Evidence map›Paper›PMID 37104040›Full record

ArticleJCI insight2023

The effect of Dnaaf5 gene dosage on primary ciliary dyskinesia phenotypes.

Amjad Horani, Deepesh Kumar Gupta, Jian Xu, Huihui Xu, Lis Del Carmen Puga-Molina, Celia M Santi, Sruthi Ramagiri, Steven K Brennan, Jiehong Pan, Jeffrey R Koenitzer and 9 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.3field-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

18 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Preclinical human models of primary ciliary dyskinesia.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  3. Article
  4. A Case of Primary Ciliary Dyskinesia Caused byCase reports in medicine · 2026
    Article
  5. Article
  6. Review
  7. A homozygous splice-site variant inFrontiers in medicine · 2026
    Article
  8. Genetics of prelingual isolated deafness and Usher syndrome in the Maghreb and Jordan: Harnessing the potential of homozygosity.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 4 institutions in 2 countries.

Amjad HoraniDepartment of Pediatrics.
Deepesh Kumar GuptaDepartment of Pediatrics.
Jian XuDepartment of Medicine.
Huihui XuDepartment of Pediatrics.
Lis Del Carmen Puga-MolinaDepartment of Obstetrics and Gynecology, and.
Celia M SantiDepartment of Obstetrics and Gynecology, and.
Sruthi RamagiriDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Steven K BrennanDepartment of Pediatrics.
Jiehong PanDepartment of Medicine.
Jeffrey R KoenitzerDepartment of Medicine.
Tao HuangDepartment of Medicine.
Rachael M HylandDepartment of Pediatrics.
Sean P GunstenDepartment of Medicine.
Shin-Cheng TzengDonald Danforth Plant Science Center, St. Louis, Missouri, USA.
Jennifer M StrahleDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Pleasantine MillMRC Human Genetics Unit, University of Edinburgh, Edinburgh, United Kingdom.
Moe R MahjoubDepartment of Cell Biology and Physiology.
Susan K DutcherDepartment of Cell Biology and Physiology.
Steven L BrodyDepartment of Medicine.
Pediatrics and Genetics · USWashington University in St. Louis · USDonald Danforth Plant Science Center · USInstitute of Genetics and Cancer · GB

Funding

Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI Alfred Hyoungju Kim · 2018 to 2026
$7.6M
REGULATION OF MOTILE CILIA ASSEMBLY IN LUNG DISEASER01HL128370 · NHLBI · WASHINGTON UNIVERSITY · PI Steven Brody, SUSAN K DUTCHER · 2015 to 2026
$6.9M
Ependymal Dysfunction in Neonatal Post-Hemorrhagic HydrocephalusR01NS110793 · NINDS · WASHINGTON UNIVERSITY · PI STRAHLE, JENNIFER · 2019 to 2023
$2.5M
Cellular and Molecular Features of Gene Mutations in Primary Ciliary DyskinesiaR01HL146601 · NHLBI · WASHINGTON UNIVERSITY · PI BRODY, STEVEN · 2019 to 2022
$2.3M
Medical Research Council MC_UU_00007/14Medical Research Council MC_UU_12018/26NHLBI NIH HHS R01 HL128370NHLBI NIH HHS R01 HL146601NIAMS NIH HHS P30 AR073752NINDS NIH HHS R01 NS110793
6 · The paper itself

Abstract

DNAAF5 is a dynein motor assembly factor associated with the autosomal heterogenic recessive condition of motile cilia, primary ciliary dyskinesia (PCD). The effects of allele heterozygosity on motile cilia function are unknown. We used CRISPR-Cas9 genome editing in mice to recreate a human missense variant identified in patients with mild PCD and a second, frameshift-null deletion in Dnaaf5. Litters with Dnaaf5 heteroallelic variants showed distinct missense and null gene dosage effects. Homozygosity for the null Dnaaf5 alleles was embryonic lethal. Compound heterozygous animals with the missense and null alleles showed severe disease manifesting as hydrocephalus and early lethality. However, animals homozygous for the missense mutation had improved survival, with partially preserved cilia function and motor assembly observed by ultrastructure analysis. Notably, the same variant alleles exhibited divergent cilia function across different multiciliated tissues. Proteomic analysis of isolated airway cilia from mutant mice revealed reduction in some axonemal regulatory and structural proteins not previously reported in DNAAF5 variants. Transcriptional analysis of mouse and human mutant cells showed increased expression of genes coding for axonemal proteins. These findings suggest allele-specific and tissue-specific molecular requirements for cilia motor assembly that may affect disease phenotypes and clinical trajectory in motile ciliopathies.

Indexed as

Kartagener SyndromeAnimalsGene DosageHumansMutationPhenotypeProteinsProteomicsProteinsGenetic diseasesGeneticsMouse modelsPulmonology

Identifiers

PMID37104040
PMCPMC10393236
OpenAlexW4367172744

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.