Evidence map›Paper›PMID 34415322›Full record

ArticleBrain : a journal of neurology2021

Biallelic PI4KA variants cause a novel neurodevelopmental syndrome with hypomyelinating leukodystrophy.

Edgard Verdura, Agustí Rodríguez-Palmero, Valentina Vélez-Santamaria, Laura Planas-Serra, Irene de la Calle, Miquel Raspall-Chaure, Agathe Roubertie, Mehdi Benkirane, Francesco Saettini, Lisa Pavinato and 25 more

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.7field-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

38 citing papers in PubMed, 47 citations in OpenAlex.

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  12. Review
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  14. Phosphatidylinositol 4-phosphate; A minor lipid with multiple personalities.Biochimica et biophysica acta. Molecular and cell biology of lipids · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. An update on autophagy disorders.Journal of inherited metabolic disease · 2025
    Review
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

35 authors at 18 institutions in 4 countries.

Edgard VerduraNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Agustí Rodríguez-PalmeroNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Valentina Vélez-SantamariaNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Laura Planas-SerraNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Irene de la CalleNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Miquel Raspall-ChaureNeurology Research Group, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0002-3132-3342
Agathe RoubertieDépartement de Neuropédiatrie, Hôpital Gui de Chauliac Pôle Neurosciences Tête et Cou, Montpellier, France.
Mehdi BenkiraneLaboratoire de Génétique de Maladies Rares EA7402, Institut Universitaire de Recherche Clinique, Université de Montpellier, CHU Montpellier, CEDEX 5, 34295 Montpellier, France.
Francesco SaettiniPaediatric Hematology Department, Fondazione MBBM, University of Milano Bicocca, Monza, Italy.ORCID 0000-0003-0767-3905
Lisa PavinatoDepartment of Medical Sciences, University of Torino, 10126 Torino, Italy.ORCID 0000-0002-7630-8365
Giorgia MandrileThalassemia Centre and Medical Genetics Unit, San Luigi Gonzaga University Hospital, Orbassano, Italy.
Melanie O'LearyCenter for Mendelian Genomics, Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Emily O'HeirCenter for Mendelian Genomics, Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Estibaliz BarredoNeuropediatric Department, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Almudena ChacónNeuropediatric Department, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Vincent MichaudMolecular Genetics Laboratory, Bordeaux University Hospital, Bordeaux, Aquitaine, France.ORCID 0000-0002-5788-392X
Cyril GoizetINSERM U1211, Rare Diseases Laboratory: Genetics and Metabolism, University of Bordeaux, Talence, Aquitaine, France.
Montserrat RuizNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Agatha SchlüterNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Isabelle RouvetCellular Biotechnology Department and Biobank, Hospices Civils de Lyon, CHU de Lyon, Lyon, France.
Julia Sala-CorominaNeurology Research Group, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Chiara FossatiDepartment of Paediatrics, Fondazione MBBM, Monza, Italy.
Maria IasconeMolecular Genetics Laboratory, USSD LGM, Papa Giovanni XXIII Hospital, Bergamo, Italy.ORCID 0000-0002-4707-212X
Francesco CanonicoDepartment of Neuroradiology, University of Milan-Bicocca, San Gerardo Hospital, ASST di Monza, Monza, Italy.
Anna Marcé-GrauNeurology Research Group, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Precilla de SouzaOffice of the Clinical Director, National Human Genome Research Institute, NIH, Bethesda, MD, USA.
David R AdamsOffice of the Clinical Director, National Human Genome Research Institute, NIH, Bethesda, MD, USA.
Carlos CasasnovasNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Heidi L RehmCenter for Mendelian Genomics, Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Heather C MeffordDivision of Genetic Medicine, Department of Paediatrics, University of Washington, Seattle, WA 98195, USA.ORCID 0000-0001-7188-522X
Luis González Gutierrez-SolanaCentre for Biomedical Research in Network on Rare Diseases (CIBERER), Instituto de Salud Carlos III, 28029, Madrid, Spain.
Alfredo BruscoDepartment of Medical Sciences, University of Torino, 10126 Torino, Italy.ORCID 0000-0002-8318-7231
Michel KoenigLaboratoire de Génétique de Maladies Rares EA7402, Institut Universitaire de Recherche Clinique, Université de Montpellier, CHU Montpellier, CEDEX 5, 34295 Montpellier, France.
Alfons MacayaNeurology Research Group, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Aurora PujolNeurometabolic Diseases Laboratory, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Barcelona, Catalonia, Spain.
Instituto de Salud Carlos III · ESUniversitat Autònoma de Barcelona · ESBroad Institute · USHospital General Universitario Gregorio Marañón · ESNational Human Genome Research Institute · USUniversité de Bordeaux · FRUniversité de Montpellier · FRUniversity of Milano-Bicocca · ITUniversity of Turin · ITBellvitge University Hospital · ESFondazione Lanza · ITHospices Civils de Lyon · FRInserm · FRInstitució Catalana de Recerca i Estudis Avançats · ESInstitut d'Investigació Biomédica de Bellvitge · ESOspedale Papa Giovanni XXIII · ITOspedale San Luigi Gonzaga · ITUniversity of Washington · US

Funding

Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
A powerful web-based discovery platform for rare disease geneticsR01HG009141 · NHGRI · BROAD INSTITUTE, INC. · PI QUINLAN, AARON R, REHM, HEIDI L · 2017 to 2020
$2.9M
1/4 - The Autism Sequencing Consortium: Autism Gene Discovery in >50,000 ExomesU01MH111661 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUXBAUM, JOSEPH D. · 2017 to 2021
$2.6M
NHGRI NIH HHS R01 HG009141NHGRI NIH HHS UM1 HG008900NIMH NIH HHS U01 MH111661
6 · The paper itself

Abstract

Phosphoinositides are lipids that play a critical role in processes such as cellular signalling, ion channel activity and membrane trafficking. When mutated, several genes that encode proteins that participate in the metabolism of these lipids give rise to neurological or developmental phenotypes. PI4KA is a phosphoinositide kinase that is highly expressed in the brain and is essential for life. Here we used whole exome or genome sequencing to identify 10 unrelated patients harbouring biallelic variants in PI4KA that caused a spectrum of conditions ranging from severe global neurodevelopmental delay with hypomyelination and developmental brain abnormalities to pure spastic paraplegia. Some patients presented immunological deficits or genito-urinary abnormalities. Functional analyses by western blotting and immunofluorescence showed decreased PI4KA levels in the patients' fibroblasts. Immunofluorescence and targeted lipidomics indicated that PI4KA activity was diminished in fibroblasts and peripheral blood mononuclear cells. In conclusion, we report a novel severe metabolic disorder caused by PI4KA malfunction, highlighting the importance of phosphoinositide signalling in human brain development and the myelin sheath.

Indexed as

AllelesAdolescentAdultChildChild, PreschoolFemaleGenetic VariationHereditary Central Nervous System Demyelinating DiseasesHumansInfantInfant, NewbornLeukocytes, MononuclearMaleMinor Histocompatibility AntigensNeurodevelopmental DisordersPedigreeMinor Histocompatibility Antigensphosphatidylinositol phosphate 4-kinasePhosphotransferases (Alcohol Group Acceptor)hypomyelinating leukodystrophyinborn errors of metabolismphosphoinositolPI4KAspastic paraplegia

Identifiers

PMID34415322
PMCPMC8557332
OpenAlexW3194335638

What OpenQuestion holds

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LicenceCC BY-NC
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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.