Evidence map›Paper›PMID 34923728›Full record

ArticleHuman mutation2022

EFEMP1 rare variants cause familial juvenile-onset open-angle glaucoma.

Edward Ryan A Collantes, Manuel S Delfin, Baojian Fan, Justine May R Torregosa, Christine Siguan-Bell, Nilo Vincent de Guzman Florcruz, Jose Maria D Martinez, Barbara Joy Masna-Hidalgo, Vincent Paul T Guzman, Jewel Faith Anotado-Flores and 6 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Human mutation, 2022. 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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Exploring ocular fibulin-3 (EFEMP1): Anatomical, age-related, and species perspectives.Biochimica et biophysica acta. Molecular basis of disease · 2024
    Article
  12. Article
  13. Modeling complex age-related eye disease.Progress in retinal and eye research · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Transcriptomic analysis of the ocular posterior segment completes a cell atlas of the human eye.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 3 countries.

Edward Ryan A CollantesDepartment of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, USA.
Manuel S DelfinDepartment of Ophthalmology, Manila Doctors Hospital, Manila, Philippines.
Baojian FanDepartment of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, USA.
Justine May R TorregosaDepartment of Ophthalmology, Cebu Institute of Medicine, Cebu Velez General Hospital, Cebu City, Philippines.
Christine Siguan-BellDepartment of Ophthalmology, Cebu Institute of Medicine, Cebu Velez General Hospital, Cebu City, Philippines.
Nilo Vincent de Guzman FlorcruzDepartment of Ophthalmology and Visual Sciences, University of the Philippines-Philippine General Hospital, Manila, Philippines.
Jose Maria D MartinezGlaucoma Service, Department of Ophthalmology, East Avenue Medical Center, Quezon City, Philippines.
Barbara Joy Masna-HidalgoDepartment of Ophthalmology, Western Visayas Medical Center, Iloilo City, Philippines.
Vincent Paul T GuzmanDepartment of Ophthalmology, Western Visayas Medical Center, Iloilo City, Philippines.
Jewel Faith Anotado-FloresDepartment of Ophthalmology, Western Visayas Medical Center, Iloilo City, Philippines.
Faye D LevinaDepartment of Ophthalmology, Jose R. Reyes Memorial Medical Center, Manila, Philippines.
Sophia Raine C HernandezDepartment of Molecular Biology, Umeå University, Umeå, Sweden.
Anthony A CollantesDepartment of Biochemistry, College of Medicine, Our Lady of Fatima University, Valenzuela, Philippines.
Michael Carreon SibuloEye Institute, St. Luke's Medical Center, Quezon City, Philippines.
Shisong RongDepartment of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, USA.
Janey L WiggsDepartment of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, USA.ORCID 0000-0003-1890-3278
Massachusetts Eye and Ear Infirmary · USIloilo Mission Hospital · PHPhilippine General Hospital · PHVelez College · PHEast Avenue Medical Center · PHJosé R. Reyes Memorial Medical Center · PHOur Lady of Fatima University · PHSt. Luke's Medical Center · PHUmeå University · SE

Funding

P30 Core Grant for Vision ResearchP30EY014104 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Janey L Wiggs · 2002 to 2026
$15.1M
Defining early-onset glaucomagenetic etiologiesR01EY031820 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI WIGGS, JANEY L · 2020 to 2024
$3.6M
Reprogramming Exosomes for Biomedical ApplicationsR01EB031830 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ZHANG, YONG · 2021 to 2024
$2.1M
NEI NIH HHS P30 EY014104NEI NIH HHS R01 EY031820NIBIB NIH HHS R01 EB031830
6 · The paper itself

Abstract

Juvenile open-angle glaucoma (JOAG) is a severe type of glaucoma with onset before age 40 and dominant inheritance. Using exome sequencing we identified 3 independent families from the Philippines with novel EFEMP1 variants (c.238A>T, p.Asn80Tyr; c.1480T>C, p.Ter494Glnext*29; and c.1429C>T, p.Arg477Cys) co-segregating with disease. Affected variant carriers (N = 34) exhibited severe disease with average age of onset of 16 years and with 76% developing blindness. To investigate functional effects, we transfected COS7 cells with vectors expressing the three novel EFEMP1 variants and showed that all three variants found in JOAG patients caused significant intracellular protein aggregation and retention compared to wild type and also compared to EFEMP1 variants associated with other ocular phenotypes including an early-onset form of macular degeneration, Malattia Leventinese/Doyne's Honeycomb retinal dystrophy. These results suggest that rare EFEMP1 coding variants can cause JOAG through a mechanism involving protein aggregation and retention, and that the extent of intracellular retention correlates with disease phenotype. This is the first report of EFEMP1 variants causing JOAG, expanding the EFEMP1 disease spectrum. Our results suggest that EFEMP1 mutations appear to be a relatively common cause of JOAG in Filipino families, an ethnically diverse population.

Indexed as

Extracellular Matrix ProteinsGlaucoma, Open-AngleMacular DegenerationHeterozygoteHumansMutationEFEMP1 protein, humanExtracellular Matrix ProteinsEFEMP1fibulin-3glaucomaJuvenile-onsetPhilippines

Identifiers

PMID34923728
PMCPMC8972201
OpenAlexW4200424295

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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.