Evidence map›Paper›PMID 34486668›Full record

ArticleDevelopment (Cambridge, England)2021

Gene-teratogen interactions influence the penetrance of birth defects by altering Hedgehog signaling strength.

Jennifer H Kong, Cullen B Young, Ganesh V Pusapati, F Hernán Espinoza, Chandni B Patel, Francis Beckert, Sebastian Ho, Bhaven B Patel, George C Gabriel, L Aravind and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Development (Cambridge, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

14 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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  8. "Design principles of a membrane-spanning ubiquitin ligase".bioRxiv : the preprint server for biology · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Mosmo Is Required for Zebrafish Craniofacial Formation.Frontiers in cell and developmental biology · 2021
    Article
  14. 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

14 authors at 4 institutions in 1 country.

Jennifer H KongDepartments of Biochemistry and Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-4573-3270
Cullen B YoungDepartment of Developmental Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15201, USA.
Ganesh V PusapatiDepartments of Biochemistry and Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-1406-2566
F Hernán EspinozaDepartments of Biochemistry and Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Chandni B PatelDepartments of Biochemistry and Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-7784-6093
Francis BeckertDepartments of Biochemistry and Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Sebastian HoDepartment of Developmental Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15201, USA.ORCID 0000-0002-5947-9728
Bhaven B PatelDepartments of Biochemistry and Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
George C GabrielDepartment of Developmental Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15201, USA.
L AravindNational Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA.ORCID 0000-0003-0771-253X
J Fernando BazanH Bioconsulting, Stillwater, MN 50082, USA.ORCID 0000-0002-3645-9935
Teresa M GunnMcLaughlin Research Institute, Great Falls, MT 59405, USA.ORCID 0000-0003-2688-6420
Cecilia W LoDepartment of Developmental Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15201, USA.ORCID 0000-0003-4314-3434
Rajat RohatgiDepartments of Biochemistry and Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0001-7609-8858
Stanford University · USUniversity of Pittsburgh · USMcLaughlin Research Institute · USNational Institutes of Health · US

Funding

Supplement application for an Olympus automated microscopeR35GM118082 · NIGMS · STANFORD UNIVERSITY · PI RAJAT ROHATGI · 2016 to 2026
$7.6M
Modeling the complex genetics of congenital heart disease in miceR01HL132024 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LO, CECILIA W. · 2016 to 2019
$3.4M
Mechanism of LV Hypoplasia in Hypoplastic Left Heart Syndrome SupplementR01HL142788 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LO, CECILIA W., TSANG, MICHAEL WAIKOK · 2018 to 2021
$3.3M
A protein traffic control system that regulates left-right patterning and heart developmentR01HL157103 · NHLBI · STANFORD UNIVERSITY · PI GUNN, TERESA M, LO, CECILIA W. · 2021 to 2024
$2.9M
NHLBI NIH HHS R01 HL132024NHLBI NIH HHS R01 HL142788NHLBI NIH HHS R01 HL157103NIGMS NIH HHS R35 GM118082
6 · The paper itself

Abstract

Birth defects result from interactions between genetic and environmental factors, but the mechanisms remain poorly understood. We find that mutations and teratogens interact in predictable ways to cause birth defects by changing target cell sensitivity to Hedgehog (Hh) ligands. These interactions converge on a membrane protein complex, the MMM complex, that promotes degradation of the Hh transducer Smoothened (SMO). Deficiency of the MMM component MOSMO results in elevated SMO and increased Hh signaling, causing multiple birth defects. In utero exposure to a teratogen that directly inhibits SMO reduces the penetrance and expressivity of birth defects in Mosmo-/- embryos. Additionally, tissues that develop normally in Mosmo-/- embryos are refractory to the teratogen. Thus, changes in the abundance of the protein target of a teratogen can change birth defect outcomes by quantitative shifts in Hh signaling. Consequently, small molecules that re-calibrate signaling strength could be harnessed to rescue structural birth defects.

Indexed as

Gene-Environment InteractionPenetranceAbnormalities, Drug-InducedAnimalsCells, CulturedHedgehog ProteinsHEK293 CellsHumansMiceMice, Inbred C57BLNIH 3T3 CellsSignal TransductionSmoothened ReceptorHedgehog ProteinsSmoothened ReceptorSmo protein, mouseGene-environment interactionsHedgehog signalingLeft-right patterningMorphogenSmoothenedStructural birth defects

Identifiers

PMID34486668
PMCPMC8513608
OpenAlexW3196570693

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.