Evidence map›Paper›PMID 31358993›Full record

ArticleNature genetics2019

CELA2A mutations predispose to early-onset atherosclerosis and metabolic syndrome and affect plasma insulin and platelet activation.

Fatemehsadat Esteghamat, James S Broughton, Emily Smith, Rebecca Cardone, Tarun Tyagi, Mateus Guerra, András Szabó, Nelson Ugwu, Mitra V Mani, Bani Azari and 15 more

Open access · greenAbstract read
In one paragraph

Article in Nature genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.8field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  12. Update in genetic and epigenetic causes of hypertension.Cellular and molecular life sciences : CMLS · 2024
    Review
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  18. Comparative transcriptome analysis ofFrontiers in cellular and infection microbiology · 2023
    Article
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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

25 authors at 4 institutions in 1 country.

Fatemehsadat EsteghamatDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-1243-8013
James S BroughtonDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Emily SmithDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Rebecca CardoneDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Tarun TyagiDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Mateus GuerraDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-8187-2753
András SzabóCenter for Exocrine Disorders, Department of Molecular and Cell Biology, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA.
Nelson UgwuDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-8647-5300
Mitra V ManiDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Bani AzariDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Gerald KayingoDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Sunny ChungDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Mohsen FathzadehDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Ephraim WeissDepartment of Medicine, NYU Medical Center, New York, NY, USA.
Jeffrey BenderDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Shrikant ManeDepartment of Genetics, Yale School of Medicine, New Haven, CT, USA.
Richard P LiftonLaboratory of Human Genetics and Genomics, The Rockefeller University, New York, NY, USA.
Adebowale AdeniranDepartment of Pathology, Yale School of Medicine, New Haven, CT, USA.
Michael H NathansonDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Fred S GorelickDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
John HwaDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Miklós Sahin-TóthCenter for Exocrine Disorders, Department of Molecular and Cell Biology, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4513-9922
Renata Belfort-DeAguiarDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Richard G KibbeyDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Arya ManiDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA. arya.mani@yale.edu.ORCID http://orcid.org/0000-0001-6699-259X
Yale University · USBoston University · USNYU Langone Health · USRockefeller University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI GERALD I SHULMAN · 1993 to 2026
$44.0M
Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI WAJAHAT Zafar MEHAL · 1986 to 2026
$31.1M
Yale Center for Mendelian DisordersU54HG006504 · NHGRI · YALE UNIVERSITY · PI GERSTEIN, MARK BENDER, GUNEL, MURAT · 2012 to 2015
$11.0M
Training Program in Investigative HepatologyT32DK007356 · NIDDK · YALE UNIVERSITY · PI MICHAEL H NATHANSON · 1986 to 2026
$7.4M
The Identification and characterization of genetic variants underlying cardiovascular diseasesR35HL135767 · NHLBI · YALE UNIVERSITY · PI MANI, ARYA · 2017 to 2023
$7.0M
Ca2+ waves in hepatocytes: Mechanisms and effectsR01DK114041 · NIDDK · YALE UNIVERSITY · PI NATHANSON, MICHAEL H · 2018 to 2022
$2.6M
Comprehensive, Cross Platform-Validated 13C Flux Measures of Intra-and Inter-tissue MetabolismR01DK108283 · NIDDK · YALE UNIVERSITY · PI KIBBEY, RICHARD G, MASON, GRAEME F. · 2016 to 2019
$2.1M
Molecular regulation of cholestasis in cholangiocytesR01DK112797 · NIDDK · YALE UNIVERSITY · PI NATHANSON, MICHAEL H · 2018 to 2021
$1.9M
Chastening the double-edged sword of glucose metabolism in beta-cellsR01DK110181 · NIDDK · YALE UNIVERSITY · PI KIBBEY, RICHARD G · 2016 to 2019
$1.7M
Pancreatic elastasesR01DK095753 · NIDDK · BOSTON UNIVERSITY MEDICAL CAMPUS · PI SAHIN-TOTH, MIKLOS · 2013 to 2016
$1.4M
High Performance Computing Instrumentation for the Yale Center for Genome AnalysiS10OD018521 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2015 to 2015
$890k
BLRD VA I01 BX003250NCATS NIH HHS UL1 TR001863NHGRI NIH HHS U54 HG006504NHLBI NIH HHS R35 HL135767NIDDK NIH HHS K23 DK098286NIDDK NIH HHS P30 DK034989NIDDK NIH HHS P30 DK045735NIDDK NIH HHS R01 DK095753NIDDK NIH HHS R01 DK108283NIDDK NIH HHS R01 DK110181NIDDK NIH HHS R01 DK112797NIDDK NIH HHS R01 DK114041NIDDK NIH HHS T32 DK007356NIH HHS S10 OD018034NIH HHS S10 OD018521NIH HHS S10 OD019967
6 · The paper itself

Abstract

Factors that underlie the clustering of metabolic syndrome traits are not fully known. We performed whole-exome sequence analysis in kindreds with extreme phenotypes of early-onset atherosclerosis and metabolic syndrome, and identified novel loss-of-function mutations in the gene encoding the pancreatic elastase chymotrypsin-like elastase family member 2A (CELA2A). We further show that CELA2A is a circulating enzyme that reduces platelet hyperactivation, triggers both insulin secretion and degradation, and increases insulin sensitivity. CELA2A plasma levels rise postprandially and parallel insulin levels in humans. Loss of these functions by the mutant proteins provides insight into disease mechanisms and suggests that CELA2A could be an attractive therapeutic target.

Indexed as

MutationAdultAge of OnsetAtherosclerosisCase-Control StudiesFemaleGenetic Predisposition to DiseaseHumansInsulinInsulin ResistanceIslets of LangerhansLinkage DisequilibriumMaleMetabolic SyndromeMiddle AgedPancreatic ElastaseCELA2A protein, humanInsulinPancreatic ElastaseSerine Endopeptidases

Identifiers

PMID31358993
PMCPMC6675645
OpenAlexW2965500021

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.