Evidence map›Paper›PMID 25983245›Full record

ArticleAmerican journal of human genetics2015

Biallelic mutations in the autophagy regulator DRAM2 cause retinal dystrophy with early macular involvement.

Mohammed E El-Asrag, Panagiotis I Sergouniotis, Martin McKibbin, Vincent Plagnol, Eamonn Sheridan, Naushin Waseem, Zakia Abdelhamed, Declan McKeefry, Kristof Van Schil, James A Poulter and 9 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in American journal of human genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Effects of subtenon-injected autologous platelet-rich plasma on visual functions in eyes with retinitis pigmentosa: preliminary clinical results.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2018
    Trial
  4. Article
  5. Article
  6. Progressive Cone Dystrophy and Cone-Rod Dystrophy.Advances in experimental medicine and biology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Integration of human stem cell-derivedFrontiers in cell and developmental biology · 2023
    Article
  13. The Clinical Spectrum and Disease Course of DRAM2 Retinopathy.International journal of molecular sciences · 2022
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Identification of a novel homozygousAmerican journal of ophthalmology case reports · 2020
    Article
  20. Article
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

19 authors at 8 institutions in 4 countries.

Mohammed E El-AsragSection of Ophthalmology and Neuroscience, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds LS9 7TF, UK; Department of Zoology, Faculty of Science, Benha University, 13511 Benha, Egypt.
Panagiotis I SergouniotisUCL Institute of Ophthalmology, University College London, London EC1V 9EL, UK; Institute of Human Development, Faculty of Medical and Human Sciences, University of Manchester, Manchester M13 9WL, UK.
Martin McKibbinDepartment of Ophthalmology, St. James's University Hospital, Leeds LS9 7TF, UK.
Vincent PlagnolUCL Genetics Institute, University College London, London WC1E 6BT, UK.
Eamonn SheridanYorkshire Regional Genetics Service, St. James's University Hospital, Leeds LS9 7TF, UK.
Naushin WaseemUCL Institute of Ophthalmology, University College London, London EC1V 9EL, UK.
Zakia AbdelhamedSection of Ophthalmology and Neuroscience, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds LS9 7TF, UK.
Declan McKeefryBradford School of Optometry and Visual Science, University of Bradford, Bradford BD7 1DP, UK.
Kristof Van SchilCenter for Medical Genetics, Ghent University Hospital, 9000 Ghent, Belgium.
James A PoulterSection of Ophthalmology and Neuroscience, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds LS9 7TF, UK.
UK Inherited Retinal Disease Consortium
Colin A JohnsonSection of Ophthalmology and Neuroscience, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds LS9 7TF, UK.
Ian M CarrSection of Ophthalmology and Neuroscience, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds LS9 7TF, UK.
Bart P LeroyCenter for Medical Genetics, Ghent University Hospital, 9000 Ghent, Belgium; Department of Ophthalmology, Ghent University Hospital, 9000 Ghent, Belgium; Division of Ophthalmology, The Children's Hospital of Philadelphia, PA 19104, USA.
Elfride De BaereCenter for Medical Genetics, Ghent University Hospital, 9000 Ghent, Belgium.
Chris F InglehearnSection of Ophthalmology and Neuroscience, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds LS9 7TF, UK.
Andrew R WebsterUCL Institute of Ophthalmology, University College London, London EC1V 9EL, UK; Moorfields Eye Hospital, London EC1V 2PD, UK.
Carmel ToomesSection of Ophthalmology and Neuroscience, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds LS9 7TF, UK. Electronic address: c.toomes@leeds.ac.uk.
Manir AliSection of Ophthalmology and Neuroscience, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds LS9 7TF, UK. Electronic address: m.ali@leeds.ac.uk.
University of Leeds · GBGhent University Hospital · BESt James's University Hospital · GBUniversity College London · GBChildren's Hospital of Philadelphia · USMoorfields Eye Hospital NHS Foundation Trust · GBUniversity of Bradford · GBUniversity of Manchester · GB

Funding

Medical Research Council MR/L01629X/1
6 · The paper itself

Abstract

Retinal dystrophies are an overlapping group of genetically heterogeneous conditions resulting from mutations in more than 250 genes. Here we describe five families affected by an adult-onset retinal dystrophy with early macular involvement and associated central visual loss in the third or fourth decade of life. Affected individuals were found to harbor disease-causing variants in DRAM2 (DNA-damage regulated autophagy modulator protein 2). Homozygosity mapping and exome sequencing in a large, consanguineous British family of Pakistani origin revealed a homozygous frameshift variant (c.140delG [p.Gly47Valfs(∗)3]) in nine affected family members. Sanger sequencing of DRAM2 in 322 unrelated probands with retinal dystrophy revealed one European subject with compound heterozygous DRAM2 changes (c.494G>A [p.Trp165(∗)] and c.131G>A [p.Ser44Asn]). Inspection of previously generated exome sequencing data in unsolved retinal dystrophy cases identified a homozygous variant in an individual of Indian origin (c.64_66del [p.Ala22del]). Independently, a gene-based case-control association study was conducted via an exome sequencing dataset of 18 phenotypically similar case subjects and 1,917 control subjects. Using a recessive model and a binomial test for rare, presumed biallelic, variants, we found DRAM2 to be the most statistically enriched gene; one subject was a homozygote (c.362A>T [p.His121Leu]) and another a compound heterozygote (c.79T>C [p.Tyr27His] and c.217_225del [p.Val73_Tyr75del]). DRAM2 encodes a transmembrane lysosomal protein thought to play a role in the initiation of autophagy. Immunohistochemical analysis showed DRAM2 localization to photoreceptor inner segments and to the apical surface of retinal pigment epithelial cells where it might be involved in the process of photoreceptor renewal and recycling to preserve visual function.

Indexed as

AdultBase SequenceExomeHomozygoteHumansImmunohistochemistryMacular DegenerationMembrane ProteinsMolecular Sequence DataMutationPakistanPedigreeRetinal DystrophiesSequence Analysis, DNAUnited KingdomDRAM2 protein, humanMembrane Proteins

Identifiers

PMID25983245
PMCPMC4457961
OpenAlexW1744232840

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.