Evidence map›Paper›PMID 30025114›Full record

ArticleInvestigative ophthalmology & visual science2018

Fuchs' Endothelial Corneal Dystrophy in Patients With Myotonic Dystrophy, Type 1.

Nelson S Winkler, Margherita Milone, Jennifer M Martinez-Thompson, Harish Raja, Ross A Aleff, Sanjay V Patel, Michael P Fautsch, Eric D Wieben, Keith H Baratz

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Intraocular pressure and corneal biomechanics in patients affected by myotonic dystrophy type 1.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Update on the genetics of corneal endothelial dystrophies.Indian journal of ophthalmology · 2022
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Molecular Mechanisms of Fuchs and Congenital Hereditary Endothelial Corneal Dystrophies.Reviews of physiology, biochemistry and pharmacology · 2020
    Review
  16. Article
  17. 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

9 authors at 2 institutions in 1 country.

Nelson S WinklerDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota, United States.
Margherita MiloneDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, United States.
Jennifer M Martinez-ThompsonDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, United States.
Harish RajaMount Sinai School of Medicine, New York, New York, United States.
Ross A AleffDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, Minnesota, United States.
Sanjay V PatelDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota, United States.
Michael P FautschDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota, United States.
Eric D WiebenDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, Minnesota, United States.
Keith H BaratzDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota, United States.
Mayo Clinic · USIcahn School of Medicine at Mount Sinai · US

Funding

Pathogenesis of age-related Fuchs Endothelial Corneal DystrophyR01EY026490 · NEI · MAYO CLINIC ROCHESTER · PI FAUTSCH, MICHAEL P., GOTTESFELD, JOEL M. · 2016 to 2019
$2.0M
NEI NIH HHS R01 EY026490
6 · The paper itself

Abstract

Purpose: RNA toxicity from CTG trinucleotide repeat (TNR) expansion within noncoding DNA of the transcription factor 4 (TCF4) and DM1 protein kinase (DMPK) genes has been described in Fuchs' endothelial corneal dystrophy (FECD) and myotonic dystrophy, type 1 (DM1), respectively. We prospectively evaluated DM1 patients and their families for phenotypic FECD and report the analysis of CTG expansion in the TCF4 gene and DMPK expression in corneal endothelium. Methods: FECD grade was evaluated by slit lamp biomicroscopy in 26 participants from 14 families with DM1. CTG TNR length in TCF4 and DMPK was determined by a combination of Gene Scan and Southern blotting of peripheral blood leukocyte DNA. Results: FECD grade was 2 or higher in 5 (36%) of 14 probands, significantly greater than the general population (5%) (P < 0.001). FECD segregated with DM1; six of eight members of the largest family had both FECD and DM1, while the other two family members had neither disease. All DNA samples from 24 subjects, including four FECD-affected probands, were bi-allelic for nonexpanded TNR length in TCF4 (<40 repeats). Considering a 75% prevalence of TCF4 TNR expansion in FECD, the probability of four FECD probands lacking TNR expansion was 0.4%. Neither severity of DM1 nor DMPK TNR length predicted the presence of FECD in DM1 patients. Conclusions: FECD was common in DM1 families, and the diseases cosegregated. TCF4 TNR expansion was lacking in DM1 families. These findings support a hypothesis that DMPK TNR expansion contributes to clinical FECD.

Indexed as

AdultAgedEndothelium, CornealFemaleFuchs' Endothelial DystrophyGenetic Predisposition to DiseaseHumansMaleMiddle AgedMyotonic DystrophyMyotonin-Protein KinasePedigreePhenotypePolymerase Chain ReactionProspective StudiesSlit Lamp MicroscopyDMPK protein, humanMyotonin-Protein KinaseTCF4 protein, humanTranscription Factor 4

Identifiers

PMID30025114
PMCPMC6005624
OpenAlexW2808051836

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.