORMACK, WAYNE T. · 2015 to 2023
$3.9M
SPEG is Critical in Skeletal Muscle Development and FunctionR01AR068429 · NIAMS · BOSTON CHILDREN'S HOSPITAL · PI AGRAWAL, PANKAJ B · 2015 to 2019
$1.9M
Nutritional Control of Cancer Cell Function by Amino AcidsR01CA203565 · NCI · UNIVERSITY OF FLORIDA · PI KILBERG, MICHAEL S. · 2015 to 2019
$1.7M
Asparagine Synthetase DeficiencyR21HD100576 · NICHD · UNIVERSITY OF FLORIDA · PI KILBERG, MICHAEL S. · 2020 to 2021
$419k
NCATS NIH HHS TL1 TR001428NCATS NIH HHS UL1 TR001427NCI NIH HHS R01 CA203565NIAMS NIH HHS R01 AR068429NICHD NIH HHS R21 HD100576NICHD NIH HHS U54 HD090255
6 · The paper itself

Abstract

Asparagine Synthetase Deficiency (ASD) is a recently described inborn error of metabolism caused by bi-allelic pathogenic variants in the asparagine synthetase (ASNS) gene. ASD typically presents congenitally with microcephaly and severe, often medically refractory, epilepsy. Development is generally severely affected at birth. Tone is abnormal with axial hypotonia and progressive appendicular spasticity. Hyperekplexia has been reported. Neuroimaging typically demonstrates gyral simplification, abnormal myelination, and progressive cerebral atrophy. The present report describes two siblings from consanguineous parents with a homozygous Arg49Gln variant associated with a milder form of ASD that is characterized by later onset of symptoms. Both siblings had a period of normal development before onset of seizures, and development regression. Primary fibroblast studies of the siblings and their parents document that homozygosity for Arg49Gln blocks cell growth in the absence of extracellular asparagine. Functional studies with these cells suggest no impact of the Arg49Gln variant on basal ASNS mRNA or protein levels, nor on regulation of the gene itself. Molecular modelling of the ASNS protein structure indicates that the Arg49Gln variant lies near the substrate binding site for glutamine. Collectively, the results suggest that the Arg49Gln variant affects the enzymatic function of ASNS. The clinical, cellular, and molecular observations from these siblings expand the known phenotypic spectrum of ASD.

Indexed as

Amino Acid Metabolism, Inborn ErrorsArginineAsparagineAspartate-Ammonia LigaseBinding SitesCarbon-Nitrogen Ligases with Glutamine as Amide-N-DonorChildChild, PreschoolConsanguinityDNA Mutational AnalysisFemaleFibroblastsGlutamineHomozygoteHumansIntellectual DisabilityArginineASNS protein, humanAsparagineAspartate-Ammonia LigaseCarbon-Nitrogen Ligases with Glutamine as Amide-N-DonorGlutamineAmino acidsBrain dysfunctionInborn errorsMetabolismNeurotransmitters

Identifiers

PMID29279279
PMCPMC5832599
OpenAlexW2778831017

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.