Evidence map›Paper›PMID 23284286›Full record

ArticlePLoS genetics2012

Insertion/deletion polymorphisms in the ΔNp63 promoter are a risk factor for bladder exstrophy epispadias complex.

Simon Wilkins, Ke Wei Zhang, Istiak Mahfuz, Renaud Quantin, Nancy D'Cruz, John Hutson, Michael Ee, Darius Bagli, Karen Aitken, Fion Nga-Yin Fong and 9 more

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Mutations Upstream of ppp2ca Affect Body Weight in Asian Seabass.Marine biotechnology (New York, N.Y.) · 2025
    Article
  3. Ventral body wall closure: Mechanistic insights from mouse models and translation to human pathology.Developmental dynamics : an official publication of the American Association of Anatomists · 2025
    Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Role of the LF-SINE-Derived DistalJournal of pediatric genetics · 2017
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Genetics of human congenital urinary bladder disease.Pediatric nephrology (Berlin, Germany) · 2014
    Review
  16. Modern management of the exstrophy-epispadias complex.Surgery research and practice · 2014
    Review
  17. 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

19 authors at 10 institutions in 6 countries.

Simon WilkinsMonash Institute of Medical Research, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Melbourne, Australia. simon.wilkins@monash.edu
Ke Wei Zhang
Istiak Mahfuz
Renaud Quantin
Nancy D'Cruz
John Hutson
Michael Ee
Darius Bagli
Karen Aitken
Fion Nga-Yin Fong
Patrick Kwok-Shing Ng
Stephen Kwok-Wing Tsui
Wendy Yin-Wan Fung
Tahmina Banu
Atul Thakre
Kaid Johar
Enrique Jaureguizar
Long Li
Wei Cheng
Chinese University of Hong Kong · CNMonash University · AUAhmedabad Civil Hospital · INMonash Institute of Medical Research · AUUniversity of Toronto · CACapital Institute of Pediatrics · CNChittagong Medical College · BDHospital Universitario La Paz · ESRoyal Hobart Hospital · AUUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bladder exstrophy epispadias complex (BEEC) is a severe congenital anomaly; however, the genetic and molecular mechanisms underlying the formation of BEEC remain unclear. TP63, a member of TP53 tumor suppressor gene family, is expressed in bladder urothelium and skin over the external genitalia during mammalian development. It plays a role in bladder development. We have previously shown that p63(-/-) mouse embryos developed a bladder exstrophy phenotype identical to human BEEC. We hypothesised that TP63 is involved in human BEEC pathogenesis. RNA was extracted from BEEC foreskin specimens and, as in mice, ΔNp63 was the predominant p63 isoform. ΔNp63 expression in the foreskin and bladder epithelium of BEEC patients was reduced. DNA was sequenced from 163 BEEC patients and 285 ethnicity-matched controls. No exon mutations were detected. Sequencing of the ΔNp63 promoter showed 7 single nucleotide polymorphisms and 4 insertion/deletion (indel) polymorphisms. Indel polymorphisms were associated with an increased risk of BEEC. Significantly the sites of indel polymorphisms differed between Caucasian and non-Caucasian populations. A 12-base-pair deletion was associated with an increased risk with only Caucasian patients (p = 0.0052 Odds Ratio (OR) = 18.33), whereas a 4-base-pair insertion was only associated with non-Caucasian patients (p = 0.0259 OR = 4.583). We found a consistent and statistically significant reduction in transcriptional efficiencies of the promoter sequences containing indel polymorphisms in luciferase assays. These findings suggest that indel polymorphisms of the ΔNp63 promoter lead to a reduction in p63 expression, which could lead to BEEC.

Indexed as

Bladder ExstrophyEpispadiasPromoter Regions, GeneticTranscription FactorsTumor Suppressor ProteinsAnimalsFemaleGene Expression RegulationHumansINDEL MutationMiceMutagenesis, InsertionalPolymorphism, GeneticTP63 protein, humanTranscription FactorsTumor Suppressor Proteins

Identifiers

PMID23284286
PMCPMC3527294
OpenAlexW2004374245

What OpenQuestion holds

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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 OpenQuestion graph.