Evidence map›Paper›PMID 29392890›Full record

ArticleHuman mutation2018

A mutation update on the LDS-associated genes TGFB2/3 and SMAD2/3.

Dorien Schepers, Giada Tortora, Hiroko Morisaki, Gretchen MacCarrick, Mark Lindsay, David Liang, Sarju G Mehta, Jennifer Hague, Judith Verhagen, Ingrid van de Laar and 32 more

Open access · hybridAbstract read
In one paragraph

Article in Human mutation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 4 pooled it
13.0field-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

94 citing papers in PubMed, 4 syntheses or guidelines pooled it, 162 citations in OpenAlex.

  1. Guideline
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  3. Guideline
  4. Orthopaedic Management of Loeys-Dietz Syndrome: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021
    Pooled it
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  14. Rare genetic variants inInternational journal of stroke : official journal of the International Stroke Society · 2025
    Article
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34 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

42 authors at 20 institutions in 10 countries.

Dorien SchepersCenter of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium.ORCID 0000-0003-4225-6621
Giada TortoraMedical Genetics Unit, Department of Medical and Surgical Sciences, University of Bologna, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.
Hiroko MorisakiDepartment of Bioscience and Genetics, National Cerebral and Cardiovascular Center Research Institute, Suita, Osaka, Japan.
Gretchen MacCarrickMcKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Mark LindsayThoracic Aortic Center, Departments of Medicine and Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston.
David LiangCardiovascular Medicine, Stanford University Medical Center, Stanford, California.
Sarju G MehtaEast Anglian Regional Genetics Service, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK.
Jennifer HagueEast Anglian Regional Genetics Service, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK.
Judith VerhagenDepartment of Clinical Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-0340-3433
Ingrid van de LaarDepartment of Clinical Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-2523-1230
Marja WesselsDepartment of Clinical Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands.
Yvonne DetischDepartment of Clinical Genetics, Maastricht University Medical Center, Maastricht, The Netherlands.
Mieke van HaelstDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Annette BaasDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Klaske LichtenbeltDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Kees BraunDepartment of Child Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Denise van der LindeDepartment of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.
Jolien Roos-HesselinkDepartment of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.
George McGillivrayVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Josephina MeesterCenter of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium.
Isabelle MaystadtCentre de Génétique Humaine, Institut de Pathologie et de Génétique (IPG), Gosselies (Charleroi), Belgium.
Paul CouckeCenter for Medical Genetics, Ghent University Hospital and Ghent University, Ghent, Belgium.
Elie El-KhouryDepartment of Diagnostic Cardiology, Clinique St Luc, Bouge (Namur), Belgium.
Sandhya ParkashDepartment of Pediatrics, Maritime Medical Genetics Service, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
Birgitte DinessDepartment of Clinical Genetics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Lotte RisomDepartment of Clinical Genetics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Ingrid ScurrDepartment of Clinical Genetics, St. Michael's Hospital, Bristol, UK.
Yvonne Hilhorst-HofsteeDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Takayuki MorisakiDepartment of Bioscience and Genetics, National Cerebral and Cardiovascular Center Research Institute, Suita, Osaka, Japan.
Julie RicherDepartment of Medical Genetics, Children's Hospital of Eastern Ontario, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Julie DésirCentre de Génétique Humaine, Hôpital Erasme, Université Libre de Bruxelles, Belgium.
Marlies KempersDepartment of Human Genetics, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Andrea L RideoutMaritime Medical Genetics Service, IWK Health Centre, Halifax, Nova Scotia, Canada.
Gabrielle HorneDepartment of Medicine (Cardiology) and School of Biomedical Engineering, Dalhousie University, Halifax, Nova Scotia, Canada.
Chris BennettDepartment of Clinical Genetics, Chapel Allerton Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Elisa RahikkalaDepartment of Clinical Genetics, Oulu University Hospital, University of Oulu, Oulu, Finland.
Geert VandeweyerCenter of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium.
Maaike AlaertsCenter of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium.
Aline VerstraetenCenter of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium.
Hal DietzMcKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Lut Van LaerCenter of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium.
Bart LoeysCenter of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium.
University of Antwerp · BEErasmus MC · NLUniversity Medical Center Utrecht · NLCambridge University Hospitals NHS Foundation Trust · GBCopenhagen University Hospital · DKDalhousie University · CAJohns Hopkins University · USNational Cerebral and Cardiovascular Center · JPRadboud University Nijmegen · NLAmsterdam UMC Location University of Amsterdam · NLChapel Allerton Hospital · GBChildren's Hospital of Eastern Ontario · CAClinique Saint-Joseph · BEGhent University Hospital · BEHarvard University · USInstitute of Pathology and Genetics · BEIzaak Walton Killam Health Centre · CALeiden University Medical Center · NLMaastricht University · NLMarche Polytechnic University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Loeys-Dietz syndrome (LDS) is a connective tissue disorder affecting the cardiovascular, skeletal, and ocular system. Most typically, LDS patients present with aortic aneurysms and arterial tortuosity, hypertelorism, and bifid/broad uvula or cleft palate. Initially, mutations in transforming growth factor-β (TGF-β) receptors (TGFBR1 and TGFBR2) were described to cause LDS, hereby leading to impaired TGF-β signaling. More recently, TGF-β ligands, TGFB2 and TGFB3, as well as intracellular downstream effectors of the TGF-β pathway, SMAD2 and SMAD3, were shown to be involved in LDS. This emphasizes the role of disturbed TGF-β signaling in LDS pathogenesis. Since most literature so far has focused on TGFBR1/2, we provide a comprehensive review on the known and some novel TGFB2/3 and SMAD2/3 mutations. For TGFB2 and SMAD3, the clinical manifestations, both of the patients previously described in the literature and our newly reported patients, are summarized in detail. This clearly indicates that LDS concerns a disorder with a broad phenotypical spectrum that is still emerging as more patients will be identified. All mutations described here are present in the corresponding Leiden Open Variant Database.

Indexed as

Genetic Association StudiesAnimalsDisease Models, AnimalHumansLoeys-Dietz SyndromeMiceMutationSignal TransductionSmad2 ProteinSmad3 ProteinTransforming Growth Factor beta2Transforming Growth Factor beta3Smad2 ProteinSMAD2 protein, humanSmad3 ProteinSMAD3 protein, humanTransforming Growth Factor beta2Transforming Growth Factor beta3aneurysmLoeys-Dietz syndromeSMAD2SMAD3TGFB2TGFB3

Identifiers

PMID29392890
PMCPMC5947146
OpenAlexW2794420662

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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.