Evidence map›Paper›PMID 39723123›Full record

ArticleJIMD reports2025

Mitochondrial trifunctional protein deficiency caused by a deep intronic deletion leading to aberrant splicing.

Thomas Cassini, Sarah Silverstein, Molly Behan, Cynthia J Tifft, May Christine Malicdan, David R Adams, Undiagnosed Diseases Network, Sun-Young Ahn, Debra S Regier

Abstract read
In one paragraph

Article in JIMD reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Benchmarking RNA-seq Tools for Real-World Diagnostic Applications.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Genome sequencing reveals the impact of pseudoexons in rare genetic disease.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  4. Review
  5. 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.

Thomas CassiniDivision of Medical Genetics and Genomic Medicine, Department of Pediatrics Vanderbilt University Medical Center Nashville Tennessee USA.ORCID https://orcid.org/0000-0002-3522-2135
Sarah SilversteinNeuromuscular and Neurogenetics Diseases of Childhood Section NINDS, NIH Bethesda Maryland USA.ORCID https://orcid.org/0000-0003-3428-3734
Molly BehanMedical Genetics Branch, National Human Genome Research Institute National Institutes of Health Bethesda Maryland USA.
Cynthia J TifftNIH Undiagnosed Diseases Program, NIH Intramural Research Program NIH Bethesda Maryland USA.ORCID https://orcid.org/0000-0002-3931-1207
May Christine MalicdanNIH Undiagnosed Diseases Program, NIH Intramural Research Program NIH Bethesda Maryland USA.ORCID https://orcid.org/0000-0003-1697-6959
David R AdamsNIH Undiagnosed Diseases Program, NIH Intramural Research Program NIH Bethesda Maryland USA.ORCID https://orcid.org/0000-0002-6660-1242
Undiagnosed Diseases Network
Sun-Young AhnDivision of Pediatric Nephrology Children's National Hospital Washington District of Columbia USA.
Debra S RegierDivision of Genetics and Metabolism Children's National Hospital Washington District of Columbia USA.ORCID https://orcid.org/0000-0001-7525-0088

Funding

Undiagnosed Diseases ProgramZIAHG200421 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM · 2023 to 2025
$825k
Intramural NIH HHS ZIA HG200421
6 · The paper itself

Abstract

Trifunctional protein deficiency (TFP) is a disorder of fatty acid beta-oxidation associated with metabolic, cardiac, and liver dysfunction in severe forms. We present two siblings diagnosed by newborn screening and confirmed by biochemical testing at birth. Their clinical course was complicated by recurrent rhabdomyolysis, retinopathy, and hypoparathyroidism. Both siblings were also diagnosed with focal segmental glomerulosclerosis (FSGS) and bone marrow failure and ultimately died of hypoxemic respiratory failure. Initial sequencing of the TFP-associated genes

Indexed as

intronic variantnephrotic syndromeRNAseqtrifunctional protein deficiencyUndiagnosed Diseases Network

Identifiers

PMID39723123
PMCPMC11667764

What OpenQuestion holds

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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.