Evidence map›Paper›PMID 21715346›Full record

ArticleInvestigative ophthalmology & visual science2011

Expansion of the CHN1 strabismus phenotype.

Noriko Miyake, Joseph L Demer, Sherin Shaaban, Caroline Andrews, Wai-Man Chan, Stephen P Christiansen, David G Hunter, Elizabeth C Engle

Open access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. A Treatment Approach in Congenital Fibrosis of Extraocular Muscles.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2023
    Article
  5. Review
  6. Pharmacogenomics and personalized medicine · 2021
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Duane retraction syndrome: causes, effects and management strategies.Clinical ophthalmology (Auckland, N.Z.) · 2017
    Review
  13. Article
  14. Absence of CHN1 in two patients with a bilateral absence of cranial nerves IV and VI.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2015
    Article
  15. Combined bilateral absence of trochlear and abducens nerve.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2014
    Article
  16. Functional magnetic resonance imaging of horizontal rectus muscles in esotropia.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2013
    Article
  17. Article
  18. Review
  19. Review
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

8 authors at 5 institutions in 3 countries.

Noriko MiyakeDepartments of Neurology, Children’s Hospital Boston, Boston, Massachusetts 02115, USA.
Joseph L Demer
Sherin Shaaban
Caroline Andrews
Wai-Man Chan
Stephen P Christiansen
David G Hunter
Elizabeth C Engle
Ophthalmology Associates (United States) · USDoheny Eye Institute · USHoward Hughes Medical Institute · USImaging Center · USMansoura University · EG

Funding

Vision Research Core at UCLAP30EY000331 · NEI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Gregory Darin Field, DAVID S WILLIAMS · 1985 to 2026
$16.8M
BIOMECHANICAL ANALYSIS IN STRABISMUS SURGERYR01EY008313 · NEI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JOSEPH Louis DEMER · 1991 to 2026
$15.0M
MOLECULAR BASIS OF CONGENITAL STRABISMUSR01EY012498 · NEI · CHILDREN'S HOSPITAL BOSTON · PI ENGLE, ELIZABETH C. · 1999 to 2015
$5.3M
Genetic and anatomic basis of the fibrosis syndromesR01EY013583 · NEI · CHILDREN'S HOSPITAL BOSTON · PI ENGLE, ELIZABETH C. · 2001 to 2011
$4.9M
Howard Hughes Medical InstituteNEI NIH HHS EY00331NEI NIH HHS EY08313NEI NIH HHS EY12498NEI NIH HHS EY13583NEI NIH HHS P30 EY000331NEI NIH HHS R01 EY008313NEI NIH HHS R01 EY012498NEI NIH HHS R01 EY013583
6 · The paper itself

Abstract

purposeHyperactivating CHN1 mutations have been described in individuals with Duane retraction syndrome with or without vertical gaze abnormalities. This was a study of five family members with distinctive ocular dysmotility patterns that co-segregated with a novel hyperactivating CHN1 mutation.

methodsParticipating members of a family segregating pleomorphic incomitant strabismus underwent ophthalmic examinations, and several underwent high-resolution magnetic resonance imaging (MRI) of the orbits and brain stem. Participant DNA was extracted and amplified for haplotype analysis encompassing the CHN1 region on chromosome 2q31.1, and mutation analysis of the CHN1 gene, which encodes the Rac-GAP signaling protein α2-chimaerin. In vitro functional studies of the co-inherited mutation were performed, including a Rac-GTP activation assay, quantification of α2-chimaerin translocation, and co-immunoprecipitation.

resultsAll five clinically affected family members exhibited monocular or binocular supraduction deficits, three in the absence of Duane retraction syndrome. MRI in four affected individuals demonstrated small or absent abducens nerves in all four, small oculomotor nerve in one, and small optic nerves in three. Superior oblique muscle volume was also decreased in three of the individuals, supporting trochlear nerve hypoplasia. Strabismus segregated with the CHN1 locus and affected individuals harbored a c.443A>T CHN1 mutation (p.Y148F). In vitro, this novel mutation behaved similarly to previously reported CHN1 mutations underlying familial Duane syndrome, hyperactivating α2-chimaerin by enhancing its dimerization and membrane association and lowering total intracellular Rac-GTP.

conclusionsAnalysis of the current pedigree expands the phenotypic spectrum of hyperactivating CHN1 mutations to include vertical strabismus and supraduction deficits in the absence of Duane retraction syndrome.

Indexed as

Mutation, MissenseAbducens NerveAmino Acid SubstitutionChimerin 1Chromosomes, Human, Pair 2Cranial Nerve DiseasesDNA Mutational AnalysisFemaleGene Expression RegulationGenetic LinkageHumansMagnetic Resonance ImagingMaleOphthalmic NerveOptic NervePedigreeChimerin 1rac GTP-Binding Proteins

Identifiers

PMID21715346
PMCPMC3175992
OpenAlexW1972483333

What OpenQuestion holds

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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.