Evidence map›Paper›PMID 37164635›Full record

ArticleLife science alliance2023

Z-flipon variants reveal the many roles of Z-DNA and Z-RNA in health and disease.

Dmitry Umerenkov, Alan Herbert, Dmitrii Konovalov, Anna Danilova, Nazar Beknazarov, Vladimir Kokh, Aleksandr Fedorov, Maria Poptsova

Open access · goldAbstract read
In one paragraph

Article in Life science alliance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. MACRO-MOLECULAR CROWDING FAVORS WRITHE IN UNWOUND DNA.bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Characterization of Z-DNA dynamics across the tree of life.bioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Kolmogorov-Arnold networks for genomic tasks.Briefings in bioinformatics · 2025
    Article
  15. Review
  16. Benchmarking DNA large language models on quadruplexes.Computational and structural biotechnology journal · 2025
    Article
  17. Article
  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

8 authors at 1 institution in 2 countries.

Dmitry UmerenkovSber Artificial Intelligence Lab, Moscow, Russia.ORCID https://orcid.org/0000-0003-0413-7170
Alan HerbertLaboratory of Bioinformatics, Faculty of Computer Science, HSE University, Moscow, Russia alan.herbert@insideoutbio.com.ORCID https://orcid.org/0000-0002-0093-1572
Dmitrii KonovalovLaboratory of Bioinformatics, Faculty of Computer Science, HSE University, Moscow, Russia.ORCID https://orcid.org/0000-0001-5653-7200
Anna DanilovaLaboratory of Bioinformatics, Faculty of Computer Science, HSE University, Moscow, Russia.ORCID https://orcid.org/0000-0001-7750-8118
Nazar BeknazarovLaboratory of Bioinformatics, Faculty of Computer Science, HSE University, Moscow, Russia.
Vladimir KokhSber Artificial Intelligence Lab, Moscow, Russia.
Aleksandr FedorovLaboratory of Bioinformatics, Faculty of Computer Science, HSE University, Moscow, Russia.ORCID https://orcid.org/0000-0002-8829-3447
Maria PoptsovaLaboratory of Bioinformatics, Faculty of Computer Science, HSE University, Moscow, Russia mpoptsova@hse.edu.ORCID https://orcid.org/0000-0002-7198-8234
National Research University Higher School of Economics · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Identifying roles for Z-DNA remains challenging given their dynamic nature. Here, we perform genome-wide interrogation with the DNABERT transformer algorithm trained on experimentally identified Z-DNA forming sequences (Z-flipons). The algorithm yields large performance enhancements (F1 = 0.83) over existing approaches and implements computational mutagenesis to assess the effects of base substitution on Z-DNA formation. We show Z-flipons are enriched in promoters and telomeres, overlapping quantitative trait loci for RNA expression, RNA editing, splicing, and disease-associated variants. We cross-validate across a number of orthogonal databases and define BZ junction motifs. Surprisingly, many effects we delineate are likely mediated through Z-RNA formation. A shared Z-RNA motif is identified in SCARF2, SMAD1, and CACNA1 transcripts, whereas other motifs are present in noncoding RNAs. We provide evidence for a Z-RNA fold that promotes adaptive immunity through alternative splicing of KRAB domain zinc finger proteins. An analysis of OMIM and presumptive gnomAD loss-of-function datasets reveals an overlap of Z-flipons with disease-causing variants in 8.6% and 2.9% of Mendelian disease genes, respectively, greatly extending the range of phenotypes mapped to Z-flipons.

Indexed as

DNA, Z-FormDNAGenomeNucleotide MotifsRNADNADNA, Z-FormRNA

Identifiers

PMID37164635
PMCPMC10172764
OpenAlexW4376132283

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.