Evidence map›Paper›PMID 30094188›Full record

ArticleMolecular genetics and metabolism reports2018

Pathogenic and rare deleterious variants in multiple genes suggest oligogenic inheritance in recurrent exertional rhabdomyolysis.

Nyamkhishig Sambuughin, Ognoon Mungunsukh, Mingqiang Ren, John F Capacchione, Iren Horkayne-Szakaly, Kevin Chuang, Sheila M Muldoon, Jonathan K Smith, Francis G O'Connor, Patricia A Deuster

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics and metabolism reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Rhabdomyolysis: Revisited.The Ulster medical journal · 2021
    Review
  7. Article
  8. Article
  9. Article
  10. Diagnosing rare diseases after the exome.Cold Spring Harbor molecular case studies · 2018
    Review
  11. Response to Finsterer and Zarrouk-Mahjoub.Molecular genetics and metabolism reports · 2018
    Article
  12. Article
  13. 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 4 institutions in 1 country.

Nyamkhishig SambuughinConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, United States.
Ognoon MungunsukhDepartment of Anesthesiology, Uniformed Services University, Bethesda, MD 20814, United States.
Mingqiang RenConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, United States.
John F CapacchioneDepartment of Anesthesiology, University of Minnesota, Minneapolis, MN, United States.
Iren Horkayne-SzakalyNeurology and Ophthalmology, Joint Pathology Center, Defense Health Agency, Silver Spring, MD 20910, United States.
Kevin ChuangConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, United States.
Sheila M MuldoonDepartment of Anesthesiology, Uniformed Services University, Bethesda, MD 20814, United States.
Jonathan K SmithDepartment of Neurology, Walter Read National Military Medical Center, Bethesda, MD 20889, United States.
Francis G O'ConnorConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, United States.
Patricia A DeusterConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, United States.
Uniformed Services University of the Health Sciences · USDefense Health Agency · USUniversity of Minnesota · USWalter Reed National Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exertional rhabdomyolysis is a metabolic event characterized by the release of muscle content into the circulation due to exercise-driven breakdown of skeletal muscle. Recurrent exertional rhabdomyolysis has been associated with metabolic myopathies and mitochondrial disorders, a clinically and genetically heterogeneous group of predominantly autosomal recessive, monogenic conditions. Although genetics factors are well recognized in recurrent rhabdomyolysis, the underlying causes and mechanisms of exercise-driven muscle breakdown remain unknown in a substantial number of cases. We present clinical and genetic study results from seven adult male subjects with recurrent exertional rhabdomyolysis. In all subject, whole exome sequencing identified multiple heterozygous variants in genes associated with monogenic metabolic and/or mitochondrial disorders. These variants consisted of known pathogenic and/or new likely pathogenic variants in combination with other rare deleterious alleles. The presence of heterozygous pathogenic and rare deleterious variants in multiple genes suggests an oligogenic inheritance for exertional rhabdomyolysis etiology. Our data imply that exertional rhabdomyolysis can reflect cumulative effects or synergistic interactions of deleterious variants in multiple genes that are likely to compromise muscle metabolism under the stress of exercise.

Indexed as

Exertional rhabdomyolysisMetabolic disordersMitochondrial diseasesMultiple genetic variantsOligogenic inheritanceSynergistic heterozygosity

Identifiers

PMID30094188
PMCPMC6072915
OpenAlexW2885835760

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.