Evidence map›Paper›PMID 25208612›Full record

ReviewOrphanet journal of rare diseases2014

Sengers syndrome: six novel AGK mutations in seven new families and review of the phenotypic and mutational spectrum of 29 patients.

Alireza Haghighi, Tobias B Haack, Mehnaz Atiq, Hassan Mottaghi, Hamidreza Haghighi-Kakhki, Rani A Bashir, Uwe Ahting, René G Feichtinger, Johannes A Mayr, Agnès Rötig and 10 more

Open access · goldAbstract readReview
In one paragraph

Review in Orphanet journal of rare diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. From the cytosol to the inner membrane: biogenesis of the mitochondrial carrier family.Protein science : a publication of the Protein Society · 2026
    Review
  3. Article
  4. Review
  5. Strabismus in Genetic Syndromes: A Review.Clinical & experimental ophthalmology · 2025
    Review
  6. Review
  7. Review
  8. Article
  9. Mitochondrial DNA depletion syndrome and its cardiac complication.Frontiers in cardiovascular medicine · 2025
    Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Cardiac Involvement in Mitochondrial Disorders.Current heart failure reports · 2023
    Review
  17. Review
  18. Article
  19. Review
  20. 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

20 authors at 15 institutions in 8 countries.

Alireza HaghighiDepartment of Genetics, Harvard Medical School, 77 Ave Louis Pasteur, Boston 02115, MA, USA. haghighi@genetics.med.harvard.edu.
Tobias B Haack
Mehnaz Atiq
Hassan Mottaghi
Hamidreza Haghighi-Kakhki
Rani A Bashir
Uwe Ahting
René G Feichtinger
Johannes A Mayr
Agnès Rötig
Anne-Sophie Lebre
Thomas Klopstock
Andrea Dworschak
Nathan Pulido
Mahmood A Saeed
Nasrollah Saleh-Gohari
Eliska Holzerova
Patrick F Chinnery
Robert W Taylor
Holger Prokisch
Helmholtz Zentrum München · DEParacelsus Medical University · ATAga Khan University · PKHarvard University · USHospital Dr. Gustavo Fricke · CLInstitut des Maladies Génétiques Imagine · FRIslamic Azad University, Mashhad · IRKerman University of Medical Sciences · IRLudwig-Maximilians-Universität München · DEMashhad University of Medical Sciences · IRNewcastle University · GBTechnical University of Munich · DEUniversitätsklinikum Aachen · DEUniversité Paris Cité · FRWellcome Centre for Mitochondrial Research · GB

Funding

Medical Research Council MR/K000608/1Wellcome Trust 096919Wellcome Trust 096919Z/11/ZWellcome Trust 101876
6 · The paper itself

Abstract

backgroundSengers syndrome is an autosomal recessive condition characterized by congenital cataract, hypertrophic cardiomyopathy, skeletal myopathy and lactic acidosis. Mutations in the acylglycerol kinase (AGK) gene have been recently described as the cause of Sengers syndrome in nine families.

methodsWe investigated the clinical and molecular features of Sengers syndrome in seven new families; five families with the severe and two with the milder form.

resultsSequence analysis of AGK revealed compound heterozygous or homozygous predicted loss-of-function mutations in all affected individuals. A total of eight different disease alleles were identified, of which six were novel, homozygous c.523_524delAT (p.Ile175Tyrfs*2), c.424-1G > A (splice site), c.409C > T (p.Arg137*) and c.877 + 3G > T (splice site), and compound heterozygous c.871C > T (p.Gln291*) and c.1035dup (p.Ile346Tyrfs*39). All patients displayed perinatal or early-onset cardiomyopathy and cataract, clinical features pathognomonic for Sengers syndrome. Other common findings included blood lactic acidosis and tachydyspnoea while nystagmus, eosinophilia and cervical meningocele were documented in only either one or two cases. Deficiency of the adenine nucleotide translocator was found in heart and skeletal muscle biopsies from two patients associated with respiratory chain complex I deficiency. In contrast to previous findings, mitochondrial DNA content was normal in both tissues.

conclusionWe compare our findings to those in 21 previously reported AGK mutation-positive Sengers patients, confirming that Sengers syndrome is a clinically recognisable disorder of mitochondrial energy metabolism.

Indexed as

MutationCardiomyopathiesCataractHumansPhenotypePhosphotransferases (Alcohol Group Acceptor)AGK protein, humanPhosphotransferases (Alcohol Group Acceptor)

Identifiers

PMID25208612
PMCPMC4167147
OpenAlexW2149213281

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.