Evidence map›Paper›PMID 31045291›Full record

ArticleHuman mutation2019

Mutations in ELAC2 associated with hypertrophic cardiomyopathy impair mitochondrial tRNA 3'-end processing.

Makenzie Saoura, Christopher A Powell, Robert Kopajtich, Ahmad Alahmad, Haya H Al-Balool, Buthaina Albash, Majid Alfadhel, Charlotte L Alston, Enrico Bertini, Penelope E Bonnen and 23 more

Open access · hybridAbstract read
In one paragraph

Article in Human mutation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
2.0field-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

39 citing papers in PubMed, 48 citations in OpenAlex.

  1. Binaphthoquinone attenuates myofibroblast transition of human ventricular cardiac fibroblastsThe Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2026
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  5. Ribonuclease RNase Z is an evolutionarily conserved deAMPylase.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

33 authors at 16 institutions in 9 countries.

Makenzie SaouraYork College, The City University of New York, Jamaica, New York.
Christopher A PowellMRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, UK.
Robert KopajtichGenetics of Mitochondrial Disorders, Institute of Human Genetics, Technische Universität München, Munich, Germany.
Ahmad AlahmadWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
Haya H Al-BaloolKuwait Medical Genetics Center, Kuwait City, Kuwait.
Buthaina AlbashKuwait Medical Genetics Center, Kuwait City, Kuwait.
Majid AlfadhelGenetics Division, Department of Pediatrics, King Abdullah International Medical Research Centre, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Charlotte L AlstonWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
Enrico BertiniDepartment of Neurosciences, Unit of Muscular and Neurodegenerative Disorders, Laboratory of Molecular Medicine, Bambino Gesu' Children's Research Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-9276-4590
Penelope E BonnenDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas.
Drago BratkovicMetabolic Clinic, Women's and Children's Hospital, North Adelaide, South Australia, Australia.
Rosalba CarrozzoDepartment of Neurosciences, Unit of Muscular and Neurodegenerative Disorders, Laboratory of Molecular Medicine, Bambino Gesu' Children's Research Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-3327-4054
Maria A DonatiMetabolic Unit, A. Meyer Children's Hospital, Florence, Italy.
Michela Di NottiaDepartment of Neurosciences, Unit of Muscular and Neurodegenerative Disorders, Laboratory of Molecular Medicine, Bambino Gesu' Children's Research Hospital, IRCCS, Rome, Italy.
Daniele GhezziUnit of Medical Genetics and Neurogenetics, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Amy GoldsteinMitochondrial Medicine Frontier Program, Children's Hospital of Philadelphia, Philadelphia, USA.
Eric HaanMetabolic Clinic, Women's and Children's Hospital, North Adelaide, South Australia, Australia.
Rita HorvathWellcome Centre for Mitochondrial Research, Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, UK.
Joanne HughesNational Centre for Inherited Metabolic Disorders, Temple Street Children's University Hospital, Dublin, Ireland.
Federica InvernizziUnit of Medical Genetics and Neurogenetics, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Eleonora LamanteaUnit of Medical Genetics and Neurogenetics, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Benjamin LucasYork College, The City University of New York, Jamaica, New York.
Kyla-Gaye PinnockYork College, The City University of New York, Jamaica, New York.
Maria PujantellYork College, The City University of New York, Jamaica, New York.
Shamima RahmanMitochondrial Research Group, UCL Great Ormond Street Institute of Child Health, London, UK.
Pedro Rebelo-GuiomarMRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, UK.
Saikat SantraDepartment of Clinical Inherited Metabolic Disorders, Birmingham Children's Hospital, Birmingham, UK.
Daniela VerrigniDepartment of Neurosciences, Unit of Muscular and Neurodegenerative Disorders, Laboratory of Molecular Medicine, Bambino Gesu' Children's Research Hospital, IRCCS, Rome, Italy.
Robert McFarlandGenetics of Mitochondrial Disorders, Institute of Human Genetics, Helmholtz Zentrum München, Neuherberg, Germany.
Holger ProkischGenetics of Mitochondrial Disorders, Institute of Human Genetics, Technische Universität München, Munich, Germany.
Robert W TaylorWellcome Centre for Mitochondrial Research, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-7768-8873
Louis LevingerYork College, The City University of New York, Jamaica, New York.
Michal MinczukMRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0001-8242-1420
York College, City University of New York · USBambino Gesù Children's Hospital · ITWellcome Centre for Mitochondrial Research · GBHelmholtz Zentrum München · DEKuwait Institute for Medical Specialization · KWFondazione IRCCS Istituto Neurologico Carlo Besta · ITUniversity of Cambridge · GBWomen's and Children's Hospital · AUBaylor College of Medicine · USBirmingham Children's Hospital · GBChildren's Hospital of Philadelphia · USKing Saud bin Abdulaziz University for Health Sciences · SAMeyer Children's Hospital · ITTemple Street Children's University Hospital · IEUniversidade do Porto · PTUniversity of Milan · IT

Funding

Personalized Functional Genomics for Mitochondrial Encephalopathy Gene DiscoveryR01NS083726 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI BONNEN, PENELOPE E · 2014 to 2025
$6.1M
tRNase Z reaction is central to tRNA maturationR15GM101620 · NIGMS · YORK COLLEGE · PI LEVINGER, LOUIS F · 2012 to 2015
$692k
Biotechnology and Biological Sciences Research Council G016354/1European Research Council 309548Medical Research Council G0601943Medical Research Council G1000848Medical Research Council MC_U105697135Medical Research Council MC_UU_00015/4Medical Research Council MC_UU_00015/7Medical Research Council MR/N010035/1Medical Research Council MR/N025431/1Medical Research Council MR/N025431/2NIGMS NIH HHS R15 GM101620NIH HHS R15GM101620NINDS NIH HHS R01 NS083726Wellcome TrustWellcome Trust 203105/Z/16/Z
6 · The paper itself

Abstract

Mutations in either the mitochondrial or nuclear genomes are associated with a diverse group of human disorders characterized by impaired mitochondrial respiration. Within this group, an increasing number of mutations have been identified in nuclear genes involved in mitochondrial RNA metabolism, including ELAC2. The ELAC2 gene codes for the mitochondrial RNase Z, responsible for endonucleolytic cleavage of the 3' ends of mitochondrial pre-tRNAs. Here, we report the identification of 16 novel ELAC2 variants in individuals presenting with mitochondrial respiratory chain deficiency, hypertrophic cardiomyopathy (HCM), and lactic acidosis. We provide evidence for the pathogenicity of the novel missense variants by studying the RNase Z activity in an in vitro system. We also modeled the residues affected by a missense mutation in solved RNase Z structures, providing insight into enzyme structure and function. Finally, we show that primary fibroblasts from the affected individuals have elevated levels of unprocessed mitochondrial RNA precursors. Our study thus broadly confirms the correlation of ELAC2 variants with severe infantile-onset forms of HCM and mitochondrial respiratory chain dysfunction. One rare missense variant associated with the occurrence of prostate cancer (p.Arg781His) impairs the mitochondrial RNase Z activity of ELAC2, suggesting a functional link between tumorigenesis and mitochondrial RNA metabolism.

Indexed as

Genes, MitochondrialGenetic Predisposition to DiseaseMutationRNA Processing, Post-TranscriptionalAllelesAmino Acid SubstitutionBiomarkersCardiomyopathy, HypertrophicCohort StudiesEnzyme ActivationFemaleGene ExpressionGenetic Association StudiesGenotypeHumansInfantBiomarkersELAC2 protein, humanNeoplasm ProteinsRNA, TransfercardiomyopathyMitochondriamitochondrial diseaseRNARNase Z

Identifiers

PMID31045291
PMCPMC6764886
OpenAlexW2949987531

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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.