Evidence map›Paper›PMID 31568715›Full record

ArticleMolecular genetics & genomic medicine2019

Characterization of the renal phenotype in RMND1-related mitochondrial disease.

Brian J Shayota, Nhon T Le, Nasim Bekheirnia, Jill A Rosenfeld, Amy C Goldstein, Michael Moritz, Dennis W Bartholomew, Matthew T Pastore, Fan Xia, Christine Eng and 5 more

Open access · goldAbstract readCase ReportsMulticenter Study
In one paragraph

Article in Molecular genetics & genomic medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Extrarenal manifestations in inherited kidney diseases.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  6. Review
  7. Molecular syndromology · 2024
    Article
  8. Article
  9. Red Flags in Primary Mitochondrial Diseases: What Should We Recognize?International journal of molecular sciences · 2023
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. 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

15 authors at 3 institutions in 3 countries.

Brian J ShayotaTexas Children's Hospital, Houston, TX, USA.ORCID 0000-0003-4657-6454
Nhon T LeBaylor College of Medicine, Houston, TX, USA.
Nasim BekheirniaTexas Children's Hospital, Houston, TX, USA.
Jill A RosenfeldDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Amy C GoldsteinDepartment of Pediatrics and Division of Child Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Michael MoritzDepartment of Pediatrics, Division of Nephrology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Dennis W BartholomewDivision of Molecular and Human Genetics, Nationwide Children's Hospital, Columbus, OH, USA.
Matthew T PastoreDivision of Molecular and Human Genetics, Nationwide Children's Hospital, Columbus, OH, USA.
Fan XiaDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Christine EngDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Yaping YangDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Dolores J LambBaylor College of Medicine, Houston, TX, USA.
Fernando ScagliaTexas Children's Hospital, Houston, TX, USA.
Michael C BraunTexas Children's Hospital, Houston, TX, USA.
Mir Reza BekheirniaTexas Children's Hospital, Houston, TX, USA.
Baylor College of Medicine · USNationwide Children's Hospital · USUniversity of Pittsburgh · US

Funding

Multidisciplinary K12 Urologic Research (KURe) Career Development ProgramK12DK083014 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI LAMB, DOLORES JEAN · 2008 to 2017
$6.0M
Improving the Diagnosis of Congenital Genitourinary Defects.R01DK078121 · NIDDK · WEILL MEDICAL COLL OF CORNELL UNIV · PI LAMB, DOLORES JEAN · 2007 to 2021
$4.8M
NIDDK NIH HHS K12 DK083014NIDDK NIH HHS R01 DK078121
6 · The paper itself

Abstract

backgroundThe nuclear encoded gene RMND1 (Required for Meiotic Nuclear Division 1 homolog) has recently been linked to RMND1-related mitochondrial disease (RRMD). This autosomal recessive condition characteristically presents with an infantile-onset multisystem disease characterized by severe hypotonia, global developmental delay, failure to thrive, sensorineural hearing loss, and lactic acidosis. Renal disease, however, appears to be one of the more prominent features of RRMD, affecting patients at significantly higher numbers compared to other mitochondrial diseases. We report the clinical, histological, and molecular findings of four RRMD patients across three academic institutions with a focus on the renal manifestations.

methodsFour patients were identified for the purpose of this study, all of whom had molecular confirmation at the time of inclusion, which included the common pathogenic variant c.713A>G (p.N238S) as well as the three rare variants: c.485delC (p.P162fs), c.533C>T (p.T178M), and c.1317 + 1G>C splice donor variant. Medical history and laboratory findings were collected from the medical records and medical providers.

resultsIn this study, all four patients developed renal disease characterized as tubulopathy (3/4), renal tubular acidosis (2/4), interstitial nephritis (1/4), and/or end-stage renal disease (4/4) necessitating renal transplantation (2/4). Histological evaluation of renal biopsy specimens revealed generalized tubular atrophy and on electron microscopy, abundant mitochondria with pleomorphism and abnormal cristae.

conclusionOur experience with RRMD demonstrates a specific pattern of renal disease manifestations and clinical course. Patients are unlikely to respond to traditional chronic kidney disease (CKD) treatments, making early diagnosis and consideration of renal transplantation paramount to the management of RRMD.

Indexed as

MutationAdolescentCell Cycle ProteinsChildFemaleHumansKidney DiseasesMaleMitochondrial DiseasesPhenotypeRNA Splice SitesCell Cycle ProteinsRMND1 protein, humanRNA Splice Siteschronic kidney diseaseMitochondrial diseaserenal transplantationRMND1

Identifiers

PMID31568715
PMCPMC6900359
OpenAlexW2977314583

What OpenQuestion holds

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LicenceCC BY
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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.