Evidence map›Paper›PMID 26034137›Full record

Trial reportHuman molecular genetics2015

Increased burden of de novo predicted deleterious variants in complex congenital diaphragmatic hernia.

Lan Yu, Ashley D Sawle, Julia Wynn, Gudrun Aspelund, Charles J Stolar, Marc S Arkovitz, Douglas Potoka, Kenneth S Azarow, George B Mychaliska, Yufeng Shen and 1 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Human molecular genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00950118 (Diaphragmatic Hernia Research & Exploration, Advancing Molecular Science), which is not on this map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
5.9field-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.

NCT00950118 recruitingnot on this map

Diaphragmatic Hernia Research & Exploration, Advancing Molecular Science

TypeobservationalSponsorColumbia UniversityRan2005 to 2026Enrolled3,000ConditionsCongenital Diaphragmatic Hernia
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 77 citations in OpenAlex.

  1. Mechanical compression causes lung hypoplasia in congenital diaphragmatic hernia with GATA4 genetic variants.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
  2. Novel variants inExperimental and therapeutic medicine · 2026
    Article
  3. Article
  4. Article
  5. A novelGlobal medical genetics · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Children (Basel, Switzerland) · 2022
    Article
  14. Congenital diaphragmatic hernia.Nature reviews. Disease primers · 2022
    Review
  15. Review
  16. Article
  17. Review
  18. Review
  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

11 authors at 4 institutions in 1 country.

Lan YuDivision of Molecular Genetics, Department of Pediatrics.
Ashley D SawleThe Herbert Irving Comprehensive Cancer Center.
Julia WynnDivision of Molecular Genetics, Department of Pediatrics.
Gudrun AspelundDepartment of Surgery.
Charles J StolarCalifornia Pediatric Surgery Group, Santa Barbara, CA 93105, USA.
Marc S ArkovitzDivision of Pediatric Surgery, Tel Hashomer Medical Center, Tel Hashomer, Israel.
Douglas PotokaDepartment of Pediatric Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.
Kenneth S AzarowPediatric Surgery Division, Department of Surgery, Oregon Health Science University, Portland, OR 97239, USA and.
George B MychaliskaSection of Pediatric Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI 48109, USA.
Yufeng ShenDepartments of System Biology and Biomedical Informatics, Columbia University Medical Center, New York, NY 10032, USA, ys2411@columbia.edu wkc15@cumc.columbia.edu.
Wendy K ChungDivision of Molecular Genetics, Department of Pediatrics, ys2411@columbia.edu wkc15@cumc.columbia.edu.
Columbia University Irving Medical Center · USHerbert Irving Comprehensive Cancer CenterOregon Health & Science University · USUniversity of Michigan–Ann Arbor · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Identification of Novel Genes for Congenital Diaphragmatic HerniaR01HD057036 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ASPELUND, GUDRUN, CHUNG, WENDY K · 2008 to 2012
$2.8M
NCRR NIH HHS UL1 RR024156NCRR NIH HHS UL1RR024156NICHD NIH HHS HD057036NICHD NIH HHS R01 HD057036
6 · The paper itself

Abstract

Congenital diaphragmatic hernia (CDH) is a serious birth defect that accounts for 8% of all major birth anomalies. Approximately 40% of cases occur in association with other anomalies. As sporadic complex CDH likely has a significant impact on reproductive fitness, we hypothesized that de novo variants would account for the etiology in a significant fraction of cases. We performed exome sequencing in 39 CDH trios and compared the frequency of de novo variants with 787 unaffected controls from the Simons Simplex Collection. We found no significant difference in overall frequency of de novo variants between cases and controls. However, among genes that are highly expressed during diaphragm development, there was a significant burden of likely gene disrupting (LGD) and predicted deleterious missense variants in cases (fold enrichment = 3.2, P-value = 0.003), and these genes are more likely to be haploinsufficient (P-value = 0.01) than the ones with benign missense or synonymous de novo variants in cases. After accounting for the frequency of de novo variants in the control population, we estimate that 15% of sporadic complex CDH patients are attributable to de novo LGD or deleterious missense variants. We identified several genes with predicted deleterious de novo variants that fall into common categories of genes related to transcription factors and cell migration that we believe are related to the pathogenesis of CDH. These data provide supportive evidence for novel genes in the pathogenesis of CDH associated with other anomalies and suggest that de novo variants play a significant role in complex CDH cases.

Indexed as

Mutation, MissenseCongenital AbnormalitiesFemaleHernia, DiaphragmaticHumansMale

Identifiers

PMID26034137
PMCPMC4512631
OpenAlexW1797845776

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.