Evidence map›Paper›PMID 16443855›Full record

ArticleJournal of medical genetics2006

Mutations of the RET gene in isolated and syndromic Hirschsprung's disease in human disclose major and modifier alleles at a single locus.

L de Pontual, A Pelet, D Trochet, F Jaubert, Y Espinosa-Parrilla, A Munnich, J-F Brunet, C Goridis, J Feingold, S Lyonnet and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical genetics, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. ASSOCIATION OF RS2435357 AND RS1800858 POLYMORPHISMS IN RET PROTO-ONCOGENE WITH HIRSCHSPRUNG DISEASE: SYSTEMATIC REVIEW AND META-ANALYSIS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2019
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Differential expression of FOXA1, DUSP6, and HA117 in colon segments of Hirschsprung's disease.International journal of clinical and experimental pathology · 2015
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Epistasis between RET and BBS mutations modulates enteric innervation and causes syndromic Hirschsprung disease.Proceedings of the National Academy of Sciences of the United States of America · 2009
    Article
  13. Review
  14. Linkage proof for PTPN22, a rheumatoid arthritis susceptibility gene and a human autoimmunity gene.Proceedings of the National Academy of Sciences of the United States of America · 2007
    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

11 authors at 6 institutions in 1 country.

L de PontualUniversité Paris-Descartes, Faculté de Médecine, INSERM, AP-HP, Hôpital Necker-Enfant Malades, INSERM U-393, Paris, France.
A Pelet
D Trochet
F Jaubert
Y Espinosa-Parrilla
A Munnich
J-F Brunet
C Goridis
J Feingold
S Lyonnet
J Amiel
Hôpital Necker-Enfants Malades · FRAssistance Publique – Hôpitaux de Paris · FRInserm · FRUniversité Paris Cité · FRCentre National de la Recherche Scientifique · FRÉcole Normale Supérieure - PSL · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Hirschsprung's disease (HSCR), a hypomorphic allele of a major gene, RET, accounts for most isolated (non-syndromic) cases, along with other autosomal susceptibility loci under a multiplicative model. However, some syndromic forms of HSCR are monogenic entities, for which the disease causing gene is known.

objectiveTo determine whether RET could be considered a modifier gene for the enteric phenotype on the background of a monogenic trait.

methodsThe syndromic HSCR entities studied were congenital central hypoventilation (CCHS) and Mowat-Wilson syndrome (MWS), caused by PHOX2B and ZFHX1B gene mutations, respectively. The RET locus was genotyped in 143 CCHS patients, among whom 44 had HSCR, and in 30 MWS patients, among whom 20 had HSCR. The distribution of alleles, genotypes, and haplotypes was compared within the different groups. To test the interaction in vivo, heterozygous mice were bred for a null allele of Phox2b and Ret genes.

resultsRET was shown to act as a modifier gene for the HSCR phenotype in patients with CCHS but not with MWS. The intestine of double heterozygote mice was indistinguishable from their littermates. A loss of over 50% of each gene function seemed necessary in the mouse model for an enteric phenotype to occur.

conclusionsIn CCHS patients, the weak predisposing haplotype of the RET gene can be regarded as a quantitative trait, being a risk factor for the HSCR phenotype, while in MWS, for which the HSCR penetrance is high, the role of the RET predisposing haplotype is not significant. It seems likely that there are both RET dependent and RET independent HSCR cases.

Indexed as

AllelesMutationAnimalsChromosome MappingDNA Mutational AnalysisFemaleGene FrequencyHaplotypesHirschsprung DiseaseHomeodomain ProteinsHumansMaleMicePedigreePhenotypePolymorphism, Single NucleotideHomeodomain ProteinsNBPhox proteinProto-Oncogene Proteins c-retRET protein, humanTranscription Factors

Identifiers

PMID16443855
PMCPMC2649010
OpenAlexW2172085258

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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.