Evidence map›Paper›PMID 29255988›Full record

ArticlePituitary2018

Genetic screening of regulatory regions of pituitary transcription factors in patients with idiopathic pituitary hormone deficiencies.

Melitza Elizabeth, Anita C S Hokken-Koelega, Joyce Schuilwerve, Robin P Peeters, Theo J Visser, Laura C G de Graaff

Open access · hybridAbstract read
In one paragraph

Article in Pituitary, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Mutations Within the Transcription FactorJournal of clinical research in pediatric endocrinology · 2020
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. A Large PROP1 Gene Deletion in a Turkish Pedigree.Case reports in endocrinology · 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

6 authors at 2 institutions in 1 country.

Melitza ElizabethDutch Growth Research Foundation, Rotterdam, The Netherlands.
Anita C S Hokken-KoelegaDutch Growth Research Foundation, Rotterdam, The Netherlands.
Joyce SchuilwerveInternal Medicine, Subdivision Endocrinology, Erasmus MC Rotterdam, Rotterdam, The Netherlands.
Robin P PeetersInternal Medicine, Subdivision Endocrinology, Erasmus MC Rotterdam, Rotterdam, The Netherlands.
Theo J VisserInternal Medicine, Subdivision Endocrinology, Erasmus MC Rotterdam, Rotterdam, The Netherlands.
Laura C G de GraaffAcademic Center for Growth Disorders, Erasmus MC Rotterdam, Rotterdam, The Netherlands. l.degraaff@erasmusmc.nl.ORCID http://orcid.org/0000-0003-3530-7865
Erasmus MC · NLHersenstichting · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMutation frequencies of PROP1, POU1F1 and HESX1 in patients with combined pituitary hormone deficiencies (CPHD) vary substantially between populations. They are low in sporadic CPHD patients in Western Europe. However, most clinicians still routinely send DNA of their CPHD patients for genetic screening of these pituitary transcription factors. Before we can recommend against screening of PROP1, POU1F1 and HESX1 as part of routine work-up for Western-European sporadic CPHD patients, it is crucial to rule out possible defects in regulatory regions of these genes, which could also disturb the complex process of pituitary organogenesis.

methodsThe regulatory regions of PROP1, POU1F1 and HESX1 are not covered by Whole Exome Sequencing as they are largely located outside the coding regions. Therefore, we manually sequenced the regulatory regions, previously defined in the literature, of PROP1, POU1F1 and HESX1 among 88 Dutch patients with CPHD. We studied promoter SNPs in relation to phenotypic data.

resultsWe found six known SNPs in the PROP1 promoter. In the POU1F1 promoter, we found one new variant and two known SNPs. We did not find any variant in the HESX1 promoter.

conclusionAlthough the new POU1F1 variant might explain the phenotype of one patient, the general conclusion of this study is that variants in regulatory regions of PROP1, POU1F1 and HESX1 are rare in patients with sporadic CPHD in the Netherlands. We recommend that genetic screening of these pituitary transcription factors should no longer be part of routine work-up for Western-European, and especially Dutch, sporadic CPHD patients.

Indexed as

Exome SequencingPolymorphism, Single NucleotidePromoter Regions, GeneticFemaleGenetic Association StudiesGenetic MarkersGenetic Predisposition to DiseaseGenetic TestingHomeodomain ProteinsHumansHypopituitarismMaleNetherlandsPhenotypePredictive Value of TestsTranscription Factor Pit-1Genetic MarkersHESX1 protein, humanHomeodomain ProteinsPOU1F1 protein, humanProphet of Pit-1 proteinTranscription Factor Pit-1Genetic screeningGrowthHypopituitarismPituitaryRegulatory regionTranscription factor

Identifiers

PMID29255988
PMCPMC5767207
OpenAlexW292291900

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.