Evidence map›Paper›PMID 33574263›Full record

ArticleNature communications2021

Rare genetic variants affecting urine metabolite levels link population variation to inborn errors of metabolism.

Yurong Cheng, Pascal Schlosser, Johannes Hertel, Peggy Sekula, Peter J Oefner, Ute Spiekerkoetter, Johanna Mielke, Daniel F Freitag, Miriam Schmidts, GCKD Investigators and 5 more

Erratum issuedAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

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

  1. Use of Mendelian Randomization to Unveil Metabolic Markers inJournal of Korean medical science · 2026
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Yurong ChengInstitute of Genetic Epidemiology, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany.
Pascal SchlosserInstitute of Genetic Epidemiology, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-8460-0462
Johannes HertelSchool of Medicine, National University of Ireland, Galway, University Road, Galway, Ireland.
Peggy SekulaInstitute of Genetic Epidemiology, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-2263-447X
Peter J OefnerInstitute of Functional Genomics, University of Regensburg, Regensburg, Germany.
Ute SpiekerkoetterDepartment of General Pediatrics and Adolescent Medicine, Medical Center and Faculty of Medicine - University of Freiburg, Freiburg, Germany.
Johanna MielkeBayer AG, Division Pharmaceuticals, Open Innovation & Digital Technologies, Wuppertal, Germany.
Daniel F FreitagBayer AG, Division Pharmaceuticals, Open Innovation & Digital Technologies, Wuppertal, Germany.ORCID http://orcid.org/0000-0003-0857-8950
Miriam SchmidtsDepartment of General Pediatrics and Adolescent Medicine, Medical Center and Faculty of Medicine - University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-1714-6749
GCKD Investigators
Florian KronenbergInstitute of Genetic Epidemiology, Department of Genetics and Pharmacology, Medical University of Innsbruck, Innsbruck, Austria.ORCID http://orcid.org/0000-0003-2229-1120
Kai-Uwe EckardtDepartment of Nephrology and Hypertension, University of Erlangen-Nürnberg, Erlangen, Germany.ORCID http://orcid.org/0000-0003-3823-0920
Ines ThieleSchool of Medicine, National University of Ireland, Galway, University Road, Galway, Ireland.
Yong LiInstitute of Genetic Epidemiology, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-2651-8791
Anna KöttgenInstitute of Genetic Epidemiology, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany. anna.koettgen@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0002-4671-3714

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolite levels in urine may provide insights into genetic mechanisms shaping their related pathways. We therefore investigate the cumulative contribution of rare, exonic genetic variants on urine levels of 1487 metabolites and 53,714 metabolite ratios among 4864 GCKD study participants. Here we report the detection of 128 significant associations involving 30 unique genes, 16 of which are known to underlie inborn errors of metabolism. The 30 genes are strongly enriched for shared expression in liver and kidney (odds ratio = 65, p-FDR = 3e-7), with hepatocytes and proximal tubule cells as driving cell types. Use of UK Biobank whole-exome sequencing data links genes to diseases connected to the identified metabolites. In silico constraint-based modeling of gene knockouts in a virtual whole-body, organ-resolved metabolic human correctly predicts the observed direction of metabolite changes, highlighting the potential of linking population genetics to modeling. Our study implicates candidate variants and genes for inborn errors of metabolism.

Indexed as

Exome SequencingGenetic VariationGenotypeHumansKidneyLiverMaleMetabolism, Inborn ErrorsRare Diseases

Identifiers

PMID33574263
PMCPMC7878905

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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.