Evidence map›Paper›PMID 30096381›Full record

ArticleThe Journal of molecular diagnostics : JMD2018

Curating Clinically Relevant Transcripts for the Interpretation of Sequence Variants.

Marina T DiStefano, Sarah E Hemphill, Brandon J Cushman, Mark J Bowser, Elizabeth Hynes, Andrew R Grant, Rebecca K Siegert, Andrea M Oza, Michael A Gonzalez, Sami S Amr and 2 more

Abstract read
In one paragraph

Article in The Journal of molecular diagnostics : JMD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Clinical Interpretation of Sequence Variants.Current protocols in human genetics · 2020
    Article
  12. Article
  13. Pitfalls of clinical exome and gene panel testing: alternative transcripts.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  14. Article
  15. Article
  16. 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

12 authors.

Marina T DiStefanoLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Sarah E HemphillLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Brandon J CushmanLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Mark J BowserLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Elizabeth HynesLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Andrew R GrantLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Rebecca K SiegertLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Andrea M OzaLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Michael A GonzalezDivision of Genomic Diagnostics, The Children's Hospital of Philadelphia, The University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Sami S AmrLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts; Center for Genomic Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Heidi L RehmLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts; Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Medical and Population Genetics, The Broad Institute of the Massachusetts Institute of Technology and Harvard, Cambridge, Massachusetts.
Ahmad N Abou TayounDivision of Genomic Diagnostics, The Children's Hospital of Philadelphia, The University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Genetics Department, Al Jalila Children's Specialty Hospital, Dubai, United Arab Emirates. Electronic address: ahmad.tayoun@ajch.ae.

Funding

Resource ProjectU41HG006834 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI MARTIN, CHRISTA LESE, REHM, HEIDI L · 2013 to 2020
$26.9M
NHGRI NIH HHS U41 HG006834
6 · The paper itself

Abstract

Variant interpretation depends on accurate annotations using biologically relevant transcripts. We have developed a systematic strategy for designating primary transcripts and have applied it to 109 hearing loss-associated genes that were divided into three categories. Category 1 genes (n = 38) had a single transcript; category 2 genes (n = 33) had multiple transcripts, but a single transcript was sufficient to represent all exons; and category 3 genes (n = 38) had multiple transcripts with unique exons. Transcripts were curated with respect to gene expression reported in the literature and the Genotype-Tissue Expression Project. In addition, high-frequency loss-of-function variants in the Genome Aggregation Database and disease-causing variants in ClinVar and the Human Gene Mutation Database across the 109 genes were queried. These data were used to classify exons as clinically significant, insignificant, or of uncertain significance. Interestingly, 6% of all exons, containing 124 reportedly disease-causing variants, were of uncertain significance. Finally, we used exon-level next-generation sequencing quality metrics generated at two clinical laboratories and identified a total of 43 technically challenging exons in 20 different genes that had inadequate coverage and/or homology issues that might lead to false-variant calls. We have demonstrated that transcript analysis plays a critical role in accurate clinical variant interpretation.

Indexed as

Genetic VariationExonsHumansRNA, MessengerRNA, Messenger

Identifiers

PMID30096381
PMCPMC6204605

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.