Evidence map›Paper›PMID 33950863›Full record

ArticleEuropean journal of endocrinology2021

The phenotypic spectrum associated with OTX2 mutations in humans.

Louise C Gregory, Peter Gergics, Marilena Nakaguma, Hironori Bando, Giuseppa Patti, Mark J McCabe, Qing Fang, Qianyi Ma, Ayse Bilge Ozel, Jun Z Li and 10 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Analysis ofInternational journal of molecular sciences · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Human-based complexFrontiers in cell and developmental biology · 2025
    Review
  10. The molecular basis of hypoprolactinaemia.Reviews in endocrine & metabolic disorders · 2024
    Review
  11. Non-syndromic OTX2-associated pattern dystrophy: a 10-year multimodal imaging study.Documenta ophthalmologica. Advances in ophthalmology · 2024
    Article
  12. Article
  13. iScience · 2023
    Article
  14. Review
  15. Article
  16. Review
  17. Transcription factors in microcephaly.Frontiers in neuroscience · 2023
    Review
  18. Article
  19. Review
  20. 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

20 authors at 5 institutions in 4 countries.

Louise C GregorySection of Molecular Basis of Rare Disease, Genetics and Genomic Medicine Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0001-7463-5365
Peter GergicsDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-3480-896x
Marilena NakagumaDevelopmental Endocrinology Unit, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0001-7962-8156
Hironori BandoDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-7421-2714
Giuseppa PattiSection of Molecular Basis of Rare Disease, Genetics and Genomic Medicine Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Mark J McCabeSection of Molecular Basis of Rare Disease, Genetics and Genomic Medicine Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Qing FangDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-8808-8523
Qianyi MaDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-6555-7446
Ayse Bilge OzelDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-1112-4258
Jun Z LiDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-6727-0812
Michele Moreira PoinaDevelopmental Endocrinology Unit, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Alexander A L JorgeDevelopmental Endocrinology Unit, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0003-2567-7360
Anna F Figueredo BenedettiDevelopmental Endocrinology Unit, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Antonio M LerarioDevelopmental Endocrinology Unit, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Ivo J P ArnholdDevelopmental Endocrinology Unit, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0003-1739-1354
Berenice B MendoncaDevelopmental Endocrinology Unit, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0003-1762-1084
Mohamad MaghnieDepartment of Pediatrics, IRCCS Istituto Giannina Gaslini.
Sally A CamperDepartment of Human Genetics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-8556-3379
Luciani R S CarvalhoDevelopmental Endocrinology Unit, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0002-7313-2130
Mehul T DattaniSection of Molecular Basis of Rare Disease, Genetics and Genomic Medicine Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversity of Michigan–Ann Arbor · USGreat Ormond Street Hospital · GBUniversity College London · GBUniversity of Genoa · IT

Funding

CELL-SPECIFIC EXPRESSION IN THE PITUITARY GLANDR01HD034283 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CAMPER, SALLY A. · 1996 to 2021
$7.7M
Hypopituitarism: role of PROP1 and retinoic acid signaling in regulation of pituitary stem cell differentiationR01HD097096 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CAMPER, SALLY A. · 2019 to 2023
$2.2M
MRF_ MRF-099-0002-RG-UCLICMRF_ MRF-099-0003-RG-DATT-C0921NICHD NIH HHS R01 HD034283NICHD NIH HHS R01 HD097096
6 · The paper itself

Abstract

Objective: The transcription factor OTX2 is implicated in ocular, craniofacial, and pituitary development. Design: We aimed to establish the contribution of OTX2 mutations in congenital hypopituitarism patients with/without eye abnormalities, study functional consequences, and establish OTX2 expression in the human brain, with a view to investigate the mechanism of action. Methods: We screened patients from the UK (n = 103), international centres (n = 24), and Brazil (n = 282); 145 were within the septo-optic dysplasia spectrum, and 264 had no eye phenotype. Transactivation ability of OTX2 variants was analysed in murine hypothalamic GT1-7 neurons. In situ hybridization was performed on human embryonic brain sections. Genetically engineered mice were generated with a series of C-terminal OTX2 variants. Results: Two chromosomal deletions and six haploinsufficient mutations were identified in individuals with eye abnormalities; an affected relative of one patient harboured the same mutation without an ocular phenotype. OTX2 truncations led to significant transactivation reduction. A missense variant was identified in another patient without eye abnormalities; however, studies revealed it was most likely not causative. In the mouse, truncations proximal to aa219 caused anophthalmia, while distal truncations and the missense variant were tolerated. During human embryogenesis, OTX2 was expressed in the posterior pituitary, retina, ear, thalamus, choroid plexus, and partially in the hypothalamus, but not in the anterior pituitary. Conclusions: OTX2 mutations are rarely associated with hypopituitarism in isolation without eye abnormalities, and may be variably penetrant, even within the same pedigree. Our data suggest that the endocrine phenotypes in patients with OTX2 mutations are of hypothalamic origin.

Indexed as

AdolescentAnimalsAnimals, Genetically ModifiedBrazilCell LineChildChild, PreschoolCohort StudiesFemaleHumansHypopituitarismHypothalamusInfantMaleMiceMicrophthalmosOTX2 protein, humanOtx Transcription Factors

Identifiers

PMID33950863
PMCPMC8437083
OpenAlexW3158614690

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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.