Evidence map›Paper›PMID 30311375›Full record

ArticleHuman mutation2018

Specifications of the ACMG/AMP variant curation guidelines for the analysis of germline CDH1 sequence variants.

Kristy Lee, Kate Krempely, Maegan E Roberts, Michael J Anderson, Fatima Carneiro, Elizabeth Chao, Katherine Dixon, Joana Figueiredo, Rajarshi Ghosh, David Huntsman and 18 more

Registry-linked trialAbstract read
In one paragraph

Article in Human mutation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07133464 (CDH1-associated Blepharocheilodontic Syndrome Registry), which is not on this map. Cited by 93 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 3 pooled it
15.4field-weighted citation impact, top 1% 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.

NCT07133464 recruitingnot on this mapstarted 2025, after this paper: background citation

CDH1-associated Blepharocheilodontic Syndrome Registry

Typeobservational_patient_registrySponsorOhio State UniversityRan2025 to 2040Enrolled100ConditionsBlepharocheilodontic Syndrome
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 3 syntheses or guidelines pooled it, 169 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Review
  5. AAVC: An automated framework for high-accuracy ACMG-based variant classification.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
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  10. Review
  11. The Performance ofHuman mutation · 2026
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33 more citing papers are in PubMed but not listed here.

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

28 authors at 13 institutions in 5 countries.

Kristy LeeDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kate KrempelyAmbry Genetics, Aliso Viejo, California.ORCID 0000-0003-0311-8859
Maegan E RobertsGeneDx, Gaithersburg, Maryland.
Michael J AndersonInvitae Corporation, San Francisco, California.
Fatima Carneiroi3S, Istituto de Investigação e Inovação em Saúde & Ipatimup, Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal.ORCID 0000-0002-1964-1006
Elizabeth ChaoAmbry Genetics, Aliso Viejo, California.
Katherine DixonUniversity of British Columbia, Vancouver, BC, Canada.
Joana Figueiredoi3S, Istituto de Investigação e Inovação em Saúde & Ipatimup, Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal.ORCID 0000-0002-1590-1974
Rajarshi GhoshBaylor College of Medicine, Houston, Texas.
David HuntsmanUniversity of British Columbia, Vancouver, BC, Canada.
Pardeep KaurahUniversity of British Columbia, Vancouver, BC, Canada.
Chimene KesserwanSt. Jude Children's Research Hospital, Memphis, Tennessee.
Tyler LandrithAmbry Genetics, Aliso Viejo, California.
Shuwei LiAmbry Genetics, Aliso Viejo, California.
Arjen R MensenkampRadboud University Medical Centre, Nijmegen, the Netherlands.ORCID 0000-0003-3805-877X
Carla Oliveirai3S, Istituto de Investigação e Inovação em Saúde & Ipatimup, Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal.ORCID 0000-0001-8340-2264
Carolina PardoInvitae Corporation, San Francisco, California.
Tina PesaranAmbry Genetics, Aliso Viejo, California.
Matthew RichardsonUniversity of British Columbia, Vancouver, BC, Canada.
Thomas P SlavinDepartment of Medical Oncology and Therapeutics Research, City of Hope, Duarte, California.
Amanda B SpurdleQIMR Berghofer Medical Research Institute, Brisbane, Australia.ORCID 0000-0003-1337-7897
Mackenzie TrappDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Leora WitkowskiLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Charles S YiAmbry Genetics, Aliso Viejo, California.
Liying ZhangMemorial Sloan Kettering, Memorial Sloan Kettering Cancer Center, New York, New York.
Sharon E PlonBaylor College of Medicine, Houston, Texas.
Kasmintan A SchraderUniversity of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-7413-4314
Rachid KaramAmbry Genetics, Aliso Viejo, California.ORCID 0000-0002-5645-498X
Ambry Genetics (United States) · USUniversity of British Columbia · CAi3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PTBaylor College of Medicine · USInvitae (United States) · USUniversity of North Carolina at Chapel Hill · USCity Of Hope National Medical Center · USMass General Brigham · USMemorial Sloan Kettering Cancer Center · USQIMR Berghofer Medical Research Institute · AURadboud University Nijmegen · NLSt. Jude Children's Research Hospital · USUniversity of California, Irvine · US

Funding

Resource ProjectU41HG006834 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI REHM, HEIDI L · 2013 to 2020
$26.9M
The Future of PharmGKB Funding Under NHGRIU41HG009649 · NHGRI · STANFORD UNIVERSITY · PI BUSTAMANTE, CARLOS DANIEL · 2017 to 2020
$13.4M
The Clinical Genome Resource - Expert Curation and EHR IntegrationU41HG009650 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S, GODDARD, KATRINA A. · 2017 to 2020
$13.3M
Clinically Relevant Genome Variation DatabaseU01HG007436 · NHGRI · STANFORD UNIVERSITY · PI BUSTAMANTE, CARLOS DANIEL, PLON, SHARON E. · 2013 to 2016
$10.5M
A Knowledge Base for Clinically Relevant Genes and VariantsU01HG007437 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S, EVANS, JAMES PHILIP · 2013 to 2016
$9.0M
Mentored Clinical Scientist Research Career Development Award (Parent K08)K08CA234394 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI SLAVIN, THOMAS PAUL · 2018 to 2019
$498k
NCI NIH HHS HHSN261200800001ENCI NIH HHS K08 CA234394NHGRI NIH HHS U01 HG007436NHGRI NIH HHS U01 HG007437NHGRI NIH HHS U41 HG006834NHGRI NIH HHS U41 HG009649NHGRI NIH HHS U41 HG009650
6 · The paper itself

Abstract

The variant curation guidelines published in 2015 by the American College of Medical Genetics and Genomics and the Association for Molecular Pathology (ACMG/AMP) provided the genetics community with a framework to assess variant pathogenicity; however, these rules are not gene specific. Germline pathogenic variants in the CDH1 gene cause hereditary diffuse gastric cancer and lobular breast cancer, a clinically challenging cancer predisposition syndrome that often requires a multidisciplinary team of experts to be properly managed. Given this challenge, the Clinical Genome Resource (ClinGen) Hereditary Cancer Domain prioritized the development of the CDH1 variant curation expert panel (VCEP) to develop and implement rules for CDH1 variant classifications. Here, we describe the CDH1 specifications of the ACMG/AMP guidelines, which were developed and validated after a systematic evaluation of variants obtained from a cohort of clinical laboratory data encompassing ∼827,000 CDH1 sequenced alleles. Comparing previously reported germline variants that were classified using the 2015 ACMG/AMP guidelines to the CDH1 VCEP recommendations resulted in reduced variants of uncertain significance and facilitated resolution of variants with conflicted assertions in ClinVar. The ClinGen CDH1 VCEP recommends the use of these CDH1-specific guidelines for the assessment and classification of variants identified in this clinically actionable gene.

Indexed as

AllelesComputational BiologyGenetic TestingGenetic VariationGenome, HumanGenomicsHigh-Throughput Nucleotide SequencingHumansMutationSequence Analysis, DNASocieties, MedicalUnited StatesACMG/AMP Variant Curation GuidelinesCDH1ClinGenClinVarhereditary diffuse gastric cancerlobular breast cancer

Identifiers

PMID30311375
PMCPMC6188664
OpenAlexW2896403068

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.