Evidence map›Paper›PMID 33693650›Full record

ArticleHuman molecular genetics2021

Novel mutations in the WFS1 gene are associated with Wolfram syndrome and systemic inflammation.

Eleonora Panfili, Giada Mondanelli, Ciriana Orabona, Maria L Belladonna, Marco Gargaro, Francesca Fallarino, Elena Orecchini, Paolo Prontera, Elisa Proietti, Giulio Frontino and 7 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Human molecular genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

26 citing papers in PubMed, 33 citations in OpenAlex.

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  15. Comprehensive overview of disease models for Wolfram syndrome: toward effective treatments.Mammalian genome : official journal of the International Mammalian Genome Society · 2024
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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

17 authors at 4 institutions in 2 countries.

Eleonora PanfiliDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Giada MondanelliDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Ciriana OrabonaDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Maria L BelladonnaDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Marco GargaroDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Francesca FallarinoDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Elena OrecchiniDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Paolo PronteraMedical Genetics Unit, University-Hospital "Santa Maria della Misericordia", Perugia, 06132, Italy.
Elisa ProiettiDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Giulio FrontinoDepartment of Pediatrics, Diabetes Research Institute, IRCCS San Raffaele Hospital, Milan, 20132, Italy.
Eva TirelliDepartment of Pediatrics, Diabetes Research Institute, IRCCS San Raffaele Hospital, Milan, 20132, Italy.
Alberta IaconoDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Carmine VaccaDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Paolo PuccettiDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Ursula GrohmannDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
Susanna EspositoPediatric Clinic Pietro Barilla Children's Hospital, Department of Medicine and Surgery, Università di Parma, Parma, 43126, Italy.
Maria T PallottaDepartment of Medicine and Surgery, University of Perugia, Perugia, 06132, Italy.
University of Perugia · ITVita-Salute San Raffaele University · ITMisericordia University · USUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in the WFS1 gene, encoding wolframin (WFS1), cause endoplasmic reticulum (ER) stress and are associated with a rare autosomal-recessive disorder known as Wolfram syndrome (WS). WS is clinically characterized by childhood-onset diabetes mellitus, optic atrophy, deafness, diabetes insipidus and neurological signs. We identified two novel WFS1 mutations in a patient with WS, namely, c.316-1G > A (in intron 3) and c.757A > T (in exon 7). Both mutations, located in the N-terminal region of the protein, were predicted to generate a truncated and inactive form of WFS1. We found that although the WFS1 protein was not expressed in peripheral blood mononuclear cells (PBMCs) of the proband, no constitutive ER stress activation could be detected in those cells. In contrast, WS proband's PBMCs produced very high levels of proinflammatory cytokines (i.e. TNF-α, IL-1β, and IL-6) in the absence of any stimulus. WFS1 silencing in PBMCs from control subjects by means of small RNA interference also induced a pronounced proinflammatory cytokine profile. The same cytokines were also significantly higher in sera from the WS patient as compared to matched healthy controls. Moreover, the chronic inflammatory state was associated with a dominance of proinflammatory T helper 17 (Th17)-type cells over regulatory T (Treg) lymphocytes in the WS PBMCs. The identification of a state of systemic chronic inflammation associated with WFS1 deficiency may pave the way to innovative and personalized therapeutic interventions in WS.

Indexed as

InflammationMutationChildCytokinesFemaleGene Expression RegulationHumansLeukocytes, MononuclearMembrane ProteinsSequence Analysis, DNAWolfram SyndromeCytokinesMembrane Proteinswolframin protein

Identifiers

PMID33693650
PMCPMC8091036
OpenAlexW3133506952

What OpenQuestion holds

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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.