Evidence map›Paper›PMID 33960657›Full record

ArticleAmerican journal of medical genetics. Part A2021

A new syndrome of moyamoya disease, kidney dysplasia, aminotransferase elevation, and skin disease associated with de novo variants in RNF213.

Alanna Strong, Gina O'Grady, Evelyn Shih, Jonathan R Bishop, Kathleen Loomes, Tamir Diamond, Erum A Hartung, William Wong, Sanmati Cuddapah, Anne Marie Cahill and 6 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in American journal of medical genetics. Part A, 2021. 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
1.9field-weighted citation impact, top 15% 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, 14 citations in OpenAlex.

  1. Review
  2. Genes · 2025
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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

16 authors at 2 institutions in 2 countries.

Alanna StrongDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9261-244X
Gina O'GradyPediatric Neuroservices, Starship Children's Health, Auckland District Health Board, Auckland, New Zealand.
Evelyn ShihDivision of Neurology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jonathan R BishopDepartment of Pediatric Gastroenterology, Starship Child Health, Auckland District Health Board, Auckland, New Zealand.
Kathleen LoomesDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Tamir DiamondDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Erum A HartungDivision of Nephology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
William WongDepartment of Pediatric Nephrology, Starship Child Health, Auckland District Health Board, Auckland, New Zealand.
Sanmati CuddapahDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-3387-5968
Anne Marie CahillDivision of Interventional Radiology, Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Cuiping HouThe Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Diana SlaterThe Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Courtney VaccaroThe Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Deborah WatsonThe Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Dong LiThe Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Hakon HakonarsonDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-2814-7461
Children's Hospital of Philadelphia · USAuckland District Health Board · NZ

Funding

MEDICAL GENETICS RESEARCH TRAINING GRANTT32GM008638 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca Ganetzky · 1997 to 2026
$8.7M
Training Program in the Genetic Basis of Pediatric Gastrointestinal DisordersT32DK101371 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI ROBERT O HEUCKEROTH, Judith Rachel Kelsen · 2014 to 2026
$2.5M
Novel Imaging Biomarkers in Autosomal Recessive Polycystic Kidney DiseaseK23DK109203 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI HARTUNG, ERUM AFTAB · 2016 to 2019
$728k
NIDDK NIH HHS K23 DK109203NIDDK NIH HHS T32 DK101371NIGMS NIH HHS T32 GM008638
6 · The paper itself

Abstract

Ring-finger protein 213 (RNF213) encodes a protein of unknown function believed to play a role in cellular metabolism and angiogenesis. Gene variants are associated with susceptibility to moyamoya disease. Here, we describe two children with moyamoya disease who also demonstrated kidney disease, elevated aminotransferases, and recurrent skin lesions found by exome sequencing to have de novo missense variants in RNF213. These cases highlight the ability of RNF213 to cause Mendelian moyamoya disease in addition to acting as a genetic susceptibility locus. The cases also suggest a new, multi-organ RNF213-spectrum disease characterized by liver, skin, and kidney pathology in addition to severe moyamoya disease caused by heterozygous, de novo C-terminal RNF213 missense variants.

Indexed as

Adenosine TriphosphatasesExome SequencingFemaleGenetic Predisposition to DiseaseHumansInfantInfant, NewbornKidney DiseasesMaleMoyamoya DiseaseNeovascularization, PhysiologicSkin DiseasesTransaminasesUbiquitin-Protein LigasesAdenosine TriphosphatasesRNF213 protein, humanTransaminasesUbiquitin-Protein Ligaseselevated aminotransferaseserythema multiformekidney dysplasiamoyamoya diseaseRNF213

Identifiers

PMID33960657
PMCPMC8360119
OpenAlexW3158805790

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.