Evidence map›Paper›PMID 31570892›Full record

ArticleNature genetics2019

Allele-specific NKX2-5 binding underlies multiple genetic associations with human electrocardiographic traits.

Paola Benaglio, Agnieszka D'Antonio-Chronowska, Wubin Ma, Feng Yang, William W Young Greenwald, Margaret K R Donovan, Christopher DeBoever, He Li, Frauke Drees, Sanghamitra Singhal and 8 more

Abstract read
In one paragraph

Article in Nature genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Circulation. Genomic and precision medicine · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Genetics, transcriptomics, metagenomics, and metabolomics in the pathogenesis and prediction of atrial fibrillation.European heart journal supplements : journal of the European Society of Cardiology · 2024
    Article
  13. Stem cell models of inherited arrhythmias.Nature cardiovascular research · 2024
    Review
  14. Review
  15. Article
  16. Review
  17. Article
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  19. Article
  20. Disease-associated non-coding variants alter NKX2-5 DNA-binding affinity.Biochimica et biophysica acta. Gene regulatory mechanisms · 2023
    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

18 authors at 4 institutions in 2 countries.

Paola BenaglioDepartment of Pediatrics, Rady Children's Hospital, Division of Genome Information Sciences, University of California, San Diego, La Jolla, CA, USA.
Agnieszka D'Antonio-Chronowska *Institute for Genomic Medicine, University of California, San Diego, La Jolla, CA, USA.
Wubin Ma *Howard Hughes Medical Institute, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
Feng YangHoward Hughes Medical Institute, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
William W Young GreenwaldBioinformatics and Systems Biology, University of California, San Diego, La Jolla, CA, USA.
Margaret K R DonovanBioinformatics and Systems Biology, University of California, San Diego, La Jolla, CA, USA.
Christopher DeBoeverBioinformatics and Systems Biology, University of California, San Diego, La Jolla, CA, USA.
He LiInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-1766-5311
Frauke DreesInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA, USA.
Sanghamitra SinghalDepartment of Pediatrics, Rady Children's Hospital, Division of Genome Information Sciences, University of California, San Diego, La Jolla, CA, USA.
Hiroko MatsuiInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA, USA.
Jessica van SettenDepartment of Cardiology, University Medical Center Utrecht, University of Utrecht, Utrecht, the Netherlands.ORCID http://orcid.org/0000-0002-4934-7510
Nona SotoodehniaDepartment of Medicine, Cardiovascular Health Research Unit, Division of Cardiology, University of Washington, Seattle, WA, USA.
Kyle J GaultonDepartment of Pediatrics, Rady Children's Hospital, Division of Genome Information Sciences, University of California, San Diego, La Jolla, CA, USA.
Erin N SmithDepartment of Pediatrics, Rady Children's Hospital, Division of Genome Information Sciences, University of California, San Diego, La Jolla, CA, USA.
Matteo D'AntonioInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-5844-6433
Michael G RosenfeldHoward Hughes Medical Institute, Department of Medicine, University of California, San Diego, La Jolla, CA, USA. mrosenfeld@ucsd.edu.ORCID http://orcid.org/0000-0002-1572-156X
Kelly A FrazerDepartment of Pediatrics, Rady Children's Hospital, Division of Genome Information Sciences, University of California, San Diego, La Jolla, CA, USA. kafrazer@ucsd.edu.ORCID http://orcid.org/0000-0002-6060-8902
University of California San Diego · USHoward Hughes Medical Institute · USUniversity of Washington · USUtrecht University · NL

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jesse Nodora · 1985 to 2026
$124.9M
HORMONAL AND DEVELOPMENTAL REGULATION OF GENE EXPRESSIONR01DK018477 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROSENFELD, MICHAEL G · 1986 to 2025
$12.7M
REGULATION OF NEUROENDOCRINE SWITCHING EVENTSR37DK039949 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROSENFELD, MICHAEL G · 1987 to 2020
$12.3M
REGULATORY GENOMIC STUDIES IN A COHORT OF IPS CELL DERIVED CARDIOMYOCYTESU01HL107442 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI EVANS, SYLVIA M, FRAZER, KELLY A · 2011 to 2016
$9.8M
Training Program in Basic Clinical GeneticsT32GM008666 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HAMILTON, BRUCE A · 1998 to 2021
$8.6M
Functional Analysis of T2D Associated Non-coding SNPsU01DK105541 · NIDDK · LUDWIG INSTITUTE FOR CANCER RES LTD · PI FRAZER, KELLY A, REN, BING · 2015 to 2019
$4.6M
Fine-mapping and functional analysis of T1D-associated variantsDP3DK112155 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FRAZER, KELLY A, SANDER, MAIKE · 2016 to 2016
$3.3M
Genomics of Cardiac Electrical Activity and ArrhythmiaR01HL116747 · NHLBI · UNIVERSITY OF WASHINGTON · PI ARKING, DAN E, SOTOODEHNIA, NONA · 2013 to 2016
$2.8M
REGULATION OF NEUROENDOCRINE SWITCHING EVENTSR01DK039949 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROSENFELD, MICHAEL G · 1996 to 2024
$2.4M
Diabetes risk variants affecting transcription factor-regulated cellular networksR01DK114650 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GAULTON, KYLE JEFFRIE · 2018 to 2022
$1.9M
Commercialization of HaploSeq as a Service (HaaS) for generating chromosome-span phased genome and exome sequence informationR44HG008118 · NHGRI · ARIMA GENOMICS, INC. · PI DIXON, JESSE R, LAURENT, LOUISE CHANG · 2018 to 2019
$1.7M
Systems Biology Analysis of Cardiac Electrical Activity and Arrhythmias.R01HL141989 · NHLBI · UNIVERSITY OF WASHINGTON · PI ARKING, DAN E, SHOJAIE, ALI · 2019 to 2020
$968k
NCI NIH HHS P30 CA023100NHGRI NIH HHS R41 HG008118NHGRI NIH HHS R44 HG008118NHLBI NIH HHS F31 HL142151NHLBI NIH HHS R01 HL116747NHLBI NIH HHS R01 HL141989NHLBI NIH HHS U01 HL107442NIDDK NIH HHS DP3 DK112155NIDDK NIH HHS R01 DK018477NIDDK NIH HHS R01 DK039949NIDDK NIH HHS R01 DK114650NIDDK NIH HHS R37 DK039949NIDDK NIH HHS U01 DK105541NIGMS NIH HHS T32 GM008666Swiss National Science Foundation 155105Swiss National Science Foundation 167612
6 · The paper itself

Abstract

The cardiac transcription factor (TF) gene NKX2-5 has been associated with electrocardiographic (EKG) traits through genome-wide association studies (GWASs), but the extent to which differential binding of NKX2-5 at common regulatory variants contributes to these traits has not yet been studied. We analyzed transcriptomic and epigenomic data from induced pluripotent stem cell-derived cardiomyocytes from seven related individuals, and identified ~2,000 single-nucleotide variants associated with allele-specific effects (ASE-SNVs) on NKX2-5 binding. NKX2-5 ASE-SNVs were enriched for altered TF motifs, for heart-specific expression quantitative trait loci and for EKG GWAS signals. Using fine-mapping combined with epigenomic data from induced pluripotent stem cell-derived cardiomyocytes, we prioritized candidate causal variants for EKG traits, many of which were NKX2-5 ASE-SNVs. Experimentally characterizing two NKX2-5 ASE-SNVs (rs3807989 and rs590041) showed that they modulate the expression of target genes via differential protein binding in cardiac cells, indicating that they are functional variants underlying EKG GWAS signals. Our results show that differential NKX2-5 binding at numerous regulatory variants across the genome contributes to EKG phenotypes.

Indexed as

Polymorphism, Single NucleotideQuantitative Trait LociRegulatory Elements, TranscriptionalAdolescentAdultAgedAged, 80 and overAllelesAtrial FibrillationChildElectrocardiographyEpigenomicsFemaleGenetic Predisposition to DiseaseGenome, HumanGenome-Wide Association StudyHomeobox Protein Nkx-2.5NKX2-5 protein, human

Identifiers

PMID31570892
PMCPMC6858543
OpenAlexW2976869240

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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.