Evidence map›Paper›PMID 24586787›Full record

ArticlePloS one2014

The teratogenic effects of prenatal ethanol exposure are exacerbated by Sonic Hedgehog or GLI2 haploinsufficiency in the mouse.

Henry W Kietzman, Joshua L Everson, Kathleen K Sulik, Robert J Lipinski

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

75 citing papers in PubMed, 124 citations in OpenAlex.

  1. A cell-based Sonic Hedgehog signaling transduction system to identify additive and synergistic chemical interactions.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  2. The Role of the Hedgehog Pathway in Alcohol-Induced Birth Defects.Advances in experimental medicine and biology · 2026
    Review
  3. Article
  4. Article
  5. foxe1 mutant zebrafish show indications of a hypothyroid phenotype and increased sensitivity to ethanol for craniofacial malformations.Developmental dynamics : an official publication of the American Association of Anatomists · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Fetal alcohol spectrum disorders.Nature reviews. Disease primers · 2023
    Review
  11. Article
  12. Article
  13. Review
  14. Gene-alcohol interactions in birth defects.Current topics in developmental biology · 2023
    Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

15 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

4 authors at 2 institutions in 1 country.

Henry W KietzmanThe Bowles Center for Alcohol Studies, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Joshua L EversonThe Bowles Center for Alcohol Studies, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Kathleen K SulikThe Bowles Center for Alcohol Studies, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Robert J LipinskiThe Bowles Center for Alcohol Studies, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America ; Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, Wisconsin, United States of America.
University of North Carolina at Chapel Hill · USUniversity of Wisconsin–Madison · US

Funding

UNC ARC Information/Dissemination CoreP60AA011605 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A Herman · 2003 to 2026
$46.3M
MAGNETIC RESONANCE AND DIFFUSION TENSOR IMAGING OF A MOUSE FASD MODEL U01U01AA017124 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULIK, KATHLEEN K · 2007 to 2011
$1.2M
Imaging and mechanistic analyses of face-brain dysmorphology in a CLP modelR00DE022101 · NIDCR · UNIVERSITY OF WISCONSIN-MADISON · PI LIPINSKI, ROBERT · 2013 to 2015
$725k
Imaging and mechanistic analyses of face-brain dysmorphology in a CLP modelK99DE022101 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIPINSKI, ROBERT · 2012 to 2012
$80k
NIAAA NIH HHS P60 AA011605NIAAA NIH HHS P60-AA011605NIAAA NIH HHS U01 AA017124NIAAA NIH HHS U01-AA017124NIAAA NIH HHS U01-AA0216521NIDCR NIH HHS K99 DE022101NIDCR NIH HHS K99DE022101-A1NIDCR NIH HHS R00 DE022101NIDCR NIH HHS R00DE022101-02
6 · The paper itself

Abstract

Disruption of the Hedgehog signaling pathway has been implicated as an important molecular mechanism in the pathogenesis of fetal alcohol syndrome. In severe cases, the abnormalities of the face and brain that result from prenatal ethanol exposure fall within the spectrum of holoprosencephaly. Single allele mutations in the Hh pathway genes Sonic Hedgehog (SHH) and GLI2 cause holoprosencephaly with extremely variable phenotypic penetrance in humans. Here, we tested whether mutations in these genes alter the frequency or severity of ethanol-induced dysmorphology in a mouse model. Timed pregnancies were established by mating Shh(+/-) or Gli2(+/-) male mice backcrossed to C57BL/6J strain, with wildtype females. On gestational day 7, dams were treated with two i.p. doses of 2.9 g/kg ethanol (or vehicle alone), administered four hrs apart. Fetuses were then genotyped and imaged, and the severity of facial dysmorphology was assessed. Following ethanol exposure, mean dysmorphology scores were increased by 3.2- and 6.6-fold in Shh(+/-) and Gli2(+/-) groups, respectively, relative to their wildtype littermates. Importantly, a cohort of heterozygous fetuses exhibited phenotypes not typically produced in this model but associated with severe holoprosencephaly, including exencephaly, median cleft lip, otocephaly, and proboscis. As expected, a correlation between the severity of facial dysmorphology and medial forebrain deficiency was observed in affected animals. While Shh(+/-) and Gli2(+/-) mice have been described as phenotypically normal, these results illustrate a functional haploinsufficiency of both genes in combination with ethanol exposure. By demonstrating an interaction between specific genetic and environmental risk factors, this study provides important insights into the multifactorial etiology and complex pathogenesis of fetal alcohol syndrome and holoprosencephaly.

Indexed as

AnimalsCrosses, GeneticEthanolFemaleFetal Alcohol Spectrum DisordersGenotypeHedgehog ProteinsHoloprosencephalyKruppel-Like Transcription FactorsMaleMiceMice, Inbred C57BLMice, KnockoutMutationPregnancyProsencephalonEthanolGli2 protein, mouseHedgehog ProteinsKruppel-Like Transcription FactorsZinc Finger Protein Gli2

Identifiers

PMID24586787
PMCPMC3929747
OpenAlexW2030506448

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.