Evidence map›Paper›PMID 25712131›Full record

ArticleHuman molecular genetics2015

Protein misfolding and the pathogenesis of ABCA4-associated retinal degenerations.

Ning Zhang, Yaroslav Tsybovsky, Alexander V Kolesnikov, Malgorzata Rozanowska, Malgorzata Swider, Sharon B Schwartz, Edwin M Stone, Grazyna Palczewska, Akiko Maeda, Vladimir J Kefalov and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Human molecular genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

70 citing papers in PubMed, 100 citations in OpenAlex.

  1. Article
  2. More insights from Abca4The Journal of biological chemistry · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Dysregulated DNA Methylation inInternational journal of molecular sciences · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Advances and therapeutic opportunities in visual cycle modulation.Progress in retinal and eye research · 2025
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Assessment of ABCA4 Genetic Variants: Current Landscape and Future Prospects.Advances in experimental medicine and biology · 2025
    Review
  19. Article
  20. Article

10 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

13 authors at 5 institutions in 1 country.

Ning ZhangDepartment of Pharmacology and Cleveland Center for Membrane and Structural Biology and.
Yaroslav TsybovskyDepartment of Pharmacology and Cleveland Center for Membrane and Structural Biology and.
Alexander V KolesnikovDepartment of Ophthalmology and Visual Sciences, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8096, Saint Louis, MO 63110, USA.
Malgorzata RozanowskaDepartment of Ophthalmology, School of Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA.
Malgorzata SwiderDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Sharon B SchwartzDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Edwin M StoneDepartment of Ophthalmology, University of Iowa Carver College of Medicine, Iowa City, IA, USA Howard Hughes Medical Institute, Iowa City, IA, USA and.
Grazyna PalczewskaPolgenix, Inc., 11000 Cedar Ave, Suite 260, Cleveland, OH 44106, USA.
Akiko MaedaDepartment of Ophthalmology, School of Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA.
Vladimir J KefalovDepartment of Ophthalmology and Visual Sciences, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8096, Saint Louis, MO 63110, USA.
Samuel G JacobsonDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Artur V CideciyanDepartment of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Krzysztof PalczewskiDepartment of Pharmacology and Cleveland Center for Membrane and Structural Biology and kxp65@case.edu.
Penn Presbyterian Medical Center · USCase Western Reserve University · USHoward Hughes Medical Institute · USPolgenix (United States) · USUniversity of Pennsylvania · US

Funding

TISSUE CULTURE AND HYBRIDOMA MODULEP30EY011373 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI Irina A Pikuleva · 1997 to 2026
$17.7M
STRUCTURAL STUDIES OF ARRESTINSR01EY009339 · NEI · UNIVERSITY OF WASHINGTON · PI KISER, PHILIP DAVID, PALCZEWSKI, KRZYSZTOF · 1992 to 2025
$16.0M
Pharmacological Treatment of Retinal DiseasesR24EY021126 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI PALCZEWSKI, KRZYSZTOF · 2010 to 2014
$12.8M
MECHANISMS OF ADAPTATION IN MAMMALIAN CONESR01EY019312 · NEI · WASHINGTON UNIVERSITY · PI KEFALOV, VLADIMIR JIVKOV · 2009 to 2017
$3.3M
VISUAL CYCLE IN HUMAN PHOTORECEPTOR AND RPE DISEASER01EY013203 · NEI · UNIVERSITY OF PENNSYLVANIA · PI CIDECIYAN, ARTUR V · 2000 to 2012
$2.4M
Reactive ocular aldehyde in degenerative retinal diseasesR01EY022658 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI MAEDA, AKIKO · 2012 to 2016
$1.9M
Subcellular imaging of biochemical processes within human retinaR44AG043645 · NIA · POLGENIX, INC. · PI PALCZEWSKA, GRAZYNA MARTA · 2012 to 2014
$1.9M
Retinal degeneration diseases and the visual retinoid cycleK08EY019031 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI MAEDA, AKIKO · 2008 to 2012
$430k
NEI NIH HHS EY009339NEI NIH HHS EY019312NEI NIH HHS EY021126NEI NIH HHS EY022658NEI NIH HHS EY13203NEI NIH HHS K08EY019031NEI NIH HHS P30 EY011373NEI NIH HHS P30 EY11373NEI NIH HHS R01 EY009339NEI NIH HHS R01 EY019312NIA NIH HHS AG043645
6 · The paper itself

Abstract

Mutations in the ABCA4 gene are a common cause of autosomal recessive retinal degeneration. All mouse models to date are based on knockouts of Abca4, even though the disease is often caused by missense mutations such as the complex allele L541P;A1038V (PV). We now show that the PV mutation causes severe human disease whereas the V mutation alone causes mild disease. Mutant ABCA4 proteins expressed heterologously in mammalian cells retained normal cellular localization. However, basal and all-trans-retinal-stimulated ATPase activities were reduced substantially for P and PV but only mildly for V. Electron microscopy revealed marked structural changes and misfolding for the P and PV mutants but few changes for the V mutant, consistent with the disease severity difference in patients. We generated Abca4(PV/PV) knock-in mice homozygous for the complex PV allele to investigate the effects of this misfolding mutation in vivo. Mutant ABCA4 RNA levels approximated WT ABCA4 RNA levels but, surprisingly, only trace amounts of mutant ABCA4 protein were noted in the retina. RNA sequencing of WT, Abca4(-/-) and Abca4(PV/PV) mice revealed mild gene expression alterations in the retina and RPE. Similar to Abca4(-/-) mice, Abca4(PV/PV) mice showed substantial A2E and lipofuscin accumulation in their RPE cells but no retinal degeneration up to 12 months of age. Thus, rapid degradation of this large misfolded mutant protein in mouse retina caused little detectable photoreceptor degeneration. These findings suggest likely differences in the unfolded protein response between murine and human photoreceptors and support development of therapies directed at increasing this capability in patients.

Indexed as

AdultAge of OnsetAnimalsATP-Binding Cassette TransportersChlorocebus aethiopsCOS CellsDisease ProgressionGene ExpressionGenetic Association StudiesHEK293 CellsHumansMice, 129 StrainMice, Inbred C57BLMice, KnockoutPoint MutationProtein FoldingABCA4 protein, humanATP-Binding Cassette Transporters

Identifiers

PMID25712131
PMCPMC4424957
OpenAlexW2148754072

What OpenQuestion holds

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Registered trials

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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.