Evidence map›Paper›PMID 34101622›Full record

Observational studyJCI insight2021

Longitudinal genotype-phenotype analysis in 86 patients with PAX6-related aniridia.

Vivienne Kit, Dulce Lima Cunha, Ahmed M Hagag, Mariya Moosajee

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. A rare missenseInternational journal of ophthalmology · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Foveal Hypoplasia inInternational journal of molecular sciences · 2023
    Article
  17. Article
  18. Review
  19. Article
  20. Visual Acuity in Aniridia and WAGR Syndrome.Clinical ophthalmology (Auckland, N.Z.) · 2023
    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

4 authors at 2 institutions in 1 country.

Vivienne KitMoorfields Eye Hospital, NHS Foundation Trust, London, United Kingdom.
Dulce Lima CunhaUCL Institute of Ophthalmology, London, United Kingdom.
Ahmed M HagagMoorfields Eye Hospital, NHS Foundation Trust, London, United Kingdom.
Mariya MoosajeeMoorfields Eye Hospital, NHS Foundation Trust, London, United Kingdom.
Moorfields Eye Hospital NHS Foundation Trust · GBUniversity College London · GB

Funding

Medical Research CouncilWellcome Trust 205174/Z/16/Z
6 · The paper itself

Abstract

Aniridia is most commonly caused by haploinsufficiency of the PAX6 gene, characterized by variable iris and foveal hypoplasia, nystagmus, cataracts, glaucoma, and aniridia-related keratopathy (ARK). Genotype-phenotype correlations have previously been described; however, detailed longitudinal studies of aniridia are less commonly reported. We identified 86 patients from 62 unrelated families with molecularly confirmed heterozygous PAX6 variants from a UK-based single-center ocular genetics service. They were categorized into mutation groups, and a retrospective review of clinical characteristics (ocular and systemic) from baseline to most recent was recorded. One hundred and seventy-two eyes were evaluated, with a mean follow-up period of 16.3 ± 12.7 years. Nystagmus was recorded in 87.2% of the eyes, and foveal hypoplasia was found in 75%. Cataracts were diagnosed in 70.3%, glaucoma in 20.6%, and ARK in 68.6% of eyes. Prevalence, age of diagnosis and surgical intervention, and need for surgical intervention varied among mutation groups. Overall, the missense mutation subgroup had the mildest phenotype, and surgically naive eyes maintained better visual acuity. Systemic evaluation identified type 2 diabetes in 12.8% of the study group, which is twice the UK prevalence. This is the largest longitudinal study of aniridia in the UK, and as such, it can provide insights into prognostic indicators for patients and guiding clinical management of both ocular and systemic features.

Indexed as

AdolescentAdultAniridiaCataractChildDiabetes Mellitus, Type 2DNA Mutational AnalysisFemaleFollow-Up StudiesFovea CentralisGenetic Association StudiesGlaucomaHaploinsufficiencyHeterozygoteHumansLongitudinal StudiesPAX6 protein, humanPAX6 Transcription FactorGenetic diseasesGeneticsOphthalmology

Identifiers

PMID34101622
PMCPMC8410060
OpenAlexW3166135350

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.