Evidence map›Paper›PMID 25674101›Full record

ReviewFrontiers in genetics2015

Hereditary hemorrhagic telangiectasia: genetics and molecular diagnostics in a new era.

Jamie McDonald, Whitney Wooderchak-Donahue, Chad VanSant Webb, Kevin Whitehead, David A Stevenson, Pinar Bayrak-Toydemir

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03910244 (Pomalidomide for the Treatment of Bleeding in Hereditary Hemorrhagic Telangiectasia), which is not on this map. Cited by 169 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed, 3 pooled it
47.8field-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.

NCT03910244 phase2completednot on this mapstarted 2019, after this paper: background citation

Pomalidomide for the Treatment of Bleeding in Hereditary Hemorrhagic Telangiectasia

TypeinterventionalSponsorThe Cleveland ClinicRan2019 to 2023Enrolled145ConditionsTelangiectasia, Hereditary HemorrhagicArmsPomalidomide Oral Product, Placebo oral capsule
3 · Its place in the literature

Who cites it

169 citing papers in PubMed, 3 syntheses or guidelines pooled it, 732 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Spinal arteriovenous fistulae in patients with hereditary hemorrhagic telangiectasia: A case report and systematic review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2016
    Pooled it
  4. Trial
  5. Trial
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  8. Towards precision medicine for brain arteriovenous malformations.The Journal of clinical investigation · 2026
    Review
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  10. Article
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  19. Clinical Phenotypes of a Pediatric Cohort withJournal of clinical medicine · 2025
    Article
  20. Article

109 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

6 authors at 3 institutions in 1 country.

Jamie McDonaldDepartment of Radiology, Hereditary Hemorrhagic Telangiectasia Center, University of Utah Salt Lake City, UT, USA ; Department of Pathology, University of Utah Salt Lake City, UT, USA.
Whitney Wooderchak-DonahueDepartment of Pathology, University of Utah Salt Lake City, UT, USA ; ARUP Institute for Clinical and Experimental Pathology Salt Lake City, UT, USA.
Chad VanSant WebbARUP Institute for Clinical and Experimental Pathology Salt Lake City, UT, USA.
Kevin WhiteheadDepartment of Radiology, Hereditary Hemorrhagic Telangiectasia Center, University of Utah Salt Lake City, UT, USA ; Division of Cardiovascular Medicine, Department of Medicine, University of Utah Salt Lake City, UT, USA ; Program in Molecular Medicine, University of Utah Salt Lake City, UT, USA ; George E. Wahlen Veterans Affairs Medical Center Salt Lake City, UT, USA.
David A StevensonDivision of Medical Genetics, Department of Pediatrics, University of Utah Salt Lake City, UT, USA.
Pinar Bayrak-ToydemirDepartment of Pathology, University of Utah Salt Lake City, UT, USA ; ARUP Institute for Clinical and Experimental Pathology Salt Lake City, UT, USA.
University of Utah · USARUP Institute for Clinical and Experimental PathologyARUP Laboratories (United States) · US

Funding

KRIT1 in Vascular Development and DysfunctionR01NS075168 · NINDS · UNIVERSITY OF UTAH · PI WHITEHEAD, KEVIN J · 2011 to 2015
$1.6M
NINDS NIH HHS R01 NS075168
6 · The paper itself

Abstract

Hereditary hemorrhagic telangiectasia (HHT) is a vascular dysplasia characterized by telangiectases and arteriovenous malformations (AVMs) in particular locations described in consensus clinical diagnostic criteria published in 2000. Two genes in the transforming growth factor-beta (TGF-β) signaling pathway, ENG and ACVRL1, were discovered almost two decades ago, and mutations in these genes have been reported to cause up to 85% of HHT. In our experience, approximately 96% of individuals with HHT have a mutation in these two genes, when published (Curaçao) diagnostic criteria for HHT are strictly applied. More recently, two additional genes in the same pathway, SMAD4 and GDF2, have been identified in a much smaller number of patients with a similar or overlapping phenotype to HHT. Yet families still exist with compelling evidence of a hereditary telangiectasia disorder, but no identifiable mutation in a known gene. Recent availability of whole exome and genome testing has created new opportunities to facilitate gene discovery, identify genetic modifiers to explain clinical variability, and potentially define an increased spectrum of hereditary telangiectasia disorders. An expanded approach to molecular diagnostics for inherited telangiectasia disorders that incorporates a multi-gene next generation sequencing (NGS) HHT panel is proposed.

Indexed as

arteriovenous malformationgeneticsHHTmolecular diagnosticsRendu-Osler-Webertelangiectasia

Identifiers

PMID25674101
PMCPMC4306304
OpenAlexW2067658227

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.