Evidence map›Paper›PMID 27077130›Full record

ArticleEBioMedicine2016

Incidentalome from Genomic Sequencing: A Barrier to Personalized Medicine?

Saumya Shekhar Jamuar, Jyn Ling Kuan, Maggie Brett, Zenia Tiang, Wilson Lek Wen Tan, Jiin Ying Lim, Wendy Kein Meng Liew, Asif Javed, Woei Kang Liew, Hai Yang Law and 8 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Classification of the canonical splice alterationCold Spring Harbor molecular case studies · 2022
    Article
  4. Genetic Differences between Physical Injury Patients With and Without Post-traumatic Syndrome: Focus on Secondary Findings and Potential Variants Revealed by Whole Exome Sequencing.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  5. Article
  6. 1 in 38 individuals at risk of a dominant medically actionable disease.European journal of human genetics : EJHG · 2019
    Article
  7. Review
  8. Population genomics in South East Asia captures unexpectedly high carrier frequency for treatable inherited disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. 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

18 authors at 5 institutions in 1 country.

Saumya Shekhar JamuarDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore; Paediatric Academic Clinical Programme, Singhealth Duke-NUS Graduate Medical School, Singapore.
Jyn Ling KuanGenome Institute of Singapore, ASTAR, Singapore; Cardiovascular Research Institute, National University of Singapore, National University Health System, Singapore.
Maggie BrettKK Research Center, KK Women's and Children's Hospital, Singapore.
Zenia TiangGenome Institute of Singapore, ASTAR, Singapore; Cardiovascular Research Institute, National University of Singapore, National University Health System, Singapore.
Wilson Lek Wen TanGenome Institute of Singapore, ASTAR, Singapore; Cardiovascular Research Institute, National University of Singapore, National University Health System, Singapore.
Jiin Ying LimDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore.
Wendy Kein Meng LiewDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore; Paediatric Academic Clinical Programme, Singhealth Duke-NUS Graduate Medical School, Singapore.
Asif JavedGenome Institute of Singapore, ASTAR, Singapore.
Woei Kang LiewDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore.
Hai Yang LawDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore; Paediatric Academic Clinical Programme, Singhealth Duke-NUS Graduate Medical School, Singapore.
Ee Shien TanDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore; Paediatric Academic Clinical Programme, Singhealth Duke-NUS Graduate Medical School, Singapore.
Angeline LaiDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore; Paediatric Academic Clinical Programme, Singhealth Duke-NUS Graduate Medical School, Singapore.
Ivy NgDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore; Paediatric Academic Clinical Programme, Singhealth Duke-NUS Graduate Medical School, Singapore.
Yik Ying TeoSaw Swee Hock School of Public Health, National University of Singapore, Singapore.
Byrappa VenkateshInstitute of Molecular and Cell Biology, ASTAR, Singapore.
Bruno ReversadeInstitute of Medical Biology, ASTAR, Singapore.
Ene Choo TanKK Research Center, KK Women's and Children's Hospital, Singapore.
Roger FooGenome Institute of Singapore, ASTAR, Singapore; Cardiovascular Research Institute, National University of Singapore, National University Health System, Singapore.
KK Women's and Children's Hospital · SGAgency for Science, Technology and Research · SGSingHealth Duke-NUS Academic Medical Centre · SGNational University of Singapore · SGGenome Institute of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Western cohorts, the prevalence of incidental findings (IFs) or incidentalome, referring to variants in genes that are unrelated to the patient's primary condition, is between 0.86% and 8.8%. However, data on prevalence and type of IFs in Asian population is lacking.

methodsIn 2 cohorts of individuals with genomic sequencing performed in Singapore (total n = 377), we extracted and annotated variants in the 56 ACMG-recommended genes and filtered these variants based on the level of pathogenicity. We then analyzed the precise distribution of IFs, class of genes, related medical conditions, and potential clinical impact.

resultsWe found a total of 41,607 variants in the 56 genes in our cohort of 377 individuals. After filtering for rare and coding variants, we identified 14 potential variants. After reviewing primary literature, only 4 out of the 14 variants were classified to be pathogenic, while an additional two variants were classified as likely pathogenic. Overall, the cumulative prevalence of IFs (pathogenic and likely pathogenic variants) in our cohort was 1.6%.

conclusionThe cumulative prevalence of IFs through genomic sequencing is low and the incidentalome may not be a significant barrier to implementation of genomics for personalized medicine.

Indexed as

Genetic VariationGenome, HumanIncidental FindingsPrecision MedicineChromosome MappingDatabases, GeneticExomeGenomicsHigh-Throughput Nucleotide SequencingHumansMolecular Sequence AnnotationMutationSingaporeGenomic sequencingIncidental findingsPersonalized medicine

Identifiers

PMID27077130
PMCPMC4816806
OpenAlexW2272272543

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.