Evidence map›Paper›PMID 23787483›Full record

ArticleChest2013

A mutation in TTF1/NKX2.1 is associated with familial neuroendocrine cell hyperplasia of infancy.

Lisa R Young, Gail H Deutsch, Ronald E Bokulic, Alan S Brody, Lawrence M Nogee

Open access · bronzeAbstract read
In one paragraph

Article in Chest, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Genetic Familial Interstitial Lung Disease.Clinics in chest medicine · 2025
    Review
  4. Article
  5. Review
  6. Interstitial lung disease in the newborn.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
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  9. Review
  10. Article
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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

5 authors at 5 institutions in 1 country.

Lisa R YoungDivision of Pulmonary Medicine, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN; Division of Allergy, Pulmonary and Critical Care, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN.
Gail H DeutschDepartment of Pathology, Seattle Children's Hospital and University of Washington, Seattle, WA.
Ronald E BokulicDivision of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH.
Alan S BrodyDepartment of Radiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH.
Lawrence M NogeeEudowood Neonatal Pulmonary Division, Department of Pediatrics, Johns Hopkins University, Baltimore, MD. Electronic address: lnogee@jhmi.edu.
Cincinnati Children's Hospital Medical Center · USJohns Hopkins University · USUniversity of Cincinnati · USUniversity of Washington · USVanderbilt University · US

Funding

Mechanisms of Pulmonary Fibrosis in Hermansky-Pudlak SyndromeR01HL119503 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI YOUNG, LISA R. · 2013 to 2021
$3.6M
Surfactant protein gene mutations in lung diseaseR01HL054703 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI NOGEE, LAWRENCE M · 2001 to 2011
$2.4M
SP-B GENE MUTATIONS AND NEONATAL LUNG DISEASER29HL054703 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI NOGEE, LAWRENCE M · 1995 to 1999
–
NHLBI NIH HHS HL54703NHLBI NIH HHS R01 HL054703NHLBI NIH HHS R01 HL119503NHLBI NIH HHS R29 HL054703
6 · The paper itself

Abstract

backgroundNeuroendocrine cell hyperplasia of infancy (NEHI) is a childhood diffuse lung disease of unknown etiology. We investigated the mechanism for lung disease in a subject whose clinical, imaging, and lung biopsy specimen findings were consistent with NEHI; the subject's extended family and eight other unrelated patients with NEHI were also investigated.

methodsThe proband's lung biopsy specimen (at age 7 months) and serial CT scans were diagnostic of NEHI. Her mother, an aunt, an uncle, and two first cousins had failure to thrive in infancy and chronic respiratory symptoms that improved with age. Genes associated with autosomal-dominant forms of childhood interstitial lung disease were sequenced.

resultsA heterozygous NKX2.1 mutation was identified in the proband and the four other adult family members with histories of childhood lung disease. The mutation results in a nonconservative amino acid substitution in the homeodomain in a codon extensively conserved through evolution. None of these individuals have thyroid disease or movement disorders. NKX2.1 mutations were not identified by sequence analysis in eight other unrelated subjects with NEHI.

conclusionsThe nature of the mutation and its segregation with disease support that it is disease-causing. Previously reported NKX2.1 mutations have been associated with "brain-thyroid-lung" syndrome and a spectrum of more severe pulmonary phenotypes. We conclude that genetic mechanisms may cause NEHI and that NKX2.1 mutations may result in, but are not the predominant cause of, this phenotype. We speculate that altered expression of NKX2.1 target genes other than those in the surfactant system may be responsible for the pulmonary pathophysiology of NEHI.

Indexed as

MutationAdultDNA-Binding ProteinsFemaleHumansHyperplasiaInfantNeurosecretory SystemsNuclear ProteinsPedigreeProspective StudiesThyroid Nuclear Factor 1Transcription FactorsDNA-Binding ProteinsNuclear ProteinsThyroid Nuclear Factor 1Transcription FactorsTTF1 protein, human

Identifiers

PMID23787483
PMCPMC3787915
OpenAlexW2139236274

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.