Evidence map›Paper›PMID 28749478›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2018

Molecular autopsy in maternal-fetal medicine.

Hanan E Shamseldin, Wesam Kurdi, Fatima Almusafri, Maha Alnemer, Alya Alkaff, Zeneb Babay, Amal Alhashem, Maha Tulbah, Nada Alsahan, Rubina Khan and 25 more

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In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 2% 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

60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2026
    Article
  6. [Establish Standardized Pathological and Genetic Examinations to Reduce the Incidence of Stillbirth].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  7. Rare variants ofFrontiers in cell and developmental biology · 2026
    Article
  8. Genomics of pregnancy loss.Journal of assisted reproduction and genetics · 2026
    Review
  9. Review
  10. Genetic Variants in Recurrent Euploid Pregnancy Loss.medRxiv : the preprint server for health sciences · 2025
    Article
  11. Article
  12. Review
  13. Open biology · 2025
    Review
  14. Article
  15. Biallelic variants in the conserved ribosomal protein chaperone geneProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Article
  17. Blended Phenotypes From aMaternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2024
    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

35 authors at 10 institutions in 4 countries.

Hanan E ShamseldinDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Wesam KurdiDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Fatima AlmusafriClinical and Metabolic Genetics, Department of Pediatrics, Hamad Medical Corporation, Qatar.
Maha AlnemerDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Alya AlkaffDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Zeneb BabayDepartment of Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Amal AlhashemDepartment of Pediatrics, Price Sultan Military Medical City, Riyadh, Saudi Arabia.
Maha TulbahDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Nada AlsahanDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Rubina KhanDepartment of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Bahauddin SalloutMaternal-Fetal Medicine Department, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Elham Al MardawiDepartment of Obstetrics and Gynecology, Security Forces Hospital, Riyadh, Saudi Arabia.
Mohamed Zain SeidahmedDepartment of Pediatrics, Security Forces Hospital, Riyadh, Saudi Arabia.
Niema MerikiDepartment of Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Yasser AlsaberDepartment of Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Alya QariDepartment of Medical Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Ola KhalifaGenetics Unit, Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Wafaa EyaidDepartment of Pediatrics, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Zuhair RahbeeniDepartment of Medical Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Ahmed KurdiDepartment of Obstetrics and Gynecology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Mais HashemDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Tarfa AlshidiDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Eman Al-ObeidDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Firdous AbdulwahabDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Niema IbrahimDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Nour EwidaDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Karen El-AkouriClinical and Metabolic Genetics, Department of Pediatrics, Hamad Medical Corporation, Qatar.
Mariam Al MullaClinical and Metabolic Genetics, Department of Pediatrics, Hamad Medical Corporation, Qatar.
Tawfeg Ben-OmranClinical and Metabolic Genetics, Department of Pediatrics, Hamad Medical Corporation, Qatar.
Matthias PergandeCologne Center for Genomics, University of Cologne, Köln, Germany.
Sebahattin CirakCologne Center for Genomics, University of Cologne, Köln, Germany.
Saeed Al TalaDepartment of Pediatrics, Armed Forces Hospital Program Southwest Region, Khamis Mushait, Saudi Arabia.
Ranad ShaheenDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Eissa FaqeihDepartment of Pediatrics, King Fahad Medical City, Riyadh, Saudi Arabia.
Fowzan S AlkurayaDepartment of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
King Faisal Specialist Hospital & Research Centre · SAHamad Medical Corporation · QAKing Saud University · SARiyadh Armed Forces Hospital · SASecurity Forces Hospital · SAUniversity of Cologne · DEAin Shams University · EGArmed Forces Hospital · SAKing Abdulaziz Medical City · SAKing Fahd Medical City · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PurposeThe application of genomic sequencing to investigate unexplained death during early human development, a form of lethality likely enriched for severe Mendelian disorders, has been limited.MethodsIn this study, we employed exome sequencing as a molecular autopsy tool in a cohort of 44 families with at least one death or lethal fetal malformation at any stage of in utero development. Where no DNA was available from the fetus, we performed molecular autopsy by proxy, i.e., through parental testing.ResultsPathogenic or likely pathogenic variants were identified in 22 families (50%), and variants of unknown significance were identified in further 15 families (34%). These variants were in genes known to cause embryonic or perinatal lethality (ALPL, GUSB, SLC17A5, MRPS16, THSD1, PIEZO1, and CTSA), genes known to cause Mendelian phenotypes that do not typically include embryonic lethality (INVS, FKTN, MYBPC3, COL11A2, KRIT1, ASCC1, NEB, LZTR1, TTC21B, AGT, KLHL41, GFPT1, and WDR81) and genes with no established links to human disease that we propose as novel candidates supported by embryonic lethality of their orthologs or other lines of evidence (MS4A7, SERPINA11, FCRL4, MYBPHL, PRPF19, VPS13D, KIAA1109, MOCS3, SVOPL, FEN1, HSPB11, KIF19, and EXOC3L2).ConclusionOur results suggest that molecular autopsy in pregnancy losses is a practical and high-yield alternative to traditional autopsy, and an opportunity for bringing precision medicine to the clinical practice of perinatology.

Indexed as

AutopsyMolecular Diagnostic TechniquesCause of DeathExome SequencingFemaleGenes, LethalGenetic Association StudiesGenetic Diseases, InbornGenetic Predisposition to DiseaseHumansPrecision MedicinePregnancyPrenatal DiagnosisWorkflow

Identifiers

PMID28749478
OpenAlexW2740346425

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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.