Evidence map›Paper›PMID 30887706›Full record

ArticleBirth defects research2019

HSPA6: A new autosomal recessive candidate gene for the VATER/VACTERL malformation spectrum.

Franziska Kause, Rong Zhang, Michael Ludwig, Eberhard Schmiedeke, Anke Rissmann, Holger Thiele, Janine Altmueller, Stefan Herms, Alina C Hilger, Friedhelm Hildebrandt and 1 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Birth defects research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Loss ofGenes & diseases · 2026
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  8. HSPA6 and its role in cancers and other diseases.Molecular biology reports · 2022
    Review
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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

11 authors at 6 institutions in 4 countries.

Franziska KauseInstitute of Human Genetics, University of Bonn, Bonn, Germany.ORCID 0000-0002-0074-8962
Rong ZhangInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Michael LudwigDepartment of Clinical Chemistry and Clinical Pharmacology, University of Bonn, Bonn, Germany.
Eberhard SchmiedekeClinic for Paediatric Surgery and Paediatric Urology, Klinikum Bremen-Mitte, Bremen, Germany.
Anke RissmannMalformation Monitoring Centre Saxony-Anhalt, Medical Faculty, Otto-von-Guericke University, Magdeburg, Germany.
Holger ThieleCologne Center for Genomics, University of Cologne, Cologne, Germany.
Janine AltmuellerCologne Center for Genomics, University of Cologne, Cologne, Germany.
Stefan HermsDepartment of Genomics, Life & Brain Center, Bonn, Germany.
Alina C HilgerInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Friedhelm HildebrandtDivision of Nephrology, Boston Children's Hospital, HMS, Boston, Massachusetts.
Heiko ReutterInstitute of Human Genetics, University of Bonn, Bonn, Germany.ORCID 0000-0002-3591-5265
University of Bonn · DEUniversity of Cologne · DEBoston Children's Hospital · USKlinikum Bremen-Mitte · DEOtto-von-Guericke-Universität Magdeburg · DEUniversity of Basel · CH

Funding

Identification and function of new genes causing childhood nephrotic syndromeR01DK076683 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HILDEBRANDT, FRIEDHELM · 2007 to 2021
$5.3M
NIDDK NIH HHS R01 DK076683
6 · The paper itself

Abstract

backgroundThe VATER/VACTERL association refers to the nonrandom co-occurrence of at least three of the following component features (CFs): vertebral defects (V), anorectal malformations (ARM) (A), cardiac defects (C), tracheoesophageal fistula with or without esophageal atresia (TE), renal malformations (R), and limb defects (L). Patients presenting with two CFs have been termed VATER/VACTERL-like phenotypes.

methodsWe surveyed the exome for recessive disease variants in three affected sib-pairs. Sib-pair 971 consisted of two brothers with ARM and additional hydronephrosis in one brother. Sib-pair 1098 consisted of two sisters with ARM. In family 1346, the daughter presented with ARM and additional hypoplasia of both small fingers and ankyloses. Her brother presented with unilateral isolated radial hypoplasia. Sib-pairs 971 and 1346 resembled a VATER/VACTERL-like phenotype.

resultsWe detected a novel maternally inherited missense variant (c.1340G > T) and a rare paternally inherited deletion of the trans-allele in HSPA6 in both siblings of family 1346. HSPA6 belongs to the heat shock protein (HSP) 70 family. Re-sequencing of HSPA6 in 167 patients with VATER/VACTERL and VATER/VACTERL-like phenotypes did not reveal any additional bi-allelic variants.

conclusionsUntil now, only TNF-receptor associated protein 1 (TRAP1) had been reported as an autosomal recessive disease-gene for the VATER/VACTERL association. TRAP1 belongs to the heat shock protein 90 family (HSP90). Both Hsp70 and Hsp90 genes have been shown to be important embryonic drivers in the formation of mouse embryonic forelimb tissue. Our results suggest HSPA6 as a new candidate gene in VATER/VACTERL-like phenotypes.

Indexed as

Abnormalities, MultipleAllelesAnal CanalAnorectal MalformationsAnus, ImperforateEsophageal AtresiaEsophagusExomeFemaleHeart Defects, CongenitalHSP70 Heat-Shock ProteinsHSP90 Heat-Shock ProteinsHumansKidneyLimb Deformities, CongenitalMaleHSP70 Heat-Shock ProteinsHSP90 Heat-Shock ProteinsHSPA6 protein, humanTRAP1 protein, humananorectal malformationsautosomal recessive inheritanceHSPA6VATER/VACTERL associationwhole-exome sequencing

Identifiers

PMID30887706
PMCPMC6662190
OpenAlexW2922928969

What OpenQuestion holds

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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.