Evidence map›Paper›PMID 30809044›Full record

Trial reportEuropean journal of human genetics : EJHG2019

SMAD4 rare variants in individuals and families with thoracic aortic aneurysms and dissections.

Xue-Yan Duan, Dong-Chuan Guo, Ellen S Regalado, Hong Shen, University of Washington Center for Mendelian Genomics, Joseph S Coselli, Anthony L Estrera, Hazim J Safi, Michael J Bamshad, Deborah A Nickerson and 3 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in European journal of human genetics : EJHG, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  3. Review
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  8. Review
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  11. Review
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  13. Review
  14. Genetics and mechanisms of thoracic aortic disease.Nature reviews. Cardiology · 2023
    Review
  15. Review
  16. Review
  17. Review
  18. HumanCardiogenetics · 2021
    Article
  19. Review
  20. 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

13 authors at 6 institutions in 3 countries.

Xue-Yan DuanDepartment of Internal Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
Dong-Chuan GuoDepartment of Internal Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
Ellen S RegaladoDepartment of Internal Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
Hong ShenDepartment of Internal Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
University of Washington Center for Mendelian Genomics
Joseph S CoselliMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, USA.
Anthony L EstreraDepartment of Cardiovascular Surgery, Texas Heart Institute, Houston, USA.
Hazim J SafiDepartment of Cardiothoracic Vascular Surgery, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
Michael J BamshadDepartment of Genome Sciences, University of Washington, Seattle, WA, USA.
Deborah A NickersonDepartment of Genome Sciences, University of Washington, Seattle, WA, USA.
Scott A LeMaireMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, USA.
Julie De BackerCenter for Medical Genetics, Department of Cardiology, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0001-8878-1507
Dianna M MilewiczDepartment of Internal Medicine, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA. Dianna.M.Milewicz@uth.tmc.edu.
The University of Texas Health Science Center at Houston · USBaylor College of Medicine · USUniversity of Washington · USGhent University Hospital · BESun Yat-sen University · CNThe University of Texas Health Science Center · US

Funding

UW Center for Mendelian GenomicsU54HG006493 · NHGRI · UNIVERSITY OF WASHINGTON · PI BAMSHAD, MICHAEL JOSEPH, NICKERSON, DEBORAH A · 2012 to 2015
$20.0M
UW Center for Mendelian GenomicsUM1HG006493 · NHGRI · UNIVERSITY OF WASHINGTON · PI BAMSHAD, MICHAEL JOSEPH, LEAL, SUZANNE M · 2016 to 2020
$15.3M
Genetic Predisposition To Thoracic Aortic Aneurysms/DissectionsR01HL109942 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILEWICZ, DIANNA M · 2012 to 2023
$7.5M
Genetic Basis of Aortic Aneurysms/DissectionsR01HL062594 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILEWICZ, DIANNA M · 2002 to 2009
$3.2M
NHGRI NIH HHS U54 HG006493NHGRI NIH HHS UM1 HG006493NHLBI NIH HHS R01 HL062594NHLBI NIH HHS R01 HL109942
6 · The paper itself

Abstract

SMAD4 pathogenic variants cause juvenile polyposis (JPS) and hereditary hemorrhagic telangiectasia (HHT), and 40% of affected individuals also have thoracic aortic disease. At the same time, SMAD4 pathogenic variants have not been reported in thoracic aortic disease families without JPS-HHT. A SMAD4 heterozygous variant, c.290G>T, p.(Arg97Leu), not present in population databases and predicted to be damaging to protein function, was identified in a family with thoracic aortic disease and no evidence of HHT or JPS. Cellular studies revealed that the SMAD4 p.(Arg97Leu) alteration increased SMAD4 ubiquitination and 26S proteasome-mediated protein degradation. Smooth muscle cells (SMCs) infected with lentivirus expressing the SMAD4 p.(Arg97Leu) variant demonstrated reduced contractile protein gene expression when compared to that of wild-type SMAD4. In addition, two rare variants were identified in individuals with early age of onset of thoracic aortic dissection. These results suggest that SMAD4 rare missense variants can lead to thoracic aortic disease in individuals who do not have JPS or HHT.

Indexed as

Aortic Aneurysm, ThoracicAortic DissectionFamilyMutation, MissenseSmad4 ProteinAmino Acid SubstitutionFemaleHumansMaleMiddle AgedProteasome Endopeptidase ComplexProteolysisUbiquitinationATP dependent 26S proteaseProteasome Endopeptidase ComplexSmad4 ProteinSMAD4 protein, human

Identifiers

PMID30809044
PMCPMC6777456
OpenAlexW2915753741

What OpenQuestion holds

Textmetadata
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.