Evidence map›Paper›PMID 23954164›Full record

ArticleAmerican journal of human genetics2013

Whole-genome sequencing uncovers the genetic basis of chronic mountain sickness in Andean highlanders.

Dan Zhou, Nitin Udpa, Roy Ronen, Tsering Stobdan, Junbin Liang, Otto Appenzeller, Huiwen W Zhao, Yi Yin, Yuanping Du, Lixia Guo and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 2% 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

81 citing papers in PubMed, 1 synthesis or guideline pooled it, 138 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Exploring the genetic footprints of high altitude adapted humans and livestock.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Review
  4. Review
  5. Advances in Understanding Adaptive Hemoglobin Concentration at High Altitude.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  6. Article
  7. Chasing genes at high-altitude.Experimental physiology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Altitude illnesses.Nature reviews. Disease primers · 2024
    Review
  14. Article
  15. Article
  16. FunctionalScience advances · 2024
    Article
  17. Review
  18. Review
  19. Review
  20. Article

21 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

26 authors at 4 institutions in 2 countries.

Dan ZhouDivision of Respiratory Medicine, Department of Pediatrics, University of California-San Diego, La Jolla, CA 92093, USA.
Nitin Udpa
Roy Ronen
Tsering Stobdan
Junbin Liang
Otto Appenzeller
Huiwen W Zhao
Yi Yin
Yuanping Du
Lixia Guo
Rui Cao
Yu Wang
Xin Jin
Chen Huang
Wenlong Jia
Dandan Cao
Guangwu Guo
Jorge L Gamboa
Francisco Villafuerte
David Callacondo
Jin Xue
Siqi Liu
Kelly A Frazer
Yingrui Li
Vineet Bafna
Gabriel G Haddad
University of California San Diego · USUniversidad Peruana Cayetano Heredia · PEMarathon Oil (United States) · USVanderbilt University Medical Center · US

Funding

iDASH: Integrating Data for Analysis, Anonymization, and SharingU54HL108460 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI OHNO-MACHADO, LUCILA · 2010 to 2015
$19.1M
THE IMPACT OF HYPOXIA ON DEVELOPMENT AND REMODELING OF CARDIC INTERCALATED DISKP01HD032573 · NICHD · YALE UNIVERSITY · PI KASHGARIAN, MICHAEL · 1995 to 2009
$12.1M
Systems Biology CoreP01HL098053 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI POWELL, FRANK L. · 2010 to 2014
$10.2M
Algorithmic strategies for detecting structural variation in genomesR01HG004962 · NHGRI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BAFNA, VINEET · 2009 to 2012
$1.3M
Mitochondrial Dysfunction in Chronic Kidney DiseaseK23DK100533 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GAMBOA, JORGE LUIS · 2013 to 2017
$763k
NHGRI NIH HHS 5R01-HG004962NHGRI NIH HHS R01 HG004962NHLBI NIH HHS 1P01HL098053NHLBI NIH HHS P01 HL098053NHLBI NIH HHS U54 HL108460NICHD NIH HHS 5P01HD32573NICHD NIH HHS P01 HD032573NIDDK NIH HHS K23 DK100533
6 · The paper itself

Abstract

The hypoxic conditions at high altitudes present a challenge for survival, causing pressure for adaptation. Interestingly, many high-altitude denizens (particularly in the Andes) are maladapted, with a condition known as chronic mountain sickness (CMS) or Monge disease. To decode the genetic basis of this disease, we sequenced and compared the whole genomes of 20 Andean subjects (10 with CMS and 10 without). We discovered 11 regions genome-wide with significant differences in haplotype frequencies consistent with selective sweeps. In these regions, two genes (an erythropoiesis regulator, SENP1, and an oncogene, ANP32D) had a higher transcriptional response to hypoxia in individuals with CMS relative to those without. We further found that downregulating the orthologs of these genes in flies dramatically enhanced survival rates under hypoxia, demonstrating that suppression of SENP1 and ANP32D plays an essential role in hypoxia tolerance. Our study provides an unbiased framework to identify and validate the genetic basis of adaptation to high altitudes and identifies potentially targetable mechanisms for CMS treatment.

Indexed as

Sequence Analysis, DNAAdultAltitude SicknessAnimalsChronic DiseaseDown-RegulationDrosophila melanogasterFemaleGenetic Association StudiesGenetics, PopulationGenome, HumanGenomicsHumansHypoxiaMalePeru

Identifiers

PMID23954164
PMCPMC3769925
OpenAlexW2039761027

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.