Evidence map›Paper›PMID 26527198›Full record

ArticleHuman genetics2016

Complex inheritance of ABCA4 disease: four mutations in a family with multiple macular phenotypes.

Winston Lee, Yajing Xie, Jana Zernant, Bo Yuan, Srilaxmi Bearelly, Stephen H Tsang, James R Lupski, Rando Allikmets

Open access · greenAbstract readCase Reports
In one paragraph

Article in Human genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

28 citing papers in PubMed, 41 citations in OpenAlex.

  1. Novel and Recurrent Copy Number Variants inInternational journal of molecular sciences · 2024
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  14. Genetic Spectrum ofGenes · 2019
    Article
  15. Prevalence ofInternational journal of molecular sciences · 2019
    Article
  16. Article
  17. Phenotypic expansion illuminates multilocus pathogenic variation.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
  18. Article
  19. Extremely hypomorphic and severe deep intronic variants in theCold Spring Harbor molecular case studies · 2018
    Article
  20. Expanding the Mutation Spectrum inInternational journal of molecular sciences · 2018
    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

8 authors at 2 institutions in 1 country.

Winston LeeDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Yajing XieDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Jana ZernantDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Bo YuanDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Srilaxmi BearellyDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Stephen H TsangDepartment of Ophthalmology, Columbia University, New York, NY, USA.
James R LupskiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Rando AllikmetsDepartment of Ophthalmology, Columbia University, New York, NY, USA. rla22@cumc.columbia.edu.
Columbia University · USBaylor College of Medicine · US

Funding

Baylor-Johns Hopkins Center for Mendelian GeneticsU54HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2012 to 2015
$15.6M
Instrumentation, Fabrication, and Design CoreP30EY019007 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Xin Zhang · 2010 to 2026
$12.9M
Therapeutic approaches for ABCA4-associated disordersR24EY019861 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALLIKMETS, RANDO L · 2011 to 2015
$7.2M
Molecular Basis of Hereditary Retinal DegenerationsR01EY021237 · NEI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AYYAGARI, RADHA · 2011 to 2020
$5.6M
Vision Sciences Training GrantT32EY013933 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Carol A. Mason, CAROL M TROY · 2001 to 2026
$5.3M
Completing genetic analysis of the ABCA4 locusR01EY021163 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALLIKMETS, RANDO L · 2011 to 2014
$2.4M
NEI NIH HHS EY019007NEI NIH HHS EY019861NEI NIH HHS EY021163NEI NIH HHS EY021237NEI NIH HHS P30 EY019007NEI NIH HHS R01 EY021163NEI NIH HHS R01 EY021237NEI NIH HHS R24 EY019861NEI NIH HHS T32 EY013933NHGRI NIH HHS HG0065342NHGRI NIH HHS U54 HG006542
6 · The paper itself

Abstract

Over 800 mutations in the ABCA4 gene cause autosomal recessive Stargardt disease. Due to extensive genetic heterogeneity, observed variant-associated phenotypes can manifest tremendous variability of expression. Furthermore, the high carrier frequency of pathogenic ABCA4 alleles in the general population (~1:20) often results in pseudo-dominant inheritance patterns further complicating the diagnosis and characterization of affected individuals. This study describes a genotype/phenotype analysis of an unusual family with multiple macular disease phenotypes spanning across two generations and segregating four distinct ABCA4 mutant alleles. Complete sequencing of ABCA4 discovered two known missense mutations, p.C54Y and p.G1961E. Array comparative genomic hybridization revealed a large novel deletion combined with a small insertion, c.6148-698_c.6670del/insTGTGCACCTCCCTAG, and complete sequencing of the entire ABCA4 genomic locus uncovered a new deep intronic variant, c.302+68C>T. Patients with the p.G1961E mutation had the mildest, confined maculopathy phenotype with peripheral flecks while those with all other mutant allele combinations exhibited a more advanced stage of generalized retinal and choriocapillaris atrophy. This family epitomizes the clinical and genetic complexity of ABCA4-associated diseases. It contained variants from all classes of mutations, in the coding region, deep intronic, both single nucleotide variants and copy number variants that accounted for varying phenotypes segregating in an apparent dominant fashion. Unequivocally defining disease-associated alleles in the ABCA4 locus requires a multifaceted approach that includes advanced mutation detection methods and a thorough analysis of clinical phenotypes.

Indexed as

MutationPhenotypeAdultAgedATP-Binding Cassette TransportersComparative Genomic HybridizationDNA Copy Number VariationsElectroretinographyFemaleHigh-Throughput Nucleotide SequencingHumansMacula LuteaMacular DegenerationMaleMiddle AgedPedigreeABCA4 protein, humanATP-Binding Cassette Transporters

Identifiers

PMID26527198
PMCPMC4699863
OpenAlexW2464965320

What OpenQuestion holds

Textmetadata
LicenceTDM
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.