Evidence map›Paper›PMID 34686677›Full record

ArticleNPJ genomic medicine2021

A novel deep intronic variant strongly associates with Alkaptonuria.

Chien-Yi Lai, I-Jung Tsai, Pao-Chin Chiu, David B Ascher, Yin-Hsiu Chien, Yu-Hsuan Huang, Yi-Lin Lin, Wuh-Liang Hwu, Ni-Chung Lee

Open access · goldAbstract read
In one paragraph

Article in NPJ genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Molecular characterization of Alkaptonuria in Brazilian patients.Molecular genetics and metabolism reports · 2026
    Article
  3. Functional Characterization ofInternational journal of molecular sciences · 2025
    Article
  4. Article
  5. Noncoding variants are a rare cause of recessive developmental disorders in trans with coding variants.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  6. Engineering G protein-coupled receptors for stabilization.Protein science : a publication of the Protein Society · 2024
    Article
  7. Alkaptonuria.Nature reviews. Disease primers · 2024
    Review
  8. Article
  9. AI-Driven Enhancements in Drug Screening and Optimization.Methods in molecular biology (Clifton, N.J.) · 2024
    Article
  10. Review
  11. Article
  12. 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

9 authors at 3 institutions in 3 countries.

Chien-Yi LaiDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan.ORCID http://orcid.org/0000-0002-5962-8869
I-Jung TsaiDepartment of Pediatrics, National Taiwan University Children Hospital, Taipei, Taiwan.
Pao-Chin ChiuDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
David B AscherComputational Biology and Clinical Informatics, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0003-2948-2413
Yin-Hsiu ChienDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan.ORCID http://orcid.org/0000-0001-8802-5728
Yu-Hsuan HuangDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan.
Yi-Lin LinDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan.
Wuh-Liang HwuDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan.
Ni-Chung LeeDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan. ncleentu@ntu.edu.tw.ORCID http://orcid.org/0000-0002-5011-7499
National Taiwan University Hospital · TWBaker Heart and Diabetes Institute · AUKaohsiung Veterans General Hospital · TW

Funding

Ministry of Science and Technology, Taiwan (Ministry of Science and Technology of Taiwan) 107-2314-B-002 -164 -MY3National Taiwan University Hospital (NTUH) NTUH 105-002959
6 · The paper itself

Abstract

Alkaptonuria is a rare autosomal recessive inherited disorder of tyrosine metabolism, which causes ochronosis, arthropathy, cardiac valvular calcification, and urolithiasis. The epidemiology of alkaptonuria in East Asia is not clear. In this study, patients diagnosed with alkaptonuria from January 2010 to June 2020 were reviewed. Their clinical and molecular features were further compared with those of patients from other countries. Three patients were found to have alkaptonuria. Mutation analyses of the homogentisate 1,2-dioxygenase gene (HGD) showed four novel variants c.16-2063 A > C, p.(Thr196Ile), p.(Gly344AspfsTer25), and p.(Gly362Arg) in six mutated alleles (83.3%). RNA sequencing revealed that c.16-2063 A > C activates a cryptic exon, causing protein truncation p.(Tyr5_Ile6insValTer17). A literature search identified another 6 patients with alkaptonuria in East Asia; including our cases, 13 of the 18 mutated alleles have not been reported elsewhere in the world. Alkaptonuria is rare in Taiwan and East Asia, with HGD variants being mostly novel and private.

Identifiers

PMID34686677
PMCPMC8536767
OpenAlexW3205952761

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.