Evidence map›Paper›PMID 33105483›Full record

ArticleHuman molecular genetics2021

Genetic association and characterization of FSTL5 in isolated clubfoot.

Anas M Khanshour, Yared H Kidane, Julia Kozlitina, Reuel Cornelia, Alexandra Rafipay, Vanessa De Mello, Mitchell Weston, Nandina Paria, Aysha Khalid, Jacqueline T Hecht and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Human molecular genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
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 6 institutions in 3 countries.

Anas M KhanshourCenter for Pediatric Bone Biology and Translational Research, Scottish Rite for Children, Dallas, TX 75219, USA.
Yared H KidaneCenter for Pediatric Bone Biology and Translational Research, Scottish Rite for Children, Dallas, TX 75219, USA.
Julia KozlitinaMcDermott Center for Human Growth and Development, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Reuel CorneliaCenter for Pediatric Bone Biology and Translational Research, Scottish Rite for Children, Dallas, TX 75219, USA.
Alexandra RafipaySchool of Medicine, Medical Sciences & Nutrition, Institute of Medical Sciences, University of Aberdeen, Aberdeen, AB25 2ZD, Scotland, UK.
Vanessa De MelloSchool of Medicine, Medical Sciences & Nutrition, Institute of Medical Sciences, University of Aberdeen, Aberdeen, AB25 2ZD, Scotland, UK.
Mitchell WestonDepartment of Anatomy, University of Otago, Dunedin 9016, New Zealand.
Nandina PariaCenter for Pediatric Bone Biology and Translational Research, Scottish Rite for Children, Dallas, TX 75219, USA.
Aysha KhalidCenter for Pediatric Bone Biology and Translational Research, Scottish Rite for Children, Dallas, TX 75219, USA.
Jacqueline T HechtDepartment of Pediatrics, McGovern Medical School, University of Texas Health, Houston, TX 77030, USA.
Matthew B DobbsPaley Orthopedic and Spine Institute, West Palm Beach, FL 33407, USA.
B Stephens RichardsDepartment of Orthopaedics, Scottish Rite for Children, Dallas, TX 75219, USA.
Neil VargessonSchool of Medicine, Medical Sciences & Nutrition, Institute of Medical Sciences, University of Aberdeen, Aberdeen, AB25 2ZD, Scotland, UK.
F Kent HamraDepartment of Obstetrics and Gynecology, Cecil H. & Ida Green Center for Reproductive Biology Sciences, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Megan WilsonDepartment of Anatomy, University of Otago, Dunedin 9016, New Zealand.
Carol WiseCenter for Pediatric Bone Biology and Translational Research, Scottish Rite for Children, Dallas, TX 75219, USA.
Christina A GurnettDepartment of Neurology, School of Medicine, Washington University, St. Louis, MO 63130, USA.
Jonathan J RiosCenter for Pediatric Bone Biology and Translational Research, Scottish Rite for Children, Dallas, TX 75219, USA.
Texas Scottish Rite Hospital for Children · USUniversity of Aberdeen · GBSouthwestern Medical Center · USUniversity of Otago · NZThe University of Texas Health Science Center at Houston · USWashington University in St. Louis · US

Funding

Genetic Risk Factors for Severe ScoliosisR01AR067715 · NIAMS · WASHINGTON UNIVERSITY · PI DOBBS, MATTHEW BARRETT, GURNETT, CHRISTINA · 2015 to 2024
$6.0M
DISCOVERY &FUNCTION OF FERTILIZATION-SPECIFIC MOLECULESR01HD036022 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI HAMRA, F. KENT · 2000 to 2009
$2.3M
Genetic Studies of Clubfoot (ITEV)R01HD043342 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HECHT, JACQUELINE T · 2006 to 2010
$1.7M
Sperm Stem Cell Libraries for Biological ResearchR24OD011108 · OD · UT SOUTHWESTERN MEDICAL CENTER · PI HAMRA, F. KENT · 2012 to 2014
$1.7M
GWA for Gene-Environment Interaction Effects Influencing CHDU01HG004402 · NHGRI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BOERWINKLE, ERIC A. · 2007 to 2009
$1.6M
Molecular Mechanisms of Spermatogonial DevelopmentR01HD053889 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI HAMRA, F. KENT · 2009 to 2013
$1.6M
Biotechnology and Biological Sciences Research CouncilNHGRI NIH HHS U01 HG004402NHLBI NIH HHS HHSN268201100005CNHLBI NIH HHS HHSN268201100005GNHLBI NIH HHS HHSN268201100005INHLBI NIH HHS HHSN268201100006CNHLBI NIH HHS HHSN268201100007CNHLBI NIH HHS HHSN268201100007INHLBI NIH HHS HHSN268201100008CNHLBI NIH HHS HHSN268201100008INHLBI NIH HHS HHSN268201100009CNHLBI NIH HHS HHSN268201100009INHLBI NIH HHS HHSN268201100010CNHLBI NIH HHS HHSN268201100011CNHLBI NIH HHS HHSN268201100011INHLBI NIH HHS HHSN268201100012CNIAMS NIH HHS R01 AR067715NICHD NIH HHS R01 HD036022NICHD NIH HHS R01 HD043342NICHD NIH HHS R01 HD053889NIH HHS R24 OD011108
6 · The paper itself

Abstract

Talipes equinovarus (clubfoot, TEV) is a congenital rotational foot deformity occurring in 1 per 1000 births with increased prevalence in males compared with females. The genetic etiology of isolated clubfoot (iTEV) remains unclear. Using a genome-wide association study, we identified a locus within FSTL5, encoding follistatin-like 5, significantly associated with iTEV. FSTL5 is an uncharacterized gene whose potential role in embryonic and postnatal development was previously unstudied. Utilizing multiple model systems, we found that Fstl5 was expressed during later stages of embryonic hindlimb development, and, in mice, expression was restricted to the condensing cartilage anlage destined to form the limb skeleton. In the postnatal growth plate, Fstl5 was specifically expressed in prehypertrophic chondrocytes. As Fstl5 knockout rats displayed no gross malformations, we engineered a conditional transgenic mouse line (Fstl5LSL) to overexpress Fstl5 in skeletal osteochondroprogenitors. We observed that hindlimbs were slightly shorter and that bone mineral density was reduced in adult male, but not female, Prrx1-cre;Fstl5LSL mice compared with control. No overt clubfoot-like deformity was observed in Prrx1-cre;Fstl5LSL mice, suggesting FSTL5 may function in other cell types to contribute to iTEV pathogenesis. Interrogating published mouse embryonic single-cell expression data showed that Fstl5 was expressed in cell lineage subclusters whose transcriptomes were associated with neural system development. Moreover, our results suggest that lineage-specific expression of the Fstl genes correlates with their divergent roles as modulators of transforming growth factor beta and bone morphogenetic protein signaling. Results from this study associate FSTL5 with iTEV and suggest a potential sexually dimorphic role for Fstl5 in vivo.

Indexed as

Genetic Predisposition to DiseaseAnimalsClubfootDisease Models, AnimalExtremitiesFollistatin-Related ProteinsGene Expression RegulationGene Knockout TechniquesGenetic Association StudiesHomeodomain ProteinsHumansMiceRatsFollistatin-Related ProteinsFSTL5 protein, humanHomeodomain ProteinsPrrx1 protein, mouse

Identifiers

PMID33105483
PMCPMC7823076
OpenAlexW3093134160

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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.