Evidence map›Paper›PMID 33201861›Full record

Trial reportThe Journal of clinical investigation2021

Congenital heart disease risk loci identified by genome-wide association study in European patients.

Harald Lahm, Meiwen Jia, Martina Dreßen, Felix Wirth, Nazan Puluca, Ralf Gilsbach, Bernard D Keavney, Julie Cleuziou, Nicole Beck, Olga Bondareva and 20 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 5 pooled it
5.6field-weighted citation impact, top 3% 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

64 citing papers in PubMed, 5 syntheses or guidelines pooled it, 112 citations in OpenAlex.

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  6. Review
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  10. Cardiac epigenome in heart development and disease.Nature reviews. Cardiology · 2026
    Review
  11. Circulation. Genomic and precision medicine · 2026
    Article
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 11 institutions in 3 countries.

Harald LahmDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Meiwen JiaDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry Munich, Munich, Germany.
Martina DreßenDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Felix WirthDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Nazan PulucaDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Ralf GilsbachInstitute for Cardiovascular Physiology, Goethe University, Frankfurt am Main, Germany.
Bernard D KeavneyDivision of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.
Julie CleuziouDepartment of Congenital and Paediatric Heart Surgery, German Heart Center Munich, Munich, Germany.
Nicole BeckDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Olga BondarevaInstitute of Experimental and Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Elda DzilicDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Melchior BurriDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Karl C KönigDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Johannes A ZiegelmüllerDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Claudia Abou-AjramDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Irina NebDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Zhong ZhangDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Stefanie A DopplerDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Elisa MastantuonoInstitute of Human Genetics, German Research Center for Environmental Health, Helmholtz Center Munich, Neuherberg, Germany.
Peter LichtnerInstitute of Human Genetics, German Research Center for Environmental Health, Helmholtz Center Munich, Neuherberg, Germany.
Gertrud EcksteinInstitute of Human Genetics, German Research Center for Environmental Health, Helmholtz Center Munich, Neuherberg, Germany.
Jürgen HörerDepartment of Congenital and Paediatric Heart Surgery, German Heart Center Munich, Munich, Germany.
Peter EwertDepartment of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany.
James R PriestDepartment of Pediatrics, Division of Pediatric Cardiology, Stanford University School of Medicine, Palo Alto, California, USA.
Lutz HeinInstitute of Experimental and Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Rüdiger LangeDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Thomas MeitingerInstitute of Human Genetics, German Research Center for Environmental Health, Helmholtz Center Munich, Neuherberg, Germany.
Heather J CordellPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, United Kingdom.
Bertram Müller-MyhsokDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry Munich, Munich, Germany.
Markus KraneDepartment of Cardiovascular Surgery, Division of Experimental Surgery, Institute Insure (Institute for Translational Cardiac Surgery), German Heart Center Munich, Munich, Germany.
Deutsches Herzzentrum München · DEGerman Centre for Cardiovascular Research · DEHelmholtz Zentrum München · DETUM Klinikum · DEUniversity of Freiburg · DECentre for Life · GBGoethe University Frankfurt · DEManchester Academic Health Science Centre · GBMax Planck Institute of Psychiatry · DEStanford University · USUniversity of Liverpool · GB

Funding

British Heart Foundation CH/13/2/30154British Heart Foundation RG/15/12/31616British Heart Foundation RG/F/21/110050
6 · The paper itself

Abstract

Genetic factors undoubtedly affect the development of congenital heart disease (CHD) but still remain ill defined. We sought to identify genetic risk factors associated with CHD and to accomplish a functional analysis of SNP-carrying genes. We performed a genome-wide association study (GWAS) of 4034 White patients with CHD and 8486 healthy controls. One SNP on chromosome 5q22.2 reached genome-wide significance across all CHD phenotypes and was also indicative for septal defects. One region on chromosome 20p12.1 pointing to the MACROD2 locus identified 4 highly significant SNPs in patients with transposition of the great arteries (TGA). Three highly significant risk variants on chromosome 17q21.32 within the GOSR2 locus were detected in patients with anomalies of thoracic arteries and veins (ATAV). Genetic variants associated with ATAV are suggested to influence the expression of WNT3, and the variant rs870142 related to septal defects is proposed to influence the expression of MSX1. We analyzed the expression of all 4 genes during cardiac differentiation of human and murine induced pluripotent stem cells in vitro and by single-cell RNA-Seq analyses of developing murine and human hearts. Our data show that MACROD2, GOSR2, WNT3, and MSX1 play an essential functional role in heart development at the embryonic and newborn stages.

Indexed as

Genetic LociPolymorphism, Single NucleotideAdolescentAdultAnimalsFemaleGenome-Wide Association StudyGermanyHeart Defects, CongenitalHumansMaleMiceRisk FactorsCardiologyCardiovascular diseaseGeneticsiPS cellsMolecular genetics

Identifiers

PMID33201861
PMCPMC7810487
OpenAlexW3106171142

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.