Evidence map›Paper›PMID 33176737›Full record

ArticleBMC pediatrics2020

Citrin deficiency mimicking mitochondrial depletion syndrome.

S C Grünert, A Schumann, P Freisinger, S Rosenbaum-Fabian, M Schmidts, A J Mueller, S Beck-Wödl, T B Haack, H Schneider, H Fuchs and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Citrin deficiency-The East-side story.Journal of inherited metabolic disease · 2024
    Review
  7. Article
  8. 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

14 authors at 4 institutions in 1 country.

S C GrünertDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Medical Centre-University of Freiburg, Faculty of Medicine, Mathildenstraße 1, 79106, Freiburg, Germany. sarah.gruenert@uniklinik-freiburg.de.ORCID 0000-0001-5986-0468
A SchumannDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Medical Centre-University of Freiburg, Faculty of Medicine, Mathildenstraße 1, 79106, Freiburg, Germany.
P FreisingerDepartment of Paediatrics, Klinikum Reutlingen, 72764, Reutlingen, Germany.
S Rosenbaum-FabianDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Medical Centre-University of Freiburg, Faculty of Medicine, Mathildenstraße 1, 79106, Freiburg, Germany.
M SchmidtsDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Medical Centre-University of Freiburg, Faculty of Medicine, Mathildenstraße 1, 79106, Freiburg, Germany.
A J MuellerInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
S Beck-WödlInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
T B HaackInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
H SchneiderDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Medical Centre-University of Freiburg, Faculty of Medicine, Mathildenstraße 1, 79106, Freiburg, Germany.
H FuchsDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Medical Centre-University of Freiburg, Faculty of Medicine, Mathildenstraße 1, 79106, Freiburg, Germany.
U TeufelDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Medical Centre-University of Freiburg, Faculty of Medicine, Mathildenstraße 1, 79106, Freiburg, Germany.
G GramerUniversity Hospital Heidelberg, Centre for Paediatric and Adolescent Medicine, Division of Neuropaediatrics and Metabolic Medicine, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany.
L HannibalDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Laboratory of Clinical Biochemistry and Metabolism, Medical Centre-University of Freiburg, Faculty of Medicine, Freiburg, Germany.
U SpiekerkoetterDepartment of General Paediatrics, Adolescent Medicine and Neonatology, Medical Centre-University of Freiburg, Faculty of Medicine, Mathildenstraße 1, 79106, Freiburg, Germany.
University of Freiburg · DEUniversity of Tübingen · DEHeidelberg University · DEKreiskliniken Reutlingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal intrahepatic cholestasis caused by citrin deficiency (CD) is a rare inborn error of metabolism due to variants in the SLC25A13 gene encoding the calcium-binding protein citrin. Citrin is an aspartate-glutamate carrier located within the inner mitochondrial membrane. CASE PRESENTATION: We report on two siblings of Romanian-Vietnamese ancestry with citrin deficiency. Patient 1 is a female who presented at age 8 weeks with cholestasis, elevated lactate levels and recurrent severe hypoglycemia. Diagnosis was made by whole exome sequencing and revealed compound heterozygosity for the frameshift variant c.852_855del, p.Met285Profs*2 and a novel deletion c.(69 + 1_70-1)_(212 + 1_231-1)del in SLC25A13. The girl responded well to dietary treatment with a lactose-free, MCT-enriched formula. Her younger brother (Patient 2) was born 1 year later and also found to be carrying the same gene variants. Dietary treatment from birth was able to completely prevent clinical manifestation until his current age of 4.5 months.

conclusionsAs CD is a well-treatable disorder it should be ruled out early in the differential diagnosis of neonatal cholestasis. Due to the combination of hepatopathy, lactic acidosis and recurrent hypoglycemia the clinical presentation of CD may resemble hepatic mitochondrial depletion syndrome.

Indexed as

CholestasisCholestasis, IntrahepaticCitrullinemiaFemaleHumansInfantInfant, NewbornMaleMitochondrial Membrane Transport ProteinsMutationMitochondrial Membrane Transport ProteinsSLC25A13 protein, humanCitrin deficiencyHypoglycemiaNeonatal cholestasisNewborn screeningSLC25A13Urea cycle defect

Identifiers

PMID33176737
PMCPMC7659096
OpenAlexW3099254502

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.