Evidence map›Paper›PMID 42428117›Full record

ArticlemedRxiv : the preprint server for health sciences2026

The +57C>T substitution in microRNA-184 is associated with microphthalmia, retinal detachment, and altered ocular development.

Yuejia Huang, Yanjun Zhang, Sonya Zhang, Kadia Lissit, Audrey Talley-Rostov, Charles C Lin, Patricia S Tsai, Alice Hong, Anshuman Agrawal, Jonathan Thomas and 5 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Yuejia HuangDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Yanjun ZhangDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Sonya ZhangDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kadia LissitDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Audrey Talley-RostovBellevue Precision Vision, Bellevue, WA, USA.
Charles C LinDepartment of Ophthalmology, Stanford University, Palo Alto, CA, USA.
Patricia S TsaiDepartment of Ophthalmology, Kaiser Medical Center, Woodland Hills, CA, USA.
Alice HongAdvanced Eye Care Vision, New York City, NY, USA.
Anshuman AgrawalDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jonathan ThomasDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lo-Yu ChangDepartment of Molecular Biology and Genetics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Michael SulewskiDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Luisa CochellaDepartment of Molecular Biology and Genetics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jinchong XuDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Allen O EghrariDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-2798-038X

Funding

Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI Corinne Pettigrew · 2020 to 2026
$29.3M
NIA NIH HHS P30 AG066507
6 · The paper itself

Abstract

Purpose: To expand the clinical and mechanistic understanding of the +57C>T seed-region mutation in miR-184 causing EDICT (endothelial dystrophy, iris hypoplasia, congenital cataract, and stromal thinning) syndrome. Design: Cross-sectional analysis and laboratory confirmation. Participants: 18 members of a four-generation family with known +57C>T miR-184 status. Methods: We used optical biometry, corneal topography, and medical history to characterize the clinical phenotype. Carrier effects on ocular biometric measurements were estimated using polygenic linear mixed models incorporating a pedigree-derived kinship matrix, adjusted for age and sex. Patient-derived and control induced pluripotent stem cells (iPSCs) were generated and differentiated into corneal endothelial cells (CECs). Main Outcome Measures: Axial length, keratometry (in diopters), white-to-white corneal diameter, topography mapping, central and peripheral corneal thickness, and history of retinal detachment or corneal transplant were compared between mutation carriers and noncarriers, adjusting for age and sex. Cellular analysis was conducted with immunostaining (ZO-1, ATP1A1), morphometric quantification, qRT-PCR of endothelial markers, and transendothelial electrical resistance (TEER). Results: 10 of 18 family members were heterozygous for +57C>T, with retinal detachment occurring in 5/10 affected individuals compared to 0/8 unaffected individuals (p=0.04). Affected eyes had 2.2 mm shorter axial length (p=0.02), 9.3 D steeper mean keratometry (p=0.004), 1.6 mm smaller horizontal corneal diameter (p=0.0001), and 139-μm thinner central corneas (p=0.003). Mutant iPSC-derived CECs were associated with irregular borders, increased cell and nucleus area, widened intercellular gaps, disrupted ATP1A1 membrane localization, and reduced barrier function on TEER (all p<0.05). Gene expression analysis showed downregulation of COL4A1, COL4A3, and AQP1 with upregulation of COL8A1. Conclusions: The miR-184 +57C>T mutation produces a broad ocular phenotype that includes smaller, thinner corneas and microphthalmia. Mechanistically, it disrupts CEC junctional integrity, extracellular matrix and pump-related genes, supporting a role for miR-184 in coordinated anterior-posterior eye morphogenesis.

Indexed as

axial lengthcorneamicro-RNAmiR-184retinal detachment

Identifiers

PMID42428117
PMCPMC13345509

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.