Evidence map›Paper›PMID 20734336›Full record

ArticleAmerican journal of medical genetics. Part A2010

De novo ACTA2 mutation causes a novel syndrome of multisystemic smooth muscle dysfunction.

Dianna M Milewicz, John R Østergaard, Leena M Ala-Kokko, Nadia Khan, Dorothy K Grange, Roberto Mendoza-Londono, Timothy J Bradley, Ann Haskins Olney, Lesley Adès, Joseph F Maher and 5 more

Abstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 3 pooled it
6.2field-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

125 citing papers in PubMed, 3 syntheses or guidelines pooled it, 266 citations in OpenAlex.

  1. Guideline
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  11. Circulation. Genomic and precision medicine · 2026
    Article
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  14. Review
  15. Article
  16. Article
  17. Immature Acta2Nature communications · 2025
    Article
  18. Article
  19. Article
  20. Review

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

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

15 authors at 9 institutions in 4 countries.

Dianna M MilewiczDepartment of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas 77030, USA. dianna.m.miledwicz@uth.tmc.edu
John R Østergaard
Leena M Ala-Kokko
Nadia Khan
Dorothy K Grange
Roberto Mendoza-Londono
Timothy J Bradley
Ann Haskins Olney
Lesley Adès
Joseph F Maher
Dongchuan Guo
L Maximilian Buja
Dong Kim
James C Hyland
Ellen S Regalado
The University of Texas Health Science Center at Houston · USHospital for Sick Children · CAAarhus University Hospital · DKChildren's Hospital at Westmead · AUStanford University · USThe University of Texas Health Science Center · USThe University of Texas Southwestern Medical Center · USUniversity of Nebraska at Omaha · USWashington University in St. Louis · US

Funding

The Training CoreP50HL083794 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILEWICZ, DIANNA M · 2006 to 2010
$11.3M
Zolmitriptan challenge and human performance testingM01RR002558 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SCHULTZ, STANLEY G · 1985 to 2006
$10.3M
Genetic Predisposition To Thoracic Aortic Aneurysms/DissectionsR01HL109942 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILEWICZ, DIANNA M · 2012 to 2023
$7.5M
Genetic Basis of Aortic Aneurysms/DissectionsR01HL062594 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILEWICZ, DIANNA M · 2002 to 2009
$3.2M
Sequencing Candidate Genes for Hyperplastic VasculomyopathyR21HL091509 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILEWICZ, DIANNA M · 2008 to 2009
$389k
NCRR NIH HHS M01 RR002558NHLBI NIH HHS P50 HL083794NHLBI NIH HHS P50HL083794-01NHLBI NIH HHS R01 HL062594NHLBI NIH HHS R01 HL109942NHLBI NIH HHS R01 HL62594NHLBI NIH HHS R21 HL091509
6 · The paper itself

Abstract

Smooth muscle cells (SMCs) contract to perform many physiological functions, including regulation of blood flow and pressure in arteries, contraction of the pupils, peristalsis of the gut, and voiding of the bladder. SMC lineage in these organs is characterized by cellular expression of the SMC isoform of α-actin, encoded by the ACTA2 gene. We report here on a unique and de novo mutation in ACTA2, R179H, that causes a syndrome characterized by dysfunction of SMCs throughout the body, leading to aortic and cerebrovascular disease, fixed dilated pupils, hypotonic bladder, malrotation, and hypoperistalsis of the gut and pulmonary hypertension.

Indexed as

Mutation, MissenseActinsAdolescentAnimalsAortaAortic AneurysmAortic DissectionCerebrovascular DisordersChildFemaleHumansMaleMiceMuscle, SmoothMuscle, Smooth, VascularMutationACTA2 protein, humanActins

Identifiers

PMID20734336
PMCPMC3573757
OpenAlexW2051889170

What OpenQuestion holds

Textmetadata
LicenceTDM
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.