Evidence map›Paper›PMID 30109124›Full record

ArticleNPJ genomic medicine2018

Whole-genome analysis for effective clinical diagnosis and gene discovery in early infantile epileptic encephalopathy.

Betsy E P Ostrander, Russell J Butterfield, Brent S Pedersen, Andrew J Farrell, Ryan M Layer, Alistair Ward, Chase Miller, Tonya DiSera, Francis M Filloux, Meghan S Candee and 4 more

Open access · goldAbstract read
In one paragraph

Article in NPJ genomic medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Limitations of serial cloning in mammals.Nature communications · 2026
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  6. Germline whole-exome sequencing revealsJournal for immunotherapy of cancer · 2025
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  8. DNA polymerase β suppresses somatic indels at CpG dinucleotides in developing cortical neurons.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Applications for Deep Learning in Epilepsy Genetic Research.International journal of molecular sciences · 2023
    Review
  17. Review
  18. Article
  19. Article
  20. 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

14 authors at 1 institution in 1 country.

Betsy E P Ostrander1Division of Pediatric Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT USA.
Russell J Butterfield1Division of Pediatric Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT USA.ORCID 0000-0002-8452-7189
Brent S Pedersen2Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT USA.
Andrew J Farrell2Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT USA.
Ryan M Layer2Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT USA.
Alistair Ward2Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT USA.
Chase Miller2Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT USA.
Tonya DiSera2Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT USA.
Francis M Filloux1Division of Pediatric Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT USA.
Meghan S Candee1Division of Pediatric Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT USA.
Tara Newcomb2Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT USA.
Joshua L Bonkowsky1Division of Pediatric Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT USA.
Gabor T Marth2Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT USA.ORCID 0000-0003-0222-1694
Aaron R Quinlan1Division of Pediatric Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT USA.ORCID 0000-0003-1756-0859
University of Utah · US

Funding

University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
Robust Software Tools for Variant Identification and Functional AssessmentU01HG006513 · NHGRI · UNIVERSITY OF UTAH · PI ABECASIS, GONCALO, MARTH, GABOR T · 2012 to 2015
$4.2M
Monitoring tumor subclonal heterogeneity over time and spaceU24CA209999 · NCI · UNIVERSITY OF UTAH · PI MARTH, GABOR T, QUINLAN, AARON R · 2016 to 2020
$3.9M
New algorithms and tools for large-scale genomic analysesR01HG006693 · NHGRI · UNIVERSITY OF VIRGINIA · PI QUINLAN, AARON R · 2012 to 2018
$3.1M
A powerful web-based discovery platform for rare disease geneticsR01HG009141 · NHGRI · BROAD INSTITUTE, INC. · PI QUINLAN, AARON R, REHM, HEIDI L · 2017 to 2020
$2.9M
IOBIO: Web-based, interactive tools for real-time analysis in genomic big dataR01HG009000 · NHGRI · UNIVERSITY OF UTAH · PI MARTH, GABOR T · 2017 to 2020
$2.9M
Web tools for physician-driven diagnostic interpretation of genomic patient dataR01HG009712 · NHGRI · UNIVERSITY OF UTAH · PI MARTH, GABOR T, TRISTANI-FIROUZI, MARTIN · 2017 to 2020
$2.8M
Trans-Cellular Activation of Transcription to Analyze Dopaminergic Axon ReorganizDP2MH100008 · NIMH · UNIVERSITY OF UTAH · PI BONKOWSKY, JOSH LEITCH · 2012 to 2012
$2.2M
Software for exploring all forms of genetic variation in any speciesR01GM124355 · NIGMS · UNIVERSITY OF UTAH · PI QUINLAN, AARON R · 2017 to 2020
$1.8M
NCATS NIH HHS UL1 TR001067NCI NIH HHS U24 CA209999NHGRI NIH HHS R01 HG006693NHGRI NIH HHS R01 HG009000NHGRI NIH HHS R01 HG009141NHGRI NIH HHS R01 HG009712NHGRI NIH HHS U01 HG006513NIGMS NIH HHS R01 GM124355NIMH NIH HHS DP2 MH100008
6 · The paper itself

Abstract

Early infantile epileptic encephalopathy (EIEE) is a devastating epilepsy syndrome with onset in the first months of life. Although mutations in more than 50 different genes are known to cause EIEE, current diagnostic yields with gene panel tests or whole-exome sequencing are below 60%. We applied whole-genome analysis (WGA) consisting of whole-genome sequencing and comprehensive variant discovery approaches to a cohort of 14 EIEE subjects for whom prior genetic tests had not yielded a diagnosis. We identified both de novo point and INDEL mutations and de novo structural rearrangements in known EIEE genes, as well as mutations in genes not previously associated with EIEE. The detection of a pathogenic or likely pathogenic mutation in all 14 subjects demonstrates the utility of WGA to reduce the time and costs of clinical diagnosis of EIEE. While exome sequencing may have detected 12 of the 14 causal mutations, 3 of the 12 patients received non-diagnostic exome panel tests prior to genome sequencing. Thus, given the continued decline of sequencing costs, our results support the use of WGA with comprehensive variant discovery as an efficient strategy for the clinical diagnosis of EIEE and other genetic conditions.

Identifiers

PMID30109124
PMCPMC6089881
OpenAlexW2885649197

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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.