Evidence map›Paper›PMID 30471717›Full record

ArticleAmerican journal of human genetics2018

Mutations in Outer Dynein Arm Heavy Chain DNAH9 Cause Motile Cilia Defects and Situs Inversus.

Mahmoud R Fassad, Amelia Shoemark, Marie Legendre, Robert A Hirst, France Koll, Pierrick le Borgne, Bruno Louis, Farheen Daudvohra, Mitali P Patel, Lucie Thomas and 17 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 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

78 citing papers in PubMed, 3 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
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  9. Review
  10. Review
  11. A Novel Homozygous Mutation inHuman mutation · 2026
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  12. Novel compound heterozygous mutation inMolecular medicine reports · 2025
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  13. The RaDiCo information system for rare disease cohorts.Orphanet journal of rare diseases · 2025
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  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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18 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

27 authors at 7 institutions in 5 countries.

Mahmoud R FassadGenetics and Genomic Medicine Programme, University College London, UCL Great Ormond Street Institute of Child Health, London WC1N 1EH, UK; Department of Human Genetics, Medical Research Institute, Alexandria University, 165 El-Horreya Avenue El-Hadra, 21561 Alexandria, Egypt.
Amelia ShoemarkPCD Diagnostic Team and Department of Paediatric Respiratory Medicine, Royal Brompton and Harefield NHS Trust, London SW3 6NP, UK; School of Medicine, University of Dundee, Dundee DD2 4BF, UK.
Marie LegendreAssistance Publique - Hôpitaux de Paris (AP-HP), Hôpital Armand Trousseau, Département de Génétique Médicale, 75012 Paris, France; Sorbonne Universités, Paris 06, INSERM UMR_S933, 75005 Paris, France.
Robert A HirstCentre for PCD Diagnosis and Research, Department of Infection, Immunity and Inflammation, RKCSB, University of Leicester, Leicester LE2 7LX, UK.
France KollInstitute for Integrative Biology of the Cell (I2BC), CEA, CNRS, Univ. Paris Sud, Université Paris-Saclay, 1 Avenue de la Terrasse, 91198 Gif sur Yvette, France.
Pierrick le BorgneInstitute for Integrative Biology of the Cell (I2BC), CEA, CNRS, Univ. Paris Sud, Université Paris-Saclay, 1 Avenue de la Terrasse, 91198 Gif sur Yvette, France.
Bruno LouisINSERM U955, Equipe 13, Faculté de Médecine de Créteil, Université Paris Est, 94010 Créteil, France.
Farheen DaudvohraPCD Diagnostic Team and Department of Paediatric Respiratory Medicine, Royal Brompton and Harefield NHS Trust, London SW3 6NP, UK.
Mitali P PatelGenetics and Genomic Medicine Programme, University College London, UCL Great Ormond Street Institute of Child Health, London WC1N 1EH, UK.
Lucie ThomasAssistance Publique - Hôpitaux de Paris (AP-HP), Hôpital Armand Trousseau, Département de Génétique Médicale, 75012 Paris, France; Sorbonne Universités, Paris 06, INSERM UMR_S933, 75005 Paris, France.
Mellisa DixonPCD Diagnostic Team and Department of Paediatric Respiratory Medicine, Royal Brompton and Harefield NHS Trust, London SW3 6NP, UK.
Thomas BurgoynePCD Diagnostic Team and Department of Paediatric Respiratory Medicine, Royal Brompton and Harefield NHS Trust, London SW3 6NP, UK.
Joseph HayesCentre for PCD Diagnosis and Research, Department of Infection, Immunity and Inflammation, RKCSB, University of Leicester, Leicester LE2 7LX, UK.
Andrew G NicholsonHistopathology Department, Royal Brompton and Harefield NHS Trust, London SW3 6NP, UK.
Thomas CullupRegional Molecular Genetics Laboratory, Great Ormond Street Hospital for Children NHS Foundation Trust, Queen Square, London WC1N 3BH, UK.
Lucy JenkinsRegional Molecular Genetics Laboratory, Great Ormond Street Hospital for Children NHS Foundation Trust, Queen Square, London WC1N 3BH, UK.
Siobhán B CarrPCD Diagnostic Team and Department of Paediatric Respiratory Medicine, Royal Brompton and Harefield NHS Trust, London SW3 6NP, UK.
Paul AuroraDepartment of Respiratory, Critical Care and Anaesthesia Unit, University College London (UCL) Great Ormond Street Institute of Child Health, Guilford Street, London WC1N 1EH, UK; Department of Paediatric Respiratory Medicine, Great Ormond Street Hospital for Children, London WC1N 3JH, UK.
Michel LemulloisInstitute for Integrative Biology of the Cell (I2BC), CEA, CNRS, Univ. Paris Sud, Université Paris-Saclay, 1 Avenue de la Terrasse, 91198 Gif sur Yvette, France.
Anne Aubusson-FleuryInstitute for Integrative Biology of the Cell (I2BC), CEA, CNRS, Univ. Paris Sud, Université Paris-Saclay, 1 Avenue de la Terrasse, 91198 Gif sur Yvette, France.
Jean-François PaponService d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Maxillo-Faciale, Hôpital Bicêtre, AP-HP, 94275 Le Kremlin-Bicêtre, France.
Christopher O'CallaghanCentre for PCD Diagnosis and Research, Department of Infection, Immunity and Inflammation, RKCSB, University of Leicester, Leicester LE2 7LX, UK; Department of Respiratory, Critical Care and Anaesthesia Unit, University College London (UCL) Great Ormond Street Institute of Child Health, Guilford Street, London WC1N 1EH, UK.
Serge AmselemAssistance Publique - Hôpitaux de Paris (AP-HP), Hôpital Armand Trousseau, Département de Génétique Médicale, 75012 Paris, France; Sorbonne Universités, Paris 06, INSERM UMR_S933, 75005 Paris, France.
Claire HoggPCD Diagnostic Team and Department of Paediatric Respiratory Medicine, Royal Brompton and Harefield NHS Trust, London SW3 6NP, UK.
Estelle EscudierAssistance Publique - Hôpitaux de Paris (AP-HP), Hôpital Armand Trousseau, Département de Génétique Médicale, 75012 Paris, France; Sorbonne Universités, Paris 06, INSERM UMR_S933, 75005 Paris, France.
Anne-Marie TassinInstitute for Integrative Biology of the Cell (I2BC), CEA, CNRS, Univ. Paris Sud, Université Paris-Saclay, 1 Avenue de la Terrasse, 91198 Gif sur Yvette, France.
Hannah M MitchisonGenetics and Genomic Medicine Programme, University College London, UCL Great Ormond Street Institute of Child Health, London WC1N 1EH, UK. Electronic address: h.mitchison@ucl.ac.uk.
Great Ormond Street Hospital · GBRoyal Brompton & Harefield NHS Foundation Trust · GBCentre National de la Recherche Scientifique · FRInserm · FRUniversity of Leicester · GBAssistance Publique – Hôpitaux de Paris · FRUniversity of Dundee · GB

Funding

Department of Health NIHR-HCS-P13-04-004
6 · The paper itself

Abstract

Motile cilia move body fluids and gametes and the beating of cilia lining the airway epithelial surfaces ensures that they are kept clear and protected from inhaled pathogens and consequent respiratory infections. Dynein motor proteins provide mechanical force for cilia beating. Dynein mutations are a common cause of primary ciliary dyskinesia (PCD), an inherited condition characterized by deficient mucociliary clearance and chronic respiratory disease coupled with laterality disturbances and subfertility. Using next-generation sequencing, we detected mutations in the ciliary outer dynein arm (ODA) heavy chain gene DNAH9 in individuals from PCD clinics with situs inversus and in one case male infertility. DNAH9 and its partner heavy chain DNAH5 localize to type 2 ODAs of the distal cilium and in DNAH9-mutated nasal respiratory epithelial cilia we found a loss of DNAH9/DNAH5-containing type 2 ODAs that was restricted to the distal cilia region. This confers a reduced beating frequency with a subtle beating pattern defect affecting the motility of the distal cilia portion. 3D electron tomography ultrastructural studies confirmed regional loss of ODAs from the distal cilium, manifesting as either loss of whole ODA or partial loss of ODA volume. Paramecium DNAH9 knockdown confirms an evolutionarily conserved function for DNAH9 in cilia motility and ODA stability. We find that DNAH9 is widely expressed in the airways, despite DNAH9 mutations appearing to confer symptoms restricted to the upper respiratory tract. In summary, DNAH9 mutations reduce cilia function but some respiratory mucociliary clearance potential may be retained, widening the PCD disease spectrum.

Indexed as

AdolescentAmino Acid SequenceAxonemal DyneinsChildChild, PreschoolCiliaCiliary Motility DisordersDyneinsHigh-Throughput Nucleotide SequencingHumansMaleMutationRespiratory SystemSequence AlignmentSitus InversusAxonemal DyneinsDNAH9 protein, humanDyneinsDNAH9dyneinmotile ciliamutationprimary ciliary dyskinesiasitus inversustomography

Identifiers

PMID30471717
PMCPMC6288320
OpenAlexW2901715933

What OpenQuestion holds

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Registered trials

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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.