Evidence map›Paper›PMID 36574950›Full record

ArticleKidney international2023

Individuals heterozygous for ALG8 protein-truncating variants are at increased risk of a mild cystic kidney disease.

Benjamin Apple, Gino Sartori, Bryn Moore, Kiran Chintam, Gurmukteshwar Singh, Prince Mohan Anand, Natasha T Strande, Tooraj Mirshahi, William Triffo, Alexander R Chang

Open access · greenAbstract read
In one paragraph

Article in Kidney international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Typical and atypical ADPKD: predicted pathogenic genetic variants and population frequencies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Local adaptation ofEcology and evolution · 2024
    Article
  14. Sporadic ADPKDKidney international reports · 2024
    Article
  15. Association of Kidney Cysts With Progressive CKD After Radical Nephrectomy.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Observational
  16. Article
  17. Article
  18. Review
  19. Article
  20. Atypical ADPKD Due to aCanadian journal of kidney health and disease · 2023
    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

10 authors at 5 institutions in 1 country.

Benjamin AppleDepartment of Medicine, Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania, USA.
Gino SartoriDepartment of Radiology, Geisinger, Danville, Pennsylvania, USA.
Bryn MooreDepartment of Genomic Health, Geisinger, Danville, Pennsylvania, USA.
Kiran ChintamDepartment of Nephrology, Geisinger, Danville, Pennsylvania, USA.
Gurmukteshwar SinghDepartment of Nephrology, Geisinger, Danville, Pennsylvania, USA; Center for Kidney Health Research, Department of Population Health Sciences, Geisinger, Danville, Pennsylvania, USA.
Prince Mohan AnandDepartment of Nephrology, Medical University of South Carolina, Lancaster, South Carolina, USA.
Natasha T StrandeDepartment of Genomic Health, Geisinger, Danville, Pennsylvania, USA; Autism and Developmental Medicine Institute, Geisinger, Danville, Pennsylvania, USA.
Tooraj MirshahiDepartment of Genomic Health, Geisinger, Danville, Pennsylvania, USA.
William TriffoDepartment of Radiology, Geisinger, Danville, Pennsylvania, USA.
Alexander R ChangDepartment of Nephrology, Geisinger, Danville, Pennsylvania, USA; Center for Kidney Health Research, Department of Population Health Sciences, Geisinger, Danville, Pennsylvania, USA. Electronic address: achang@geisinger.edu.
Geisinger Medical Center · USGenomic Health (United States) · USAutism & Developmental Medicine Institute · USGeisinger Commonwealth School of Medicine · USMedical University of South Carolina · US

Funding

An integrated approach to study GPCR variants associated with complex diseasesR01GM111913 · NIGMS · GEISINGER CLINIC · PI MIRSHAHI, TOORAJ, ROBISHAW, JANET D · 2015 to 2018
$2.1M
Morbid Obesity, Bariatric Surgery, and Kidney FunctionK23DK106515 · NIDDK · GEISINGER CLINIC · PI CHANG, ALEXANDER R · 2015 to 2019
$890k
Medical Research Council MC_PC_17228NIDDK NIH HHS K23 DK106515NIGMS NIH HHS R01 GM111913
6 · The paper itself

Abstract

ALG8 protein-truncating variants (PTVs) have previously been described in patients with polycystic liver disease and in some cases cystic kidney disease. Given a lack of well-controlled studies, we determined whether individuals heterozygous for ALG8 PTVs are at increased risk of cystic kidney disease in a large, unselected health system-based observational cohort linked to electronic health records in Pennsylvania (Geisinger-Regeneron DiscovEHR MyCode study). Out of 174,172 patients, 236 were identified with ALG8 PTVs. Using ICD-based outcomes, patients with these variants were significantly at increased risk of having any kidney/liver cyst diagnosis (Odds Ratio 2.42, 95% confidence interval: 1.53-3.85), cystic kidney disease (3.03, 1.26-7.31), and nephrolithiasis (1.89, 1.96-2.97). To confirm this finding, blinded radiology review of computed tomography and magnetic resonance imaging studies was completed in a matched cohort of 52 thirty-plus year old ALG8 PTV heterozygotes and related non-heterozygotes. ALG8 PTV heterozygotes were significantly more likely to have cystic kidney disease, defined as four or more kidney cysts (57.7% vs. 7.7%), or bilateral kidney cysts (69.2% vs. 15.4%), but not one or more liver cyst (11.5% vs. 7.7%). In publicly available UK Biobank data, ALG8 PTV heterozygotes were at significantly increased risk of ICD code N28 (other disorders of kidney/ureter) (3.85% vs. 1.33%). ALG8 PTVs were not associated with chronic kidney disease or kidney failure in the MyCode study or the UK Biobank data. Thus, PTVs in ALG8 result in increased risk of a mild cystic kidney disease phenotype.

Indexed as

CystsLiver DiseasesPolycystic Kidney, Autosomal DominantPolycystic Kidney DiseasesGlucosyltransferasesHumansKidneyALG8 protein, humanGlucosyltransferasesautosomal dominant polycystic kidney diseasechronic kidney diseasegeneticsgenotype-firstpolycystic liver diseaserenal cyst

Identifiers

PMID36574950
PMCPMC10012037
OpenAlexW4312203957

What OpenQuestion holds

Textmetadata
LicenceTDM
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.