Evidence map›Paper›PMID 30973406›Full record

ArticleCornea2019

Association of rs613872 and Trinucleotide Repeat Expansion in the TCF4 Gene of German Patients With Fuchs Endothelial Corneal Dystrophy.

Naoki Okumura, Ryousuke Hayashi, Masakazu Nakano, Kei Tashiro, Kengo Yoshii, Ross Aleff, Malinda Butz, Edward W Highsmith, Eric D Wieben, Michael P Fautsch and 9 more

Open access · greenAbstract read
In one paragraph

Article in Cornea, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Longitudinal Study ofMedical sciences (Basel, Switzerland) · 2026
    Article
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  7. From Genes to Disease: ReassessingInternational 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

19 authors at 4 institutions in 3 countries.

Naoki OkumuraDepartment of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Ryousuke HayashiDepartment of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Masakazu NakanoDepartment of Genomic Medical Sciences, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kei TashiroDepartment of Genomic Medical Sciences, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kengo YoshiiDepartment of Mathematics and Statistics in Medical Sciences, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ross AleffDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN.
Malinda ButzDepartments of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Edward W HighsmithDepartments of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Eric D WiebenDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN.
Michael P FautschOphthalmology, Mayo Clinic, Rochester, MN.
Keith H BaratzOphthalmology, Mayo Clinic, Rochester, MN.
Yuya KomoriDepartment of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Emi UedaDepartment of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Makiko NakaharaDepartment of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Julia WellerDepartment of Ophthalmology, University of Erlangen-Nürnberg, Erlangen, Germany.
Theofilos TourtasDepartment of Ophthalmology, University of Erlangen-Nürnberg, Erlangen, Germany.
Ursula Schlötzer-SchrehardtDepartment of Ophthalmology, University of Erlangen-Nürnberg, Erlangen, Germany.
Friedrich KruseDepartment of Ophthalmology, University of Erlangen-Nürnberg, Erlangen, Germany.
Noriko KoizumiDepartment of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Doshisha University · JPMayo Clinic in Arizona · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKyoto Prefectural University of Medicine · JP

Funding

Pathogenesis of age-related Fuchs Endothelial Corneal DystrophyR01EY026490 · NEI · MAYO CLINIC ROCHESTER · PI FAUTSCH, MICHAEL P., GOTTESFELD, JOEL M. · 2016 to 2019
$2.0M
The role of transcription factor 4 repeat expansion in Fuchs endothelial corneal dystrophyR21EY025071 · NEI · MAYO CLINIC ROCHESTER · PI BARATZ, KEITH H, WIEBEN, ERIC D · 2015 to 2016
$451k
NEI NIH HHS R01 EY026490NEI NIH HHS R21 EY025071
6 · The paper itself

Abstract

purposeTo investigate single nucleotide polymorphisms (SNPs) and trinucleotide repeat (TNR) expansion in the transcription factor 4 (TCF4) gene in a large cohort of German patients with Fuchs endothelial corneal dystrophy (FECD).

methodsGenomic DNA was obtained from 398 patients with FECD and from 58 non-FECD controls. Thirty-seven previously reported SNPs were evaluated by genotyping. The 398 FECD samples were analyzed for TNR expansions by short tandem repeat assays and Southern blotting. The possible associations between the TNR length and clinical parameters (age, sex, visual acuity, and central corneal thickness) were analyzed in 132 patients.

resultsThe SNPs in COL8A2, TCF8, LOXHD1, and AGBL1 showed no heterogeneity in 36 cases, although SLCA411 showed 3 nonsense mutations. SNPs were detected for TCF4 (rs613872, rs2123392, rs17089887, rs1452787, and rs1348047), but only rs613872 showed a significant association with FECD (P = 9.93 × 10). Overall, 315/398 (79%) patients harbored TNR lengths >50, whereas no non-FECD controls harbored TNR lengths >50. The TCF4 SNP rs613872 genotype was TT: 39 (67%), TG: 18 (31%), and GG: 1 (2%) in non-FECD controls; TT: 39 (47%), TG: 38 (46%), and GG: 6 (7%) in FECD cases harboring TNR <50; and TT: 23 (8%), TG: 224 (79%), and GG: 38 (13%) in FECD cases harboring TNR >50 (P = 2.93 × 10). No significant association was detected between the TNR length and clinical parameters.

conclusionsOur large German cohort demonstrated a significant association between the risk allele G in rs613872 and FECD, irrespective of TNR expansion, although this risk allele was more frequent in FECD cases with TNR expansion than without.

Indexed as

Genetic Predisposition to DiseaseTrinucleotide Repeat ExpansionAdolescentAdultAgedAged, 80 and overAllelesFemaleFuchs' Endothelial DystrophyGenotypeHumansMaleMiddle AgedPolymorphism, Single NucleotideTranscription Factor 4Young AdultTCF4 protein, humanTranscription Factor 4

Identifiers

PMID30973406
PMCPMC6554040
OpenAlexW2935929552

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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.