Evidence map›Paper›PMID 29314548›Full record

ArticleHuman mutation2018

Clinical, biochemical, and genetic features associated with VARS2-related mitochondrial disease.

Francesco Bruni, Ivano Di Meo, Emanuele Bellacchio, Bryn D Webb, Robert McFarland, Zofia M A Chrzanowska-Lightowlers, Langping He, Ewa Skorupa, Isabella Moroni, Anna Ardissone and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Human mutation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.4field-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

22 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
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  4. Frontiers in immunology · 2026
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  8. World journal of clinical cases · 2022
    Article
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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

22 authors at 12 institutions in 8 countries.

Francesco BruniWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0001-5120-5936
Ivano Di MeoMolecular Neurogenetics Unit, Foundation IRCCS Neurological Institute C. Besta, Milan, Italy.
Emanuele BellacchioGenetics and Rare Diseases, Research Division, 'Bambino Gesù' Children Hospital, Rome, Italy.
Bryn D WebbDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0001-6174-4677
Robert McFarlandWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.
Zofia M A Chrzanowska-LightowlersWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.
Langping HeWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.
Ewa SkorupaDepartment of Biochemistry, Radioimmunology and Experimental Medicine, The Children's Memorial Health Institute, Warsaw, Poland.
Isabella MoroniChild Neurology Unit, Foundation IRCCS Neurological Institute "C. Besta", Milan, Italy.
Anna ArdissoneMolecular Neurogenetics Unit, Foundation IRCCS Neurological Institute C. Besta, Milan, Italy.
Anna WalczakDepartment of Medical Genetics, Centre of Biostructure, Medical University of Warsaw, Warsaw, Poland.
Henna TyynismaaResearch Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Pirjo IsohanniResearch Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland.
Hanna MandelInstitute of Human Genetics and Metabolic Diseases, Galilee Medical Center, Nahariya, Israel.
Holger ProkischInstitute of Human Genetics, Technische Universität München, Munich, Germany.
Tobias HaackInstitute of Human Genetics, Helmholtz Zentrum München, Neuherberg, Germany.
Penelope E BonnenDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas.
Bertini EnricoUnit of Neuromuscular and Neurodegenerative Disorders, Laboratory of Molecular Medicine, 'Bambino Ges.' Children's Research Hospital, Rome, Italy.
Ewa PronickaDepartment of Pediatrics, Nutrition and Metabolic Diseases, The Children's Memorial Health Institute, Warsaw, Poland.
Daniele GhezziMolecular Neurogenetics Unit, Foundation IRCCS Neurological Institute C. Besta, Milan, Italy.
Robert W TaylorWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.
Daria DiodatoUnit of Neuromuscular and Neurodegenerative Disorders, Laboratory of Molecular Medicine, 'Bambino Ges.' Children's Research Hospital, Rome, Italy.ORCID 0000-0003-3607-8523
Tamedia (Switzerland) · CHWellcome Centre for Mitochondrial Research · GBBambino Gesù Children's Hospital · ITChildren's Memorial Health Institute · PLHelmholtz Zentrum München · DEUniversity of Helsinki · FIBaylor College of Medicine · USFondazione IRCCS Istituto Neurologico Carlo Besta · ITIcahn School of Medicine at Mount Sinai · USMedical University of Warsaw · PLUniversity of Milan · ITWestern Galilee Hospital · IL

Funding

Personalized Functional Genomics for Mitochondrial Encephalopathy Gene DiscoveryR01NS083726 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI BONNEN, PENELOPE E · 2014 to 2025
$6.1M
Integrative Approach To Study Mitochondrial Aminoacyl-tRNA Synthetase DisordersK08HD086827 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WEBB, BRYN D · 2016 to 2020
$791k
Medical Research Council G0601943Medical Research Council G0800674NICHD NIH HHS K08 HD086827NINDS NIH HHS R01 NS083726Wellcome Trust
6 · The paper itself

Abstract

In recent years, an increasing number of mitochondrial disorders have been associated with mutations in mitochondrial aminoacyl-tRNA synthetases (mt-aaRSs), which are key enzymes of mitochondrial protein synthesis. Bi-allelic functional variants in VARS2, encoding the mitochondrial valyl tRNA-synthetase, were first reported in a patient with psychomotor delay and epilepsia partialis continua associated with an oxidative phosphorylation (OXPHOS) Complex I defect, before being described in a patient with a neonatal form of encephalocardiomyopathy. Here we provide a detailed genetic, clinical, and biochemical description of 13 patients, from nine unrelated families, harboring VARS2 mutations. All patients except one, who manifested with a less severe disease course, presented at birth exhibiting severe encephalomyopathy and cardiomyopathy. Features included hypotonia, psychomotor delay, seizures, feeding difficulty, abnormal cranial MRI, and elevated lactate. The biochemical phenotype comprised a combined Complex I and Complex IV OXPHOS defect in muscle, with patient fibroblasts displaying normal OXPHOS activity. Homology modeling supported the pathogenicity of VARS2 missense variants. The detailed description of this cohort further delineates our understanding of the clinical presentation associated with pathogenic VARS2 variants and we recommend that this gene should be considered in early-onset mitochondrial encephalomyopathies or encephalocardiomyopathies.

Indexed as

Mitochondrial EncephalomyopathiesChildChild, PreschoolCohort StudiesFemaleHLA AntigensHumansInfantInfant, NewbornMaleMitochondrial Proton-Translocating ATPasesMutation, MissenseOxidative PhosphorylationPhylogenyValine-tRNA LigaseHLA AntigensMitochondrial Proton-Translocating ATPasesValine-tRNA LigaseVARS2 protein, humancardioencephalomyopathymitochondrial disordersOXPHOSVARS2

Identifiers

PMID29314548
PMCPMC5873438
OpenAlexW2781506163

What OpenQuestion holds

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LicenceCC BY
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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.