Evidence map›Paper›PMID 29875423›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Aminoacyl-tRNA synthetase deficiencies in search of common themes.

Sabine A Fuchs, Imre F Schene, Gautam Kok, Jurriaan M Jansen, Peter G J Nikkels, Koen L I van Gassen, Suzanne W J Terheggen-Lagro, Saskia N van der Crabben, Sanne E Hoeks, Laetitia E M Niers and 6 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

70 citing papers in PubMed, 114 citations in OpenAlex.

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  19. Interstitial lung disease in the newborn.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 1 country.

Sabine A FuchsDepartment of Metabolic Diseases, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands. S.Fuchs@umcutrecht.nl.
Imre F Schene *Department of Metabolic Diseases, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands.
Gautam Kok *Department of Metabolic Diseases, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands.
Jurriaan M JansenDepartment of Metabolic Diseases, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands.
Peter G J NikkelsDepartment of Pathology, University Medical Center Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands.
Koen L I van GassenDepartment of Genetics, University Medical Centre Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands.
Suzanne W J Terheggen-LagroDepartment of Pediatric Pulmonology, Academic Medical Center Amsterdam, Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands.
Saskia N van der CrabbenDepartment of Clinical Genetics, VU University Medical Center, De Boelelaan 1117, Amsterdam, 1081HV, The Netherlands.
Sanne E HoeksDepartment of Neonatology, University Medical Center Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands.
Laetitia E M NiersDepartment of Pediatrics, Maxima Medical Centre Veldhoven, De Run 4600, Veldhoven, 5504 DB, The Netherlands.
Nicole I WolfDepartment of Child Neurology, VU University Medical Center, De Boelelaan 1117, Amsterdam, 1081HV, The Netherlands.
Maaike C de VriesNijmegen Centre for Mitochondrial Disorders at Department of Pediatrics, Radboud University Nijmegen Centre, Nijmegen, The Netherlands.
David A KoolenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, 6500 HB, The Netherlands.
Roderick H J HouwenDivision of Pediatric Gastroenterology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands.
Margot F MulderDepartment of Pediatrics, VU University Medical Center, De Boelelaan 1117, Amsterdam, 1081HV, The Netherlands.
Peter M van HasseltDepartment of Metabolic Diseases, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, Utrecht, 3584 EA, The Netherlands.
University Medical Center Utrecht · NLAmsterdam UMC Location VUmc · NLRadboud University Nijmegen · NLWilhelmina Children's Hospital · NLAcademic Medical Center · NLMáxima Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePathogenic variations in genes encoding aminoacyl-tRNA synthetases (ARSs) are increasingly associated with human disease. Clinical features of autosomal recessive ARS deficiencies appear very diverse and without apparent logic. We searched for common clinical patterns to improve disease recognition, insight into pathophysiology, and clinical care.

methodsSymptoms were analyzed in all patients with recessive ARS deficiencies reported in literature, supplemented with unreported patients evaluated in our hospital.

resultsIn literature, we identified 107 patients with AARS, DARS, GARS, HARS, IARS, KARS, LARS, MARS, RARS, SARS, VARS, YARS, and QARS deficiencies. Common symptoms (defined as present in ≥4/13 ARS deficiencies) included abnormalities of the central nervous system and/or senses (13/13), failure to thrive, gastrointestinal symptoms, dysmaturity, liver disease, and facial dysmorphisms. Deep phenotyping of 5 additional patients with unreported compound heterozygous pathogenic variations in IARS, LARS, KARS, and QARS extended the common phenotype with lung disease, hypoalbuminemia, anemia, and renal tubulopathy.

conclusionWe propose a common clinical phenotype for recessive ARS deficiencies, resulting from insufficient aminoacylation activity to meet translational demand in specific organs or periods of life. Assuming residual ARS activity, adequate protein/amino acid supply seems essential instead of the traditional replacement of protein by glucose in patients with metabolic diseases.

Indexed as

Amino Acyl-tRNA SynthetasesCentral Nervous System DiseasesChildFailure to ThriveFeeding and Eating DisordersFemaleGenes, RecessiveGenetic Diseases, InbornGrowth DisordersHumansLiver DiseasesMalePhenotypeAmino Acyl-tRNA SynthetasesAminoacyl-tRNA synthetase deficiencyClinical phenotypeCytosolic translation

Identifiers

PMID29875423
PMCPMC7091658
OpenAlexW2807341388

What OpenQuestion holds

Textmetadata
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.