Evidence map›Paper›PMID 24212882›Full record

ArticleNature genetics2014

Recessive mutations in a distal PTF1A enhancer cause isolated pancreatic agenesis.

Michael N Weedon, Ines Cebola, Ann-Marie Patch, Sarah E Flanagan, Elisa De Franco, Richard Caswell, Santiago A Rodríguez-Seguí, Charles Shaw-Smith, Candy H-H Cho, Hana Lango Allen and 11 more

Abstract read
In one paragraph

Article in Nature genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 170 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
170citing papers in PubMed, 1 pooled it
25.9field-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

170 citing papers in PubMed, 1 synthesis or guideline pooled it, 315 citations in OpenAlex.

  1. Pooled it
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  11. Neonatal and Syndromic Forms of Diabetes.Current diabetes reports · 2025
    Review
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  15. A RareInternational journal of endocrinology and metabolism · 2025
    Article
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110 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 5 institutions in 2 countries.

Michael N Weedon *Institute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Ines Cebola *Genomic Regulation of Pancreatic Beta-Cells Laboratory, Institut d'Investigacions Biomèdiques August Pi I Sunyer, Spain.
Ann-Marie Patch *Institute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Sarah E FlanaganInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Elisa De FrancoInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Richard CaswellInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Santiago A Rodríguez-SeguíGenomic Regulation of Pancreatic Beta-Cells Laboratory, Institut d'Investigacions Biomèdiques August Pi I Sunyer, Spain.
Charles Shaw-SmithInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Candy H-H ChoWellcome Trust-Medical Research Council Cambridge Stem Cell Institute, Anne McLaren Laboratory for Regenerative Medicine, West Forvie Site, Robinson Way, Cambridge, UK.
Hana Lango AllenInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Jayne Al HoughtonInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Christian L RothSeattle Children's Hospital Research Institute, Seattle, WA 98101, USA.
Rongrong ChenSchool of Biomedical Science, Waterloo Campus, King's College London, London, UK.
Khalid HussainLondon Centre for Paediatric Endocrinology and Metabolism, in partnership with the Great Ormond Street Hospital for Children National Health Service Trust, London, UK.
Phil MarshDiabetes Research Group, Diabetes and Nutritional Sciences Division, School of Medicine, King's College London, London, UK.
Ludovic VallierWellcome Trust-Medical Research Council Cambridge Stem Cell Institute, Anne McLaren Laboratory for Regenerative Medicine, West Forvie Site, Robinson Way, Cambridge, UK.
Anna MurrayInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
International Pancreatic Agenesis Consortium
Sian Ellard *Institute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Jorge Ferrer *Genomic Regulation of Pancreatic Beta-Cells Laboratory, Institut d'Investigacions Biomèdiques August Pi I Sunyer, Spain.
Andrew T Hattersley *Institute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
University of Exeter · GBImperial College London · GBKing's College London · GBSeattle Children's Hospital · USUniversity College London · GB

Funding

Wellcome Trust 079249Wellcome Trust 098395Wellcome Trust 101033
6 · The paper itself

Abstract

The contribution of cis-regulatory mutations to human disease remains poorly understood. Whole-genome sequencing can identify all noncoding variants, yet the discrimination of causal regulatory mutations represents a formidable challenge. We used epigenomic annotation in human embryonic stem cell (hESC)-derived pancreatic progenitor cells to guide the interpretation of whole-genome sequences from individuals with isolated pancreatic agenesis. This analysis uncovered six different recessive mutations in a previously uncharacterized ~400-bp sequence located 25 kb downstream of PTF1A (encoding pancreas-specific transcription factor 1a) in ten families with pancreatic agenesis. We show that this region acts as a developmental enhancer of PTF1A and that the mutations abolish enhancer activity. These mutations are the most common cause of isolated pancreatic agenesis. Integrating genome sequencing and epigenomic annotation in a disease-relevant cell type can thus uncover new noncoding elements underlying human development and disease.

Indexed as

MutationChromosomes, Human, Pair 10Embryonic Stem CellsEnhancer Elements, GeneticEpigenomicsFemaleGenes, RecessiveHumansMalePancreasPancreatic DiseasesPedigreeTranscription Factorstranscription factor PTF1Transcription Factors

Identifiers

PMID24212882
PMCPMC4131753
OpenAlexW1973556785

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.