Evidence mapPaperPMID 39209481Full record

ReviewThe European respiratory journal2024

Genetics and precision genomics approaches to pulmonary hypertension.

Eric D Austin, Micheala A Aldred, Mona Alotaibi, Stefan Gräf, William C Nichols, Richard C Trembath, Wendy K Chung

Abstract readReview
In one paragraph

Review in The European respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Current Evidence on the Potential Role of EndothelialReviews in cardiovascular medicine · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. SOX17 in pulmonary arterial hypertension: from development to clinical phenotype.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Eric D AustinVanderbilt University Medical Center, Nashville, TN, USA richard.trembath@kcl.ac.uk.ORCID https://orcid.org/0000-0002-1709-9022
Micheala A AldredIndiana University School of Medicine, Indianapolis, IN, USA.
Mona AlotaibiUniversity of California San Diego, San Diego, CA, USA.ORCID https://orcid.org/0000-0001-8492-9930
Stefan GräfDepartment of Medicine, University of Cambridge, Victor Phillip Dahdaleh Heart and Lung Research Institute, Cambridge, UK.ORCID https://orcid.org/0000-0002-1315-8873
William C NicholsDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Richard C TrembathDepartment of Medical and Molecular Genetics, King's College London, London, UK.
Wendy K ChungBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0003-3438-5685

Funding

Risk stratification in pulmonary arterial hypertension: Intersection of OMICs and longitudinal phenotypes through the PAH BiobankR01HL160941 · CINCINNATI CHILDRENS HOSP MED CTR · 2025 to 2025
$783k
Estrogen signaling and energy metabolism in pulmonary arterial hypertensionR01HL134802 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Eric Douglas Austin · 2022 to 2022
$741k
Clinical and Biochemical Features of Metabolic Dysregulation in Formerly Preterm ChildrenR01HL169859 · VANDERBILT UNIVERSITY MEDICAL CENTER · 2025 to 2025
$712k
Risk and Resilience in Pulmonary Arterial Hypertension and Genetically Susceptible IndividualsR01FD007627 · VANDERBILT UNIVERSITY MEDICAL CENTER · 2025 to 2025
$400k
Multidisciplinary Research Training in Pediatric Pulmonary Vascular DiseaseT32HL160508 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$367k
MhOVE-PPH Study: Mobile health interventiOn to improVe Exercise in Pediatric PHR34HL173389 · VANDERBILT UNIVERSITY MEDICAL CENTER · 2025 to 2025
$261k
Eicosanoid Pathways Underlying Disease Risk in Pulmonary Arterial HypertensionK08HL166950 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$174k
FDA HHS R01 FD007627NHLBI NIH HHS K08 HL166950NHLBI NIH HHS P01 HL108800NHLBI NIH HHS R01 HL134802NHLBI NIH HHS R01 HL160941NHLBI NIH HHS R01 HL169859NHLBI NIH HHS R24 HL105333NHLBI NIH HHS R34 HL173389NHLBI NIH HHS R35 HL140019NHLBI NIH HHS T32 HL160508
6 · The paper itself

Abstract

Considerable progress has been made in the genomics of pulmonary arterial hypertension (PAH) since the 6th World Symposium on Pulmonary Hypertension, with the identification of rare variants in several novel genes, as well as common variants that confer a modest increase in PAH risk. Gene and variant curation by an expert panel now provides a robust framework for knowing which genes to test and how to interpret variants in clinical practice. We recommend that genetic testing be offered to specific subgroups of symptomatic patients with PAH, and to children with certain types of group 3 pulmonary hypertension (PH). Testing of asymptomatic family members and the use of genetics in reproductive decision-making require the involvement of genetics experts. Large cohorts of PAH patients with biospecimens now exist and extension to non-group 1 PH has begun. However, these cohorts are largely of European origin; greater diversity will be essential to characterise the full extent of genomic variation contributing to PH risk and treatment responses. Other types of omics data are also being incorporated. Furthermore, to advance gene- and pathway-specific care and targeted therapies, gene-specific registries will be essential to support patients and their families and to lay the foundation for genetically informed clinical trials. This will require international outreach and collaboration between patients/families, clinicians and researchers. Ultimately, harmonisation of patient-derived biospecimens, clinical and omic information, and analytic approaches will advance the field.

Indexed as

Genetic TestingGenomicsHypertension, PulmonaryGenetic Predisposition to DiseaseHumansPrecision Medicine

Identifiers

PMID39209481
PMCPMC11525347

What Socratic holds

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LicenceCC BY-NC
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.