Evidence map›Paper›PMID 23818451›Full record

ArticleHuman mutation2013

Large numbers of genetic variants considered to be pathogenic are common in asymptomatic individuals.

Christopher A Cassa, Mark Y Tong, Daniel M Jordan

Abstract read
In one paragraph

Article in Human mutation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
–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

49 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Assessing the Clinical Relevance ofCurrent oncology (Toronto, Ont.) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Variant Effect Prediction in the Age of Machine Learning.Cold Spring Harbor perspectives in biology · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Modeling ofKidney international reports · 2023
    Article
  14. Estimating clinical risk in gene regions from population sequencing cohort data.medRxiv : the preprint server for health sciences · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Reduced penetrance of pathogenic ACMG variants in a deeply phenotyped cohort study and evaluation of ClinVar classification over time.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  19. Article
  20. Article
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

3 authors.

Christopher A CassaBrigham and Women's Hospital, Division of Genetics Boston, Massachusetts, USA. cassa@alum.mit.edu
Mark Y Tong
Daniel M Jordan

Funding

New Methods and Enhanced Software for Predicting Functional SNPsR01GM078598 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI SUNYAEV, SHAMIL · 2007 to 2017
$3.5M
Clinical prioritization of reported disease variants in asymptomatic individualsR00HG007229 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI CASSA, CHRISTOPHER · 2015 to 2017
$747k
Clinical prioritization of reported disease variants in asymptomatic individualsK99HG007229 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI CASSA, CHRISTOPHER · 2013 to 2014
$218k
NHGRI NIH HHS HG007229NHGRI NIH HHS K99 HG007229NHGRI NIH HHS R00 HG007229NIGMS NIH HHS GM078598NIGMS NIH HHS R01 GM078598
6 · The paper itself

Abstract

It is now affordable to order clinically interpreted whole-genome sequence reports from clinical laboratories. One major component of these reports is derived from the knowledge base of previously identified pathogenic variants, including research articles, locus-specific, and other databases. While over 150,000 such pathogenic variants have been identified, many of these were originally discovered in small cohort studies of affected individuals, so their applicability to asymptomatic populations is unclear. We analyzed the prevalence of a large set of pathogenic variants from the medical and scientific literature in a large set of asymptomatic individuals (N = 1,092) and found 8.5% of these pathogenic variants in at least one individual. In the average individual in the 1000 Genomes Project, previously identified pathogenic variants occur on average 294 times (σ = 25.5) in homozygous form and 942 times (σ = 68.2) in heterozygous form. We also find that many of these pathogenic variants are frequently occurring: there are 3,744 variants with minor allele frequency (MAF) ≥ 0.01 (4.6%) and 2,837 variants with MAF ≥ 0.05 (3.5%). This indicates that many of these variants may be erroneous findings or have lower penetrance than previously expected.

Indexed as

Gene FrequencyGenetic VariationSequence Analysis, DNADatabases, GeneticGenome, HumanGenotypeHeterozygoteHomozygoteHumansIncidental FindingsPenetranceincidental findingsincidentalomepersonalized medicineWGSwhole genome sequencing

Identifiers

PMID23818451
PMCPMC3786140

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.