Evidence map›Paper›PMID 31498527›Full record

ArticleHuman mutation2020

Mutations in RPSA and NKX2-3 link development of the spleen and intestinal vasculature.

Chantal Kerkhofs, Servi J C Stevens, Saul N Faust, William Rae, Anthony P Williams, Peter Wurm, Rune Østern, Paul Fockens, Christiane Würfel, Martin Laass and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Human mutation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Annals of pediatrics & child health · 2025
    Article
  3. Article
  4. Quantitative Analysis of NKX2-3 Expression in Human Colon: An Immunohistochemical Study.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2024
    Article
  5. Article
  6. Article
  7. Ameliorated Autoimmune Arthritis and Impaired B Cell Receptor-Mediated CaInternational journal of molecular sciences · 2020
    Article
  8. Article
  9. 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 7 institutions in 6 countries.

Chantal KerkhofsDepartment of Clinical Genetics and GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.
Servi J C StevensDepartment of Clinical Genetics and GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0001-8769-3150
Saul N FaustNIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University of Southampton Faculty of Medicine and University Hospital Southampton, NHS Foundation Trust, Southampton, UK.
William RaeNIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University of Southampton Faculty of Medicine and University Hospital Southampton, NHS Foundation Trust, Southampton, UK.
Anthony P WilliamsNIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University of Southampton Faculty of Medicine and University Hospital Southampton, NHS Foundation Trust, Southampton, UK.
Peter WurmDepartment of Gastroenterology, University Hospitals of Leicester, NHS Trust, Leicester, UK.
Rune ØsternDepartment of Pathology and Medical Genetics, St. Olavs Hospital, Trondheim, Norway.
Paul FockensDepartment of Gastrointestinal diseases, Academic Medical Center, Amsterdam, The Netherlands.
Christiane WürfelDepartment of Pediatrics, University Hospital Dresden, Dresden, Germany.
Martin LaassDepartment of Pediatrics, University Hospital Dresden, Dresden, Germany.
Freddy KokkeDepartment of Pediatric Gastroenterology, Maastricht University Medical Center, Maastricht, The Netherlands.
Alexander P A StegmannDepartment of Clinical Genetics and GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.
Han G BrunnerDepartment of Clinical Genetics and GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.
Maastricht University Medical Centre · NLUniversity Hospital Southampton NHS Foundation Trust · GBTechnische Universität Dresden · DEAmsterdam UMC Location University of Amsterdam · NLRadboud University Nijmegen · NLSt Olav's University Hospital · NOUniversity Hospitals of Leicester NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic intestinal varicosis is a developmental disorder defined by dilated and convoluted submucosal veins in the colon or small bowel. A limited number of families with idiopathic intestinal varices has been reported, but the genetic cause has not yet been identified. We performed whole-exome and targeted Sanger sequencing of candidate genes in five intestinal varicosis families. In four families, mutations in the RPSA gene were found, a gene previously linked to congenital asplenia. Individuals in these pedigrees had intestinal varicose veins and angiodysplasia, often in combination with asplenia. In a further four-generation pedigree that only showed intestinal varicosities, the RPSA gene was normal. Instead, a nonsense mutation in the homeobox gene NKX2-3 was detected which cosegregated with the disease in this large family with a LOD (logarithm of the odds) score of 3.3. NKX2-3 is a component of a molecular pathway underlying spleen and gut vasculature development in mice. Our results provide a molecular basis for familial idiopathic intestinal varices. We provide evidence for a relationship between the molecular pathways underlying the development of the spleen and intestinal mucosal vasculature that is conserved between humans and mice. We propose that clinical management of intestinal varices, should include assessment of a functional spleen.

Indexed as

MutationBlood VesselsExome SequencingFemaleGenetic Association StudiesGenetic Predisposition to DiseaseGenetic VariationHomeodomain ProteinsHumansIntestinesMaleOrganogenesisPedigreeReceptors, LamininRibosomal ProteinsSequence Analysis, DNAHomeodomain ProteinsNKX2-3 protein, humanReceptors, LamininRibosomal ProteinsRPSA protein, humanTranscription Factorsaspleniahomeobox geneintestinal varicesNKX2-3RPSAwhole-exome sequencing

Identifiers

PMID31498527
PMCPMC6972609
OpenAlexW2972648265

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.