Evidence map›Paper›PMID 35346192›Full record

ArticleRespiratory research2022

Gene panel diagnostics reveals new pathogenic variants in pulmonary arterial hypertension.

Christina A Eichstaedt, Zoe Saßmannshausen, Memoona Shaukat, Ding Cao, Panagiota Xanthouli, Henning Gall, Natascha Sommer, Hossein-Ardeschir Ghofrani, Hans-Jürgen Seyfarth, Marianne Lerche and 15 more

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
4.9field-weighted citation impact, top 4% 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, 33 citations in OpenAlex.

  1. Pooled it
  2. ImpairedERJ open research · 2026
    Article
  3. Functional characterisation ofThe European respiratory journal · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. SMAD5 as a novel gene for familial pulmonary arterial hypertension.Clinical science (London, England : 1979) · 2025
    Article
  11. Article
  12. Article
  13. [Research progress on bioinformatics in pulmonary arterial hypertension].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Review
  14. Context-dependent TGFβ family signalling in cell fate regulation.Nature reviews. Molecular cell biology · 2023
    Review
  15. Defining the clinical validity of genes reported to cause pulmonary arterial hypertension.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    Article
  16. Review
  17. Is iron deficiency caused byPulmonary circulation · 2023
    Article
  18. Molecular Function and Contribution ofAmerican journal of respiratory and critical care medicine · 2023
    Review
  19. Article
  20. 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

25 authors at 9 institutions in 3 countries.

Christina A EichstaedtCenter for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Röntgenstraße 1, 69126, Heidelberg, Germany. christina.eichstaedt@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0001-7288-8297
Zoe SaßmannshausenLaboratory for Molecular Genetic Diagnostics, Institute of Human Genetics, Heidelberg University, Röntgenstraße 1, 69126, Heidelberg, Germany.
Memoona ShaukatCenter for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Röntgenstraße 1, 69126, Heidelberg, Germany.
Ding CaoCenter for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Röntgenstraße 1, 69126, Heidelberg, Germany.
Panagiota XanthouliCenter for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Röntgenstraße 1, 69126, Heidelberg, Germany.
Henning GallDepartment of Pneumology, Medical and Policlinic II, University Hospital of Gießen and Marburg, Universities of Giessen and Marburg Lung Center (UGMLC), German Center for Lung Research (DZL), Gießen, Germany.
Natascha SommerDepartment of Pneumology, Medical and Policlinic II, University Hospital of Gießen and Marburg, Universities of Giessen and Marburg Lung Center (UGMLC), German Center for Lung Research (DZL), Gießen, Germany.
Hossein-Ardeschir GhofraniDepartment of Pneumology, Medical and Policlinic II, University Hospital of Gießen and Marburg, Universities of Giessen and Marburg Lung Center (UGMLC), German Center for Lung Research (DZL), Gießen, Germany.
Hans-Jürgen SeyfarthDepartment of Pneumology, Medical Clinic II, University Hospital of Leipzig, Leipzig, Germany.
Marianne LercheDepartment of Pneumology, Medical Clinic II, University Hospital of Leipzig, Leipzig, Germany.
Michael HalankMedical Clinic I, University Hospital of Dresden, Dresden, Germany.
Janina KleymannMedical Clinic I, University Hospital of Dresden, Dresden, Germany.
Nicola BenjaminCenter for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Röntgenstraße 1, 69126, Heidelberg, Germany.
Satenik HarutyunovaCenter for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Röntgenstraße 1, 69126, Heidelberg, Germany.
Benjamin EgenlaufCenter for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Röntgenstraße 1, 69126, Heidelberg, Germany.
Katrin MilgerDepartment of Internal Medicine V, Ludwig-Maximilian University of Munich; Asklepios Clinic Gauting, Comprehensive Pneumology Centre Munich (CPC), German Center for Lung Research (DZL), Munich, Germany.
Stephan RosenkranzDepartment III of Internal Medicine and Cologne Cardiovascular Research Center (CCRC), Cologne University Heart Center, Cologne, Germany.
Ralf EwertDepartment of Internal Medicine B-Cardiology, Intensive Care, Pulmonary Medicine and Infectious Diseases, University of Greifswald, Greifswald, Germany.
Hans KloseDepartment of Pneumology, Department of Medicine II, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Marius M HoeperClinic for Pneumology, Hannover Medical School, Hannover and German Centre for Lung Research (DZL), Hannover, Germany.
Karen M OlssonClinic for Pneumology, Hannover Medical School, Hannover and German Centre for Lung Research (DZL), Hannover, Germany.
Mareike LankeitDepartment of Internal Medicine and Cardiology, Campus Virchow Klinikum (CVK), Charité - University Medicine Berlin, Berlin, Germany.
Tobias J LangeDepartment of Internal Medicine II, Division of Pneumology, University Medical Center Regensburg, Regensburg, Germany.
Katrin HinderhoferLaboratory for Molecular Genetic Diagnostics, Institute of Human Genetics, Heidelberg University, Röntgenstraße 1, 69126, Heidelberg, Germany.
Ekkehard GrünigCenter for Pulmonary Hypertension, Thoraxklinik Heidelberg gGmbH at Heidelberg University Hospital, Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Röntgenstraße 1, 69126, Heidelberg, Germany.
Heidelberg University · DEUniversitätsklinikum Gießen und Marburg · DEMedizinische Hochschule Hannover · DEUniversity Hospital Leipzig · DEAsklepios Fachkliniken München-Gauting · DEJohannes Gutenberg University Mainz · DEUniversität Hamburg · DEUniversitätsmedizin Greifswald · DEUniversity Hospital Regensburg · DE

Funding

Bundesministerium für Bildung und Forschung 01EO1503Deutsche Forschungsgemeinschaft 268555672 - SFB A1213
6 · The paper itself

Abstract

backgroundA genetic predisposition can lead to the rare disease pulmonary arterial hypertension (PAH). Most mutations have been identified in the gene BMPR2 in heritable PAH. However, as of today 15 further PAH genes have been described. The exact prevalence across these genes particularly in other PAH forms remains uncertain. We present the distribution of mutations across PAH genes identified at the largest German referral centre for genetic diagnostics in PAH over a course of > 3 years.

methodsOur PAH-specific gene diagnostics panel was used to sequence 325 consecutive PAH patients from March 2017 to October 2020. For the first year the panel contained thirteen PAH genes: ACVRL1, BMPR1B, BMPR2, CAV1, EIF2AK4, ENG, GDF2, KCNA5, KCNK3, KLF2, SMAD4, SMAD9 and TBX4. These were extended by the three genes ATP13A3, AQP1 and SOX17 from March 2018 onwards following the genes' discovery.

resultsA total of 79 mutations were identified in 74 patients (23%). Of the variants 51 (65%) were located in the gene BMPR2 while the other 28 variants were found in ten further PAH genes. We identified disease-causing variants in the genes AQP1, KCNK3 and SOX17 in families with at least two PAH patients. Mutations were not only detected in patients with heritable and idiopathic but also with associated PAH.

conclusionsGenetic defects were identified in 23% of the patients in a total of 11 PAH genes. This illustrates the benefit of the specific gene panel containing all known PAH genes.

Indexed as

Hypertension, PulmonaryPulmonary Arterial HypertensionActivin Receptors, Type IIAdenosine TriphosphatasesFamilial Primary Pulmonary HypertensionGenetic Predisposition to DiseaseHumansMembrane Transport ProteinsMutationProtein Serine-Threonine KinasesActivin Receptors, Type IIACVRL1 protein, humanAdenosine TriphosphatasesATP13A3 protein, humanEIF2AK4 protein, humanMembrane Transport ProteinsProtein Serine-Threonine KinasesBi-allelic variantsGene panel diagnosticsGenetic testingPulmonary arterial hypertension

Identifiers

PMID35346192
PMCPMC8962083
OpenAlexW4221036091

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.