Evidence map›Paper›PMID 34230488›Full record

ArticleNature communications2021

Joint disease-specificity at the regulatory base-pair level.

Pushpanathan Muthuirulan, Dewei Zhao, Mariel Young, Daniel Richard, Zun Liu, Alireza Emami, Gabriela Portilla, Shayan Hosseinzadeh, Jiaxue Cao, David Maridas and 9 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  4. Mechanoepigenetics in musculoskeletal disease.Osteoarthritis and cartilage · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 2 countries.

Pushpanathan Muthuirulan *Department of Human Evolutionary Biology, Harvard University, Cambridge, MA, USA.
Dewei Zhao *Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Mariel YoungDepartment of Human Evolutionary Biology, Harvard University, Cambridge, MA, USA.
Daniel RichardDepartment of Human Evolutionary Biology, Harvard University, Cambridge, MA, USA.
Zun LiuDepartment of Human Evolutionary Biology, Harvard University, Cambridge, MA, USA.
Alireza EmamiDepartment of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Gabriela PortillaDepartment of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Shayan HosseinzadehDepartment of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5326-6852
Jiaxue CaoDepartment of Human Evolutionary Biology, Harvard University, Cambridge, MA, USA.
David MaridasDepartment of Developmental Biology, Harvard School of Dental Medicine, Boston, MA, USA.
Mary SedlakDepartment of Human Evolutionary Biology, Harvard University, Cambridge, MA, USA.
Danilo MenghiniDepartment of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Liangliang ChengDepartment of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Lu LiDepartment of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Xinjia DingDepartment of Surgery, the Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Yan DingDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7708-4391
Vicki RosenDepartment of Developmental Biology, Harvard School of Dental Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4029-1055
Ata M KiapourDepartment of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. ata.kiapour@childrens.harvard.edu.ORCID http://orcid.org/0000-0001-7742-5769
Terence D CapelliniDepartment of Human Evolutionary Biology, Harvard University, Cambridge, MA, USA. tcapellini@fas.harvard.edu.ORCID http://orcid.org/0000-0003-3842-8478
Harvard University · USBoston Children's Hospital · USAffiliated Zhongshan Hospital of Dalian University · CNBroad Institute · USDalian Medical University · CN

Funding

Skeletal Phenotyping CoreP30AR066261 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI KRONENBERG, HENRY M. · 2014 to 2018
$3.5M
Uncovering the Genetic Mechanisms Behind Joint-Specific OsteoarthritisR01AR070139 · NIAMS · HARVARD UNIVERSITY · PI CAPELLINI, TERENCE D · 2018 to 2022
$3.3M
Molecular architecture of the human knee joint and pelvis at single cell resolutionR01AR081274 · NIAMS · HARVARD UNIVERSITY · PI Terence D Capellini, April Marie Craft · 2023 to 2026
$3.1M
Non-invasive Assessment of Ligament Healing, in VivoR01AR065462 · NIAMS · RHODE ISLAND HOSPITAL · PI FLEMING, BRADEN C, MURRAY, MARTHA M · 2014 to 2016
$2.1M
NIAMS NIH HHS P30 AR066261NIAMS NIH HHS R01 AR065462NIAMS NIH HHS R01 AR070139NIAMS NIH HHS R01 AR081274
6 · The paper itself

Abstract

Given the pleiotropic nature of coding sequences and that many loci exhibit multiple disease associations, it is within non-coding sequence that disease-specificity likely exists. Here, we focus on joint disorders, finding among replicated loci, that GDF5 exhibits over twenty distinct associations, and we identify causal variants for two of its strongest associations, hip dysplasia and knee osteoarthritis. By mapping regulatory regions in joint chondrocytes, we pinpoint two variants (rs4911178; rs6060369), on the same risk haplotype, which reside in anatomical site-specific enhancers. We show that both variants have clinical relevance, impacting disease by altering morphology. By modeling each variant in humanized mice, we observe joint-specific response, correlating with GDF5 expression. Thus, we uncouple separate regulatory variants on a common risk haplotype that cause joint-specific disease. By broadening our perspective, we finally find that patterns of modularity at GDF5 are also found at over three-quarters of loci with multiple GWAS disease associations.

Indexed as

ExonsAnimalsChondrocytesDisease Models, AnimalGene Expression RegulationGenetic Predisposition to DiseaseGenome-Wide Association StudyGrowth Differentiation Factor 5Hip DislocationHumansMiceOsteoarthritis, KneePhenotypeRegulatory Sequences, Nucleic AcidGDF5 protein, humanGdf5 protein, mouseGrowth Differentiation Factor 5

Identifiers

PMID34230488
PMCPMC8260791
OpenAlexW3179518327

What OpenQuestion holds

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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.