Evidence map›Paper›PMID 26733776›Full record

ArticleMolecular syndromology2015

Diagnosis of D-Bifunctional Protein Deficiency through Whole-Genome Sequencing: Implications for Cost-Effective Care.

Alina Khromykh, Benjamin D Solomon, Dale L Bodian, Eyby L Leon, Ramaswamy K Iyer, Robin L Baker, David P Ascher, Rajiv Baveja, Joseph G Vockley, John E Niederhuber

Open access · bronzeAbstract read
In one paragraph

Article in Molecular syndromology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. One novelFrontiers in pediatrics · 2025
    Article
  2. Review
  3. Article
  4. Clinical Application of Genome and Exome Sequencing as a Diagnostic Tool for Pediatric Patients: a Scoping Review of the Literature.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  5. Article
  6. Article
  7. 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

10 authors at 1 institution in 1 country.

Alina KhromykhInova Translational Medicine Institute, Inova Health System, Falls Church, Va., USA.
Benjamin D SolomonInova Translational Medicine Institute, Inova Health System, Falls Church, Va., USA; Inova Children's Hospital, Inova Health System, Falls Church, Va., USA; Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, Va., USA.
Dale L BodianInova Translational Medicine Institute, Inova Health System, Falls Church, Va., USA.
Eyby L LeonDivision of Genetics and Metabolism, Children's National Medical Center, Washington, D.C., USA.
Ramaswamy K IyerInova Translational Medicine Institute, Inova Health System, Falls Church, Va., USA; Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, Richmond, Va., USA.
Robin L BakerInova Children's Hospital, Inova Health System, Falls Church, Va., USA; Fairfax Neonatal Associates, Falls Church, Va., USA.
David P AscherInova Children's Hospital, Inova Health System, Falls Church, Va., USA; Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, Va., USA.
Rajiv BavejaInova Children's Hospital, Inova Health System, Falls Church, Va., USA; Fairfax Neonatal Associates, Falls Church, Va., USA.
Joseph G VockleyInova Translational Medicine Institute, Inova Health System, Falls Church, Va., USA; Fairfax Neonatal Associates, Falls Church, Va., USA.
John E NiederhuberInova Translational Medicine Institute, Inova Health System, Falls Church, Va., USA.
Children's National · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

D-Bifunctional protein deficiency, caused by recessive mutations in HSD17B4, is a severe disorder of peroxisomal fatty acid oxidation. Nonspecific clinical features may contribute to diagnostic challenges. We describe a newborn female with infantile-onset seizures and nonspecific mild dysmorphisms who underwent extensive genetic workup that resulted in the detection of a novel homozygous mutation (c.302+1_4delGTGA) in the HSD17B4 gene, consistent with a diagnosis of D-bifunctional protein deficiency. By comparing the standard clinical workup to diagnostic analysis performed through research-based whole-genome sequencing (WGS), which independently identified the causative mutation, we demonstrated the ability of genomic sequencing to serve as a timely and cost-effective diagnostic tool for the molecular diagnosis of apparent and occult newborn diseases. As genomic sequencing becomes more available and affordable, we anticipate that WGS and related omics technologies will eventually replace the traditional tiered approach to newborn diagnostic workup.

Indexed as

Clinical workupCost-effective careD-Bifunctional protein deficiencyWhole-genome sequencing

Identifiers

PMID26733776
PMCPMC4698652
OpenAlexW1865624253

What OpenQuestion holds

Textmetadata
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.