Evidence map›Paper›PMID 15254584›Full record

ArticleThe Journal of clinical investigation2004

Evidence for a critical contribution of haploinsufficiency in the complex pathogenesis of Marfan syndrome.

Daniel P Judge, Nancy J Biery, Douglas R Keene, Jessica Geubtner, Loretha Myers, David L Huso, Lynn Y Sakai, Harry C Dietz

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 240 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
240citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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

240 citing papers in PubMed, 1 synthesis or guideline pooled it, 394 citations in OpenAlex.

  1. Skeletal muscle alterations in Marfan syndrome: a systematic review.Journal of muscle research and cell motility · 2025
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Hypertension drives thoracic aortic aneurysm and dissection in male, but not female, Marfan mice.Journal of the mechanical behavior of biomedical materials · 2026
    Article
  8. Fibronectin-induced overactivation of αNature communications · 2026
    Article
  9. Immune Mechanisms of Heart Valve Development, Homeostasis, and Disease.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  10. Growth arrest of thoracic aortic aneurysms in aging Marfan mice.American journal of physiology. Heart and circulatory physiology · 2026
    Article
  11. Angiotensin II Induces Abdominal Aortic Branch Aneurysms inArteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  12. Article
  13. Review
  14. Pain Hypersensitivity in a Mouse Model of Marfan Syndrome.Antioxidants (Basel, Switzerland) · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

180 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Daniel P JudgeDivision of Cardiology, Johns Hopkins University, Baltimore, Maryland 21205, USA.
Nancy J Biery
Douglas R Keene
Jessica Geubtner
Loretha Myers
David L Huso
Lynn Y Sakai
Harry C Dietz
Johns Hopkins University · USOregon Health & Science University · USHoward Hughes Medical Institute · US

Funding

PROJECT 4: Exploration of Therapeutic Strategies in MarP01AR049698 · NIAMS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI RAMIREZ, FRANCESCO B · 2004 to 2014
$13.9M
MOLECULAR BIOLOGY OF THE MARFAN SYNDROMER01AR041135 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI DIETZ, HARRY C., III · 1992 to 2016
$5.2M
Pathogenesis and Therapy of Marfan Vascular DiseaseK08HL067056 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI JUDGE, DANIEL P · 2003 to 2007
$657k
MENTORING IN MOUSE MOLECULAR PATHOBIOLOGY RESEARCHK26RR000171 · NCRR · JOHNS HOPKINS UNIVERSITY · PI HUSO, DAVID L · 2001 to 2005
$436k
NCRR NIH HHS K26 RR000171NCRR NIH HHS RR-00171NHLBI NIH HHS HL-067056NHLBI NIH HHS K08 HL067056NIAMS NIH HHS AR-049698NIAMS NIH HHS AR-41135NIAMS NIH HHS P01 AR049698NIAMS NIH HHS R01 AR041135
6 · The paper itself

Abstract

Marfan syndrome is a connective tissue disorder caused by mutations in the gene encoding fibrillin-1 (FBN1). A dominant-negative mechanism has been inferred based upon dominant inheritance, mulitimerization of monomers to form microfibrils, and the dramatic paucity of matrix-incorporated fibrillin-1 seen in heterozygous patient samples. Yeast artificial chromosome-based transgenesis was used to overexpress a disease-associated mutant form of human fibrillin-1 (C1663R) on a normal mouse background. Remarkably, these mice failed to show any abnormalities of cellular or clinical phenotype despite regulated overexpression of mutant protein in relevant tissues and developmental stages and direct evidence that mouse and human fibrillin-1 interact with high efficiency. Immunostaining with a human-specific mAb provides what we believe to be the first demonstration that mutant fibrillin-1 can participate in productive microfibrillar assembly. Informatively, use of homologous recombination to generate mice heterozygous for a comparable missense mutation (C1039G) revealed impaired microfibrillar deposition, skeletal deformity, and progressive deterioration of aortic wall architecture, comparable to characteristics of the human condition. These data are consistent with a model that invokes haploinsufficiency for WT fibrillin-1, rather than production of mutant protein, as the primary determinant of failed microfibrillar assembly. In keeping with this model, introduction of a WT FBN1 transgene on a heterozygous C1039G background rescues aortic phenotype.

Indexed as

Gene DosageGenes, DominantAbnormalities, MultipleAdipokinesAllelesAnimalsAortaCardiovascular AbnormalitiesDisease Models, AnimalEpitopesFibrillin-1FibrillinsHumansMarfan SyndromeMiceMice, TransgenicAdipokinesEpitopesFBN1 protein, humanFbn1 protein, mouseFibrillin-1FibrillinsMicrofilament Proteins

Identifiers

PMID15254584
PMCPMC449744
OpenAlexW2136335783

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.