Evidence map›Paper›PMID 33693626›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Common and Rare Genetic Variants That Could Contribute to Severe Otitis Media in an Australian Aboriginal Population.

Sarra E Jamieson, Michaela Fakiola, Dave Tang, Elizabeth Scaman, Genevieve Syn, Richard W Francis, Harvey L Coates, Denise Anderson, Timo Lassmann, Heather J Cordell and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. International journal of molecular sciences · 2025
    Pooled it
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  3. A NovelInternational journal of molecular sciences · 2025
    Article
  4. Article
  5. Article
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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

11 authors at 4 institutions in 3 countries.

Sarra E JamiesonTelethon Kids Institute, The University of Western Australia, Perth, Western Australia.
Michaela FakiolaFIRC Institute of Molecular Oncology (IFOM), Milan, Italy.
Dave TangTelethon Kids Institute, The University of Western Australia, Perth, Western Australia.
Elizabeth ScamanTelethon Kids Institute, The University of Western Australia, Perth, Western Australia.
Genevieve SynTelethon Kids Institute, The University of Western Australia, Perth, Western Australia.
Richard W FrancisTelethon Kids Institute, The University of Western Australia, Perth, Western Australia.
Harvey L CoatesFaculty of Health and Medical Sciences, The University of Western Australia, Perth, Western Australia.
Denise AndersonTelethon Kids Institute, The University of Western Australia, Perth, Western Australia.
Timo LassmannTelethon Kids Institute, The University of Western Australia, Perth, Western Australia.
Heather J CordellPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Jenefer M BlackwellTelethon Kids Institute, The University of Western Australia, Perth, Western Australia.ORCID 0000-0002-0784-7277
The Kids Research Institute Australia · AUIFOM · ITNewcastle University · GBThe University of Western Australia · AU

Funding

Australian National Health and Medical Research Council APP634301Wellcome Trust 087436/Z/08/ZWellcome Trust 102858/Z/13/Z
6 · The paper itself

Abstract

backgroundOur goal was to identify genetic risk factors for severe otitis media (OM) in Aboriginal Australians.

methodsIllumina® Omni2.5 BeadChip and imputed data were compared between 21 children with severe OM (multiple episodes chronic suppurative OM and/or perforations or tympanic sclerosis) and 370 individuals without this phenotype, followed by FUnctional Mapping and Annotation (FUMA). Exome data filtered for common (EXaC_all ≥ 0.1) putative deleterious variants influencing protein coding (CADD-scaled scores ≥15] were used to compare 15 severe OM cases with 9 mild cases (single episode of acute OM recorded over ≥3 consecutive years). Rare (ExAC_all ≤ 0.01) such variants were filtered for those present only in severe OM. Enrichr was used to determine enrichment of genes contributing to pathways/processes relevant to OM.

resultsFUMA analysis identified 2 plausible genetic risk loci for severe OM: NR3C1 (Pimputed_1000G = 3.62 × 10-6) encoding the glucocorticoid receptor, and NREP (Pimputed_1000G = 3.67 × 10-6) encoding neuronal regeneration-related protein. Exome analysis showed: (i) association of severe OM with variants influencing protein coding (CADD-scaled ≥ 15) in a gene-set (GRXCR1, CDH23, LRP2, FAT4, ARSA, EYA4) enriched for Mammalian Phenotype Level 4 abnormal hair cell stereociliary bundle morphology and related phenotypes; (ii) rare variants influencing protein coding only seen in severe OM provided gene-sets enriched for "abnormal ear" (LMNA, CDH23, LRP2, MYO7A, FGFR1), integrin interactions, transforming growth factor signaling, and cell projection phenotypes including hair cell stereociliary bundles and cilium assembly.

conclusionsThis study highlights interacting genes and pathways related to cilium structure and function that may contribute to extreme susceptibility to OM in Aboriginal Australian children.

Indexed as

Otitis MediaAustraliaHumansPhenotypeRacial GroupsTrans-ActivatorsEYA4 protein, humanTrans-Activatorscilium assemblygenetic susceptibilityNR3C1 glucocorticoid receptorNREP neuronal regeneration related proteinotitis mediastereociliary bundles

Identifiers

PMID33693626
PMCPMC8599203
OpenAlexW3134269560

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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.