Evidence map›Paper›PMID 34473308›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2022

Whole-exome sequencing identifies FOXL2, FOXA2 and FOXA3 as candidate genes for monogenic congenital anomalies of the kidneys and urinary tract.

Bixia Zheng, Steve Seltzsam, Chunyan Wang, Luca Schierbaum, Sophia Schneider, Chen-Han Wilfred Wu, Rufeng Dai, Dervla M Connaughton, Makiko Nakayama, Nina Mann and 7 more

Open access · greenAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Trio exome sequencing identifies de novo variants in novel candidate genes in 19.62% of CAKUT families.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  5. Article
  6. Article
  7. The term CAKUT has outlived its usefulness: the case for the defense.Pediatric nephrology (Berlin, Germany) · 2022
    Review
  8. Single-Cell Chromatin and Gene-Regulatory Dynamics of Mouse Nephron Progenitors.Journal of the American Society of Nephrology : JASN · 2022
    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

17 authors at 6 institutions in 4 countries.

Bixia ZhengDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Steve SeltzsamDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Chunyan WangDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Luca SchierbaumDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Sophia SchneiderDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Chen-Han Wilfred WuDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Rufeng DaiDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Dervla M ConnaughtonDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Makiko NakayamaDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Nina MannDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Natasa StajicDepartment of Pediatric Nephrology, Institute for Mother and Child Health Care, Belgrade, Serbia.
Shrikant ManeDepartment of Genetics, Yale University School of Medicine, New Haven, CT, USA.
Stuart B BauerDepartment of Urology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Velibor TasicMedical Faculty of Skopje, University Children's Hospital, Skopje, Macedonia.
Hyun Joo NamDepartment of Biological and Environmental Science, Texas A&M University at Commerce, Commerce, TX, USA.
Shirlee ShrilDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Friedhelm HildebrandtDepartment of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Boston Children's Hospital · USHarvard University · USChildren's Clinical University Hospital · LVInstitute of Public Health of Serbia · RSTexas A&M University – Commerce · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Center for Mendelian DisordersU54HG006504 · NHGRI · YALE UNIVERSITY · PI GERSTEIN, MARK BENDER, GUNEL, MURAT · 2012 to 2015
$11.0M
RESEARCH TRAINING IN PEDIATRIC NEPHROLOGYT32DK007726 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI BRISCOE, DAVID M. · 1994 to 2023
$5.9M
Identification and function of new genes causing childhood nephrotic syndromeR01DK076683 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HILDEBRANDT, FRIEDHELM · 2007 to 2021
$5.3M
New genes and pathomechanisms of congenital abnormalities of the kidney (CAKUT)R01DK088767 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HILDEBRANDT, FRIEDHELM · 2010 to 2019
$3.4M
NCATS NIH HHS UL1 TR001863NHGRI NIH HHS U54 HG006504NIDDK NIH HHS R01 DK076683NIDDK NIH HHS R01 DK088767NIDDK NIH HHS T32 DK007726
6 · The paper itself

Abstract

backgroundCongenital anomalies of the kidneys and urinary tract (CAKUT) constitute the most common cause of chronic kidney disease in the first three decades of life. Variants in four Forkhead box (FOX) transcription factors have been associated with CAKUT. We hypothesized that other FOX genes, if highly expressed in developing kidneys, may also represent monogenic causes of CAKUT.

methodsWe here performed whole-exome sequencing (WES) in 541 families with CAKUT and generated four lists of CAKUT candidate genes: (A) 36 FOX genes showing high expression during renal development, (B) 4 FOX genes known to cause CAKUT to validate list A, (C) 80 genes that we identified as unique potential novel CAKUT candidate genes when performing WES in 541 CAKUT families and (D) 175 genes identified from WES as multiple potential novel CAKUT candidate genes.

resultsTo prioritize potential novel CAKUT candidates in the FOX gene family, we overlapped 36 FOX genes (list A) with lists C and D of WES-derived CAKUT candidates. Intersection with list C identified a de novo FOXL2 in-frame deletion in a patient with eyelid abnormalities and ureteropelvic junction obstruction, and a homozygous FOXA2 missense variant in a patient with horseshoe kidney. Intersection with list D identified a heterozygous FOXA3 missense variant in a CAKUT family with multiple affected individuals.

conclusionsWe hereby identified FOXL2, FOXA2 and FOXA3 as novel monogenic candidate genes of CAKUT, supporting the utility of a paralog-based approach to discover mutated genes associated with human disease.

Indexed as

Urinary TractUrogenital AbnormalitiesExome SequencingForkhead Box Protein L2Hepatocyte Nuclear Factor 3-betaHepatocyte Nuclear Factor 3-gammaHumansKidneyVesico-Ureteral RefluxForkhead Box Protein L2FOXA2 protein, humanFOXA3 protein, humanFOXL2 protein, humanHepatocyte Nuclear Factor 3-betaHepatocyte Nuclear Factor 3-gammacongenital anomalies of the kidney and urinary tract, FOXL2FOXA2FOXA3whole-exome sequencing

Identifiers

PMID34473308
PMCPMC9755999
OpenAlexW3198325871

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.