Evidence map›Paper›PMID 23215558›Full record

ArticleThe New England journal of medicine2012

Clinical diagnosis by whole-genome sequencing of a prenatal sample.

Michael E Talkowski, Zehra Ordulu, Vamsee Pillalamarri, Carol B Benson, Ian Blumenthal, Susan Connolly, Carrie Hanscom, Naveed Hussain, Shahrin Pereira, Jonathan Picker and 5 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The New England journal of medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 1% 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

87 citing papers in PubMed, 1 synthesis or guideline pooled it, 197 citations in OpenAlex.

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  14. Genetics in prenatal diagnosis.Singapore medical journal · 2023
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27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Michael E TalkowskiCenter for Human Genetic Research, Massachusetts General Hospital, Boston, Massachusetts, USA.
Zehra Ordulu
Vamsee Pillalamarri
Carol B Benson
Ian Blumenthal
Susan Connolly
Carrie Hanscom
Naveed Hussain
Shahrin Pereira
Jonathan Picker
Jill A Rosenfeld
Lisa G Shaffer
Louise E Wilkins-Haug
James F Gusella
Cynthia C Morton
Harvard University · USBrigham and Women's Hospital · USPerkinElmer (United States) · USBoston Children's Hospital · USCenter for Human Genetics · USMassachusetts General Hospital · USUniversity of Connecticut · US

Funding

RAPID GENE DISCOVERYP01GM061354 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI GUSELLA, JAMES F · 2001 to 2019
$24.3M
Complex Genetic Architecture of Chromosomal Aberrations in AutismR00MH095867 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TALKOWSKI, MICHAEL E · 2014 to 2016
$747k
Genes disrupted by balanced genomic rearrangements in autism spectrum disordersR21HD065286 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI GUSELLA, JAMES F · 2009 to 2010
$617k
Complex Genetic Architecture of Chromosomal Aberrations in AutismK99MH095867 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TALKOWSKI, MICHAEL E · 2012 to 2013
$186k
Rapid characterization of balanced genomic rearrangements contributing to AutismF32MH087123 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TALKOWSKI, MICHAEL E · 2009 to 2012
$138k
NICHD NIH HHS HD065286NICHD NIH HHS R21 HD065286NIGMS NIH HHS GM061354NIGMS NIH HHS P01 GM061354NIMH NIH HHS F32 MH087123NIMH NIH HHS K99 MH095867NIMH NIH HHS MH087123NIMH NIH HHS MH095867NIMH NIH HHS R00 MH095867
6 · The paper itself

Abstract

Conventional cytogenetic testing offers low-resolution detection of balanced karyotypic abnormalities but cannot provide the precise, gene-level knowledge required to predict outcomes. The use of high-resolution whole-genome deep sequencing is currently impractical for the purpose of routine clinical care. We show here that whole-genome "jumping libraries" can offer an immediately applicable, nucleotide-level complement to conventional genetic diagnostics within a time frame that allows for clinical action. We performed large-insert sequencing of DNA extracted from amniotic-fluid cells with a balanced de novo translocation. The amniotic-fluid sample was from a patient in the third trimester of pregnancy who underwent amniocentesis because of severe polyhydramnios after multiple fetal anomalies had been detected on ultrasonography. Using a 13-day sequence and analysis pipeline, we discovered direct disruption of CHD7, a causal locus in the CHARGE syndrome (coloboma of the eye, heart anomaly, atresia of the choanae, retardation, and genital and ear anomalies). Clinical findings at birth were consistent with the CHARGE syndrome, a diagnosis that could not have been reliably inferred from the cytogenetic breakpoint. This case study illustrates the potential power of customized whole-genome jumping libraries when used to augment prenatal karyotyping.

Indexed as

Genomic LibraryOligonucleotide Array Sequence AnalysisAdultCHARGE SyndromeChromosome AberrationsChromosome DisordersFemaleFetal DiseasesGenetic TestingGenome, HumanHeart Defects, CongenitalHumansKaryotypeMutationPregnancyPrenatal Diagnosis

Identifiers

PMID23215558
PMCPMC3579222
OpenAlexW2039527405

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.