Evidence map›Paper›PMID 24476948›Full record

ArticleHuman molecular genetics2014

Exome sequencing improves genetic diagnosis of structural fetal abnormalities revealed by ultrasound.

Keren J Carss, Sarah C Hillman, Vijaya Parthiban, Dominic J McMullan, Eamonn R Maher, Mark D Kilby, Matthew E Hurles

Open access · hybridAbstract read
In one paragraph

Article in Human molecular genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 3 pooled it
34.4field-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

83 citing papers in PubMed, 3 syntheses or guidelines pooled it, 193 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Rare variants ofFrontiers in cell and developmental biology · 2026
    Article
  9. Article
  10. Article
  11. A clinical and genotype-phenotype analysis of MACF1 variants.American journal of human genetics · 2025
    Article
  12. Review
  13. Article
  14. Sequential prenatal diagnosis of fetal skeletal dysplasia: A cohort study.Acta obstetricia et gynecologica Scandinavica · 2025
    Article
  15. Review
  16. Review
  17. Article
  18. Diagnosis and Early Management of Robin Sequence.Children (Basel, Switzerland) · 2024
    Review
  19. Article
  20. Review

23 more citing papers are in PubMed but not listed here.

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

7 authors at 3 institutions in 1 country.

Keren J CarssWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA, UK.
Sarah C HillmanSchool of Clinical and Experimental Medicine (Birmingham Centre for Women's and Children's Health), College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
Vijaya ParthibanWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA, UK.
Dominic J McMullanWest Midlands Regional Genetics Laboratory, Birmingham Women's NHS Trust, Edgbaston, Birmingham B15 2TG, UK.
Eamonn R MaherSchool of Clinical and Experimental Medicine (Birmingham Centre for Women's and Children's Health), College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
Mark D KilbySchool of Clinical and Experimental Medicine (Birmingham Centre for Women's and Children's Health), College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK Fetal Medicine Centre, Birmingham Women's Foundation Trust, Edgbaston, Birmingham B15 2TG, UK m.d.kilby@bham.ac.uk.
Matthew E HurlesWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA, UK.
Wellcome Sanger Institute · GBBirmingham Women's Hospital · GBUniversity of Birmingham · GB

Funding

Wellcome Trust WT098051
6 · The paper itself

Abstract

The genetic etiology of non-aneuploid fetal structural abnormalities is typically investigated by karyotyping and array-based detection of microscopically detectable rearrangements, and submicroscopic copy-number variants (CNVs), which collectively yield a pathogenic finding in up to 10% of cases. We propose that exome sequencing may substantially increase the identification of underlying etiologies. We performed exome sequencing on a cohort of 30 non-aneuploid fetuses and neonates (along with their parents) with diverse structural abnormalities first identified by prenatal ultrasound. We identified candidate pathogenic variants with a range of inheritance models, and evaluated these in the context of detailed phenotypic information. We identified 35 de novo single-nucleotide variants (SNVs), small indels, deletions or duplications, of which three (accounting for 10% of the cohort) are highly likely to be causative. These are de novo missense variants in FGFR3 and COL2A1, and a de novo 16.8 kb deletion that includes most of OFD1. In five further cases (17%) we identified de novo or inherited recessive or X-linked variants in plausible candidate genes, which require additional validation to determine pathogenicity. Our diagnostic yield of 10% is comparable to, and supplementary to, the diagnostic yield of existing microarray testing for large chromosomal rearrangements and targeted CNV detection. The de novo nature of these events could enable couples to be counseled as to their low recurrence risk. This study outlines the way for a substantial improvement in the diagnostic yield of prenatal genetic abnormalities through the application of next-generation sequencing.

Indexed as

Chromosome AberrationsGenetic VariationCohort StudiesDiseaseDNA Mutational AnalysisExomeFemaleGenetic TestingGenome, HumanHigh-Throughput Nucleotide SequencingHumansInfant, NewbornMaleMutationPolymorphism, Single NucleotidePregnancy

Identifiers

PMID24476948
PMCPMC4030780
OpenAlexW2129704047

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.