Evidence map›Paper›PMID 25847705›Full record

ArticleAmerican journal of medical genetics. Part A2015

The ACVRL1 c.314-35A>G polymorphism is associated with organ vascular malformations in hereditary hemorrhagic telangiectasia patients with ENG mutations, but not in patients with ACVRL1 mutations.

Ludmila Pawlikowska, Jeffrey Nelson, Diana E Guo, Charles E McCulloch, Michael T Lawton, William L Young, Helen Kim, Marie E Faughnan, Brain Vascular Malformation Consortium HHT Investigator Group

Open access · greenAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Brain AVM compactness score in children with hereditary hemorrhagic telangiectasia.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  2. Article
  3. A novel frameshift mutation of the endoglin(ENG) gene causes hereditary hemorrhagic telangiectasia in a Chinese family.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  4. Article
  5. Childhood stroke.Nature reviews. Disease primers · 2022
    Review
  6. Article
  7. Review
  8. Article
  9. Genotype-Phenotype Correlations in Children with HHT.Journal of clinical medicine · 2020
    Article
  10. [Gene identification in a family of hereditary hemorrhagic telangiectasia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2018
    Article
  11. Article
  12. Observational
  13. Genome-wide association study of sporadic brain arteriovenous malformations.Journal of neurology, neurosurgery, and psychiatry · 2016
    Article
  14. Review
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

9 authors at 3 institutions in 3 countries.

Ludmila PawlikowskaDepartment of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, University of California, San Francisco, California.
Jeffrey NelsonDepartment of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, University of California, San Francisco, California.
Diana E GuoDepartment of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, University of California, San Francisco, California.
Charles E McCullochDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California.
Michael T LawtonDepartment of Neurological Surgery, University of California, San Francisco, California.
William L YoungDepartment of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, University of California, San Francisco, California.
Helen KimDepartment of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, University of California, San Francisco, California.
Marie E FaughnanDivision of Respirology, Department of Medicine and Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Brain Vascular Malformation Consortium HHT Investigator Group
University of California, San Francisco · USNeurological Surgery · USSt Michael's Hospital · GB

Funding

VCRC Administration UnitU54NS065705 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KIM, HELEN · 2009 to 2023
$20.8M
NINDS NIH HHS U54 NS065705
6 · The paper itself

Abstract

Hereditary hemorrhagic telangiectasia (HHT) is characterized by vascular malformations (VMs) and caused by mutations in TGFβ/BMP9 pathway genes, most commonly ENG or ACVRL1. Patients with HHT have diverse manifestations related to skin and mucosal telangiectases and organ VMs, including arteriovenous malformations (AVM). The clinical heterogeneity of HHT suggests a role for genetic modifiers. We hypothesized that the ACVRL1 c.314-35A>G and ENG c.207G>A polymorphisms, previously associated with sporadic brain AVM, are associated with organ VM in HHT. We genotyped these variants in 716 patients with HHT and evaluated association of genotype with presence of any organ VM, and specifically with brain VM, liver VM and pulmonary AVM, by multivariate logistic regression analyses stratified by HHT mutation. Among all patients with HHT, neither polymorphism was significantly associated with presence of any organ VM; ACVRL1 c.314-35A>G showed a trend toward association with pulmonary AVM (OR = 1.48, P = 0.062). ACVRL1 c.314-35A>G was significantly associated with any VM among patients with HHT with ENG (OR = 2.66, P = 0.022), but not ACVRL1 (OR = 0.79, P = 0.52) mutations. ACVRL1 c.314-35A>G was also associated with pulmonary AVM and liver VM among ENG mutation heterozygotes. There were no significant associations between ENG c.207G>A and any VM phenotype. These results suggest that common polymorphisms in HHT genes other than the mutated gene modulate phenotype severity of HHT disease, specifically presence of organ VM.

Indexed as

MutationPolymorphism, Single NucleotideActivin Receptors, Type IIAdultAgedAntigens, CDBrainEndoglinFemaleGene ExpressionHeterozygoteHumansLiverLogistic ModelsMaleMiddle AgedActivin Receptors, Type IIACVRL1 protein, humanAntigens, CDEndoglinENG protein, humanReceptors, Cell Surfacearteriovenous malformationgenetic modifierhereditary hemorrhagic telangiectasiaphenotypevascular malformation

Identifiers

PMID25847705
PMCPMC4449292
OpenAlexW2069374155

What OpenQuestion holds

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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.