Evidence map›Paper›PMID 24021551›Full record

Trial reportCirculation. Cardiovascular genetics2013

Effect of copy number variants on outcomes for infants with single ventricle heart defects.

Abigail S Carey, Li Liang, Jonathan Edwards, Tracy Brandt, Hui Mei, Andrew J Sharp, Daphne T Hsu, Jane W Newburger, Richard G Ohye, Wendy K Chung and 6 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Circulation. Cardiovascular genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

59 citing papers in PubMed, 112 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Current and future diagnostics of congenital heart disease (CHD).Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2025
    Article
  10. Article
  11. Review
  12. Human Genetics of Hypoplastic Left Heart Syndrome.Advances in experimental medicine and biology · 2024
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. 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

16 authors at 5 institutions in 1 country.

Abigail S CareyMindich Child Health and Development Institute.
Li Liang
Jonathan Edwards
Tracy Brandt
Hui Mei
Andrew J Sharp
Daphne T Hsu
Jane W Newburger
Richard G Ohye
Wendy K Chung
Mark W Russell
Jill A Rosenfeld
Lisa G Shaffer
Michael K Parides
Lisa Edelmann
Bruce D Gelb
University of Michigan–Ann Arbor · USChildren's Hospital at Montefiore · USColumbia University Irving Medical Center · USC. S. Mott Children's Hospital · USPerkinElmer (United States) · US

Funding

SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
Randomized Therapeutic Trials in Pediatric Heart DiseaseU01HL068285 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEWBURGER, JANE W. · 2001 to 2010
$3.4M
Randomized Trial of Nonflouroscopic Technologies in Pediatric SVT AblationU10HL109816 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI NEWBURGER, JANE W., TRIEDMAN, JOHN K · 2011 to 2015
$2.6M
Comprehensive identification of parent of origin effects in human and mouseR01HG006696 · NHGRI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SHARP, ANDREW JAMES · 2012 to 2016
$2.5M
Impact of CNVs on outcomes for infants with single ventricle heart defectsR21HL104243 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI EDELMANN, LISA, GELB, BRUCE D · 2010 to 2011
$466k
NHGRI NIH HHS R01 HG006696NHLBI NIH HHS R21 HL104243NHLBI NIH HHS U01 HL068285NHLBI NIH HHS U10 HL109816NICHD NIH HHS P30 HD018655
6 · The paper itself

Abstract

backgroundHuman genomes harbor copy number variants (CNVs), which are regions of DNA gains or losses. Although pathogenic CNVs are associated with congenital heart disease (CHD), their effect on clinical outcomes is unknown. This study sought to determine whether pathogenic CNVs among infants with single ventricle physiology were associated with inferior neurocognitive and somatic growth outcomes. METHODS AND

resultsGenomic DNAs from 223 subjects of 2 National Heart, Lung, and Blood Institute-sponsored randomized clinical trials in infants with single ventricle CHD and 270 controls from The Cancer Genome Atlas project were analyzed for rare CNVs>300 kb using array comparative genomic hybridization. Neurocognitive and growth outcomes at 14 months from the CHD trials were compared among subjects with and without pathogenic CNVs. Putatively pathogenic CNVs, comprising 25 duplications and 6 deletions, had a prevalence of 13.9%, significantly greater than the 4.4% rate of such CNVs among controls. CNVs associated with genomic disorders were found in 13 cases but not in controls. Several CNVs likely to be causative of single ventricle CHD were observed, including aberrations altering the dosage of GATA4, MYH11, and GJA5. Subjects with pathogenic CNVs had worse linear growth, and those with CNVs associated with known genomic disorders had the poorest neurocognitive and growth outcomes. A minority of children with pathogenic CNVs were noted to be dysmorphic on clinical genetics examination.

conclusionsPathogenic CNVs seem to contribute to the cause of single ventricle forms of CHD in ≥10% of cases and are clinically subtle but adversely affect outcomes in children harboring them.

Indexed as

DNA Copy Number VariationsCase-Control StudiesCohort StudiesComparative Genomic HybridizationConnexinsGap Junction alpha-5 ProteinGATA4 Transcription FactorGenome, HumanGenotypeHeart Defects, CongenitalHumansInfantMyosin Heavy ChainsPrevalenceConnexinsGap Junction alpha-5 ProteinGATA4 protein, humanGATA4 Transcription FactorMYH11 protein, humanMyosin Heavy Chainscongenital cardiac defectDNA copy number variantiationshypoplastic left heart syndromeoutcome

Identifiers

PMID24021551
PMCPMC3987966
OpenAlexW2127430511

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.