Evidence map›Paper›PMID 31761904›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2020

Defining clinical subgroups and genotype-phenotype correlations in NBAS-associated disease across 110 patients.

Christian Staufner, Bianca Peters, Matias Wagner, Seham Alameer, Ivo Barić, Pierre Broué, Derya Bulut, Joseph A Church, Ellen Crushell, Buket Dalgıç and 41 more

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Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Phenotype and Long-Term Outcome in Recurrent Paediatric Acute Liver Failure: Systematic Review and Individual Participant Data Analysis.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Pooled it
  2. Article
  3. Pathomechanism of Fever-Induced Liver Failure in NBAS Deficiency and Treatment Effect of NAC-Observations In Vitro and In Vivo.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  4. The Impact of Genetic Factors in Ménière's Disease.International journal of molecular sciences · 2026
    Review
  5. Review
  6. Article
  7. Review
  8. Hepatic Phenotype in NBAS-Associated Disease: Clinical Course, Prognostic Factors and Outcome in 230 Patients.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Observational
  9. Article
  10. [Clinical features and genetic study of four cases of pediatric acute liver failure caused byZhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Article
  11. Review
  12. Article
  13. A novel splicing variant inFrontiers in genetics · 2025
    Article
  14. Article
  15. Article
  16. The role of syntaxins in retinal function and health.Frontiers in cellular neuroscience · 2024
    Review
  17. Review
  18. Review
  19. 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

51 authors.

Christian StaufnerDivision of Neuropediatrics and Pediatric Metabolic Medicine, Center for Child and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Bianca PetersDivision of Neuropediatrics and Pediatric Metabolic Medicine, Center for Child and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Matias WagnerInstitute of Human Genetics, Klinikum rechts der Isar, Technical University of Munich, Munich, Munich, Germany.
Seham AlameerDepartment of Pediatrics, King Khaled National Guard Hospital, Jeddah, Saudi Arabia.
Ivo BarićDepartment of Pediatrics, University Hospital Center Zagreb and University of Zagreb, School of Medicine, Zagreb, Croatia.
Pierre BrouéPediatric Gastroenterology, Hepatology and Nutrition unit, Reference Center for Inherited Metabolic Diseases, Children's Hospital, Toulouse University Hospital, Toulouse, France.
Derya BulutCukurova University Medical Faculty, Department of Pediatric Metabolism, Adana, Turkey.
Joseph A ChurchDepartment of Pediatrics, University of Southern California, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Ellen CrushellNational Centre for Inherited Metabolic Disorders, Temple Street Children's University Hospital, Dublin, Ireland.
Buket DalgıçGazi University Faculty of Medicine, Department of Pediatric Gastroenterology, Ankara, Turkey.
Anibh M DasClinic for Pediatric Kidney, Liver, and Metabolic Diseases, Hannover Medical School, Hannover, Germany.
Anke DickDepartment of Pediatrics, University Hospital Würzburg, Wuerzburg, Germany.
Nicola DikowInstitute of Human Genetics, Heidelberg University, Heidelberg, Germany.
Carlo Dionisi-ViciDivision of Metabolism, Bambino Gesù Children's Hospital, Rome, Italy.
Felix DistelmaierDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, University Children's Hospital, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Neslihan Ekşi BozbulutGazi University Faculty of Medicine, Department of Pediatric Gastroenterology, Ankara, Turkey.
François FeilletDepartment of Pediatrics, INSERM 1256, Hôpital d'Enfants Brabois, CHU Nancy, Vandoeuvre les Nancy, France.
Emmanuel GonzalesPediatric Hepatology and Pediatric Liver Transplantation Unit, Bicêtre Hospital, AP-HP Paris-Sud University, Le Kremlin-Bicêtre, France.
Nedim HadzicPediatric Liver, GI and Nutrition Centre and Mowatlabs, King's College Hospital, London, UK.
Fabian HauckDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Robert HegartyPediatric Liver, GI and Nutrition Centre and Mowatlabs, King's College Hospital, London, UK.
Maja HempelInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Theresia HergetInstitute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christoph KleinDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Vassiliki KonstantopoulouDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Robert KopajtichInstitute of Human Genetics, Klinikum rechts der Isar, Technical University of Munich, Munich, Munich, Germany.
Alice KusterInborn Errors of Metabolism, Pediatric Intensive Care Unit, University Hospital of Nantes, Nantes, France.
Martin W LaassChildren's Hospital, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Elke LainkaChildren's Hospital, Department of Pediatric Gastroenterology, Hepatology, and Transplant Medicine, University Duisburg-Essen, Essen, Germany.
Catherine Larson-NathPediatric Gastroenterology, University of Minnesota Medical School, Minneapolis, MN, USA.
Alexander LeibnerDivision of Neuropediatrics and Pediatric Metabolic Medicine, Center for Child and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Eberhard LurzDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.
Johannes A MayrDepartment of Pediatrics, Salzburger Landeskliniken and Paracelsus Medical University, Salzburg, Austria.
Patrick McKiernanUniversity of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.
Karine MentionReference Center for Inherited Metabolic Diseases, Jeanne de Flandres Hospital, Lille, France.
Ute MoogInstitute of Human Genetics, Heidelberg University, Heidelberg, Germany.
Neslihan Onenli MunganCukurova University Medical Faculty, Department of Pediatric Metabolism, Adana, Turkey.
Korbinian M RiedhammerInstitute of Human Genetics, Klinikum rechts der Isar, Technical University of Munich, Munich, Munich, Germany.
René SanterDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Irene Valenzuela PalafollDepartment of Clinical Genetics and Molecular Genetics, Hospital Vall d'Hebron, Barcelona, Spain.
Jerry VockleyUniversity of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.
Dominik S WestphalInstitute of Human Genetics, Klinikum rechts der Isar, Technical University of Munich, Munich, Munich, Germany.
Arnaud WiedemannDepartment of Pediatrics, INSERM 1256, Hôpital d'Enfants Brabois, CHU Nancy, Vandoeuvre les Nancy, France.
Saskia B WortmannInstitute of Human Genetics, Klinikum rechts der Isar, Technical University of Munich, Munich, Munich, Germany.
Gaurav D DiwanCellNetworks, Bioquant, Heidelberg University, Heidelberg, Germany.
Robert B RussellCellNetworks, Bioquant, Heidelberg University, Heidelberg, Germany.
Holger ProkischInstitute of Human Genetics, Klinikum rechts der Isar, Technical University of Munich, Munich, Munich, Germany.
Sven F GarbadeDivision of Neuropediatrics and Pediatric Metabolic Medicine, Center for Child and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Stefan KölkerDivision of Neuropediatrics and Pediatric Metabolic Medicine, Center for Child and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Georg F HoffmannDivision of Neuropediatrics and Pediatric Metabolic Medicine, Center for Child and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Dominic LenzDivision of Neuropediatrics and Pediatric Metabolic Medicine, Center for Child and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany. Dominic.Lenz@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-9561-8190

Funding

Pittsburgh Liver Research CenterP30DK120531 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Gavin E Arteel · 2019 to 2026
$10.9M
Characterization of Branched Chain Amino Acid Metabolism and Its DeficiencyR01DK109907 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VOCKLEY, GERARD · 2016 to 2024
$4.1M
NIDDK NIH HHS R01 DK109907Wellcome Trust 10585/B/18/Z
6 · The paper itself

Abstract

purposePathogenic variants in neuroblastoma-amplified sequence (NBAS) cause an autosomal recessive disorder with a wide range of symptoms affecting liver, skeletal system, and brain, among others. There is a continuously growing number of patients but a lack of systematic and quantitative analysis.

methodsIndividuals with biallelic variants in NBAS were recruited within an international, multicenter study, including novel and previously published patients. Clinical variables were analyzed with log-linear models and visualized by mosaic plots; facial profiles were investigated via DeepGestalt. The structure of the NBAS protein was predicted using computational methods.

resultsOne hundred ten individuals from 97 families with biallelic pathogenic NBAS variants were identified, including 26 novel patients with 19 previously unreported variants, giving a total number of 86 variants. Protein modeling redefined the β-propeller domain of NBAS. Based on the localization of missense variants and in-frame deletions, three clinical subgroups arise that differ significantly regarding main clinical features and are directly related to the affected region of the NBAS protein: β-propeller (combined phenotype), Sec39 (infantile liver failure syndrome type 2/ILFS2), and C-terminal (short stature, optic atrophy, and Pelger-Huët anomaly/SOPH).

conclusionWe define clinical subgroups of NBAS-associated disease that can guide patient management and point to domain-specific functions of NBAS.

Indexed as

Genetic Predisposition to DiseaseAllelesBrainChildChild, PreschoolFemaleGenetic Diseases, InbornHumansInfantLiverLiver TransplantationMaleMuscle, SkeletalMutation, MissenseNeoplasm ProteinsPhenotypeNBAS protein, humanNeoplasm Proteinsacute liver failureinfantile liver failure syndrome type 2NBASRALFSOPH syndrome

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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.