Evidence map›Paper›PMID 23974870›Full record

ArticleNature genetics2013

Defining the disease liability of variants in the cystic fibrosis transmembrane conductance regulator gene.

Patrick R Sosnay, Karen R Siklosi, Fredrick Van Goor, Kyle Kaniecki, Haihui Yu, Neeraj Sharma, Anabela S Ramalho, Margarida D Amaral, Ruslan Dorfman, Julian Zielenski and 11 more

Open access · greenAbstract 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 299 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
299citing papers in PubMed, 2 pooled it
42.6field-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

299 citing papers in PubMed, 2 syntheses or guidelines pooled it, 619 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
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  6. Article
  7. Article
  8. Review
  9. Article
  10. CFTR mediates ClNature communications · 2026
    Article
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  13. Review
  14. Article
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239 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

21 authors at 13 institutions in 6 countries.

Patrick R Sosnay1] Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA. [2] Perdana University Graduate School of Medicine, Serdang, Malaysia. [3] McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Karen R Siklosi
Fredrick Van Goor
Kyle Kaniecki
Haihui Yu
Neeraj Sharma
Anabela S Ramalho
Margarida D Amaral
Ruslan Dorfman
Julian Zielenski
David L Masica
Rachel Karchin
Linda Millen
Philip J Thomas
George P Patrinos
Mary Corey
Michelle H Lewis
Johanna M Rommens
Carlo Castellani
Christopher M Penland
Garry R Cutting
Hospital for Sick Children · CAJohns Hopkins University · USThe University of Texas Southwestern Medical Center · USVertex Pharmaceuticals (United States) · USAzienda Ospedaliera Universitaria Integrata Verona · ITColumbia University · USCystic Fibrosis Foundation · USJohns Hopkins Berman Institute of Bioethics · USJohns Hopkins Medicine · USNational Institute of Health Dr. Ricardo Jorge · PTPerdana University · MYUniversity of Lisbon · PTUniversity of Patras · GR

Funding

MOLECULAR GENETICS OF CYSTIC FIBROSISR01DK044003 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Garry R Cutting · 1991 to 2026
$6.7M
Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
Molecular Genetics of Cystic FibrosisR37DK044003 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CUTTING, GARRY R · 2003 to 2012
$3.9M
DEVELOPMENT OF MEMBRANE PROTEIN STRUCTURER37DK049835 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI THOMAS, PHILIP J · 2008 to 2017
$3.6M
Development of Membrane Protein StructureR01DK049835 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI THOMAS, PHILIP J · 1996 to 2007
$2.1M
NHLBI NIH HHS T32 HL072748NIDDK NIH HHS 5R37DK044003NIDDK NIH HHS DK49835NIDDK NIH HHS R01 DK044003NIDDK NIH HHS R01 DK049835NIDDK NIH HHS R37 DK044003NIDDK NIH HHS R37 DK049835
6 · The paper itself

Abstract

Allelic heterogeneity in disease-causing genes presents a substantial challenge to the translation of genomic variation into clinical practice. Few of the almost 2,000 variants in the cystic fibrosis transmembrane conductance regulator gene CFTR have empirical evidence that they cause cystic fibrosis. To address this gap, we collected both genotype and phenotype data for 39,696 individuals with cystic fibrosis in registries and clinics in North America and Europe. In these individuals, 159 CFTR variants had an allele frequency of ł0.01%. These variants were evaluated for both clinical severity and functional consequence, with 127 (80%) meeting both clinical and functional criteria consistent with disease. Assessment of disease penetrance in 2,188 fathers of individuals with cystic fibrosis enabled assignment of 12 of the remaining 32 variants as neutral, whereas the other 20 variants remained of indeterminate effect. This study illustrates that sourcing data directly from well-phenotyped subjects can address the gap in our ability to interpret clinically relevant genomic variation.

Indexed as

Cystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorFemaleGene FrequencyGenotypeHumansMalePhenotypeCFTR protein, humanCystic Fibrosis Transmembrane Conductance Regulator

Identifiers

PMID23974870
PMCPMC3874936
OpenAlexW1990725675

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.