Evidence map›Paper›PMID 29961766›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Beyond the panel: preconception screening in consanguineous couples using the TruSight One "clinical exome".

Edwin P Kirk, Kristine Barlow-Stewart, Arthavan Selvanathan, Sarah Josephi-Taylor, Lisa Worgan, Sulekha Rajagopalan, Mark J Cowley, Velimir Gayevskiy, Alan Bittles, Leslie Burnett and 5 more

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In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. 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
1.7field-weighted citation impact, top 16% 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, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Carrier screening "within the panel".Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  11. Response to Suthers and Mina.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

Edwin P KirkCentre for Clinical Genetics, Sydney Children's Hospital, Sydney, New South Wales, Australia. Edwin.kirk@health.nsw.gov.au.
Kristine Barlow-StewartSydney Medical School Northern, University of Sydney, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Arthavan SelvanathanClinical Genetics Services SWSLHD, Liverpool Hospital, Sydney, New South Wales, Australia.
Sarah Josephi-TaylorCentre for Clinical Genetics, Sydney Children's Hospital, Sydney, New South Wales, Australia.
Lisa WorganClinical Genetics Services SWSLHD, Liverpool Hospital, Sydney, New South Wales, Australia.
Sulekha RajagopalanClinical Genetics Services SWSLHD, Liverpool Hospital, Sydney, New South Wales, Australia.
Mark J CowleyKinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Sydney, New South Wales, Australia.
Velimir GayevskiyKinghorn Centre for Clinical Genomics, Garvan Institute of Medical Research, Sydney, New South Wales, Australia.
Alan BittlesSchool of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia.
Leslie BurnettGenome.One, Garvan Institute of Medical Research, Sydney, New South Wales, Australia.
George ElakisGenetics Laboratory, NSW Health Pathology East, Sydney, New South Wales, Australia.
William LoGenetics Laboratory, NSW Health Pathology East, Sydney, New South Wales, Australia.
Michael BuckleyGenetics Laboratory, NSW Health Pathology East, Sydney, New South Wales, Australia.
Alison ColleyClinical Genetics Services SWSLHD, Liverpool Hospital, Sydney, New South Wales, Australia.
Tony RoscioliCentre for Clinical Genetics, Sydney Children's Hospital, Sydney, New South Wales, Australia.
New South Wales Department of Health · AULiverpool Hospital · AUGarvan Institute of Medical Research · AUEdith Cowan University · AUThe University of Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide proof of concept by broadening preconception screening beyond targeted testing to inform reproductive risk in consanguineous couples.

methodsConsanguineous couples were screened for autosomal recessive and X-linked disorders using the TruSight One panel of 4,813 genes associated with human disease.

resultsWe recruited 22 couples, of whom 15 elected to have sequencing. We found four couples to be at risk of autosomal recessive disorders, including one with a child affected by Poretti-Boltshauser syndrome (a diagnosis not made prior to the study) and another previously known to carry a β-globin variant. Two couples were found to carry variants unrelated to known family history. These variants were in the genes C5orf42 (associated with Joubert syndrome and orofaciodigital syndrome) and GYS2 (associated with glycogen synthase deficiency). One known variant was not detected-a single exon deletion in FAM20C. We would not expect to identify this variant with the methodology employed. Of the four variants identified, only the β-globin variant would have been found using available commercial preconception screening panels.

conclusionPreconception screening of consanguineous couples for recessive and X-linked disorders using genomic sequencing is practicable, and is likely to detect many more at-risk couples than any targeted panel could achieve. A couples-based approach greatly reduces the associated analysis and counselling burden.

Indexed as

AdultBase SequenceConsanguinityExomeExome SequencingFamilyFemaleGenes, RecessiveGenes, X-LinkedGenetic TestingHumansMalePedigreeProof of Concept StudySequence Analysis, DNAConsanguineousExomeGenomic screeningPreconception screeningRecessive disorders

Identifiers

PMID29961766
OpenAlexW2809927301

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.