Evidence map›Paper›PMID 32867697›Full record

ArticleBMC medical genetics2020

A very early diagnosis of Alstrӧm syndrome by next generation sequencing.

Leonardo Gatticchi, Jan Miertus, Paolo Enrico Maltese, Simone Bressan, Luca De Antoni, Ludmila Podracká, Lucia Piteková, Vanda Rísová, Mari Mällo, Kaie Jaakson and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC medical genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

13 authors at 5 institutions in 3 countries.

Leonardo GatticchiDepartment of Experimental Medicine, Laboratory of Biochemistry, University of Perugia, Perugia, Italy.
Jan MiertusGénius n. o, Trnava, Slovakia.
Paolo Enrico MalteseMAGI's Lab, Genetic Testing Laboratory, Via Delle Maioliche 57/D, 38068, Rovereto, TN, Italy. paolo.maltese@assomagi.org.ORCID 0000-0002-1974-4937
Simone BressanMAGI's Lab, Genetic Testing Laboratory, Via Delle Maioliche 57/D, 38068, Rovereto, TN, Italy.
Luca De AntoniMAGI Euregio, Via Maso della Pieve, 60/A, 39100, Bolzano, Italy.
Ludmila PodrackáDepartment of Pediatrics, National Institute for Sick Children, Commenius University, Bratislava, Slovakia.
Lucia PitekováDepartment of Pediatrics, National Institute for Sick Children, Commenius University, Bratislava, Slovakia.
Vanda RísováInstitute of Histology and Embryology, Faculty of Medicine, Commenius University, Bratislava, Slovakia.
Mari MälloAsper Biogene LLC, Tartu, Estonia.
Kaie JaaksonAsper Biogene LLC, Tartu, Estonia.
Kairit JoostAsper Biogene LLC, Tartu, Estonia.
Leonardo ColomboDepartment of Ophthalmology, San Paolo Hospital, University of Milan, Milan, Italy.
Matteo BertelliMAGI's Lab, Genetic Testing Laboratory, Via Delle Maioliche 57/D, 38068, Rovereto, TN, Italy.
Center for Neuroscience and Cognitive Systems · ITAsper Biotech (Estonia) · EEComenius University Bratislava · SKUniversity of Milan · ITUniversity of Perugia · IT

Funding

Slovak Research and Development Agency APVV-16-0106
6 · The paper itself

Abstract

backgroundAlström syndrome is a rare recessively inherited disorder caused by variants in the ALMS1 gene. It is characterized by multiple organ dysfunction, including cone-rod retinal dystrophy, dilated cardiomyopathy, hearing loss, obesity, insulin resistance, hyperinsulinemia, type 2 diabetes mellitus and systemic fibrosis. Heterogeneity and age-dependent development of clinical manifestations make it difficult to obtain a clear diagnosis, especially in pediatric patients. CASE PRESENTATION: Here we report the case of a girl with Alström syndrome. Genetic examination was proposed at age 22 months when suspected macular degeneration was the only major finding. Next generation sequencing of a panel of genes linked to eye-related pathologies revealed two compound heterozygous variants in the ALMS1 gene. Frameshift variants c.1196_1202del, p.(Thr399Lysfs*11), rs761292021 and c.11310_11313del, (p.Glu3771Trpfs*18), rs747272625 were detected in exons 5 and 16, respectively. Both variants cause frameshifts and generation of a premature stop-codon that probably leads to mRNA nonsense-mediated decay. Validation and segregation of ALMS1 variants were confirmed by Sanger sequencing.

conclusionsGenetic testing makes it possible, even in childhood, to increase the number of correct diagnoses of patients who have ambiguous phenotypes caused by rare genetic variants. The development of high-throughput sequencing technologies offers an exceptionally valuable screening tool for clear genetic diagnoses and ensures early multidisciplinary management and treatment of the emerging symptoms.

Indexed as

Early DiagnosisMutationAlstrom SyndromeCell Cycle ProteinsCodon, NonsenseFemaleFrameshift MutationHeterozygoteHigh-Throughput Nucleotide SequencingHumansInfantALMS1 protein, humanCell Cycle ProteinsCodon, NonsenseALMS1Alström syndromeCase reportNext generation sequencing

Identifiers

PMID32867697
PMCPMC7460749
OpenAlexW3082809216

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.