Evidence map›Paper›PMID 37188688›Full record

ArticleNature communications2023

RagD auto-activating mutations impair MiT/TFE activity in kidney tubulopathy and cardiomyopathy syndrome.

Irene Sambri, Marco Ferniani, Giulia Campostrini, Marialuisa Testa, Viviana Meraviglia, Mariana E G de Araujo, Ladislav Dokládal, Claudia Vilardo, Jlenia Monfregola, Nicolina Zampelli and 12 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. RRAGD p.(Ser76Leu) Variant Causes Dysregulated Expression of Muscle Development and Cytoskeleton Genes in Cardiomyocytes.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. NovelKidney international reports · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. 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

22 authors at 9 institutions in 5 countries.

Irene Sambri *Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.ORCID 0000-0003-3500-6958
Marco Ferniani *Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.ORCID 0000-0002-8244-3731
Giulia CampostriniLeiden University Medical Center, 2333ZC, Leiden, the Netherlands.ORCID 0000-0003-4688-4991
Marialuisa TestaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.
Viviana MeravigliaLeiden University Medical Center, 2333ZC, Leiden, the Netherlands.ORCID 0000-0002-9571-0309
Mariana E G de AraujoInstitute of Cell Biology, Biocenter, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-0576-2680
Ladislav DokládalDepartment of Biology, University of Fribourg, CH-1700, Fribourg, Switzerland.
Claudia VilardoTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.ORCID 0000-0003-4713-5298
Jlenia MonfregolaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.
Nicolina ZampelliTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.
Francesca Del Vecchio BlancoDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0002-9454-2964
Annalaura TorellaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.
Carolina RuosiDepartment of Translational Medical Sciences, University of Campania "L. Vanvitelli", Naples, Italy.
Simona FecarottaMedical Genetics Unit, Department of Medical and Translational Science, Federico II University, Naples, Italy.
Giancarlo ParentiTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.
Leopoldo StaianoTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.ORCID 0000-0001-7017-1516
Milena BellinLeiden University Medical Center, 2333ZC, Leiden, the Netherlands.ORCID 0000-0001-5380-6743
Lukas A HuberInstitute of Cell Biology, Biocenter, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-1116-2120
Claudio De VirgilioDepartment of Biology, University of Fribourg, CH-1700, Fribourg, Switzerland.ORCID 0000-0001-8826-4323
Francesco TrepiccioneDepartment of Translational Medical Sciences, University of Campania "L. Vanvitelli", Naples, Italy.
Vincenzo NigroTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy.
Andrea BallabioTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, (NA), Italy. ballabio@tigem.it.ORCID 0000-0003-1381-4604
University of Campania "Luigi Vanvitelli" · ITFederico II University Hospital · ITTelethon Institute Of Genetics And Medicine · ITInnsbruck Medical University · ATLeiden University Medical Center · NLUniversity of Fribourg · CHInstitute of Genetic and Biomedical Research · ITNeurological Research Institute · USUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heterozygous mutations in the gene encoding RagD GTPase were shown to cause a novel autosomal dominant condition characterized by kidney tubulopathy and cardiomyopathy. We previously demonstrated that RagD, and its paralogue RagC, mediate a non-canonical mTORC1 signaling pathway that inhibits the activity of TFEB and TFE3, transcription factors of the MiT/TFE family and master regulators of lysosomal biogenesis and autophagy. Here we show that RagD mutations causing kidney tubulopathy and cardiomyopathy are "auto- activating", even in the absence of Folliculin, the GAP responsible for RagC/D activation, and cause constitutive phosphorylation of TFEB and TFE3 by mTORC1, without affecting the phosphorylation of "canonical" mTORC1 substrates, such as S6K. By using HeLa and HK-2 cell lines, human induced pluripotent stem cell-derived cardiomyocytes and patient-derived primary fibroblasts, we show that RRAGD auto-activating mutations lead to inhibition of TFEB and TFE3 nuclear translocation and transcriptional activity, which impairs the response to lysosomal and mitochondrial injury. These data suggest that inhibition of MiT/TFE factors plays a key role in kidney tubulopathy and cardiomyopathy syndrome.

Indexed as

Basic Helix-Loop-Helix Leucine Zipper Transcription FactorsInduced Pluripotent Stem CellsAutophagyHeLa CellsHumansKidneyLysosomesMechanistic Target of Rapamycin Complex 1Monomeric GTP-Binding ProteinsMutationBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsMechanistic Target of Rapamycin Complex 1Monomeric GTP-Binding ProteinsRRAGD protein, human

Identifiers

PMID37188688
PMCPMC10185561
OpenAlexW4376643276

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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.