Evidence map›Paper›PMID 29543232›Full record

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

Targeted genetic analysis in a large cohort of familial and sporadic cases of aneurysm or dissection of the thoracic aorta.

Ruwan Weerakkody, David Ross, David A Parry, Bulat Ziganshin, Jana Vandrovcova, Piyush Gampawar, Abdulshakur Abdullah, Jennifer Biggs, Julia Dumfarth, Yousef Ibrahim and 6 more

Open access · greenAbstract read
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 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 72 citations in OpenAlex.

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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

16 authors at 5 institutions in 2 countries.

Ruwan WeerakkodyDepartment of Medicine, Institute of Clinical Sciences, Imperial College London, London, UK.
David RossInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
David A ParryInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Bulat ZiganshinAortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA.
Jana VandrovcovaDepartment of Molecular Neuroscience, Institute of Neurology, University College London, London, UK.
Piyush GampawarInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Abdulshakur AbdullahDepartment of Medicine, Institute of Clinical Sciences, Imperial College London, London, UK.
Jennifer BiggsDepartment of Medicine, Institute of Clinical Sciences, Imperial College London, London, UK.
Julia DumfarthAortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA.
Yousef IbrahimDepartment of Surgery and Cancer, Imperial College London, London, UK.
Yale Aortic Institute Data and Repository Team
Colin BicknellDepartment of Surgery and Cancer, Imperial College London, London, UK.
Mark FieldDepartment of Cardiac Surgery, Liverpool Heart and Chest Hospital, Liverpool, UK.
John ElefteriadesAortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA.
Nick CheshireDepartment of Surgery and Cancer, Imperial College London, London, UK.
Timothy J AitmanDepartment of Medicine, Institute of Clinical Sciences, Imperial College London, London, UK. tim.aitman@ed.ac.uk.
Imperial College London · GBInstitute of Genetics and Cancer · GBYale New Haven Hospital · USUniversity College London · GBUniversity of Liverpool · GB

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Chief Scientist Office SGP/1Medical Research Council MC_PC_15080Medical Research Council MC_U120061454Medical Research Council MR/N005902/1Wellcome Trust
6 · The paper itself

Abstract

purposeThoracic aortic aneurysm/aortic dissection (TAAD) is a disorder with highly variable age of onset and phenotype. We sought to determine the prevalence of pathogenic variants in TAAD-associated genes in a mixed cohort of sporadic and familial TAAD patients and identify relevant genotype-phenotype relationships.

methodsWe used a targeted polymerase chain reaction and next-generation sequencing-based panel for genetic analysis of 15 TAAD-associated genes in 1,025 unrelated TAAD cases.

resultsWe identified 49 pathogenic or likely pathogenic (P/LP) variants in 47 cases (4.9% of those successfully sequenced). Almost half of the variants were in nonsyndromic cases with no known family history of aortic disease. Twenty-five variants were within FBN1 and two patients were found to harbor two P/LP variants. Presence of a related syndrome, younger age at presentation, family history of aortic disease, and involvement of the ascending aorta increased the risk of carrying a P/LP variant.

conclusionGiven the poor prognosis of TAAD that is undiagnosed prior to acute rupture or dissection, genetic analysis of both familial and sporadic cases of TAAD will lead to new diagnoses, more informed management, and possibly reduced mortality through earlier, preclinical diagnosis in genetically determined cases and their family members.

Indexed as

AdipokinesAdolescentAdultAgedAge of OnsetAorta, ThoracicAortic Aneurysm, ThoracicChildCollagen Type ICollagen Type I, alpha 1 ChainFemaleFibrillin-1Genetic Association StudiesGenetic Predisposition to DiseaseGenetic TestingHigh-Throughput Nucleotide SequencingAdipokinesCollagen Type ICollagen Type I, alpha 1 ChainFBN1 protein, humanFibrillin-1Receptor, Transforming Growth Factor-beta Type ITGFBR1 protein, humanFBN1high-throughput DNA sequencingsporadic TAADTAAD geneticsthoracic aortic aneurysm/aortic dissection

Identifiers

PMID29543232
PMCPMC6004315
OpenAlexW2794040920

What OpenQuestion holds

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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.