Evidence map›Paper›PMID 32543079›Full record

ArticleMolecular genetics & genomic medicine2020

Pathogenic evaluation of synonymous COL4A5 variants in X-linked Alport syndrome using a minigene assay.

Tomoko Horinouchi, Tomohiko Yamamura, Shogo Minamikawa, China Nagano, Nana Sakakibara, Koichi Nakanishi, Yuko Shima, Naoya Morisada, Shinya Ishiko, Yuya Aoto and 8 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  14. The Contribution ofFrontiers in medicine · 2022
    Review
  15. PresumedFrontiers in medicine · 2022
    Article
  16. Case Report: A Synonymous Mutation inFrontiers in genetics · 2021
    Article
  17. Review
  18. 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

18 authors at 4 institutions in 1 country.

Tomoko HorinouchiDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID 0000-0003-1655-6030
Tomohiko YamamuraDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Shogo MinamikawaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
China NaganoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Nana SakakibaraDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Koichi NakanishiDepartment of Child Health and Welfare (Pediatrics), Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan.
Yuko ShimaDepartment of Pediatrics, Wakayama Medical University, Wakayama, Japan.
Naoya MorisadaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Shinya IshikoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Yuya AotoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Hiroaki NagaseDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Hiroki TakedaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Rini RossantiDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Shingo IshimoriDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Hiroshi KaitoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Masafumi MatsuoDepartment of Physical Therapy, Faculty of Rehabilitation, Kobe Gakuin University, Kobe, Japan.
Kazumoto IijimaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Kandai NozuDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID 0000-0002-0290-3137
Kobe University · JPKobe Gakuin University · JPUniversity of the Ryukyus · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundX-linked Alport syndrome (XLAS) is a progressive, hereditary glomerular nephritis of variable severity caused by pathogenic COL4A5 variants. Currently, genetic testing is widely used for diagnosing XLAS; however, determining the pathogenicity of variants detected by such analyses can be difficult. Intronic variants or synonymous variants may cause inherited diseases by inducing aberrant splicing. Transcript analysis is necessary to confirm the pathogenicity of such variants, but it is sometimes difficult to extract mRNA directly from patient specimens.

methodsIn this study, we conducted in vitro splicing analysis using a hybrid minigene assay and specimens from three XLAS patients with synonymous variants causing aberrant splicing, including previously reported pathogenic mutations in the same codon. The variants were c.876 A>T (p.Gly292=), c.2358 A>G (p.Pro786=), and c.3906 A>G (p.Gln1302=).

resultsThe results from our hybrid minigene assay were sufficient to predict splicing abnormalities; c.876 A>T cause 17-bp del and 35-bp del, c.2358 A>G cause exon 29 skipping, c.3906 A>G cause exon 42 skipping, which are very likely to cause pathogenicity. Further, patients carrying c.2358 A>G exhibited a mild phenotype that may have been associated with the presence of both normal and abnormally spliced transcripts.

conclusionThe minigene system was shown to be a sensitive assay and a useful tool for investigating the pathogenicity of synonymous variants.

Indexed as

Point MutationAdultCells, CulturedCollagen Type IVFemaleGenetic TestingHEK293 CellsHumansMaleMiddle AgedNephritis, HereditaryRNA, MessengerRNA SplicingCOL4A5 protein, humanCollagen Type IVRNA, Messengeraberrant splicingmild phenotypesplicing assaysynonymous variantX-linked Alport syndrome

Identifiers

PMID32543079
PMCPMC7434753
OpenAlexW3035574754

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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.