Evidence map›Paper›PMID 37289546›Full record

ArticleJCI insight2023

Multimodal single-cell analysis of nonrandom heteroplasmy distribution in human retinal mitochondrial disease.

Nathaniel K Mullin, Andrew P Voigt, Miles J Flamme-Wiese, Xiuying Liu, Megan J Riker, Katayoun Varzavand, Edwin M Stone, Budd A Tucker, Robert F Mullins

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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 9% 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, 19 citations in OpenAlex.

  1. Article
  2. An Integrated Multi-omics Single Cell Atlas of the Human RPE and Choroid.bioRxiv : the preprint server for biology · 2026
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  13. A rareTranslational pediatrics · 2025
    Article
  14. Review
  15. Article
  16. Mitochondrial dysfunction, cause or consequence in neurodegenerative diseases?BioEssays : news and reviews in molecular, cellular and developmental biology · 2025
    Review
  17. Article
  18. A highly reproducible and efficient method for retinal organoid differentiation from human pluripotent stem cells.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  19. Multi-omics in exploring the pathophysiology of diabetic retinopathy.Frontiers in cell and developmental biology · 2024
    Review
  20. Functional genomics and small molecules in mitochondrial neurodevelopmental disorders.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
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 1 institution in 1 country.

Nathaniel K MullinUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
Andrew P VoigtUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
Miles J Flamme-WieseUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
Xiuying LiuUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
Megan J RikerUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
Katayoun VarzavandUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
Edwin M StoneUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
Budd A TuckerUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
Robert F MullinsUniversity of Iowa Institute for Vision Research, Iowa City, Iowa, USA.
University of Iowa · US

Funding

Stem Cell and Organoid CoreP30EY025580 · NEI · UNIVERSITY OF IOWA · PI Michael G Anderson · 2016 to 2026
$6.9M
Medical Scientist Training ProgramT32GM139776 · NIGMS · UNIVERSITY OF IOWA · PI Gordon F Buchanan · 2021 to 2026
$6.4M
PREDOCTORAL TRAINING PROGRAM IN GENETICST32GM008629 · NIGMS · UNIVERSITY OF IOWA · PI EBERL, DANIEL F · 1997 to 2021
$4.1M
Molecular Studies of the Choriocapillaris in AMDR01EY033308 · NEI · UNIVERSITY OF IOWA · PI Robert Foster Mullins, TODD E SCHEETZ · 2022 to 2026
$1.9M
JEOL 1230 TEM AND BOC EDWARDS VACUUM EVAPORATOR: NEUROSCIENCES10RR018998 · NCRR · UNIVERSITY OF IOWA · PI WELSH, MICHAEL JOHN · 2004 to 2004
$383k
The Membrane Attack Complex and the Choriocapillaris in Health and Age-Related Macular DegenerationF30EY031923 · NEI · UNIVERSITY OF IOWA · PI VOIGT, ANDREW P · 2020 to 2022
$114k
Pathogenesis of Mitochondrial Retina DiseaseF30EY034009 · NEI · UNIVERSITY OF IOWA · PI MULLIN, NATHANIEL KEVIN · 2022 to 2023
$76k
NCRR NIH HHS S10 RR018998NEI NIH HHS F30 EY031923NEI NIH HHS F30 EY034009NEI NIH HHS P30 EY025580NEI NIH HHS R01 EY033308NIGMS NIH HHS T32 GM008629NIGMS NIH HHS T32 GM139776
6 · The paper itself

Abstract

Variants within the high copy number mitochondrial genome (mtDNA) can disrupt organelle function and lead to severe multisystem disease. The wide range of manifestations observed in patients with mitochondrial disease results from varying fractions of abnormal mtDNA molecules in different cells and tissues, a phenomenon termed heteroplasmy. However, the landscape of heteroplasmy across cell types within tissues and its influence on phenotype expression in affected patients remains largely unexplored. Here, we identify nonrandom distribution of a pathogenic mtDNA variant across a complex tissue using single-cell RNA-Seq, mitochondrial single-cell ATAC sequencing, and multimodal single-cell sequencing. We profiled the transcriptome, chromatin accessibility state, and heteroplasmy in cells from the eyes of a patient with mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) and from healthy control donors. Utilizing the retina as a model for complex multilineage tissues, we found that the proportion of the pathogenic m.3243A>G allele was neither evenly nor randomly distributed across diverse cell types. All neuroectoderm-derived neural cells exhibited a high percentage of the mutant variant. However, a subset of mesoderm-derived lineage, namely the vasculature of the choroid, was near homoplasmic for the WT allele. Gene expression and chromatin accessibility profiles of cell types with high and low proportions of m.3243A>G implicate mTOR signaling in the cellular response to heteroplasmy. We further found by multimodal single-cell sequencing of retinal pigment epithelial cells that a high proportion of the pathogenic mtDNA variant was associated with transcriptionally and morphologically abnormal cells. Together, these findings show the nonrandom nature of mitochondrial variant partitioning in human mitochondrial disease and underscore its implications for mitochondrial disease pathogenesis and treatment.

Indexed as

MELAS SyndromeMitochondrial DiseasesRetinal DiseasesChromatinDNA, MitochondrialHeteroplasmyHumansRetinaChromatinDNA, MitochondrialGenetic diseasesGeneticsMitochondriaOphthalmologyRetinopathy

Identifiers

PMID37289546
PMCPMC10443808
OpenAlexW4379879231

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.