Evidence map›Paper›PMID 36732629›Full record

ArticleNature medicine2023

Landscape of pathogenic mutations in premature ovarian insufficiency.

Hanni Ke, Shuyan Tang, Ting Guo, Dong Hou, Xue Jiao, Shan Li, Wei Luo, Bingying Xu, Shidou Zhao, Guangyu Li and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 2 pooled it
58.2field-weighted citation impact, top 1% 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

129 citing papers in PubMed, 2 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Integrative Multi-omics Analysis for Prioritization of Candidate Genes in Polycystic Ovary Syndrome.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  9. Review
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  11. Article
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  14. Severe infantile obesity with a maternalClinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Article
  15. Article
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  17. Review
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  19. Article
  20. MCM8-9 helicase activity protects primordial germ cell development to prevent premature ovarian insufficiency.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article

69 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 3 countries.

Hanni Ke *Center for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.
Shuyan Tang *Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0003-2701-1976
Ting Guo *Center for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.
Dong HouCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.
Xue JiaoCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.ORCID http://orcid.org/0000-0002-2936-2166
Shan LiCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.
Wei LuoCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.
Bingying XuCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.
Shidou ZhaoCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.
Guangyu LiCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China.
Xiaoxi ZhangSchool of Life Science and Technology, ShanghaiTech University, Shanghai, China.
Shuhua XuSchool of Life Science and Technology, ShanghaiTech University, Shanghai, China.ORCID http://orcid.org/0000-0002-1975-1002
Lingbo WangObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, China.
Yanhua WuState Key Laboratory of Genetic Engineering, School of Life Sciences, Human Phenome Institute, Zhangjiang Fudan International Innovation Center, Fudan University, Shanghai, China.
Jiucun WangState Key Laboratory of Genetic Engineering, School of Life Sciences, Human Phenome Institute, Zhangjiang Fudan International Innovation Center, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0003-2765-0620
Feng ZhangObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, China. zhangfeng@fudan.edu.cn.ORCID http://orcid.org/0000-0003-4556-8276
Yingying QinCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China. qinyingying1006@163.com.ORCID http://orcid.org/0000-0002-0319-7799
Li JinState Key Laboratory of Genetic Engineering, School of Life Sciences, Human Phenome Institute, Zhangjiang Fudan International Innovation Center, Fudan University, Shanghai, China. lijin@fudan.edu.cn.ORCID http://orcid.org/0000-0001-9201-2321
Zi-Jiang ChenCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, China. chenzijiang@hotmail.com.ORCID http://orcid.org/0000-0001-6637-6631
Shandong University · CNFudan University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNObstetrics and Gynecology Hospital of Fudan University · CNShanghaiTech University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Premature ovarian insufficiency (POI) is a major cause of female infertility due to early loss of ovarian function. POI is a heterogeneous condition, and its molecular etiology is unclear. To identify genetic variants associated with POI, here we performed whole-exome sequencing in a cohort of 1,030 patients with POI. We detected 195 pathogenic/likely pathogenic variants in 59 known POI-causative genes, accounting for 193 (18.7%) cases. Association analyses comparing the POI cohort with a control cohort of 5,000 individuals without POI identified 20 further POI-associated genes with a significantly higher burden of loss-of-function variants. Functional annotations of these novel 20 genes indicated their involvement in ovarian development and function, including gonadogenesis (LGR4 and PRDM1), meiosis (CPEB1, KASH5, MCMDC2, MEIOSIN, NUP43, RFWD3, SHOC1, SLX4 and STRA8) and folliculogenesis and ovulation (ALOX12, BMP6, H1-8, HMMR, HSD17B1, MST1R, PPM1B, ZAR1 and ZP3). Cumulatively, pathogenic and likely pathogenic variants in known POI-causative and novel POI-associated genes contributed to 242 (23.5%) cases. Further genotype-phenotype correlation analyses indicated that genetic contribution was higher in cases with primary amenorrhea compared to that in cases with secondary amenorrhea. This study expands understanding of the genetic landscape underlying POI and presents insights that have the potential to improve the utility of diagnostic genetic screenings.

Indexed as

AmenorrheaPrimary Ovarian InsufficiencyFemaleGenetic Association StudiesGenetic TestingHumansMutationUbiquitin-Protein LigasesRFWD3 protein, humanUbiquitin-Protein Ligases

Identifiers

PMID36732629
PMCPMC9941050
OpenAlexW4318982686

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.