Evidence map›Paper›PMID 30926958›Full record

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

A case-control collapsing analysis identifies retinal dystrophy genes associated with ophthalmic disease in patients with no pathogenic ABCA4 variants.

Charles J Wolock, Nicholas Stong, Chu Jian Ma, Takayuki Nagasaki, Winston Lee, Stephen H Tsang, Sitharthan Kamalakaran, David B Goldstein, Rando Allikmets

Open access · bronzeAbstract 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Cone Rod Homeobox (Ophthalmic genetics · 2025
    Review
  3. Article
  4. Inherited retinal disorders: a genotype-phenotype correlation in an Indian cohort and the importance of genetic testing and genetic counselling.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
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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

9 authors at 1 institution in 1 country.

Charles J WolockInstitute for Genomic Medicine, Columbia University, New York, NY, USA.
Nicholas StongInstitute for Genomic Medicine, Columbia University, New York, NY, USA.
Chu Jian MaDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Takayuki NagasakiDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Winston LeeDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Stephen H TsangDepartment of Ophthalmology, Columbia University, New York, NY, USA.
Sitharthan KamalakaranInstitute for Genomic Medicine, Columbia University, New York, NY, USA.
David B GoldsteinInstitute for Genomic Medicine, Columbia University, New York, NY, USA.
Rando AllikmetsDepartment of Ophthalmology, Columbia University, New York, NY, USA. rla22@cumc.columbia.edu.
Columbia University · US

Funding

Instrumentation, Fabrication, and Design CoreP30EY019007 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Xin Zhang · 2010 to 2026
$12.9M
Precision medicine for ABCA4 disease: modifier allelesR01EY028203 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALLIKMETS, RANDO L · 2018 to 2021
$2.3M
NEI NIH HHS P30 EY019007NEI NIH HHS R01 EY028203
6 · The paper itself

Abstract

purposeVariants in the ABCA4 gene are causal for a variety of retinal dystrophy phenotypes, including Stargardt disease (STGD1). However, 15% of patients who present with symptoms compatible with STGD1/ABCA4 disease do not have identifiable causal ABCA4 variants. We hypothesized that a case-control collapsing analysis in ABCA4-negative patients with compatible symptoms would provide an objective measure to identify additional disease genes.

methodsWe performed a genome-wide enrichment analysis of "qualifying variants"-ultrarare variants predicted to impact protein function-in protein-coding genes in 79 unrelated cases and 9028 unrelated controls.

resultsDespite modest sample size, two known retinal dystrophy genes, PRPH2 and CRX, achieved study-wide significance (p < 1.33 × 10

conclusionOur results indicate that case-control collapsing analyses can efficiently identify pathogenic variants in genes in non-ABCA4 retinal dystrophies. The genome-wide collapsing analysis framework is an objective discovery method particularly suitable in settings with overlapping disease phenotypes.

Indexed as

AdultATP-Binding Cassette TransportersCase-Control StudiesFemaleGenes, RecessiveGenome-Wide Association StudyGenotypeHomeodomain ProteinsHumansMaleMutationPedigreePeripherinsPhenotypePhosphotransferases (Alcohol Group Acceptor)Retinal DystrophiesABCA4 protein, humanATP-Binding Cassette Transportersceramide kinasecone rod homeobox proteinHomeodomain ProteinsPeripherinsPhosphotransferases (Alcohol Group Acceptor)PRPH2 protein, humanTrans-ActivatorsABCA4 diseasecollapsing analysisexome sequencingretinal dystrophy

Identifiers

PMID30926958
PMCPMC6768764
OpenAlexW2933489383

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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.