Evidence map›Paper›PMID 35050399›Full record

ArticleHuman genetics2022

Biallelic DNAH9 mutations are identified in Chinese patients with defective left-right patterning and cilia-related complex congenital heart disease.

Weicheng Chen, Yuan Zhang, Libing Shen, Jialiang Zhu, Ke Cai, Zhouping Lu, Weijia Zeng, Jianyuan Zhao, Xiangyu Zhou

Abstract read
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In one paragraph

Article in Human genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Novel compound heterozygous mutation inMolecular medicine reports · 2025
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  8. Frontiers in genetics · 2024
    Article
  9. Article
  10. Non-classical functions of nuclear pore proteins in ciliopathy.Frontiers in molecular biosciences · 2023
    Review
  11. Article
  12. Article
  13. 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

9 authors at 3 institutions in 1 country.

Weicheng Chen *Obstetrics and Gynecology Hospital of Fudan University, Pediatric Cardiovascular Center at Children's Hospital of Fudan University, Fudan University Shanghai Medical College, Shanghai, 200011, China.
Yuan Zhang *Department of Assisted Reproduction, Clinical and Translational Research Center, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, 201204, China.
Libing Shen *International Human Phenome Institutes (IHPI), Shanghai, 200433, China.
Jialiang ZhuDepartment of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, 201204, China.
Ke CaiState Key Lab of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai 200438, China; Department of Anatomy and Neuroscience Research Institute, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, China.
Zhouping LuDepartment of Assisted Reproduction, Clinical and Translational Research Center, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, 201204, China.
Weijia ZengState Key Lab of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai 200438, China; Department of Anatomy and Neuroscience Research Institute, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, China.
Jianyuan ZhaoState Key Lab of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai 200438, China; Department of Anatomy and Neuroscience Research Institute, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, China. zhaojy@fudan.edu.cn.
Xiangyu ZhouObstetrics and Gynecology Hospital of Fudan University, Pediatric Cardiovascular Center at Children's Hospital of Fudan University, Fudan University Shanghai Medical College, Shanghai, 200011, China. husq04@163.com.ORCID http://orcid.org/0000-0003-2115-4175
Fudan University · CNShanghai First Maternity and Infant Hospital · CNObstetrics and Gynecology Hospital of Fudan University · CN

Funding

National Basic Research Program of China (973 Program) 2018YFA0801300National Natural Science Foundation of China 81870285National Natural Science Foundation of China 82171845Shanghai Rising-Star Program 18QA1403500
6 · The paper itself

Abstract

Defective left-right (LR) pattering results in a spectrum of laterality disorders including situs inversus totalis (SIT) and heterotaxy syndrome (Htx). Approximately, 50% of patients with primary ciliary dyskinesia (PCD) displayed SIT. Recessive variants in DNAH9 have recently been implicated in patients with situs inversus. Here, we describe six unrelated family trios and 2 sporadic patients with laterality defects and complex congenital heart disease (CHD). Through whole exome sequencing (WES), we identified compound heterozygous mutations in DNAH9 in the affected individuals of these family trios. Ex vivo cDNA amplification revealed that DNAH9 mRNA expression was significantly downregulated in these patients carrying biallelic DNAH9 mutations, which cause a premature stop codon or exon skipping. Transmission electron microscopy (TEM) analysis identified ultrastructural defects of the outer dynein arms in these affected individuals. dnah9 knockdown in zebrafish lead to the disturbance of cardiac left-right patterning without affecting ciliogenesis in Kupffer's vesicle (KV). By generating a Dnah9 knockout (KO) C57BL/6n mouse model, we found that Dnah9 loss leads to compromised cardiac function. In this study, we identified recessive DNAH9 mutations in Chinese patients with cardiac abnormalities and defective LR pattering.

Indexed as

Axonemal DyneinsCiliary Motility DisordersHeterotaxy SyndromeSitus InversusZebrafish ProteinsAnimalsBody PatterningChinaCiliaHeart Defects, CongenitalHumansMiceMice, Inbred C57BLMutationZebrafishAxonemal DyneinsDNAH9 protein, humandnah9 protein, zebrafishZebrafish Proteins

Identifiers

PMID35050399
OpenAlexW4206074331

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.