Evidence map›Paper›PMID 31001663›Full record

Observational studyPediatric nephrology (Berlin, Germany)2019

Dominant PAX2 mutations may cause steroid-resistant nephrotic syndrome and FSGS in children.

Asaf Vivante, Orna Staretz Chacham, Shirlee Shril, Ruth Schreiber, Shrikant M Mane, Ben Pode-Shakked, Neveen A Soliman, Irene Koneth, Mario Schiffer, Yair Anikster and 1 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Mechanisms of podocyte injury in genetic kidney disease.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  8. Article
  9. Variable Phenotypic Expression ofMedicina (Kaunas, Lithuania) · 2025
    Article
  10. Review
  11. Review
  12. Mice with aAmerican journal of physiology. Renal physiology · 2024
    Article
  13. Review
  14. Article
  15. International journal of molecular sciences · 2023
    Review
  16. Review
  17. Genetic testing in the diagnosis of chronic kidney disease: recommendations for clinical practice.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  18. Article
  19. Detection ofFrontiers in genetics · 2022
    Article
  20. 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

11 authors at 8 institutions in 5 countries.

Asaf VivanteDivision of Nephrology, Department of Medicine, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA, USA.
Orna Staretz ChachamMetabolic Clinic, Pediatric Division, Soroka University Medical Center, Ben-Gurion University, Beer Sheva, Israel.
Shirlee ShrilDivision of Nephrology, Department of Medicine, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA, USA.
Ruth SchreiberFaculty of Health Sciences, Pediatric Nephrology Clinic, Pediatric Division, Soroka University Medical Center, Ben-Gurion University, 84101, Beer Sheva, Israel.
Shrikant M ManeDepartment of Genetics, Yale University School of Medicine, New Haven, CT, 06510, USA.
Ben Pode-ShakkedDepartment of Pediatrics B and Pediatric Nephrology unit, Talpiot Medical Leadership Program, Sheba Medical Center, Tel-Hashomer and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Neveen A SolimanDepartment of Pediatrics, Kasr Al Ainy School of Medicine, Cairo, Egypt and Egyptian Group for Orphan Renal Diseases (EGORD), Cairo University, Cairo, Egypt.
Irene KonethDepartment of Nephrology and Transplantation Medicine, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Mario SchifferClinic for Nephrology and Hypertension Ulmenweg 18, 91054, Erlangen, Germany.
Yair AniksterMetabolic Disease Unit, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel-Hashomer and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Friedhelm HildebrandtDivision of Nephrology, Department of Medicine, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA, USA. friedhelm.hildebrandt@childrens.harvard.edu.
Harvard University · USTel Aviv University · ILCairo University · EGKantonsspital St. Gallen · CHSheba Medical Center · ILSoroka Medical Center · ILUniversity Clinic for Nephrology and Hypertension, Diabetology and Endocrinology · DEYale University · US

Funding

Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S. · 2008 to 2022
$16.8M
Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
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
High Performance Computing Instrumentation for the Yale Center for Genome AnalysiS10OD018521 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2015 to 2015
$890k
NHGRI NIH HHS UM1 HG008900NIDDK NIH HHS P30 DK079310NIDDK NIH HHS R01 DK076683NIH HHS R01-DK076683NIH HHS S10 OD018521NIH HHS UM1 HG008900 to DGM and HLR and U54 HG006504 to RPL)
6 · The paper itself

Abstract

backgroundHeterozygous PAX2 mutations cause renal coloboma syndrome (RCS) [OMIM no. 120330]. RCS is a renal syndromic disease encompassing retinal coloboma and sensorineural hearing loss. Recently, a causative role for PAX2 was reported in adult-onset nephrotic syndrome secondary to focal segmental glomerulosclerosis (FSGS). However, the prevalence of PAX2 mutations among large cohort of children with steroid-resistant nephrotic syndrome (SRNS) and FSGS has not been systematically studied.

methodsWe employed whole-exome sequencing (WES) to identify the percentage of SRNS cases explained by monogenic mutations in known genes of SRNS/FSGS. As PAX2 mutations are not an established cause of childhood FSGS, we evaluated a cohort of 215 unrelated families with SRNS, in whom no underlying genetic etiology had been previously established.

resultsUsing WES, we identified 3 novel causative heterozygous PAX2 mutations in 3 out of the 215 unrelated index cases studied (1.3%). All three cases were detected in individuals from families with more than one affected and compatible with an autosomal dominant mode of inheritance (3/57 familial cases studied (5.2%)). The clinical diagnosis in three out of four pediatric index patients was done during routine medical evaluation.

conclusionsOur findings demonstrate high frequency of PAX2 mutations in familial form of SRNS (5.2%) and further expand the phenotypic spectrum of PAX2 heterozygous mutations to include autosomal dominant childhood-onset FSGS. These results highlight the importance of including PAX2 in the list of genes known to cause FSGS in children.

Indexed as

Genetic Predisposition to DiseaseAdolescentAge of OnsetChildChild, PreschoolCohort StudiesDNA Mutational AnalysisDrug ResistanceExome SequencingFemaleGenetic TestingGlomerulosclerosis, Focal SegmentalGlucocorticoidsHeterozygoteHumansInfantGlucocorticoidsPAX2 protein, humanPAX2 Transcription FactorCongenital anomalies of the kidneys and urinary tract (CAKUT)FSGSSRNS and PAX2

Identifiers

PMID31001663
PMCPMC6660980
OpenAlexW2938198044

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.