Evidence map›Paper›PMID 23913001›Full record

ArticleNature genetics2013

Somatic and germline CACNA1D calcium channel mutations in aldosterone-producing adenomas and primary aldosteronism.

Ute I Scholl, Gerald Goh, Gabriel Stölting, Regina Campos de Oliveira, Murim Choi, John D Overton, Annabelle L Fonseca, Reju Korah, Lee F Starker, John W Kunstman and 18 more

Abstract read
In one paragraph

Article in Nature genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 320 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
320citing papers in PubMed, 1 pooled it
34.3field-weighted citation impact, top 1% 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

320 citing papers in PubMed, 1 synthesis or guideline pooled it, 607 citations in OpenAlex.

  1. Pooled it
  2. Evaluation of Aldosterone Suppression by Cinnarizine, a Putative Cav1.3 Inhibitor.The Journal of clinical endocrinology and metabolism · 2025
    Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Identification of novel functional sites in the CaProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  10. Article
  11. PASNA syndrome with overlappingJCEM case reports · 2026
    Article
  12. Primary aldosteronism.Nature reviews. Disease primers · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. The genetics of hypertension.Nature reviews. Nephrology · 2026
    Review
  19. Review
  20. Article

260 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

28 authors at 9 institutions in 3 countries.

Ute I SchollDepartment of Genetics, Yale University School of Medicine, New Haven, Connecticut, USA.
Gerald Goh
Gabriel Stölting
Regina Campos de Oliveira
Murim Choi
John D Overton
Annabelle L Fonseca
Reju Korah
Lee F Starker
John W Kunstman
Manju L Prasad
Erum A Hartung
Nelly Mauras
Matthew R Benson
Tammy Brady
Jay R Shapiro
Erin Loring
Carol Nelson-Williams
Steven K Libutti
Shrikant Mane
Per Hellman
Gunnar Westin
Göran Åkerström
Peyman Björklund
Tobias Carling
Christoph Fahlke
Patricia Hidalgo
Richard P Lifton
Yale University · USUppsala University · SEForschungszentrum Jülich · DENemours Children's Clinic · USAlbert Einstein College of Medicine · USChildren's Hospital of Philadelphia · USHoward Hughes Medical Institute · USKennedy Krieger Institute · USMedizinische Hochschule Hannover · DE

Funding

Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S. · 2008 to 2022
$16.8M
Yale Center for Mendelian DisordersU54HG006504 · NHGRI · YALE UNIVERSITY · PI GERSTEIN, MARK BENDER, GUNEL, MURAT · 2012 to 2015
$11.0M
Howard Hughes Medical InstituteNHGRI NIH HHS 5U54HG006504NHGRI NIH HHS U54 HG006504NIDDK NIH HHS P30 DK079310
6 · The paper itself

Abstract

Adrenal aldosterone-producing adenomas (APAs) constitutively produce the salt-retaining hormone aldosterone and are a common cause of severe hypertension. Recurrent mutations in the potassium channel gene KCNJ5 that result in cell depolarization and Ca(2+) influx cause ∼40% of these tumors. We identified 5 somatic mutations (4 altering Gly403 and 1 altering Ile770) in CACNA1D, encoding a voltage-gated calcium channel, among 43 APAs without mutated KCNJ5. The altered residues lie in the S6 segments that line the channel pore. Both alterations result in channel activation at less depolarized potentials; Gly403 alterations also impair channel inactivation. These effects are inferred to cause increased Ca(2+) influx, which is a sufficient stimulus for aldosterone production and cell proliferation in adrenal glomerulosa. We also identified de novo germline mutations at identical positions in two children with a previously undescribed syndrome featuring primary aldosteronism and neuromuscular abnormalities. These findings implicate gain-of-function Ca(2+) channel mutations in APAs and primary aldosteronism.

Indexed as

Germ-Line MutationMutationAdrenal Cortex NeoplasmsAdrenocortical AdenomaAldosteroneAmino Acid SequenceCalcium Channels, L-TypeCell LineChildChild, PreschoolFemaleHumansHyperaldosteronismMaleMolecular Sequence DataPedigreeAldosteroneCACNA1D protein, humanCalcium Channels, L-Type

Identifiers

PMID23913001
PMCPMC3876926
OpenAlexW1967440935

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.