Evidence map›Paper›PMID 36396637›Full record

ArticleNature communications2022

Norepinephrine transporter defects lead to sympathetic hyperactivity in Familial Dysautonomia models.

Hsueh-Fu Wu, Wenxin Yu, Kenyi Saito-Diaz, Chia-Wei Huang, Joseph Carey, Frances Lefcort, Gerald W Hart, Hong-Xiang Liu, Nadja Zeltner

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 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
2.3field-weighted citation impact, top 11% 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, 26 citations in OpenAlex.

  1. Pooled it
  2. The Role of the Nervous System in Lung Disease.Current neurology and neuroscience reports · 2026
    Review
  3. Article
  4. Article
  5. Peripheral neuron phenotypes of familial dysautonomia are rescued by AAV-mediated gene therapy.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. CRISPR/Cas9-mediatedFrontiers in physiology · 2026
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  16. Article
  17. Review
  18. Article
  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

9 authors at 2 institutions in 1 country.

Hsueh-Fu WuCenter for Molecular Medicine, University of Georgia, Athens, GA, USA.
Wenxin YuRegenerative Bioscience Center, Department of Animal and Dairy Science, College of Agricultural and Environmental Sciences, University of Georgia, Athens, GA, USA.ORCID 0000-0001-6316-0309
Kenyi Saito-DiazCenter for Molecular Medicine, University of Georgia, Athens, GA, USA.ORCID 0000-0002-9829-2536
Chia-Wei HuangDepartment of Biochemistry and Molecular Biology, University of Georgia, Athens, GA, USA.
Joseph CareyDepartment of Microbiology and Cell Biology, Montana State University, Bozeman, MT, USA.
Frances LefcortDepartment of Microbiology and Cell Biology, Montana State University, Bozeman, MT, USA.
Gerald W HartDepartment of Biochemistry and Molecular Biology, University of Georgia, Athens, GA, USA.
Hong-Xiang LiuRegenerative Bioscience Center, Department of Animal and Dairy Science, College of Agricultural and Environmental Sciences, University of Georgia, Athens, GA, USA.
Nadja ZeltnerCenter for Molecular Medicine, University of Georgia, Athens, GA, USA. nadja.zeltner@uga.edu.ORCID 0000-0002-2978-2507
University of Georgia · USMontana State University · US

Funding

Metabolic Control of gut-brain axis in Familial dysautonomia Supplement to parent grant 1R01DK117473-01A1 to support a PhD candidate/graduate student from an under-represented minorityR01DK117473 · NIDDK · MONTANA STATE UNIVERSITY - BOZEMAN · PI COPIE, VALERIE, WALK, SETH T · 2018 to 2022
$3.0M
Precision Medicine for the Peripheral Nervous System Disorder Familiar DysautonomiaR01NS114567 · NINDS · UNIVERSITY OF GEORGIA · PI Nadja Zeltner · 2021 to 2026
$3.0M
Taste Bud Cell Differentiation from SOX10-Expressing Progenitors in the Connective TissueR21DC018089 · NIDCD · UNIVERSITY OF GEORGIA · PI LIU, HONGXIANG · 2019 to 2020
$391k
NIDCD NIH HHS R21 DC018089NIDDK NIH HHS R01 DK117473NINDS NIH HHS R01 NS114567
6 · The paper itself

Abstract

Familial dysautonomia (FD), a rare neurodevelopmental and neurodegenerative disorder affects the sympathetic and sensory nervous system. Although almost all patients harbor a mutation in ELP1, it remains unresolved exactly how function of sympathetic neurons (symNs) is affected; knowledge critical for understanding debilitating disease hallmarks, including cardiovascular instability or dysautonomic crises, that result from dysregulated sympathetic activity. Here, we employ the human pluripotent stem cell (hPSC) system to understand symN disease mechanisms and test candidate drugs. FD symNs are intrinsically hyperactive in vitro, in cardiomyocyte co-cultures, and in animal models. We report reduced norepinephrine transporter expression, decreased intracellular norepinephrine (NE), decreased NE re-uptake, and excessive extracellular NE in FD symNs. SymN hyperactivity is not a direct ELP1 mutation result, but may connect to NET via RAB proteins. We found that candidate drugs lowered hyperactivity independent of ELP1 modulation. Our findings may have implications for other symN disorders and may allow future drug testing and discovery.

Indexed as

Dysautonomia, FamilialAnimalsHumansMutationNeuronsNorepinephrineNorepinephrine Plasma Membrane Transport ProteinsNorepinephrineNorepinephrine Plasma Membrane Transport Proteins

Identifiers

PMID36396637
PMCPMC9671909
OpenAlexW4309475419

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.