Evidence map›Paper›PMID 30204727›Full record

ArticleRetina (Philadelphia, Pa.)2019

CLINICAL CHARACTERIZATION OF STARGARDT DISEASE PATIENTS WITH THE p.N1868I ABCA4 MUTATION.

Frederick T Collison, Winston Lee, Gerald A Fishman, Jason C Park, Jana Zernant, J Jason McAnany, Rando Allikmets

Abstract readCase Reports
In one paragraph

Article in Retina (Philadelphia, Pa.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Stargardt disease: Multimodal imaging: A review.Clinical & experimental ophthalmology · 2021
    Review
  5. Article
  6. Review
  7. Article
  8. Worldwide carrier frequency and genetic prevalence of autosomal recessive inherited retinal diseases.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  9. 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

7 authors at 2 institutions in 1 country.

Frederick T CollisonThe Pangere Center for Inherited Retinal Diseases, The Chicago Lighthouse, Chicago, Illinois.
Winston LeeDepartment of Ophthalmology, Columbia University, New York, New York.
Gerald A FishmanThe Pangere Center for Inherited Retinal Diseases, The Chicago Lighthouse, Chicago, Illinois.
Jason C ParkDepartment of Ophthalmology and Visual Sciences, The University of Illinois at Chicago, Chicago, Illinois.
Jana ZernantDepartment of Ophthalmology, Columbia University, New York, New York.
J Jason McAnanyDepartment of Ophthalmology and Visual Sciences, The University of Illinois at Chicago, Chicago, Illinois.
Rando AllikmetsDepartment of Ophthalmology, Columbia University, New York, New York.
Columbia University · USUniversity of Illinois Chicago · US

Funding

Translational Core for Therapeutic and Diagnostic DevelopmentP30EY001792 · NEI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MCANANY, JAMES JASON · 1985 to 2025
$14.8M
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
Completing genetic analysis of the ABCA4 locusR01EY021163 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALLIKMETS, RANDO L · 2011 to 2014
$2.4M
Precision medicine for ABCA4 disease: modifier allelesR01EY028203 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALLIKMETS, RANDO L · 2018 to 2021
$2.3M
Stargardt disease with low lipofuscinR01EY028954 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALLIKMETS, RANDO L · 2019 to 2022
$2.1M
NEI NIH HHS P30 EY001792NEI NIH HHS P30 EY019007NEI NIH HHS R01 EY021163NEI NIH HHS R01 EY028203NEI NIH HHS R01 EY028954NEI NIH HHS R24 EY019861
6 · The paper itself

Abstract

purposeTo investigate the Stargardt disease phenotype associated with an unusually common and "extremely hypomorphic" ABCA4 variant, p.N1868I.

methodsThe charts of 27 patients with p.N1868I on one allele and a severe/deleterious mutation on the other allele were reviewed. Subjective age of onset, best-corrected visual acuity, and stage of disease were recorded for all 27 patients, 18 of whom had multiple visits. When available, fundus photography, spectral domain optical coherence tomography, fundus autofluorescence, full-field electroretinograms, Goldmann visual fields, and fluorescein angiography were included. Five families with multiple affected members were analyzed.

resultsThe median age at symptom onset was 41.5 years, and 3 p.N1868I patients had not developed visual symptoms as of the most recent eye examination. Median best-corrected visual acuity in the better-seeing eye at baseline was 20/25, and the median duration from symptom onset to legal blindness was 25 years. The five families described in this study demonstrated clinically significant intrafamilial variability, and affected family members who did not share the p.N1868I variant had relatively more severe phenotypes.

conclusionThis study demonstrates the consistency of foveal sparing, the variation in age at onset, the intrafamilial variability, and the prognosis with regard to visual acuity in p.N1868I-associated Stargardt disease.

Indexed as

MutationAdolescentAdultAgedAge of OnsetAllelesATP-Binding Cassette TransportersElectroretinographyFemaleFluorescein AngiographyFovea CentralisHumansMaleMiddle AgedPhenotypePhotographyABCA4 protein, humanATP-Binding Cassette Transporters

Identifiers

PMID30204727
PMCPMC6548695
OpenAlexW2892627655

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.