Evidence map›Paper›PMID 21794208›Full record

ArticleDiscovery medicine2011

Exome sequencing and unrelated findings in the context of complex disease research: ethical and clinical implications.

Gholson J Lyon, Tao Jiang, Richard Van Wijk, Wei Wang, Paul Mark Bodily, Jinchuan Xing, Lifeng Tian, Reid J Robison, Mark Clement, Yang Lin and 13 more

Open access · greenAbstract read
In one paragraph

Article in Discovery medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
7.0field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  6. Live fast, die young? A review on the developmental trajectories of ADHD across the lifespan.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2018
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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

23 authors at 1 institution in 1 country.

Gholson J LyonDepartment of Psychiatry, University of Utah, Salt Lake City, USA. lyong1@email.chop.edu
Tao Jiang
Richard Van Wijk
Wei Wang
Paul Mark Bodily
Jinchuan Xing
Lifeng Tian
Reid J Robison
Mark Clement
Yang Lin
Peng Zhang
Ying Liu
Barry Moore
Joseph T Glessner
Josephine Elia
Fred Reimherr
Wouter W van Solinge
Mark Yandell
Hakon Hakonarson
Jun Wang
William Evan Johnson
Zhi Wei
Kai Wang
University of Utah · US

Funding

SCRIPPS TRANSLATIONAL SCIENCE INSTITUTE (UL1)UL1RR025774 · NCRR · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2008 to 2011
$16.3M
Clinical Genome Inference System: Variant Prioritization for Clinical DiagnosticsR44HG006579 · NHGRI · FABRIC GENOMICS INC. · PI REESE, MARTIN G, YANDELL, MARK DOUGLAS · 2012 to 2013
$1.8M
Statistical Tools and Methods for Next-Generation Sequencing in EpigeneticsR01HG005692 · NHGRI · BRIGHAM YOUNG UNIVERSITY · PI JOHNSON, WILLIAM EVAN · 2010 to 2014
$1.7M
Tool for annotation and analyses of human whole-genome sequence variation dataRC2HG005619 · NHGRI · UNIVERSITY OF UTAH · PI REESE, MARTIN G, YANDELL, MARK DOUGLAS · 2009 to 2010
$785k
High-throughput Mobile Element Genotyping Using Next-generation SequencingK99HG005846 · NHGRI · UNIVERSITY OF UTAH · PI XING, JINCHUAN · 2010 to 2011
$179k
NCRR NIH HHS UL 1 RR025774NCRR NIH HHS UL1 RR025774NHGRI NIH HHS 1RC2HG005619NHGRI NIH HHS K99 HG005846NHGRI NIH HHS K99HG005846NHGRI NIH HHS R01 HG005692NHGRI NIH HHS R44 HG006579NHGRI NIH HHS RC2 HG005619
6 · The paper itself

Abstract

Exome sequencing has identified the causes of several Mendelian diseases, although it has rarely been used in a clinical setting to diagnose the genetic cause of an idiopathic disorder in a single patient. We performed exome sequencing on a pedigree with several members affected with attention deficit/hyperactivity disorder (ADHD), in an effort to identify candidate variants predisposing to this complex disease. While we did identify some rare variants that might predispose to ADHD, we have not yet proven the causality for any of them. However, over the course of the study, one subject was discovered to have idiopathic hemolytic anemia (IHA), which was suspected to be genetic in origin. Analysis of this subject's exome readily identified two rare non-synonymous mutations in PKLR gene as the most likely cause of the IHA, although these two mutations had not been documented before in a single individual. We further confirmed the deficiency by functional biochemical testing, consistent with a diagnosis of red blood cell pyruvate kinase deficiency. Our study implies that exome and genome sequencing will certainly reveal additional rare variation causative for even well-studied classical Mendelian diseases, while also revealing variants that might play a role in complex diseases. Furthermore, our study has clinical and ethical implications for exome and genome sequencing in a research setting; how to handle unrelated findings of clinical significance, in the context of originally planned complex disease research, remains a largely uncharted area for clinicians and researchers.

Indexed as

Ethics, ResearchAmino Acid SequenceAnemia, Hemolytic, AutoimmuneAttention Deficit Disorder with HyperactivityDNA Copy Number VariationsExonsFemaleGenome, HumanHumansMaleMolecular Sequence DataPedigreePyruvate KinaseReproducibility of ResultsSequence Analysis, DNASoftwarePyruvate Kinase

Identifiers

PMID21794208
PMCPMC3544941
OpenAlexW1596769642

What OpenQuestion 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 OpenQuestion graph.