Evidence map›Paper›PMID 30733599›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

CRISPR/Cas9-targeted enrichment and long-read sequencing of the Fuchs endothelial corneal dystrophy-associated TCF4 triplet repeat.

Nathaniel J Hafford-Tear, Yu-Chih Tsai, Amanda N Sadan, Beatriz Sanchez-Pintado, Christina Zarouchlioti, Geoffrey J Maher, Petra Liskova, Stephen J Tuft, Alison J Hardcastle, Tyson A Clark and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 84 citations in OpenAlex.

  1. Review
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  7. Longitudinal Study ofMedical sciences (Basel, Switzerland) · 2026
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  10. Long-read sequencing reveals extensivebioRxiv : the preprint server for biology · 2025
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  11. Review
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  14. Transgene Mapping in Animals: What to Choose?International journal of molecular sciences · 2025
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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

11 authors at 6 institutions in 3 countries.

Nathaniel J Hafford-TearUCL Institute of Ophthalmology, London, UK.
Yu-Chih TsaiPacific Biosciences, Menlo Park, CA, USA.
Amanda N SadanUCL Institute of Ophthalmology, London, UK.
Beatriz Sanchez-PintadoUCL Institute of Ophthalmology, London, UK.
Christina ZarouchliotiUCL Institute of Ophthalmology, London, UK.
Geoffrey J MaherClinical Genetics Group, MRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, UK.
Petra LiskovaUCL Institute of Ophthalmology, London, UK.
Stephen J TuftUCL Institute of Ophthalmology, London, UK.
Alison J HardcastleUCL Institute of Ophthalmology, London, UK.
Tyson A ClarkPacific Biosciences, Menlo Park, CA, USA.
Alice E DavidsonUCL Institute of Ophthalmology, London, UK. alice.davidson@ucl.ac.uk.ORCID http://orcid.org/0000-0002-1816-6151
University College London · GBPacific Biosciences (United States) · USCharles University · CZJohn Radcliffe Hospital · GBMoorfields Eye Hospital · GBUK Dementia Research Institute · GB

Funding

Department of Health
6 · The paper itself

Abstract

purposeTo demonstrate the utility of an amplification-free long-read sequencing method to characterize the Fuchs endothelial corneal dystrophy (FECD)-associated intronic TCF4 triplet repeat (CTG18.1).

methodsWe applied an amplification-free method, utilizing the CRISPR/Cas9 system, in combination with PacBio single-molecule real-time (SMRT) long-read sequencing, to study CTG18.1. FECD patient samples displaying a diverse range of CTG18.1 allele lengths and zygosity status (n = 11) were analyzed. A robust data analysis pipeline was developed to effectively filter, align, and interrogate CTG18.1-specific reads. All results were compared with conventional polymerase chain reaction (PCR)-based fragment analysis.

resultsCRISPR-guided SMRT sequencing of CTG18.1 provided accurate genotyping information for all samples and phasing was possible for 18/22 alleles sequenced. Repeat length instability was observed for all expanded (≥50 repeats) phased CTG18.1 alleles analyzed. Furthermore, higher levels of repeat instability were associated with increased CTG18.1 allele length (mode length ≥91 repeats) indicating that expanded alleles behave dynamically.

conclusionCRISPR-guided SMRT sequencing of CTG18.1 has revealed novel insights into CTG18.1 length instability. Furthermore, this study provides a framework to improve the molecular diagnostic accuracy for CTG18.1-mediated FECD, which we anticipate will become increasingly important as gene-directed therapies are developed for this common age-related and sight threatening disease.

Indexed as

Genetic Predisposition to DiseaseAdultAgedAged, 80 and overAllelesCRISPR-Cas SystemsFemaleFuchs' Endothelial DystrophyGenotypeHumansIntronsMaleMiddle AgedSequence Analysis, DNASingle Molecule ImagingTranscription Factor 4TCF4 protein, humanTranscription Factor 4amplification-free sequencingFuchs endothelial corneal dystrophyno-amp targeted sequencingsomatic mosaicismtriplet repeat-mediated disease

Identifiers

PMID30733599
PMCPMC6752322
OpenAlexW2913382949

What OpenQuestion holds

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LicenceCC BY
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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.