Evidence map›Paper›PMID 22901280›Full record

ArticleClinical genetics2013

Exploring the utility of whole-exome sequencing as a diagnostic tool in a child with atypical episodic muscle weakness.

Neil A Hanchard, David R Murdock, Pilar L Magoulas, Matthew Bainbridge, Donna Muzny, YuanQing Wu, Min Wang, James R Lupski, Richard A Gibbs, Chester W Brown

Abstract readCase Reports
In one paragraph

Article in Clinical genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  5. Clinical whole-exome sequencing results impact medical management.Molecular genetics & genomic medicine · 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

10 authors at 3 institutions in 2 countries.

Neil A Hanchard *Department of Molecular and Human Genetics, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
David R Murdock *Human Genome Sequencing Center, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
Pilar L MagoulasDepartment of Molecular and Human Genetics, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
Matthew BainbridgeHuman Genome Sequencing Center, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
Donna MuznyHuman Genome Sequencing Center, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
YuanQing WuHuman Genome Sequencing Center, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
Min WangHuman Genome Sequencing Center, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
James R LupskiDepartment of Molecular and Human Genetics, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
Richard A GibbsHuman Genome Sequencing Center, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
Chester W BrownDepartment of Molecular and Human Genetics, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, 77030, U.S.A.
Baylor College of Medicine · USTexas Children's Hospital · USInstitute of Medical Ethics · GB

Funding

The Human Genome Sequencing CenterU54HG003273 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI GIBBS, RICHARD A · 2004 to 2015
$341.3M
NHGRI NIH HHS 2-U54HG003273-09NHGRI NIH HHS U54 HG003273
6 · The paper itself

Abstract

The advent of whole-exome next-generation sequencing (WES) has been pivotal for the molecular characterization of Mendelian disease; however, the clinical applicability of WES has remained relatively unexplored. We describe our exploration of WES as a diagnostic tool in a 3½-year old female patient with a 2-year history of episodic muscle weakness and paroxysmal dystonia who presented following a previous extensive but unrevealing diagnostic work-up. WES was performed on the proband and her two parents. Parental exome data was used to filter potential de novo genomic events in the proband and suspected variants were confirmed using di-deoxy sequencing. WES revealed a de novo non-synonymous mutation in exon 21 of the calcium channel gene CACNA1S that has been previously reported in a single patient as a rare cause of atypical hypokalemic periodic paralysis. This was unexpected, as the proband's original differential diagnosis had included hypokalemic periodic paralysis, but clinical and laboratory features were equivocal, and standard clinical molecular testing for hypokalemic periodic paralysis and related disorders was negative. This report highlights the potential diagnostic utility of WES in clinical practice, with implications for the approach to similar diagnostic dilemmas in the future.

Indexed as

ExomeHigh-Throughput Nucleotide SequencingBase SequenceCalcium ChannelsCalcium Channels, L-TypeChild, PreschoolExonsFemaleGenotypeHumansMaleMuscle WeaknessMutationNAV1.4 Voltage-Gated Sodium ChannelPedigreePhenotypeCACNA1S protein, humanCalcium ChannelsCalcium Channels, L-TypeNAV1.4 Voltage-Gated Sodium ChannelSCN4A protein, human

Identifiers

PMID22901280
PMCPMC3926310
OpenAlexW2108132262

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.