Evidence map›Paper›PMID 41204139›Full record

ArticleBMC pulmonary medicine2025

A novel RTEL1 nonsense variant in a case of familial pulmonary fibrosis: clinical description and genetic implications.

Giovanni Franco, Francesca Bertola, Filippo Aloisi, Samuele Promi, Umberto Zanini, Paola Faverio, Angela Bentivegna, Raphaël Borie, Bruno Crestani, Giovanni Cazzaniga and 1 more

Abstract readCase Reports
In one paragraph

Article in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Hallmarks of the ageing lung: 10 years later.The European respiratory journal · 2026
    Review
  2. Clonal Signatures of Telomere Biology Disorders.Current hematologic malignancy reports · 2026
    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

11 authors.

Giovanni FrancoUOC Pneumologia Fondazione IRCCS San Gerardo dei Tintori University of Milano-Bicocca, Via G.B. Pergolesi, Monza, Italy.
Francesca BertolaUOC Genetica Medica, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Filippo AloisiUOC Pneumologia Fondazione IRCCS San Gerardo dei Tintori University of Milano-Bicocca, Via G.B. Pergolesi, Monza, Italy.
Samuele PromiUOC Pneumologia Fondazione IRCCS San Gerardo dei Tintori University of Milano-Bicocca, Via G.B. Pergolesi, Monza, Italy.
Umberto ZaniniUOC Pneumologia Fondazione IRCCS San Gerardo dei Tintori University of Milano-Bicocca, Via G.B. Pergolesi, Monza, Italy.
Paola FaverioUOC Pneumologia Fondazione IRCCS San Gerardo dei Tintori University of Milano-Bicocca, Via G.B. Pergolesi, Monza, Italy.
Angela BentivegnaSchool of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Raphaël BorieService de Pneumologie Allergologie et Transplantation, Université Paris Cité, UMR Inserm 1149, CRI, Hôpital Bichat, AP-HP, FHU INFIRE, Paris, France.
Bruno CrestaniService de Pneumologie Allergologie et Transplantation, Université Paris Cité, UMR Inserm 1149, CRI, Hôpital Bichat, AP-HP, FHU INFIRE, Paris, France.
Giovanni Cazzaniga *School of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Fabrizio Luppi *UOC Pneumologia Fondazione IRCCS San Gerardo dei Tintori University of Milano-Bicocca, Via G.B. Pergolesi, Monza, Italy. fabrizio.luppi@unimib.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic pulmonary fibrosis (IPF) is a progressive interstitial lung disease, often linked to telomere-related gene (TRG) mutations in familial forms. Telomere biology disorders can also manifest with systemic features such as bone marrow failure and liver disease. We report a 72-year-old woman with a family history of pulmonary fibrosis and premature hair greying. The patient had a history of bronchopneumonia at age 20 and pulmonary tuberculosis at age 23. Genetic testing identified a novel heterozygous nonsense variant in Regulator of Telomere Elongation Helicase 1 (RTEL1) (NM_001283009.2:c.2962 C > T; p.Gln988Ter). This variant introduces a premature stop codon, likely leading to loss of function. The variant, absent from major population databases, was classified as "likely pathogenic" according to ACMG criteria. RTEL1 encodes a DNA helicase essential for DNA replication and telomere maintenance, and its disruption contributes to epithelial cell dysfunction in pulmonary fibrosis. This case expands the mutational and clinical spectrum of RTEL1-associated interstitial lung diseases and underscores the importance of genetic testing in patients with familial pulmonary fibrosis.

Indexed as

Codon, NonsenseDNA HelicasesIdiopathic Pulmonary FibrosisAgedFemaleGenetic TestingHumansPedigreeCodon, NonsenseDNA HelicasesRTEL1 protein, humanFamilial Pulmonary FibrosisIdiopathic Pulmonary FibrosisInterstitial Lung DiseasesRegulator of Telomere Elongation Helicase 1Telomere-related genes

Identifiers

PMID41204139
PMCPMC12595678

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.