Evidence map›Paper›PMID 27432961›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Loss of function mutation in LOX causes thoracic aortic aneurysm and dissection in humans.

Vivian S Lee, Carmen M Halabi, Erin P Hoffman, Nikkola Carmichael, Ignaty Leshchiner, Christine G Lian, Andrew J Bierhals, Dana Vuzman, Brigham Genomic Medicine, Robert P Mecham and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 3 pooled it
10.1field-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.

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

113 citing papers in PubMed, 3 syntheses or guidelines pooled it, 180 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Guideline
  4. Article
  5. Review
  6. Mechanics and mechanobiology of arterial development.Biomechanics and modeling in mechanobiology · 2026
    Review
  7. Functions of prolyl hydroxylation in elastin.The Journal of biological chemistry · 2026
    Article
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  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. In Search of Mouse Models for Exfoliation Syndrome.American journal of ophthalmology · 2024
    Article
  19. LOXL2 inhibition ameliorates pulmonary artery remodeling in pulmonary hypertension.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  20. Article

53 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

12 authors at 4 institutions in 1 country.

Vivian S LeeDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110;
Carmen M HalabiDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110; Division of Nephrology, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO 63110;
Erin P HoffmanDepartment of Medicine, Division of Genetics, Brigham and Women's Hospital, Boston, MA 02115;
Nikkola CarmichaelDepartment of Medicine, Division of Genetics, Brigham and Women's Hospital, Boston, MA 02115; Harvard Medical School, Boston, MA 02115;
Ignaty LeshchinerDepartment of Medicine, Division of Genetics, Brigham and Women's Hospital, Boston, MA 02115; Harvard Medical School, Boston, MA 02115;
Christine G LianHarvard Medical School, Boston, MA 02115; Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115;
Andrew J BierhalsMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110;
Dana VuzmanDepartment of Medicine, Division of Genetics, Brigham and Women's Hospital, Boston, MA 02115; Harvard Medical School, Boston, MA 02115;
Brigham Genomic Medicine
Robert P MechamDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110;
Natasha Y FrankDepartment of Medicine, Division of Genetics, Brigham and Women's Hospital, Boston, MA 02115; Harvard Medical School, Boston, MA 02115; VA Boston Healthcare System, Boston, MA 02132; nfrank@partners.org nstitziel@wustl.edu.
Nathan O StitzielCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110; Department of Genetics, Washington University School of Medicine, St. Louis, MO 63110; McDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO 63110 nfrank@partners.org nstitziel@wustl.edu.
Brigham and Women's Hospital · USWashington University in St. Louis · USJames S. McDonnell Foundation · USMallinckrodt (United States) · US

Funding

Child Health Research CenterK12HD076224 · NICHD · WASHINGTON UNIVERSITY · PI MARK E. LOWE · 2013 to 2026
$6.2M
Pediatric Cardiovascular and Pulmonary Research Training Program.T32HL125241 · NHLBI · WASHINGTON UNIVERSITY · PI Juliane Bubeck Wardenburg, Kory J. Lavine · 2015 to 2026
$4.1M
ASSEMBLY OF LUNG ELASTINR01HL053325 · NHLBI · WASHINGTON UNIVERSITY · PI MECHAM, ROBERT P. · 1995 to 2019
$3.6M
ANGPTL3 DEFICIENCY AND ATHEROSCLEROSIS IN HUMANSR01HL131961 · NHLBI · WASHINGTON UNIVERSITY · PI STITZIEL, NATHAN OLIVER · 2016 to 2020
$3.2M
VESSEL STIFFENING, HYPERTENSION, AND VASCULAR EXTRACELLULAR MATRIXR01HL105314 · NHLBI · WASHINGTON UNIVERSITY · PI MECHAM, ROBERT P., WAGENSEIL, JESSICA · 2010 to 2018
$3.2M
INTERDISCIPLINARY TRAINING IN MECHANOBIOLOGY FROM NM TO CMT32EB018266 · NIBIB · WASHINGTON UNIVERSITY · PI BAYLY, PHILIP V · 2014 to 2018
$987k
Clinical prioritization of reported disease variants in asymptomatic individualsR00HG007229 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI CASSA, CHRISTOPHER · 2015 to 2017
$747k
Rare coding variation and risk for myocardial infarctionK08HL114642 · NHLBI · WASHINGTON UNIVERSITY · PI STITZIEL, NATHAN OLIVER · 2012 to 2016
$703k
NHGRI NIH HHS R00 HG007229NHLBI NIH HHS K08 HL114642NHLBI NIH HHS R01 HL053325NHLBI NIH HHS R01 HL105314NHLBI NIH HHS R01 HL131961NHLBI NIH HHS T32 HL125241NIBIB NIH HHS T32 EB018266NICHD NIH HHS K12 HD076224
6 · The paper itself

Abstract

Thoracic aortic aneurysms and dissections (TAAD) represent a substantial cause of morbidity and mortality worldwide. Many individuals presenting with an inherited form of TAAD do not have causal mutations in the set of genes known to underlie disease. Using whole-genome sequencing in two first cousins with TAAD, we identified a missense mutation in the lysyl oxidase (LOX) gene (c.893T > G encoding p.Met298Arg) that cosegregated with disease in the family. Using clustered regularly interspaced short palindromic repeats (CRISPR)/clustered regularly interspaced short palindromic repeats-associated protein-9 nuclease (Cas9) genome engineering tools, we introduced the human mutation into the homologous position in the mouse genome, creating mice that were heterozygous and homozygous for the human allele. Mutant mice that were heterozygous for the human allele displayed disorganized ultrastructural properties of the aortic wall characterized by fragmented elastic lamellae, whereas mice homozygous for the human allele died shortly after parturition from ascending aortic aneurysm and spontaneous hemorrhage. These data suggest that a missense mutation in LOX is associated with aortic disease in humans, likely through insufficient cross-linking of elastin and collagen in the aortic wall. Mutation carriers may be predisposed to vascular diseases because of weakened vessel walls under stress conditions. LOX sequencing for clinical TAAD may identify additional mutation carriers in the future. Additional studies using our mouse model of LOX-associated TAAD have the potential to clarify the mechanism of disease and identify novel therapeutics specific to this genetic cause.

Indexed as

Loss of Function MutationAdultAgedAnimalsAortic Aneurysm, ThoracicAortic DissectionBase SequenceDNA Mutational AnalysisFamily HealthFemaleGenetic Predisposition to DiseaseHumansMaleMice, Inbred C57BLMice, KnockoutMiddle AgedProtein-Lysine 6-Oxidaseaortic dissectionCRISPR/Cas9geneticslysyl oxidasewhole-genome sequencing

Identifiers

PMID27432961
PMCPMC4978273
OpenAlexW2501135183

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.