Evidence map›Paper›PMID 29556035›Full record

ArticleJournal of human genetics2018

Functional splicing analysis in an infantile case of atypical hemolytic uremic syndrome caused by digenic mutations in C3 and MCP genes.

Tomohiko Yamamura, Kandai Nozu, Hiroaki Ueda, Rika Fujimaru, Ryutaro Hisatomi, Yoko Yoshida, Hideki Kato, Masaomi Nangaku, Toshiyuki Miyata, Toshihiro Sawai and 4 more

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Article in Journal of human genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

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

7 citing papers in PubMed.

  1. Article
  2. The Contribution ofFrontiers in medicine · 2022
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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

14 authors.

Tomohiko YamamuraDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Kandai NozuDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan. nozu@med.kobe-u.ac.jp.
Hiroaki UedaDepartment of Pediatrics, Osaka City General Hospital, Osaka, Japan.
Rika FujimaruDepartment of Pediatrics, Osaka City General Hospital, Osaka, Japan.
Ryutaro HisatomiDepartment of Pediatrics, Osaka City General Hospital, Osaka, Japan.
Yoko YoshidaDivision of Nephrology and Endocrinology, The University of Tokyo, Tokyo, Japan.
Hideki KatoDivision of Nephrology and Endocrinology, The University of Tokyo, Tokyo, Japan.
Masaomi NangakuDivision of Nephrology and Endocrinology, The University of Tokyo, Tokyo, Japan.
Toshiyuki MiyataDepartments of Molecular Pathogenesis and Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan.
Toshihiro SawaiDepartment of Pediatrics, Shiga University of Medical Science, Otsu, Japan.
Shogo MinamikawaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Hiroshi KaitoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Masafumi MatsuoDepartment of Physical Therapy, Faculty of Rehabilitation, Kobe Gakuin University, Kobe, Japan.
Kazumoto IijimaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pathogenic variants in specific complement-related genes lead to atypical hemolytic uremic syndrome (aHUS). Some reports have indicated that patients with digenic variants in these genes might present severer phenotypes. Upon detecting novel intronic variants, transcriptional analysis is necessary to prove pathogenicity; however, when intronic variants are located in intron 1 and, as a result, no transcript is produced, no appropriate method had been established to reveal the pathogenicity. Recently, the minigene assay was used to assess the pathogenicity of intronic variants. Here, we report an infantile case of aHUS caused by digenic mutations in two different complement-related genes, C3 and MCP. Targeted sequencing detected a known variant in C3 and a novel variant in the intron 1 splicing donor site of MCP. To assess the pathogenicity of this intronic variant, we conducted functional splicing assay using a minigene construct and quantitative PCR analysis of the MCP transcript, revealing the pathogenicity of the intronic variant. In conclusion, the minigene assay revealed the pathogenicity of the intron 1 splicing donor site variant for the first time. This case showed a severe phenotype of infantile-onset aHUS associated with digenic variants in two complement-related genes.

Indexed as

MutationRNA SplicingAge of OnsetComplement C3Hemolytic-Uremic SyndromeHumansInfantIntronsMaleMembrane Cofactor ProteinPhenotypePolymerase Chain ReactionRNA, MessengerCD46 protein, humanComplement C3Membrane Cofactor ProteinRNA, Messenger

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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.