Evidence map›Paper›PMID 29236091›Full record

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

Noncoding copy-number variations are associated with congenital limb malformation.

Ricarda Flöttmann, Bjørt K Kragesteen, Sinje Geuer, Magdalena Socha, Lila Allou, Anna Sowińska-Seidler, Laure Bosquillon de Jarcy, Johannes Wagner, Aleksander Jamsheer, Barbara Oehl-Jaschkowitz and 17 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 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 53 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 17 institutions in 9 countries.

Ricarda FlöttmannMax Planck Institute for Molecular Genetics, Berlin, Germany.
Bjørt K KragesteenMax Planck Institute for Molecular Genetics, Berlin, Germany.
Sinje GeuerMax Planck Institute for Molecular Genetics, Berlin, Germany.
Magdalena SochaDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Lila AllouMax Planck Institute for Molecular Genetics, Berlin, Germany.
Anna Sowińska-SeidlerDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Laure Bosquillon de JarcyInstitute for Medical Genetics and Human Genetics, Charité Universitätsmedizin Berlin, Berlin, Germany.
Johannes WagnerInstitute for Medical Genetics and Human Genetics, Charité Universitätsmedizin Berlin, Berlin, Germany.
Aleksander JamsheerDepartment of Medical Genetics, Poznan University of Medical Sciences, Poznan, Poland.
Barbara Oehl-JaschkowitzGemeinschaftspraxis für Humangenetik Homburg/Saar, Homburg, Germany.
Lars WittlerMax Planck Institute for Molecular Genetics, Berlin, Germany.
Deepthi de SilvaDepartment of Physiology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Ingo KurthInstitute of Human Genetics, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Idit MayaRaphael Recanati Genetics Institute, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel.
Fernando Santos-SimarroInstituto de Genética Médica y Molecular, IdiPAZ, Hospital Universitario La Paz, Madrid, Spain.
Wiebke HülsemannHandchirurgie Kinderkrankenhaus Wilhelmstift, Hamburg, Germany.
Eva KlopockiInstitute of Human Genetics, Biocentre, University of Würzburg, Würzburg, Germany.
Roger MountfordMerseyside and Cheshire Regional Molecular Genetics Laboratory, Liverpool Women's National Health Service Foundation Trust, Liverpool, UK.
Alan FryerMerseyside and Cheshire Regional Molecular Genetics Laboratory, Liverpool Women's National Health Service Foundation Trust, Liverpool, UK.
Guntram BorckInstitute of Human Genetics, University of Ulm, Ulm, Germany.
Denise HornInstitute for Medical Genetics and Human Genetics, Charité Universitätsmedizin Berlin, Berlin, Germany.
Pablo LapunzinaInstituto de Genética Médica y Molecular, IdiPAZ, Hospital Universitario La Paz, Madrid, Spain.
Meredith WilsonDepartment of Clinical Genetics, Children's Hospital at Westmead, and Disciplines of Paediatrics and Child Health and Genetic Medicine, University of Sydney, New South Wales, Australia.
Bénédicte MascrezDepartment of Genetics and Evolution, University of Geneva, Geneva, Switzerland.
Denis DubouleDepartment of Genetics and Evolution, University of Geneva, Geneva, Switzerland.
Stefan MundlosMax Planck Institute for Molecular Genetics, Berlin, Germany.
Malte SpielmannMax Planck Institute for Molecular Genetics, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEMax Planck Institute for Molecular Genetics · DEPoznan University of Medical Sciences · PLÉcole Polytechnique Fédérale de Lausanne · CHFriedrich Schiller University Jena · DEHospital Universitario La Paz · ESInstituto de Investigación de Enfermedades Raras · ESKatholisches Kinderkrankenhaus Wilhelmstift · DENational Health Service · GBPraxis für Humangenetik · DERabin Medical Center · ILUniversität Ulm · DEUniversity of Geneva · CHUniversity of Kelaniya · LKUniversity of Liverpool · GBUniversity of Sydney · AUUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PurposeCopy-number variants (CNVs) are generally interpreted by linking the effects of gene dosage with phenotypes. The clinical interpretation of noncoding CNVs remains challenging. We investigated the percentage of disease-associated CNVs in patients with congenital limb malformations that affect noncoding cis-regulatory sequences versus genes sensitive to gene dosage effects.MethodsWe applied high-resolution copy-number analysis to 340 unrelated individuals with isolated limb malformation. To investigate novel candidate CNVs, we re-engineered human CNVs in mice using clustered regularly interspaced short palindromic repeats (CRISPR)-based genome editing.ResultsOf the individuals studied, 10% harbored CNVs segregating with the phenotype in the affected families. We identified 31 CNVs previously associated with congenital limb malformations and four novel candidate CNVs. Most of the disease-associated CNVs (57%) affected the noncoding cis-regulatory genome, while only 43% included a known disease gene and were likely to result from gene dosage effects. In transgenic mice harboring four novel candidate CNVs, we observed altered gene expression in all cases, indicating that the CNVs had a regulatory effect either by changing the enhancer dosage or altering the topological associating domain architecture of the genome.ConclusionOur findings suggest that CNVs affecting noncoding regulatory elements are a major cause of congenital limb malformations.

Indexed as

AnimalsDNA Copy Number VariationsDNA, IntergenicFemaleGene DosageGenome, HumanGenome-Wide Association StudyHumansLimb Deformities, CongenitalMaleMiceMice, TransgenicPedigreePhenotypeDNA, Intergenic

Identifiers

PMID29236091
OpenAlexW2762374429

What OpenQuestion holds

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Registered trials

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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.