Evidence map›Paper›PMID 32573437›Full record

ArticleeLife2020

Moyamoya disease factor RNF213 is a giant E3 ligase with a dynein-like core and a distinct ubiquitin-transfer mechanism.

Juraj Ahel, Anita Lehner, Antonia Vogel, Alexander Schleiffer, Anton Meinhart, David Haselbach, Tim Clausen

Open access · goldAbstract read
In one paragraph

Article in eLife, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
14.4field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 3 syntheses or guidelines pooled it, 140 citations in OpenAlex.

  1. Extracranial vascular association of moyamoya disease: a systematic review and machine learning analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Lipid metabolism in moyamoya disease: Emerging evidence, vascular remodeling, and therapeutic implications.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Whole-Exome Sequencing Improves Risk Assessments of Adult Moyamoya Disease.Journal of clinical neurology (Seoul, Korea) · 2026
    Article
  12. Review
  13. Article
  14. Review
  15. Degrons: defining the rules of protein degradation.Nature reviews. Molecular cell biology · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Genes · 2025
    Review

20 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Juraj AhelResearch Institute of Molecular Pathology (IMP), Vienna BioCenter, Vienna, Austria.ORCID 0000-0003-0293-1063
Anita LehnerVienna BioCenter Core Facilities, Vienna BioCenter, Vienna, Austria.
Antonia VogelResearch Institute of Molecular Pathology (IMP), Vienna BioCenter, Vienna, Austria.
Alexander SchleifferResearch Institute of Molecular Pathology (IMP), Vienna BioCenter, Vienna, Austria.
Anton MeinhartResearch Institute of Molecular Pathology (IMP), Vienna BioCenter, Vienna, Austria.
David HaselbachResearch Institute of Molecular Pathology (IMP), Vienna BioCenter, Vienna, Austria.ORCID 0000-0002-5276-5633
Tim ClausenResearch Institute of Molecular Pathology (IMP), Vienna BioCenter, Vienna, Austria.ORCID 0000-0003-1582-6924
Research Institute of Molecular Pathology · ATVienna Biocenter · AT

Funding

European Commission ERC AdG 694978
6 · The paper itself

Abstract

RNF213 is the major susceptibility factor for Moyamoya disease, a progressive cerebrovascular disorder that often leads to brain stroke in adults and children. Characterization of disease-associated mutations has been complicated by the enormous size of RNF213. Here, we present the cryo-EM structure of mouse RNF213. The structure reveals the intricate fold of the 584 kDa protein, comprising an N-terminal stalk, a dynein-like core with six ATPase units, and a multidomain E3 module. Collaboration with UbcH7, a cysteine-reactive E2, points to an unexplored ubiquitin-transfer mechanism that proceeds in a RING-independent manner. Moreover, we show that pathologic MMD mutations cluster in the composite E3 domain, likely interfering with substrate ubiquitination. In conclusion, the structure of RNF213 uncovers a distinct type of an E3 enzyme, highlighting the growing mechanistic diversity in ubiquitination cascades. Our results also provide the molecular framework for investigating the emerging role of RNF213 in lipid metabolism, hypoxia, and angiogenesis.

Indexed as

Adenosine TriphosphatasesAnimalsMiceMoyamoya DiseaseSignal TransductionUbiquitinUbiquitin-Protein LigasesAdenosine TriphosphatasesRNF213 protein, mouseUbiquitinUbiquitin-Protein Ligasesbiochemistrycerebrovascular disorderchemical biologyhumanmolecular biophysicsmolecular machinesmouseprotein quality controlprotein ubiquitinationrare diseasestructural biology

Identifiers

PMID32573437
PMCPMC7311170
OpenAlexW3036115719

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.