Evidence map›Paper›PMID 25250569›Full record

ArticleThe Journal of clinical investigation2014

Mutation of FOXC1 and PITX2 induces cerebral small-vessel disease.

Curtis R French, Sudha Seshadri, Anita L Destefano, Myriam Fornage, Corey R Arnold, Philip J Gage, Jonathan M Skarie, William B Dobyns, Kathleen J Millen, Ting Liu and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 1 pooled it
6.8field-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

77 citing papers in PubMed, 1 synthesis or guideline pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Reactivation of an embryonic cardiac neural crest transcriptional profile during zebrafish heart regeneration.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Cellular heterogeneity and dynamics of the human uterus in healthy premenopausal women.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

17 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

17 authors at 8 institutions in 4 countries.

Curtis R French
Sudha Seshadri
Anita L Destefano
Myriam Fornage
Corey R Arnold
Philip J Gage
Jonathan M Skarie
William B Dobyns
Kathleen J Millen
Ting Liu
William Dietz
Tsutomu Kume
Marten Hofker
Derek J Emery
Sarah J Childs
Andrew J Waskiewicz
Ordan J Lehmann
Northwestern University · USUniversity of Alberta · CAUniversity of Calgary · CABoston University · USLaboratory Imaging (Czechia) · CZMedical College of Wisconsin · USUniversity of Groningen · NLUniversity of Michigan–Ann Arbor · US

Funding

PRECURSORS OF STROKE INCIDENCE AND PROGNOSISR01NS017950 · NINDS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Hugo Javier Aparicio, Jose Rafael Romero · 1985 to 2026
$22.9M
VIVARIUM MODULEP30EY007003 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Antonetti · 1987 to 2026
$17.6M
EPIDEMIOLOGY OF DEMENTIA IN THE FRAMINGHAM STUDYR01AG008122 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA, SESHADRI, SUDHA · 1989 to 2015
$14.4M
Pitx2: Molecular mechanisms in eye development &diseaseR01EY014126 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GAGE, PHILIP J · 2002 to 2020
$6.4M
CHARGE: Identifying Risk & Protective SNV for AD in ADSP Case-control SampleU01AG049505 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI SESHADRI, SUDHA · 2014 to 2017
$3.0M
Congenital brain malformations caused by aberrant head mesenchymal signalingR01NS080390 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI MILLEN, KATHLEEN JOYCE · 2012 to 2016
$2.3M
Mechanisms of anterior segment development and corneal neovascularizationR01EY019484 · NEI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KUME, TSUTOMU · 2010 to 2014
$1.5M
E75 IN THE DEVELOPING DROSOPHILA EYEF31EY007003 · NEI · YALE UNIVERSITY · PI SHILTON, ALYCIA N · 1999 to 2001
$14k
CIHR MOP-114902CIHR MOP-133658NEI NIH HHS EY007003NEI NIH HHS EY014126NEI NIH HHS F31 EY007003NEI NIH HHS P30 EY007003NEI NIH HHS R01 EY014126NEI NIH HHS R01 EY019484NIA NIH HHS R01 AG008122NIA NIH HHS U01 AG049505NINDS NIH HHS R01 NS017950NINDS NIH HHS R01 NS080390
6 · The paper itself

Abstract

Patients with cerebral small-vessel disease (CSVD) exhibit perturbed end-artery function and have an increased risk for stroke and age-related cognitive decline. Here, we used targeted genome-wide association (GWA) analysis and defined a CSVD locus adjacent to the forkhead transcription factor FOXC1. Moreover, we determined that the linked SNPs influence FOXC1 transcript levels and demonstrated that patients as young as 1 year of age with altered FOXC1 function exhibit CSVD. MRI analysis of patients with missense and nonsense mutations as well as FOXC1-encompassing segmental duplication and deletion revealed white matter hyperintensities, dilated perivascular spaces, and lacunar infarction. In a zebrafish model, overexpression or morpholino-induced suppression of foxc1 induced cerebral hemorrhage. Inhibition of foxc1 perturbed platelet-derived growth factor (Pdgf) signaling, impairing neural crest migration and the recruitment of mural cells, which are essential for vascular stability. GWA analysis also linked the FOXC1-interacting transcription factor PITX2 to CSVD, and both patients with PITX2 mutations and murine Pitx2-/- mutants displayed brain vascular phenotypes. Together, these results extend the genetic etiology of stroke and demonstrate an increasing developmental basis for human cerebrovascular disease.

Indexed as

AnimalsCerebral HemorrhageCerebral Small Vessel DiseasesCodon, NonsenseForkhead Transcription FactorsGenetic Predisposition to DiseaseGenome-Wide Association StudyHomeobox Protein PITX2Homeodomain ProteinsHumansLeukoencephalopathiesLinkage DisequilibriumMutation, MissensePlatelet-Derived Growth FactorPolymorphism, Single NucleotideQuantitative Trait LociCodon, NonsenseForkhead Transcription FactorsFOXC1 protein, humanHomeobox Protein PITX2Homeodomain ProteinsPlatelet-Derived Growth FactorTranscription Factors

Identifiers

PMID25250569
PMCPMC4347243
OpenAlexW2164356486

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.