Evidence map›Paper›PMID 40144477›Full record

ArticleJCEM case reports2025

Diverse Phenotypes of Mitochondrial Disease With Varying Levels of Heteroplasmy.

Rebecca John, Aaron Chapla, Geeta Chacko, Sangeetha Yoganathan, Maya Mary Thomas, Nihal Thomas

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

6 authors.

Rebecca JohnDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore 632004, India.ORCID https://orcid.org/0009-0001-1980-5736
Aaron ChaplaDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore 632004, India.ORCID https://orcid.org/0000-0003-4157-6041
Geeta ChackoDepartment of Pathology, Christian Medical College, Vellore 632004, India.
Sangeetha YoganathanDepartment of Pediatric Neurology, Christian Medical College, Vellore 632004, Tamil Nadu, India.
Maya Mary ThomasDepartment of Pediatric Neurology, Christian Medical College, Vellore 632004, Tamil Nadu, India.
Nihal ThomasDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore 632004, India.ORCID https://orcid.org/0000-0002-4614-9519

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mitochondrial diseases have a wide spectrum of clinical presentations. Heteroplasmy, the presence of wild type and mutated mitochondrial deoxyribonucleic acid (DNA) in a single cell, is typical of mitochondrial disorders. It can show varying levels between cells of the same tissue, between organs in a single individual as well as between members of the same family. We describe below a woman who presented to us for management of pancreatic diabetes. Her daughter had a history of recurrent bouts of myopathy; evaluation was suggestive of having a mitochondrial etiology. Subsequently, mitochondrial genetic testing revealed positivity for m.3243A>G variant with a heteroplasmy of 45% in the blood in the daughter and 15% in the proband. We highlight how differences in the heteroplasmy and threshold levels among members of the same family resulted in a variable spectrum of clinical disease. Family screening of members identified with mitochondrial disease is of utmost significance to ensure early diagnosis and therapy.

Indexed as

diabetes mellitusheteroplasmymitochondrial diseasesmuscular diseases

Identifiers

PMID40144477
PMCPMC11937956

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.