Evidence map›Paper›PMID 32994173›Full record

ArticleDevelopment (Cambridge, England)2020

RET overactivation leads to concurrent Hirschsprung disease and intestinal ganglioneuromas.

Nandor Nagy, Richard A Guyer, Ryo Hotta, Dongcheng Zhang, Donald F Newgreen, Viktoria Halasy, Tamas Kovacs, Allan M Goldstein

Abstract read
In one paragraph

Article in Development (Cambridge, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Article
  2. Time-resolved morphological and transcriptomic characterization of early enteric neuron subtype emergence in chick.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. 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

8 authors.

Nandor NagyDepartment of Anatomy, Histology and Embryology, Faculty of Medicine, Semmelweis University, Budapest, 1094, Hungary.ORCID 0000-0002-6223-5214
Richard A GuyerDepartment of Pediatric Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Ryo HottaDepartment of Pediatric Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Dongcheng ZhangNeural Crest Group, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.
Donald F NewgreenNeural Crest Group, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia.ORCID 0000-0002-3467-6389
Viktoria HalasyDepartment of Anatomy, Histology and Embryology, Faculty of Medicine, Semmelweis University, Budapest, 1094, Hungary.
Tamas KovacsDepartment of Anatomy, Histology and Embryology, Faculty of Medicine, Semmelweis University, Budapest, 1094, Hungary.
Allan M GoldsteinDepartment of Pediatric Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA agoldstein@partners.org.ORCID 0000-0003-2106-847X

Funding

Characterizing neurogenic progenitors in the adult intestineR01DK119210 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ALLAN M GOLDSTEIN · 2020 to 2026
$2.5M
Developmentally Informed Approach to Cell-based Therapy for Enteric NeuropathiesR01DK103785 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI GOLDSTEIN, ALLAN M · 2015 to 2019
$1.9M
Transcription factors mediate postnatal neurogenesis from enteric glial cellsF32DK121440 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI GUYER, RICHARD A · 2020 to 2022
$144k
NIDDK NIH HHS F32 DK121440NIDDK NIH HHS R01 DK103785NIDDK NIH HHS R01 DK119210
6 · The paper itself

Abstract

Appropriately balanced RET signaling is of crucial importance during embryonic neural crest cell migration, proliferation and differentiation. RET deficiency, for example, leads to intestinal aganglionosis (Hirschsprung disease), whereas overactive RET can lead to multiple endocrine neoplasia (MEN) syndromes. Some RET mutations are associated with both intestinal aganglionosis and MEN-associated tumors. This seemingly paradoxical occurrence has led to speculation of a 'Janus mutation' in RET that causes overactivation or impairment of RET activity depending on the cellular context. Using an intestinal catenary culture system to test the effects of GDNF-mediated RET activation, we demonstrate the concurrent development of distal colonic aganglionosis and intestinal ganglioneuromas. Interestingly, the tumors induced by GDNF stimulation contain enteric neuronal progenitors capable of reconstituting an enteric nervous system when transplanted into a normal developmental environment. These results suggest that a Janus mutation may not be required to explain co-existing Hirschsprung disease and MEN-associated tumors, but rather that RET overstimulation alone is enough to cause both phenotypes. The results also suggest that reprogramming tumor cells toward non-pathological fates may represent a possible therapeutic avenue for MEN-associated neoplasms.

Indexed as

AnimalsCell AggregationCell DifferentiationChick EmbryoChickensEnteric Nervous SystemGanglioneuromaGlial Cell Line-Derived Neurotrophic FactorsHirschsprung DiseaseIntestinesMice, Inbred C57BLNeural CrestNeuronsProto-Oncogene Proteins c-retVagus NerveGlial Cell Line-Derived Neurotrophic FactorsProto-Oncogene Proteins c-retAganglionosisEnteric nervous systemGanglioneuromaGDNFHirschsprung diseaseMultiple endocrine neoplasia

Identifiers

PMID32994173
PMCPMC7657479

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.