Evidence map›Paper›PMID 29961769›Full record

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

Population genomics in South East Asia captures unexpectedly high carrier frequency for treatable inherited disorders.

Yasmin Bylstra, Jyn Ling Kuan, Weng Khong Lim, Jaydutt Digambar Bhalshankar, Jing Xian Teo, Sonia Davila, Bin Tean Teh, Steve Rozen, Ene-Choo Tan, Wendy Kein Meng Liew and 8 more

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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. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

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  7. [Genetic screening and follow-up results in 3 001 newborns in the Yunnan region].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  8. Article
  9. Review
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  11. Article
  12. Citrin deficiency-The East-side story.Journal of inherited metabolic disease · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 1 country.

Yasmin BylstraSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
Jyn Ling KuanSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
Weng Khong LimSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
Jaydutt Digambar BhalshankarDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.
Jing Xian TeoSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
Sonia DavilaSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
Bin Tean TehSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
Steve RozenSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
Ene-Choo TanDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.
Wendy Kein Meng LiewDepartment of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.
Khung Keong YeoDepartment of Cardiology, National Heart Centre Singapore, Singapore, Singapore.
Patrick TanSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
SinGapore Incidental Finding (SGIF) study group
Seang Mei SawSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Ching-Yu ChengSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Stuart CookSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore.
Roger FooYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Saumya Shekhar JamuarSingHealth Duke-NUS Institute of Precision Medicine, Singapore, Singapore. Saumya.s.jamuar@singhealth.com.sg.
SingHealth · SGDuke-NUS Medical School · SGNational Heart Centre Singapore · SGKK Women's and Children's Hospital · SGSingapore Eye Research Institute · SGAgency for Science, Technology and Research · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGenomic studies have demonstrated the necessity of ethnicity-specific population data to ascertain variant pathogenicity for disease diagnosis and treatment. This study examined the carrier prevalence of treatable inherited disorders (TIDs), where early diagnosis of at-risk offspring can significantly improve clinical outcomes.

methodsExisting exome/ genome sequencing data of 831 Singaporeans were aggregated and examined for disease causing variants in 104 genes associated with 80 TIDs.

resultsAmong the 831 Singaporean participants, genomic variant filtering and analysis identified 1 in 18 individuals (6%) to be carriers amongst one of 13 TIDs. Citrin deficiency and Wilson disease had the highest carrier frequency of 1 in 41, and 1 in 103 individuals, respectively. The pathogenic variants associated with citrin deficiency were 24 times more prevalent in our local cohorts when compared to Western cohorts.

conclusionThis study demonstrates the value of a population specific genomic database to determine true disease prevalence and has enabled the discovery of carrier frequencies of treatable genetic conditions specific to South East Asian populations, which are currently underestimated in existing data sources. This study framework can be adapted to other population groups and expanded to multiple genetic conditions to inform health policies directing precision medicine.

Indexed as

Genetic Carrier ScreeningGenetic Predisposition to DiseaseAsiaEthnicityExomeGene FrequencyGenetic Diseases, InbornGenetics, PopulationGenetic VariationHumansMaleMetagenomicsMutationPrecision MedicineCitrin deficiencyGenomicsPrecision MedicineSingapore Exome Consortiumtreatable inherited disorders

Identifiers

PMID29961769
OpenAlexW2810901157

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.