Evidence map›Paper›PMID 42661185›Full record

SynthesisBMC nephrology2026

A young male with kidney damage from genetic mitochondrial disease: case report and literature review.

Miao Jia, Qian Wu, Jun Zou, Donghua Jin

Abstract readCase ReportsSystematic Review
In one paragraph

Synthesis in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Miao JiaDepartment of Nephrology, People's Hospital of Suzhou New District, Suzhou, 215129, China.
Qian WuDepartment of Nephrology, People's Hospital of Suzhou New District, Suzhou, 215129, China.
Jun ZouDepartment of Internal Medicine, Renal Division, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. zoujun@xinhuamed.com.cn.
Donghua JinDepartment of Nephrology, People's Hospital of Suzhou New District, Suzhou, 215129, China. nephrologyofsnd@sina.com.

Funding

Suzhou Municipal Bureau of Science and Technology: Suzhou Science and Technology Breakthrough Program (Medical and Health Innovation) SYWD2025082the Medical Education and Research Collaborative Innovation Fund of Jiangsu University JDYY2023129the Scientific Innovation Fund of The People's Hospital of Suzhou New District SGY2023C01the Suzhou Municipal Health Commission "Science and Technology for Health" General Projects MSXM2025095the Talent Research Project of Suzhou Gusu Health Talent Plan GSWS2022133
6 · The paper itself

Abstract

backgroundThe most familiar ear and kidney syndrome is Alport syndrome for a nephrologist. Mutations in the mitochondrial gene MT-TL1, which encodes UUR, can also cause renal dysfunction and hearing loss. In this study, we reported a young Chinese male presented with proteinuria and renal dysfunction with a morphological presentation of focal segmental glomerulosclerosis (FSGS) with m.3243 A > G mutation in the mitochondria in the mitochondrial gene MT-TL1. We conducted a systematic literature review to summarize previously reported cases. CASE PRESENTATION: A 17-year-old male was admitted to our hospital due to foamy urine that had persisted for three months after an upper respiratory tract infection. He also complained of weakness in both lower extremities, particularly the calves. He had progressive hearing loss and body hair growth in the last two years.His urinalysis revealed 2 + proteinuria and 24-hour urine protein of 0.85 g.His blood tests revealed increased serum creatinine of 2.1 mg/dl, blood urea nitrogen of 36.1 mg/dl, and uric acid of 12.5 mg/dl. His fasting blood glucose was within the normal range of 99 mg/dl. Renal biopsy pathology revealed changes consistent with FSGS.High-power microscopy demonstrated swollen podocytes and an increased number of dysmorphic mitochondria within renal tubular epithelial cells. Consequently, whole-exome sequencing was performed, confirming that both the patient and her mother harbor the m.3243 A > G mutation in the mitochondrial MT-TL1gene.We provide patients with treatments to improve mitochondrial energy synthesis, reduce creatinine production, promote creatinine excretion, and lower uric acid levels.After a 23-month follow-up, renal function remained stable.

conclusionThe UUR gene is an important tRNA gene in mtDNA. Its mutation can lead to mitochondrial dysfunction and cause a variety of diseases.The family history of patients with concurrent ear and renal diseases should be assessed in detail.

Indexed as

Glomerulosclerosis, Focal SegmentalMitochondrial DiseasesNephritis, HereditaryRNA, TransferAdolescentHumansMaleMutationPodocytesProteinuriaRNA, Transfer, LeuMT-TL1 tRNA, humanRNA, TransferRNA, Transfer, LeuMitochondrial genesMitochondria-related nephropathyPodocytopathy

Identifiers

PMID42661185
PMCPMC13520176

What OpenQuestion holds

Textmetadata
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.